2017-06-30T17:14:09-05:00 2016-12-31 461497033 EKS&H LLLP 8181 E TUFTS AVENUE SUITE 600 DENVER CO 802372521 990 2016-01-01 841043351 COLORADO VISITING NURSE ASSOCIATION COLO 3037446363 390 GRANT STREET DENVER CO 80203 PAUL TOSETTI CFO 3037446363 2017-06-30 1 DORI J EGGETT P00645252 3037409400 73.217.68.5 2017-06-30 17:12:12 MD P 32670C0CEFF2FC58E69BA761D48BD58B9C8D5F0B 6C9A4D55F0535A1B84EC5BE30753E78B71251E1A 2016 2021-01-29 14:40:06Z CHRISTOPHER J LEE 390 GRANT STREET DENVER CO 80203 25648034 0 X WWW.VNACOLORADO.ORG X 1902 CO TO PROVIDE HEALTH-CARE SERVICES TO HOME HEALTH AND HOSPICE PATIENTS IN COLORADO. 11 10 698 275 0 0 1079205 1592020 22547901 24051956 13008 4058 0 0 23640114 25648034 0 0 0 0 19302027 21398371 0 0 102574 4024233 4842499 23326260 26240870 313854 -592836 4678765 5963990 2948511 4488567 1730254 1475423 X COLORADO VNA IS COMMITTED TO A CONTINUUM OF HEALTH CARE IN THE HOME AND COMMUNITY SUPPORTING OPTIMAL WELL-BEING, INDEPENDENCE, AND DIGNITY. 0 0 21524518 24051956 COLORADO VISITING NURSE ASSOCIATION (VNA) IS A NONPROFIT, MEDICARE-CERTIFIED HOME HEALTH ORGANIZATION. ITS MISSION IS TO PROVIDE A CONTINUUM OF HEALTH CARE IN THE HOME AND COMMUNITY THAT SUPPORTS OPTIMAL WELL-BEING, INDEPENDENCE, AND DIGNITY. COLORADO VNA'S CONTINUUM CONSISTS OF BOTH MEDICAL AND NONMEDICAL SERVICES THROUGH WHICH IT EXPANDS ACCESS TO CARE, SUPPORTS AGING IN PLACE, AND ADVANCES PROGRAM RESEARCH AND DEVELOPMENT. IN 2016, COLORADO VNA PROVIDED 230,000 VISITS TO 31,000 INDIVIDUALS.CONTINUED ON SCH O.COLORADO VISITING NURSE ASSOCIATION (VNA) IS ACCREDITED BY THE COMMUNITY HEALTH ACCREDITATION PROGRAM (CHAP), A NATIONAL, INDEPENDENT, NONPROFIT ACCREDITING BODY FOR COMMUNITY-BASED HEALTHCARE ENTITIES. COLORADO VNA ALSO IS CERTIFIED WITH THE CENTERS FOR MEDICARE AND MEDICAID (CMS) TO CARE FOR THOSE WHO ARE ELIGIBLE FOR MEDICARE AND MEDICAID, AND IS LICENSED BY THE STATE OF COLORADO TO PROVIDE HOME HEALTH CARE. COLORADO VNA HAS A 4.5-STAR RATING FROM CMS HOME HEALTH COMPARE'S STAR RATING PROGRAM. COLORADO VNA WAS AWARDED HOME CARE ELITE STATUS BY THE NATIONAL RESEARCH CORPORATION FOR PLACING IN THE TOP 25% OF HOME CARE AGENCIES BASED ON HEALTH PERFORMANCE MEASURES IN 2014, 2015 AND 2016.COLORADO VNA DELIVERS ITS SERVICE TO TENS OF THOUSANDS OF INDIVIDUALS ANNUALLY, MANY OF WHOM ARE UNDERINSURED OR UNINSURED, THROUGH THE FOLLOWING PROGRAMS:WELLNESS SERVICESSENIOR WELLNESS CLINICS: 30-MINUTE VISITS WITH A REGISTERED NURSE FOR SENIOR CITIZENS TO RECEIVE HEALTH ASSESSMENTS AND MEDICAL FOOT CARE.COMMUNITY IMMUNIZATION PROGRAM: AS PART