STRATEGY STUDIO / PUBLIC DATA EXPLORER

PIKES PEAK HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PIKES PEAK HOSPICE AND PALLIATIVE CARE INC (EIN 84-0816047)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202003179349308180
Schema version
2019v5.1
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)
Return2020-11-12T16:18:55-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12950 E HARMONY RD STE 290AddressLine1Txt
CityFORT COLLINSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP805283429ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840816047EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PIKES PEAK HOSPICE AND PALLIATIVE CAREBusinessNameLine1Txt
Business Name Line2CARE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPIKEBusinessNameControlTxt
Phone7196333400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18289 E LOWRY BLVDAddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80230ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL TOSETTIPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7196333400PhoneNum
Signature2020-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKYLE FRITCH CPAPreparerPersonNm
PTINP01313374PTIN
Phone9702238825PhoneNum
Preparation2020-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.205.71.115IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-12IPDt
IP Tm14:38:33IPTm
IP TimezoneMSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id95ED5CAB5FB8D2750519DCD6613D81AA6EC75CA8AtSubmissionCreationDeviceId
At Submission Filing Device IdBBD53E55469E4B987BF8E8344891013371E39694AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerGLORIA A BROOKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18289 E LOWRY BLVDAddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80230ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,008,555GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PIKESPEAKHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionPROVIDE COMPASSIONATE AND EXPERT END-OF-LIFE CARE TO PATIENTS AND THEIR FAMILIES, PARTNER WITH THOSE WHO SHARE OUR VISION, AND LEAD CHANGE IN THE COMMUNITY TO ENSURE COMFORT FOR ALL WHO FACE SERIOUS ILLNESS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee183TotalEmployeeCnt
Total Volunteers230TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,497,553PYContributionsGrantsAmt
CY Contributions Grants$987,701CYContributionsGrantsAmt
PY Program Service Revenue$12,683,532PYProgramServiceRevenueAmt
CY Program Service Revenue$14,018,733CYProgramServiceRevenueAmt
PY Investment Income$737PYInvestmentIncomeAmt
CY Investment Income$2,121CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$14,181,822PYTotalRevenueAmt
CY Total Revenue$15,008,555CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,559,511PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,203,868CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,774CYTotalFundraisingExpenseAmt
PY Other Expenses$4,413,530PYOtherExpensesAmt
CY Other Expenses$4,785,269CYOtherExpensesAmt
PY Total Expenses$13,973,041PYTotalExpensesAmt
CY Total Expenses$13,989,137CYTotalExpensesAmt
PY Revenues Less Expenses$208,781PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,019,418CYRevenuesLessExpensesAmt
Total Assets BOY$8,917,381TotalAssetsBOYAmt
Total Assets EOY$9,833,526TotalAssetsEOYAmt
Total Liabilities BOY$1,444,452TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,341,179TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,472,929NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,492,347NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF PIKES PEAK HOSPICE & PALLIATIVE CARE IS TO PROVIDE COMPASSIONATE AND EXPERT END-OF-LIFE CARE TO PATIENTS AND THEIR FAMILIES, PARTNER WITH THOSE WHO SHARE OUR VISION, AND LEAD CHANGE IN THE COMMUNITY TO ENSURE COMFORT FOR ALL WHO FACE SERIOUS ILLNESS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,756,300ExpenseAmt
Revenue$14,018,733RevenueAmt
DescPROVIDES INDIVIDUALIZED CONTINUUM OF CARE TO THOSE EXPERIENCING THEIR END OF LIFE JOURNEY AND THEIR LOVED ONES. SERVICES ARE PROVIDED WHEREVER THE PATIENT CALLS 'HOME': IN A RESIDENTIAL HOME, LONG TERM CARE FACILITIES, AND OUR LICENSED HOSPICE INPATIENT FACILITY. WE SERVE EL PASO AND TELLER COUNTIES AND SURROUNDING COMMUNITIES. PIKES PEAK HOSPICE AND PALLIATIVE CARE PROVIDES ADVANCED ILLNESS MANAGEMENT FOR INDIVIDUALS LIVING WITH SERIOUS ILLNESS. WE PROVIDE PAIN AND SYMPTOM MANAGEMENT THROUGH COLLABORATION WITH THE PATIENT'S PRIMARY CARE PHYSICIAN THROUGH OUR NURSE PRACTITIONERS, NURSES AND SOCIAL WORK SERVICES. IN 2019, WE SERVED 1,450 UNDUPLICATED HOSPICE PATIENTS AND 788 PALLIATIVE CARE PATIENTS INCLUDING ADULTS AND CHILDREN.Desc
