2020-05-14T18:14:20-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2018-07-01 410965829 VOLUNTEERS OF AMERICA CARE FACILITIES VOLU 9529410305 7485 OFFICE RIDGE CIRCLE EDEN PRAIRIE MN 55344 NANCY GAVIN VP FINANCIAL SERVICES 9529410305 2020-05-06 1 LAWRENCE H MOHR CPA P00447603 6128764500 38.88.188.75 2020-05-06 10:46:55 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 EDB264CAD7F9F6CD2E19D356927987B2A35A11B0 2018 2020-09-23 17:36:50Z X JOSEPH BUDZYNSKI 1660 DUKE STREET ALEXANDRIA VA 22314 53280541 0 X WWW.VOA.ORG X 1970 MN SEE SCHEDULE O 15 14 1142 445 0 0 717669 1812395 51129200 50907143 381202 558192 -7 -351 52228064 53277379 0 0 0 0 32155311 33069210 0 0 0 20465377 20489871 52620688 53559081 -392624 -281702 34620203 33064818 27777256 26906743 6842947 6158075 X SEE SCHEDULE O 0 0 50223191 50907143 VOLUNTEERS OF AMERICA CARE FACILITIES PROVIDES A SPECTRUM OF HEALTHCARE SERVICES NATIONWIDE, INCLUDING NURSING AND LONG-TERM CARE, ASSISTED AND INDEPENDENT LIVING FACILITIES, AND ADULT DAY CARE TO A VARIETY OF PEOPLE IN NEED WITH AN EMPHASIS ON SENIORS AND THOSE WITH MENTAL ILLNESS OR INTELLECTUAL DISABILITIES. 50223191 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 55 0 1142 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X NANCY GAVIN 6124287840 7485 OFFICE RIDGE CIRCLE EDEN PRAIRIE MN 55344 BURKS JANE BOARD CHAIR 0.10 2.00 X X 0 0 0 KIKUMOTO C DAVID VICE CHAIRMAN 0.10 2.00 X X 0 0 0 CARRINGTON EDWINA SECRETARY 0.10 2.00 X X 0 0 0 ARNOLDPATTI TREASURER 0.10 2.00 X X 0 0 0 BLOOM SHAWN DIRECTOR 0.10 2.00 X 0 0 0 DALE KAREN DIRECTOR 0.10 2.00 X 0 0 0 DOLAN THOMAS DIRECTOR 0.10 2.00 X 0 0 0 EDEBURN ANDREW DIRECTOR 0.10 2.00 X 0 0 0 KNAPP KEITH DIRECTOR 0.10 2.00 X 0 0 0 LEBLANC JAMES DIRECTOR 0.10 2.00 X 0 0 0 PETERSEN JEANNE DIRECTOR 0.10 2.00 X 0 0 0 RASE NANCY DIRECTOR 0.10 2.00 X 0 0 0 SULLIVAN MICHAEL DIRECTOR 0.10 2.00 X 0 0 0 WAKEFIELD STEPHEN DIRECTOR 0.10 2.00 X 0 0 0 KING MICHAEL W PRESIDENT 3.00 40.00 X X 0 464708 150782 WILSON GENO SHARON ASST. SECRETARY/TREASURER, COO 3.00 40.00 X 0 278372 100016 BUDZYNSKI JOSEPH A ASST. SECRETARY/TREASURER, CFO 3.00 40.00 X 0 269182 62971 SHERIDAN PATRICK N ASST. SECRETARY 3.00 40.00 X 0 230099 49694 KELLER CYNTHIA R ASST. SECRETARY 3.00 40.00 X 0 138749 113043 GAVIN NANCY A ASST. SECRETARY/TREASURER 3.00 40.00 X 0 137745 86476 GIBSON ROBERT ASST. SECRETARY/TREASURER 3.00 40.00 X 0 270155 61891 PERRY DEBORAH ASST. SECRETARY/TREASURER (PART YR) 3.00 40.00 X 0 0 0 NUTZ FAITH ASST. SECRETARY/TREASURER 3.00 40.00 X 0 114887 18629 OLSON WAYNE C EVP - HEALTHCARE 3.00 40.00 X 0 252566 79043 BUSCH MARIETTA REGISTERED NURSE 40.00 X 106260 0 6684 CAPACIA SELINA CERTIFIED NURSING ASSISTANT 40.00 X 108115 0 9128 214375 2156463 738357 2 0 1 0 VOLUNTEERS OF AMERICA NATIONAL SERVICES 7485 OFFICE RIDGE CIRCLE EDEN PRAIRIE MN 55344 MANAGEMENT SERVICES 2248060 CENTREX REHAB 8120 PENN AVE S SUITE 227 BLOOMINGTON MN 55431 CONTRACT THERAPY PROVIDER 2037692 PATHWAY HEALTH SERVICES INC 2025 FOURTH STREET WHITE BEAR LAKE MN 55110 NURSING CONSULTANTS 621923 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 CONTRACT THERAPY PROVIDER 358511 GENESIS REHAB SERVICES PO BOX 7247 6524 PHILEDELPHIA PA 19170 CONTRACT THERAPY PROVIDER 258075 7 12390 1700000 100005 1812395 NURSING/THERAPY 623000 50907143 50907143 50907143 558192 558192 2811 12390 3162 -351 -351 53277379 50907143 0 557841 