OF ITS COMMITMENT TO LONG-TERM PUBLIC HEALTH, COLORADO VNA HOLDS OVER 500 FLU CLINICS THROUGHOUT THE FRONT RANGE AT PUBLIC AND WORKPLACE SITES. ADDITIONAL IMMUNIZATION CLINICS ARE AVAILABLE UPON REQUEST.CORPORATE WELLNESS: COLORADO VNA PARTNERS WITH BUSINESSES TO PROMOTE HEALTHY LIFESTYLES FOR EMPLOYEES IN AND OUT OF THE OFFICE. OPTIONS INCLUDE IMMUNIZATIONS, HEALTH RISKS ASSESSMENTS, BIOMETRIC SCREENINGS, AND BLOOD WORK ANALYSIS. HEALTH PROMOTION: COLORADO VNA OFFERS A VARIETY OF HEALTH EDUCATION AND PROMOTION PROGRAMS INCLUDING: MENTAL HEALTH FIRST AID (MHFA) WHICH TEACHES PEOPLE HOW TO IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESSES AND SUBSTANCE USE DISORDERS; CPR; AND MATTER OF BALANCE , A STRUCTURED GROUP INTERVENTION THAT EMPHASIZES PRACTICAL STRATEGIES TO REDUCE FEAR OF FALLING AND INCREASE ACTIVITY LEVELS.IN-HOME SUPPORT SERVICESCOLORADO VNA ASSISTS ELDERS AND PERSONS WITH DISABILITIES WITH EVERYDAY CHALLENGES BY PROVIDING LIGHT HOUSEWORK, MEAL PLANNING, PERSONAL CARE/GROOMING, LAUNDRY, AND TRAVEL TO/FROM APPOINTMENTS. THIS CRITICAL SERVICE HELPS KEEP SENIORS, ESPECIALLY LOW-INCOME ELDERS WITH CHRONIC PAIN AND WORSENING VISION, OUT OF SKILLED LIVING FACILITIES. IN 2016 APPROXIMATELY 47% OF ALL HOMEMAKER/PERSONAL CARE WORKER VISITS WERE PROVIDED FREE-OF-CHARGE SUPPORTED, IN PART, BY COLORADO VNA'S PARTNERSHIP WITH FRONT RANGE AREA AGENCIES ON AGING. HOME HEALTHCOLORADO VNA SUPPORTS PEOPLE RECOVERING FROM ILLNESS OR INJURY, OR THOSE WHO JUST NEED A LITTLE ASSISTANCE TO REMAIN INDEPENDENT, BY PROVIDING NURSING, MEDICAL SOCIAL WORK, AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THE HOME HEALTH TEAM EVALUATES PATIENT NEEDS AND DEVELOPS A COMPREHENSIVE PLAN OF CARE THAT CONTRIBUTES TO PATIENT RECOVERY AND ENSURES THE HOME CARE EXPERIENCE IS POSITIVE FOR THE PATIENT AND THE FAMILY. HOSPICE AND PALLIATIVE FOR OVER TWO DECADES, COLORADO VNA HAS PROVIDED A CONTINUUM OF END-OF-LIFE CARE FOR PATIENTS AND THEIR FAMILIES. THE COLORADO VNA HOSPICE TEAM INCLUDES MEDICAL PROFESSIONALS, NURSES, SOCIAL WORKERS, AND CHAPLAINS. THEY COLLABORATE WITH THE PATIENT, THE PATIENT'S PHYSICIAN, AND THE PATIENT'S FAMILY TO DEVELOP A HOLISTIC CARE PLAN THAT INCLUDES PAIN MANAGEMENT, EXTENSIVE COUNSELING, AND SOCIAL SERVICE SUPPORT TO ADDRESS EMOTIONAL AND SPIRITUAL NEEDS IN ADDITION TO PHYSICAL AND PSYCHOSOCIAL NEEDS. HOPE-HOMELESS OUTREACH PHARMACEUTICALS EDUCATIONCOLORADO VNA PROVIDES SUPPORTIVE SERVICES AND MEDICAL MANAGEMENT TO ASSIST HOMELESS PERSONS LIVING WITH HIV/AIDS. THE PROGRAM OPERATES AS A DAY PROGRAM