Total Program Service Expenses$10,756,300TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee183EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAUL TOSETTIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3033212828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18289 E LOWRY BLVDAddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80230ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRIAN WAGNER CHAIR FROM 1219
VICE-CHAIR (THRU 11/19)/BOARD LN1.000.00Yes (X)Yes (X)$0$0$0
SCOTT DAVIS
CHAIR (THRU 8/19)1.000.00Yes (X)Yes (X)$0$0$0
DOUG FLINN
IMMEDIATE PAST CHAIR1.000.00Yes (X)Yes (X)$0$0$0
MIKE HELWEGE
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
COLIN PERRY
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
JEFF ROSACKER
DIRECTOR/MEMBER AT LARGE1.000.00Yes (X)Yes (X)$0$0$0
STEVE HOCHSTETTER
DIRECTOR1.000.00Yes (X)$0$0$0
SR MARY COLLEEN SCHWARZ
DIRECTOR1.000.00Yes (X)$0$0$0
NATHAN NEWBROUGH
DIRECTOR1.001.00Yes (X)$0$0$0
TIM J BOWEN
DIRECTOR/CHIEF EXECUTIVE OFFICER1.0043.00Yes (X)Yes (X)$0$681,913$113,297
CHERYL HAMILTON FRIED
INTERIM PRESIDENT (FROM 10/19)40.001.00Yes (X)$47,681$0$109
GLORIA BROOKS
PRESIDENT (THRU 9/19)40.001.00Yes (X)$160,396$0$39,200
RONALD FERET
CHIEF FINANCIAL OFFICER1.0043.00Yes (X)$0$254,663$44,291
ANGELA POPPE-RIES
MEDICAL DIRECTOR40.000.00$268,852$0$8,949Yes (X)
JOAN SELMAN EXECUTIVE DIRECTOR
PIKES PEAK HOSPICE FOUNDATION40.001.00$134,300$0$12,481Yes (X)
MICHAEL OLDFATHER
DIRECTOR OF BUSINESS DEVELOPMENT40.000.00$115,004$0$0Yes (X)
CLARISA HERNANDEZ-KOOGLE
NURSE PRACTITIONER40.000.00$101,364$0$16,553Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$827,597TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$936,576TotReportableCompRltdOrgAmt
Total Other Compensation$234,880TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARE SYNERGY
8289 E LOWRY BLVDDENVERCO80230MANAGEMENT SERVICES$616,544
ONEPOINT PATIENT CARE
PO BOX 25587TEMPEAZ85282PHARMACY$532,175
STATESERV MEDICAL
1201 S ALMA SCHOOL ROADMESAAZ85210DME & OXYGEN$439,981
MAXIMUM HEALTHCARE SERVICES
13877 COLLECTIONS CENTER DRCHICAGOIL60693CONTRACT LABOR$153,417
CORE MEDICAL GROUP
655 S WILLOW STREET STE 128MANCHESTERNH03103STAFFING AND RECRUTING SERVICES$137,382
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$987,701RelatedOrganizationsAmt
Total Contributions$987,701TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621610BusinessCd
Total Revenue Column$14,018,733TotalRevenueColumnAmt
Related Or Exempt Func Income$14,018,733RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,018,733TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,121TotalRevenueColumnAmt
Exclusion$2,121ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,008,555TotalRevenueColumnAmt
Related Or Exempt Func Income$14,018,733RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,121ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$636,048TotalAmt
Program Services$611,310ProgramServicesAmt
Management And General$24,738ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,241,082TotalAmt
Program Services$5,957,562ProgramServicesAmt
Management And General$1,283,520ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$67,770TotalAmt
Program Services$67,770ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$709,577TotalAmt
Program Services$698,898ProgramServicesAmt
Management And General$10,679ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$549,391TotalAmt
Program Services$468,652ProgramServicesAmt
Management And General$80,739ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$616,544TotalAmt
Management And General$616,544ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$94,305TotalAmt
Management And General$94,305ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$278TotalAmt
Management And General$278ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$337,823TotalAmt
Program Services$337,823ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$185,425TotalAmt
Program Services$45,796ProgramServicesAmt
Management And General$139,629ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$70,596TotalAmt
Program Services$9,098ProgramServicesAmt
Management And General$61,498ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$42,403TotalAmt
Program Services$2,268ProgramServicesAmt
Management And General$40,135ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$705,555TotalAmt
Program Services$367,115ProgramServicesAmt
Management And General$338,440ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,794TotalAmt