26949897 26120769 829128 247614 247614 4103966 3954723 149243 1767733 1767733 60143 60143 108791 108791 4898303 2643108 2255195 191377 191377 682736 682736 616860 616860 1750370 1714619 35751 197565 197565 106588 106588 1123183 1121314 1869 1659150 1615031 44119 557513 549127 8386 NURSING SUPPLIES 2981428 2981428 LICENSES 2132910 2132910 FOOD 1569762 1569762 BAD DEBT 720972 720972 1132220 1120021 12199 53559081 50223191 3335890 0 34956 33740 6140356 6215668 5856817 4713055 141109 144944 430586 524354 56750411 43740590 13649577 13009821 8366802 8423236 34620203 33064818 3949817 3801706 1008427 724995 22123389 21390814 0 104840 695623 884388 27777256 26906743 X 6842947 6158075 6842947 6158075 34620203 33064818 X -281702 -219919 -183251 X X 0 1 X 1 0 X 250095 92638 176163 717669 1812395 3048960 48634305 49500204 51503017 51129200 50906992 251673718 48884400 49592842 51679180 51846869 52719387 254722678 0 0 0 254722678 427493 271334 457146 378135 558191 2092299 427493 271334 457146 378135 558191 2092299 49311893 49864176 52136326 52225004 53277578 256814977 0.99190 0.99180 0.00810 0.00820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3788504 3788504 26492247 22782598 3709649 14584072 11300757 3283315 10662814 8667779 1995035 1222774 989456 233318 13009821 DEBT SERVICE RESERVE FUNDS 2187059 INTERCOMPANY RECEIVABLE 5486177 NOTE RECEIVABLE HOMESTEAD AT ROCHESTER 750000 8423236 DUE TO THIRD PARTY PAYORS 600071 CAPITALIZED LEASE OBLIGATIONS 22360 LIABILITY IN EXCESS OF CASH 261957 884388 X 72734557 -219919 19677097 19457178 53277379 0 53277379 74212190 20653109 20653109 53559081 0 53559081 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS FOR UNCERTAINTY AND HAS NO UNRECOGNIZED TAX MATTERS THAT ARE REQUIRED TO BE DISCLOSED. THE ORGANIZATION HAD NO INCOME TAX EXPENSE AND THERE WERE NO CASH PAYMENTS FOR INCOME TAXES IN 2019 AND 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: THE HOMESTEAD AT ROCHESTER INC - SEPARATE FORM 990 19,860,348. LOSS ON SETTLEMENT OF FORWARD DELIVERY AGREEMENT -183,251. PART XII, LINE 2D - OTHER ADJUSTMENTS: THE HOMESTEAD AT ROCHESTER INC - SEPARATE FORM 990 20,653,109. GALA 6423 5121 1302 1014 MEMORY WALK 8778 7269 1509 2148 15201 12390 2811 3162 3162 -351 0 0 0 0 0 0 0 0 0 KING MICHAEL W PRESIDENT 0 448407 0 128 0 16173 0 86014 0 64768 0 615490 0 0 WILSON GENO SHARON ASST. SECRETARY/TREASURER, COO 0 276105 0 132 0 2135 0 64417 0 35599 0 378388 0 0 BUDZYNSKI JOSEPH A ASST. SECRETARY/TREASURER, CFO 0 267051 0 132 0 1999 0 28800 0 34171 0 332153 0 0 SHERIDAN PATRICK N ASST. SECRETARY 0 226876 0 132 0 3091 0 46219 0 3475 0 279793 0 0 KELLER CYNTHIA R ASST. SECRETARY 0 136958 0 128 0 1663 0 33795 0 79248 0 251792 0 0 GAVIN NANCY A ASST. SECRETARY/TREASURER 0 136521 0 139 0 1085 0 28409 0 58067 0 224221 0 0 GIBSON ROBERT ASST. SECRETARY/TREASURER 0 268124 0 132 0 1899 0 28800 0 33091 0 332046 0 0 OLSON WAYNE C EVP - HEALTHCARE 0 250160 0 139 0 2267 0 28442 0 50601 0 331609 0 0 PART I, LINE 3 THE FILING ORGANIZATION RELIED ON A RELATED ORGANIZATION, VOLUNTEERS OF AMERICA, INC., TO DETERMINE THE COMPENSATION FOR THE PRESIDENT AND CEO, OFFICERS, AND KEY EMPLOYEES. THE RELATED ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE A COLORADO HEALTH FACILITIES AUTHORITY 840752932 196475AHO 2007-05-03 37488102 REFUND PREVIOUS BONDS, FINANCING 0 0 0 A 12628102 37488102 2526640 35214805 389895 