THAT PROVIDES MEDICAL ASSESSMENT, MENTAL HEALTH COUNSELING, SUPPORT GROUPS, EDUCATION, HIV SPECIFIC NUTRITION, PERSONAL CARE TRAINING, AND RESOURCE REFERRALS INCLUDING LINKS TO TRANSITIONAL /PERMANENT HOUSING OPTIONS. PROGRAM STAFF GET TO KNOW CLIENTS AND DEVELOP AN INDIVIDUALIZED CARE PLAN THAT BECOMES THE BASIS FOR FREQUENT CHECK-INS. THE PROGRAM IS FUNDED BY A FEDERAL HOPWA (HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS) GRANT ADMINISTERED BY THE CITY AND COUNTY OF DENVER'S OFFICE OF ECONOMIC DEVELOPMENT. 21524518 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 32 0 1 698 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PAUL TOSETTI 3036982121 390 GRANT STREET DENVER CO 80203 CHRISTOPHER LEE CEO 40.00 X X 206088 0 8684 NANCY BOTILLER DIRECTOR 1.00 X 0 0 0 FRED BROWN DIRECTOR 1.00 X 0 0 0 NEDRA DOWNING TREASURER 1.00 X X 0 0 0 TONY GIACOMINI DIRECTOR 1.00 X 0 0 0 JIM HOGAN DIRECTOR 1.00 X 0 0 0 DEANNE MCCLUNG SECRETARY 1.00 X X 0 0 0 BEN PRICE VICE CHAIR 1.00 X X 0 0 0 DR ROBERT SCHWARTZ CHAIRMAN 1.00 X X 0 0 0 MIKE SCHMITT DIRECTOR 1.00 X 0 0 0 RALPH SHINN DIRECTOR 1.00 X 0 0 0 PAUL TOSETTI CFO 40.00 X 98753 0 0 MERCY ABRAHAM CONTROLLER 40.00 X 116968 0 12365 ROBERT BARNETT NURSE 40.00 X 128303 0 22897 550112 0 43946 3 0 1 0 CORE MEDICAL GROUP 2 KEEWAYDIN DRIVE SALEM NH 03079 CONTRACT LABOR 594229 HOMECARE HOMEBASE LLC 6688 NORTH CENTRAL EXPRESSWAY DALLAS TX 75206 SOFTWARE 296741 VAXSERVE 54 GLENMAURA NATIONAL BLVD MOOSIC PA 18507 MEDICAL SUPPLIES 263559 MEDLINE INDUSTRIES THREE LAKES DRIVE NORTHFIELD IL 60093 MEDICAL SUPPLIES 214671 EKS&H 7979 E TUFTS DENVER CO 80237 ACCOUNTING 125746 5 805311 786709 45965 1592020 PATIENT REVENUE 621610 24051956 24051956 24051956 4058 4058 25648034 24051956 0 4058 X 313525 85909 206139 21477 18032200 15793575 2169242 69383 174692 150390 23302 1000 1531046 1333207 197145 694 1346908 1159900 181616 5392 14008 14008 69640 69640 1117630 884372 233258 60295 59992 303 322703 319084 3619 360393 360393 239508 239508 4508 4364 144 4158 3816 342 17920 17920 271597 271597 125526 125526 MEDICAL EXPENSES 919177 919177 BAD DEBTS 613420 613420 AUTO MILEAGE 531690 531690 DUES, FEES 117448 117228 220 52878 52878 26240870 21524518 4613778 102574 376677 44993 146185 129585 1999094 3387978 56055 104369 135515 202195 9113088 7077699 1920969 2035389 44270 59481 4678765 5963990 2828710 3405971 119801 1082596 2948511 4488567 X 1554399 1032268 131585 383674 44270 59481 1730254 1475423 4678765 5963990 X -592836 338005 X 0 1 X 1 0 X 125138 77680 65955 1079205 1592020 2939998 21553187 