Program Services$10,860ProgramServicesAmt
Management And General$18,934ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,458TotalAmt
Program Services$2,893ProgramServicesAmt
Management And General$7,565ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,073TotalAmt
Management And General$1,073ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$470,049TotalAmt
Program Services$155,002ProgramServicesAmt
Management And General$315,047ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DIRECT PATIENT EXPENSES$1,825,457$1,825,457
DUES & SUBSCRIPTIONS$80,987$8,468$72,519
PROFESSIONAL & RISK MAN$71,659$22,947$48,712
RECRUITING$61,558$13,805$47,753

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$181,305TotalAmt
Program Services$150,576ProgramServicesAmt
Management And General$27,955ManagementAndGeneralAmt
Fundraising$2,774FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,989,137TotalAmt
Program Services$10,756,300ProgramServicesAmt
Management And General$3,230,063ManagementAndGeneralAmt
Fundraising$2,774FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,886,671BOYAmt
EOY$2,154,396EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,748,305BOYAmt
EOY$2,190,898EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$58,464BOYAmt
EOY$69,644EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,370,582LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,833,044LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,956,503BOYAmt
EOY$4,537,538EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$267,438BOYAmt
EOY$881,050EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,917,381BOYAmt
EOY$9,833,526EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$902,847BOYAmt
EOY$1,191,872EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$541,605BOYAmt
EOY$149,307EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,444,452BOYAmt
EOY$1,341,179EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,472,929BOYAmt
EOY$8,492,347EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,472,929BOYAmt
EOY$8,492,347EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,917,381BOYAmt
EOY$9,833,526EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,019,418ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$583,758CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$768,132CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$945,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,497,553CurrentTaxYearMinus1YearAmt
Current Tax Year$987,701CurrentTaxYearAmt
Total$4,783,133TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,119,689CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,086,256CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,183,311CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,683,532CurrentTaxYearMinus1YearAmt
Current Tax Year$14,018,733CurrentTaxYearAmt
Total$62,091,521TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,703,447CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,854,388CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,129,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,181,085CurrentTaxYearMinus1YearAmt
Current Tax Year$15,006,434CurrentTaxYearAmt
Total$66,874,654TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$583,758CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$691,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$945,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,497,553CurrentTaxYearMinus1YearAmt
Current Tax Year$987,701CurrentTaxYearAmt
Total$4,706,859TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$583,758CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$691,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$945,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,497,553CurrentTaxYearMinus1YearAmt
Current Tax Year$987,701CurrentTaxYearAmt
Total$4,706,859TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$62,167,795PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,328CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,462CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$936CurrentTaxYearMinus1YearAmt
Current Tax Year$2,121CurrentTaxYearAmt
Total$14,292TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,328CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,462CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$936CurrentTaxYearMinus1YearAmt
Current Tax Year$2,121CurrentTaxYearAmt