3255088 2010 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 0 0 0 0 1 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COLORADO HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/03/2017 SCHEDULE K, PART I: COLORADO HEALTH FACILITIES AUTHORITY BONDS ARE OBLIGATIONS OF BOTH VOLUNTEERS OF AMERICA CARE FACILITIES AND VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES. THE ALLOCATION OF COLORADO HEALTH FACILITIES AUTHORITY IS 86.56% TO VOLUNTEERS OF AMERICA CARE FACILITIES AND 13.44% TO VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES (EIN: 41-1776635). PART I, LINE I AND PART III, LINE 1: ESTABLISHED IN 1896, VOLUNTEERS OF AMERICA IS A NATIONAL, NONPROFIT, FAITH-BASED ORGANIZATION PROVIDING SERVICES SUCH AS HOUSING AND HEALTHCARE TO MORE THAN 2 MILLION PEOPLE IN OVER 400 COMMUNITIES EACH YEAR. OUR PROGRAMS SERVE AMERICA'S MOST VULNERABLE GROUPS, INCLUDING SENIORS, PEOPLE WITH DISABILITIES, AT-RISK YOUTH, MEN AND WOMEN RETURNING FROM PRISON, HOMELESS INDIVIDUALS AND FAMILIES, THOSE RECOVERING FROM ADDICTIONS AND MANY OTHERS. TO PROMOTE THE MISSION OF VOLUNTEERS OF AMERICA, VOLUNTEERS OF AMERICA CARE FACILITIES WAS CREATED TO PROVIDE HEALTHCARE SERVICE TO SENIORS AND DISABLED INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 2 MICHAEL KING, SHARON WILSON GENO, ROBERT GIBSON, JOSEPH BUDZYNSKI, PATRICK SHERIDAN, CYNTHIA KELLER, NANCY GAVIN, DEBORAH PERRY, FAITH NUTZ AND WAYNE OLSON HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER, BECAUSE THEY SERVE AS DIRECTORS, OFFICERS, AND/OR KEY EMPLOYEES OF VOLUNTEERS OF AMERICA, INC., VOLUNTEERS OF AMERICA NATIONAL SERVICES, AND/OR THEIR RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 VOA NATIONAL SERVICES IS A MEMBER. FORM 990, PART VI, SECTION A, LINE 7A VOA NATIONAL SERVICES HAS THE RIGHT TO ELECT OR APPOINT DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B VOA NATIONAL SERVICES APPROVES AMENDMENTS TO THE ARTICLES AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD HAS 5 DAYS TO REVIEW AND GIVE COMMENTS ON THE RETURN. AFTER THE COMMENT PERIOD, ANY CHANGES WILL BE MADE TO THE RETURN. THE BOARD OF DIRECTORS IS THEN PROVIDED A COMPLETE COPY OF THE FINAL RETURN UPON FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE POLICY AND DISCLOSURE FORM ARE DISTRIBUTED AND COLLECTED ANNUALLY, AND INDIVIDUALS ARE REQUIRED TO UPDATE THE DISCLOSURE FORM THROUGHOUT THE YEAR IN THE EVENT POTENTIAL CONFLICTS ARISE. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD OF DIRECTORS AND MAY REQUIRE SAID OFFICER, DIRECTOR AND KEY EMPLOYEE TO RECUSE FROM PARTICIPATION TO AVOID A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S PRESIDENT AND CEO IS NOT COMPENSATED BY THE ORGANIZATION BUT IS COMPENSATED BY A RELATED ORGANIZATION, VOLUNTEERS OF AMERICA, INC. VOLUNTEERS OF AMERICA'S PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S PRESIDENT AND CEO, OFFICERS, AND KEY EMPLOYEES INCLUDES REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE FORMED OF INDEPENDENT MEMBERS APPOINTED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE CONDUCTS A MARKET COMPENSATION ANALYSIS REVIEW EVERY YEAR AND REPORTS THEIR CONCLUSIONS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS ON SETTLEMENT OF FORWARD DELIVERY AGREEMENT -183,251. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. 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