21258392 22739037 22547901 24051956 112150473 21678325 21336072 22804992 23627106 25643976 115090471 0 0 0 115090471 19613 7520 9889 13008 4058 54088 19613 7520 9889 13008 4058 54088 21697938 21343592 22814881 23640114 25648034 115144559 0.99950 0.99930 0.00050 0.00070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2040 2040 0 PART II-B, LINE 1, LOBBYING ACTIVITIES AMOUNT OF DUES PAID TO VARIOUS HOME HEALTH CARE ASSOCIATIONS THAT ARE USED FOR LOBBYING PURPOSES. 44270 15450 -239 59481 32956 18756 -7442 44270 30782 2174 32956 28226 2556 30782 27071 1155 28226 1.00000 1 0 879739 879739 2845056 2062118 782938 4818358 4445646 372712 569935 569935 0 2035389 CAPITAL LEASE OBLIGATION 82596 DEFERRED DEPOSIT FOR SALE OF BUILDING 500000 LINE OF CREDIT 500000 1082596 X PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO SUSTAIN THE ORGANIZATION'S MISSIONS AND GOALS. PART X, LINE 2: THE ORGANIZATION APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN; THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF DECEMBER 31, 2016 OR 2015. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS GENERAL AND ADMINISTRATIVE EXPENSES. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2016 AND 2015. X X 1 0 0 0 0 0 0 0 0 CHRISTOPHER LEE CEO 201088 0 5000 0 0 0 2186 0 6498 0 214772 0 0 0 ROBERT BARNETT NURSE 60427 0 67876 0 0 0 2805 0 20092 0 151200 0 0 0 PART I, LINE 4A THE CONTROLLER, MERCY ABRAHAM, RECEIVED A SEVERANCE TOTALING $39,583. X 138 45000 FMV X EQUIPMENT 5 965 FMV 0 0 0 0 FORM 990, PART IV, LINE 12A ON MAY 1, 2016 COLORADO VISITING NURSE ASSOCIATION (VNA) MERGED WITH REHABILITATION AND VISITING NURSE ASSOCIATION (RVNA). COLORADO VNA OBTAINED INDEPENDENT AUDITED FINANCIAL STATEMENTS FOR THE NEWLY FORMED ENTITY FOR THE PERIOD MAY 1, 2016 TO DECEMBER 31, 2016. FOR PURPOSES OF THE PARTIAL YEAR AUDIT, THE BEGINNING BALANCES AS OF MAY 1, 2016 WERE OBTAINED FROM INDEPENDENT REVIEWS OF THE APRIL 30, 2016 ENDING BALANCES FOR BOTH COLORADO VNA AND RVNA. THE TAX YEAR OF THE ENTITY VIA THIS 990 RETURN WAS A FULL CALENDAR YEAR, WHEREAS THE AUDITED FINANCIALS WERE FOR AN EIGHT MONTH PERIOD FROM MAY 1, 2016 THROUGH DECEMBER 31, 2016. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS RECEIVE A COPY OF THE FORM 990 AND REVIEW THE CONTENT OF THE RETURN AT A BOARD MEETING BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AFFIRM THEY ARE COMPLIANT WITH THE CONFLICT OF INTEREST POLICY BY COMPLETING A WRITTEN CERTIFICATION ON AN ANNUAL BASIS. IF ANY CONFLICTS ARISE DURING THE YEAR, THE BOARD MEMBERS RECUSE THEMSELVES ON VOTING