Total$14,292TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,709,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,855,850CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,132,745CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,182,021CurrentTaxYearMinus1YearAmt
Current Tax Year$15,008,555CurrentTaxYearAmt
Total$66,888,946TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92940PublicSupportCY509Pct
Public Support PY5090.93540PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$278OtherActivitiesAmt
Total Lobbying Expenditures$278TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITIES INCLUDED AS PART OF DUES TO NHPCO $278, AS DISCLOSED ON THE ANNUAL MEMBERSHIP RENEWAL FORM. IN 2019, 3.81% OF OUR TOTAL DUES OF $7,288 WERE ALLOCATED TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$22,150AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,379,893BeginningYearBalanceAmt
Contributions$9,277ContributionsAmt
Investment Earnings Or Losses$676,815InvestmentEarningsOrLossesAmt
Other Expenditures$129,873OtherExpendituresAmt
End Year Balance$3,936,112EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,571,156BeginningYearBalanceAmt
Contributions$12,512ContributionsAmt
Investment Earnings Or Losses-$75,697InvestmentEarningsOrLossesAmt
Other Expenditures$128,078OtherExpendituresAmt
End Year Balance$3,379,893EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,147,820BeginningYearBalanceAmt
Contributions$121,560ContributionsAmt
Investment Earnings Or Losses$426,941InvestmentEarningsOrLossesAmt
Other Expenditures$125,165OtherExpendituresAmt
End Year Balance$3,571,156EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,993,626BeginningYearBalanceAmt
Contributions$123,966ContributionsAmt
Investment Earnings Or Losses$54,209InvestmentEarningsOrLossesAmt
Other Expenditures$23,981OtherExpendituresAmt
End Year Balance$3,147,820EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,376,851BeginningYearBalanceAmt
Contributions$495,864ContributionsAmt
Investment Earnings Or Losses$216,834InvestmentEarningsOrLossesAmt
Other Expenditures$95,923OtherExpendituresAmt
End Year Balance$2,993,626EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.68500PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.31500TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$448,131OtherCostOrOtherBasisAmt
Book Value$448,131BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,951,867OtherCostOrOtherBasisAmt
Depreciation$989,745DepreciationAmt
Book Value$2,962,122BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,160,069OtherCostOrOtherBasisAmt
Depreciation$935,587DepreciationAmt
Book Value$224,482BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,562,259OtherCostOrOtherBasisAmt
Depreciation$1,790,274DepreciationAmt
Book Value$771,985BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$248,256OtherCostOrOtherBasisAmt
Depreciation$117,438DepreciationAmt
Book Value$130,818BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,537,538TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM PIKES PEAK FOUNDATION$844,205
DUE FROM CARE SYNERGY$36,845
FieldValueIRS element (for citing)
Total Book Value Other Assets$881,050TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED LEASE INCENTIVESDesc
Amt$149,307Amt
FieldValueIRS element (for citing)
Total Liability$149,307TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,965,471TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$43,084OtherRevenueAmt
Revenue Not Reported-$43,084RevenueNotReportedAmt
Revenue Subtotal$15,008,555RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,008,555TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,946,053TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,946,053ExpensesSubtotalAmt
Other Expenses Not Included$43,084OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$43,084ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,989,137TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4:ARTWORK IS MAINTAINED FOR AN AESTHETIC ENVIRONMENT
PART V, LINE 4:ENDOWMENT FUNDS CONSISTS OF A SINGLE POOLED FUND ESTABLISHED BY DONORS TO PROVIDE ANNUAL FUNDING FOR FUTURE OPERATIONS.
PART X, LINE 2:PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC. IS ORGANIZED AS COLORADO NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTIONS 170(B)(1)(A)(VIII), AND HAS BEEN DETERMINED NOT TO BE PRIVATE FOUNDATION UNDER SECTIONS 509(A)(2), RESPECTIVELY. THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZAITON IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES. WE HAVE DETERMINED THAT THE ORGANIZATION IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD BEDBT EXPENSE NETTED REVENUES ON FINANCIALS -43,084.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE NETTED REVENUES ON FINANCIALS 43,084.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIM J BOWEN
