2020-11-12T16:18:55-06:00 2019-12-31 450250958 EIDE BAILLY LLP 2950 E HARMONY RD STE 290 FORT COLLINS CO 805283429 990 2019-01-01 471820492 HALCYON HOSPICE HALC 3033212828 8289 E LOWRY BLVD DENVER CO 80230 PAUL TOSETTI CHIEF FINANCIAL OFFICER 3033212828 2020-11-12 1 KYLE FRITCH CPA P01313374 9702238825 2020-11-12 65.155.204.218 2020-11-12 12:25:32 MS P 95ED5CAB5FB8D2750519DCD6613D81AA6EC75CA8 FE8D2D2EE7CD626AB47CB8598D5FB6108977064A 2019 2021-01-29 14:40:06Z X TIM J BOWEN 8289 E LOWRY BLVD DENVER CO 80230 15928514 0 X WWW.HALCYONHOSPICE.ORG X 2014 CO PROVIDING HEALTH CARE SERVICES AND SUPPORT TO PEOPLE WITH END OF LIFE AND LIFE THREATENING ILLNESSES AND THEIR FAMILIES IN THE METRO DENVER AREA AND SURROUNDING COUNTIES. 9 8 209 84 0 0 51309 46118 19970189 15866319 3007 16077 0 0 20024505 15928514 0 0 0 0 12745426 10743786 0 0 0 6259511 6052140 19004937 16795926 1019568 -867412 9600856 3239114 8544786 7905531 1056070 -4666417 X HALCYON HOSPICE IS COMMITTED TO A STANDARD OF EXCELLENCE IN PROVIDING SENSITIVE, PATIENT-CENTERED HEALTH CARE TO HOSPICE PATIENTS AND FAMILIES. 0 0 12942060 15866319 HOSPICE CARE IS DISTINGUISHED FROM TRADITIONAL CARE BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AS END OF LIFE CARE THAT DOES NOT INCLUDE CURATIVE MEASURERS 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, CHAPLAIN, AND SOCIAL WORKER. 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. HALCYON HOSPICE ALSO RUNS A PALLIATIVE CARE PROGRAM, WHICH 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. 12942060 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 62 0 1 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 1 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CO X PAUL TOSETTI 3033212828 8289 E LOWRY BLVD DENVER CO 80230 ANDREA COLEMAN CHAIR 1.00 2.00 X X 0 0 0 JEFF KIPP TREASURER 1.00 0.00 X X 0 0 0 BILL MCKEE SECRETARY 1.00 0.00 X X 0 0 0 JANA HUNTSMAN DIRECTOR 1.00 0.00 X 0 0 0 JIM MILES DIRECTOR (THRU 11/19) 1.00 0.00 X 0 0 0 ADELE PHELAN DIRECTOR (THRU 11/19) 1.00 2.00 X 0 0 0 MARY BETH SAVORY DIRECTOR 1.00 0.00 X 0 0 0 ANNE LIBBY DIRECTOR (FROM 4/19) 1.00 0.00 X 0 0 0 MARIA MONTOYA DIRECTOR (FROM 2/19) 1.00 0.00 X 0 0 0 LISA PRICE DIRECTOR 1.00 0.00 X 0 0 0 TIM J BOWEN DIRECTOR & CHIEF EXECUTIVE OFFICER 1.00 43.00 X X 0 681913 113297 JOSEPH BROOKS PRESIDENT (THRU 12/19) 40.00 0.00 X 198572 0 8384 RON FERET CHIEF FINANCIAL OFFICER 1.00 43.00 X 0 254627 44291 DONALD J MURPHY MEDICAL DIRECTOR 40.00 0.00 X 158832 0 11503 LOWELL ANDERSON-REITZ NURSE PRACTITIONER 40.00 0.00 X 109371 0 13739 AURORA HUNT NURSE PRACTITIONER 40.00 0.00 X 101501 0 11798 DALE REID NURSE PRACTITIONER 40.00 0.00 X 108135 0 14735 676411 936540 217747 5 0 1 0 CARE SYNERGY 8289 E LOWRY BLVD DENVER CO 80230 MANAGEMENT SERVICES 705775 OPTUM HOSPICE PHARMACY PO BOX 847222 LOS ANGELES CA 90084 PHARMACY 678127 STATESERV NETWORK SERVICES 1201 S ALMA SCHOOL ROAD MESA AR 95210 DME & OXYGEN 641568 ALPHA OMEGA HOME HEALTH CARE PO BOX 113 MEAD CO 80542 CONTRACT LABOR 304025 MAXIM STAFFING SOLUTIONS 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONTRACT LABOR 200389 12 46118 46118 PATIENT SERVICE REVENUE 623000 15865865 15865865 454 454 15866319 16077 16077 15928514 15866319 0 16077 207332 186599 20733 8680982 6765748 1915234 101907 101907 1153589 1035395 118194 599976 543997 55979 705775 705775 7454 7454 9963 9963 293 293 1449136 1343028 106108 36905 20548 16357 94046 19005 75041 53094 53094 