ON ANY ACTIONS PERTAINING TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS. THE BOARD USED SURVEY DATA FROM OTHER HOMECARE AND HOSPICE ORGANIZATIONS TO DETERMINE THE APPROPRIATE COMPENSATION LEVEL. THE PROCEDURE BY WHICH THE CEO'S COMPENSATION IS SET IS DOCUMENTED IN AN INTERNAL COMPENSATION POLICY AND ANY FUTURE ADJUSTMENTS TO THE CEO'S COMPENSATION WILL BE IN ACCORDANCE WITH THE POLICY. THE ORGANIZATION HAS MAINTAINED THE APPROPRIATE DOCUMENTATION WITH RESPECT TO THE COMPENSATION ARRANGEMENT. THE COMPENSATION LEVELS FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE ALSO SET IN ACCORDANCE WITH THIS POLICY. SALARY RANGES ARE ESTABLISHED BY A COMPENSATION COMMITTEE, WHICH INCLUDES APPROVAL BY THE CEO. THE SALARY RANGES ARE BASED ON SURVEY DATA FROM SIMILARLY SITUATED ORGANIZATIONS. THE ORGANIZATION HAS MAINTAINED THE APPROPRIATE DOCUMENTATION WITH RESPECT TO THE COMPENSATION ARRANGEMENTS FOR ITS OTHER EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 24E EMPLOYEE EDUCATION: PROGRAM SERVICE EXPENSES 52,878. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,878. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF COMMUNITY FIRST FOUNDATION 15,211. RVNA NET ASSETS 322,794. RVNA LLC 390 GRANT STREET DENVER CO 80203 841022003 HOME HEALTH CO COLORADO VISITING NURSE ASSOCIATION CVNA LLC 390 GRANT STREET DENVER CO 80203 812134000 HOME HEALTH CO COLORADO VISITING NURSE ASSOCIATION 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 REHABILITATION & VISITING NURSE ASSOCIATION I 322794 BOOK VALUE SCHEDULE R PART V THE ENTITY PREVIOUSLY KNOWN AS COLORADO VISITING NURSE ASSOCIATION TRANSFERRED ITS ASSETS AND LIABILITIES TO A NEWLY FORMED LIMITED LIABILITY ENTITY CALLED COLORADO VNA, LLC ("CVNA, LLC") ON MAY 1, 2016. REHABILITATION AND VISITING NURSE ASSOCIATION CONVERTED TO A LIMITED LIABILITY ENTITY ("RVNA, LLC") ON APRIL 28, 2016. EFFECTIVE MAY 1, 2016, CVNA, LLC AND RVNA, LLC ENTERED INTO A MEMBER SUBSTITUTION AGREEMENT WITH CVNA WHEREBY CVNA BECAME THE SOLE CORPORATE MEMBER OF CVNA, LLC AND RVNA, LLC IN A BUSINESS COMBINATION ACCOUNTED FOR AS A MERGER. THE PARTIES MERGED FOR COMPELLING OPERATIONAL, TECHNOLOGIC, AND FINANCIAL REASONS, INCLUDING THE NEED TO APPROPRIATELY RESPOND TO THE CHANGING REIMBURSEMENT LANDSCAPE AFFECTING HEALTHCARE PROVIDERS AND TO PROVIDE NECESSARY CARE TO PATIENTS IN AN OPERATIONALLY EFFICIENT, COST EFFECTIVE MANNER. THE MERGER ALSO ALLOWED THE NEW COMBINED ORGANIZATION TO EXPAND ITS REACH TO ADDITIONAL PATIENTS THROUGH BOTH AN EXPANDED CLINICAL STAFF AND AN EXPANDED GEOGRAPHY.