DIRECTOR/CHIEF EXECUTIVE OFFICER$0$519,108$0$134,392$0$28,413$0$88,084$0$25,988$0$795,985$0$0
GLORIA BROOKS
PRESIDENT (THRU 9/19)$128,114$0$28,963$0$3,319$0$21,773$0$17,426$0$199,595$0$0$0
RONALD FERET
CHIEF FINANCIAL OFFICER$0$222,753$0$30,494$0$1,416$0$44,291$0$516$0$299,470$0$0
ANGELA POPPE-RIES
MEDICAL DIRECTOR$266,508$0$0$0$2,344$0$8,949$0$557$0$278,358$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3FOR 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 4BCARE 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 GLORIA BROOKS (PIKES PEAK HOSPICE & PALLIATIVE CARE PRESIDENT): $15,097
PART I, LINE 7THE 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, PRESIDENT, EXECUTIVE DIRECTOR - PIKES PEAK HOSPICE FOUNDATION, INTERIM PRESIDENT, NURSE PRACTITIONER, AND DIRECTOR OF BUSINESS DEVELOPMENT 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON, THE VICE CHAIRPERSON, TREASURER, SECRETARY, THE IMMEDIATE PAST CHAIRPERSON, ONE MEMBER ELECTED BY A MAJORITY OF THE HOSPICE BOARD (THE "MEMBER-AT-LARGE), AND THE CHIEF EXECUTIVE OFFICER WITH EACH MEMBER HAVING THE RIGHT TO VOTE ON ALL MATTERS. THE OFFICERS OF THE HOSPICE BOARD OR THE CHIEF EXECUTIVE OFFICER SHALL PRESENT TO THE EXECUTIVE COMMITTEE FOR REVIEW, AT ITS REGULARLY SCHEDULED MEETING IMMEDIATELY PRIOR TO THE HOSPICE BOARD MEETING AT WHICH ACTION IS SOUGHT, ALL ITEMS REQUIRING THE ACTION OF THE HOSPICE BOARD. THE EXECUTIVE COMMITTEE SHALL THEREAFTER MAKE ITS RECOMMENDATION TO THE HOSPICE BOARD ON EACH ITEM FOR WHICH HOSPICE ACTION IS SOUGHT. THE EXECUTIVE COMMITTEE SHALL SET THE AGENDA FOR EACH HOSPICE BOARD MEETING. AT THE DISCRETION OF THE CHAIRPERSON, THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE HOSPICE BOARD ON ALL MATTERS REQUIRING A DECISION OF THE HOSPICE BOARD AND ARISING BETWEEN HOSPICE BOARD MEETINGS. THE EXECUTIVE COMMITTEE SHALL REPORT AND SUCH ACTIONS TO THE HOSPICE BOARD AT THE NEXT REGULARLY SCHEDULED OR SPECIAL MEETING OF THE HOSPICE BOARD AND SHALL FOREGO DECISIONS ON THOSE MATTERS WHICH CAN BE DELAYED UNTIL THE NEXT REGULARLY SCHEDULED OR SPECIAL MEETING OF THE HOSPICE BOARD, OR UNTIL WRITTEN CONSENT OF THE HOSPICE BOARD CAN BE OBTAINED.
FORM 990, PART VI, SECTION A, LINE 2THE 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, HALCYON HOSPICE, COLORADO VISITING NURSE ASSOCIATION, AND PATHWAYS HOSPICE. THEREFORE, BUSINESS RELATIONSHIPS EXIST BETWEEN THESE INDIVIDUALS.
FORM 990, PART VI, SECTION A, LINE 3CARE 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 6PIKES PEAK HOSPICE AND PALLIATIVE CARE'S SOLE MEMBER IS CARE SYNERGY, A COLORADO NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER, CARE SYNERGY HAS THE POWER TO ELECT AND REMOVE DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE CONTROLLER AND CFO AND IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL EDUCATION IS PROVIDED TO THE BOARD MEMBERS, OFFICERS, AND STAFF. ALL CONFLICTS ARE ADDRESSED BY OFFICERS AND CONTRACT LEGAL COUNSEL AS NEEDED. BOARD MEMBERS ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. BOARD MEMBERS WHO HAVE A CONFLICT WITH RESPECT TO A MATTER BEFORE THE BOARD ARE DIRECTED TO DISCLOSE THE CONFLICT AND ABSTAIN FROM VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE ON-SITE AND UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
PIKES PEAK HOSPICE FOUNDATION
2550 TENDERFOOT HILL STREETCOLORADO SPRINGSCO80906841453050SUPPORT OF PIKES PEAK HOSPICE & PALLIATIVE CARECO501(C)(3)LINE 12A, IPIKES PEAK HOSPICE AND PALLIATIVE CAREYes (1)
COMFORT BRIDGE (DBA CARE SYNERGY)
8289 E LOWRY BLVDDENVERCO80230471820366ADMINISTRATIVE SUPPORT SERVICES TO RELATED ORGANIZATIONSCO501(C)(3)LINE 12B, II0N/A
PATHWAYS HOSPICE
8289 E LOWRY BLVDDENVERCO80230840782874HOSPICE AND PALLIATIVE CARE SERVICESCO501(C)(3)LINE 10COMFORT BRIDGE DBA CARE SYNERGY0
HOSPICE OF METRO DENVER INC DBA THE DENVER HOSPICE AND OPTIO HEALTH SERVIC
8289 E LOWRY BLVDDENVERCO80230840743121HOSPICE AND PALLIATIVE CARE SERVICESCO501(C)(3)LINE 10COMFORT BRIDGE DBA CARE SYNERGY0
HALCYON HOSPICE
8289 E LOWRY BLVDDENVERCO80230471820492HOSPICE AND PALLIATIVE CARE SERVICESCO501(C)(3)LINE 10COMFORT BRIDGE DBA CARE SYNERGY0
COLORADO VISITING NURSES ASSOCIATION
8289 E LOWRY BLVDDENVERCO80230841043351HOSPICE AND PALLIATIVE CARE SERVICESCO501(C)(3)LINE 10COMFORT BRIDGE DBA CARE SYNERGY0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PIKES PEAK HOSPICE FOUNDATION
D$844,205COST
PIKES PEAK HOSPICE FOUNDATION
C$987,701COST