216141 3807 212334 93178 72406 20772 24202 9639 14563 273832 273832 170521 170521 DIRECT PATIENT EXPENSES 2701495 2701428 67 BAD DEBT 125299 125299 DUES & LICENSES 65071 13254 51817 CONTINUING EDUCATION 9525 9525 16210 16210 16795926 12942060 3853866 0 1517238 1001999 2958630 2172746 38948 3925 300591 282147 46082 18444 4997958 0 42000 42000 9600856 3239114 1566660 1231219 5445 1704 6972681 6672608 8544786 7905531 X 1056070 -4666417 1056070 -4666417 9600856 3239114 X -867412 -4855075 X 0 1 X 1 0 X 49207 47410 39836 51309 46118 233880 14274939 17096551 18997596 19970189 15866319 86205594 14324146 17143961 19037432 20021498 15912437 86439474 1000 10907 11907 0 1000 10907 11907 86427567 145 1486 3007 16077 20715 145 1486 3007 16077 20715 14324146 17144106 19038918 20024505 15928514 86460189 0.99960 0.99990 0.00020 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 293 293 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDED AS PART OF DUES TO NHPCO $293, AS DISCLOSED ON THE ANNUAL MEMBERSHIP RENEWAL FORM. IN 2019, 3.81% OF OUR TOTAL DUES OF $7,702 WERE ALLOCATED TO LOBBYING. 56895 56895 0 243696 225252 18444 18444 DUE TO CARE SYNERGY 399430 DUE TO HOSPICE OF METRO DENVER 35650 LONG TERM NOTE PAYABLE TO HOSPICE OF METRO DENVER 6237528 6672608 X 15803215 -125299 -125299 15928514 0 15928514 21525702 4855075 4855075 16670627 125299 125299 16795926 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 HAVE DETERMINED THAT WE ARE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAVE NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIALS -125,299. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON IMPAIRMENT INCLUDED WITH EXPENSES ON AUDITED FINANCIALS STATEMENTS 4,855,075. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIALS 125,299. X X X X X X 0 1 0 0 0 0 0 1 0 TIM J BOWEN DIRECTOR & CHIEF EXECUTIVE OFFICER 0 519108 0 134392 0 28413 0 88084 0 25988 0 795985 0 0 JOSEPH BROOKS PRESIDENT (THRU 12/19) 176030 0 0 0 22542 0 7952 0 809 0 207333 0 0 0 RON FERET CHIEF FINANCIAL OFFICER 0 222753 0 30458 0 1416 0 44291 0 516 0 299434 0 0 DONALD J MURPHY MEDICAL DIRECTOR 148125 0 9743 0 964 0 0 0 11872 0 170704 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 2019, 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): $75,584 RON FERET (CARE SYNERGY CFO): $35,381 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, 2019, THE ORGANIZATION AND/OR CARE SYNERGY AWARDED THE DIRECTOR/CEO, CHIEF FINANCIAL OFFICER, NURSE PRACTITIONERS, AND THE MEDICAL DIRECTOR 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. 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 THE HOSPICE OF METRO DENVER, PIKES PEAK HOSPICE AND PALLIATIVE CARE, COLORADO VISITING NURSES ASSOCIATION, 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 HALCYON HOSPICE'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 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 XI, LINE 9: LOSS ON IMPAIRMENT OF INTANGIBLE ASSETS -4,855,075. COMFORT BRIDGE DBA CARE SYNERGY 8289 E LOWRY BLVD DENVER CO 80230 471820366 ADMINISTRATIVE SUPPORT SERVICES TO RELATED ORGANIZATIONS 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 HOSPICE OF METRO DENVER INC DBA THE DENVER HOSPICE & OPTIO HEALTH SERVICES 8289 E LOWRY BLVD DENVER CO 80230 840743121 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 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 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0