Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
VISITING NURSE CORPORATION OF COLORADO INC
Employer identification number
84-1043351
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
88,348
281,506
144,058
125,138
77,680
716,730
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
22,593,889
22,215,154
22,169,541
21,553,187
21,258,392
109,790,163
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
22,682,237
22,496,660
22,313,599
21,678,325
21,336,072
110,506,893
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
110,506,893
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
22,682,237
22,496,660
22,313,599
21,678,325
21,336,072
110,506,893
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
8,567
1,857
23,321
19,613
7,520
60,878
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
8,567
1,857
23,321
19,613
7,520
60,878
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
22,690,804
22,498,517
22,336,920
21,697,938
21,343,592
110,567,771
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
99.940 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
99.940 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
0.060 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
0.060 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
VISITING NURSE CORPORATION OF COLORADO INC
Employer identification number
84-1043351
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 1
THE BOARD OF DIRECTORS MAY DESIGNATE FROM AMONG ITS MEMBERS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE ENTIRE BOARD OF DIRECTORS, ONE OR MORE OTHER COMMITTEES EACH OF WHICH SHALL CONSIST OF TWO OR MORE DIRECTORS AND WHICH SHALL HAVE AND MAY EXERCISE SUCH AUTHORITY IN THE MANAGEMENT OF THE CORPORATION AS SHALL BE PROVIDED IN SUCH RESOLUTION OR IN THESE BYLAWS. NO COMMITTEE SHALL HAVE ANY POWER OR AUTHORITY TO AMEND, ALTER, OR REPEAL THE BYLAWS; TO AMEND, RESTATE, ALTER, OR REPEAL THE ARTICLES OF INCORPORATION; TO ELECT, APPOINT, OR REMOVE ANY MEMBER OF ANY SUCH COMMITTEE OR ANY OFFICER OR DIRECTOR OF THE CORPORATION; TO ADOPT A PLAN OF MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION; TO AUTHORIZE THE SALE, LEASE, EXCHANGE, OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; TO AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR TO REVOKE ANY PROCEEDINGS FOR THE VOLUNTARY DISSOLUTION OF THE CORPORATION; TO ADOPT ANY PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; TO AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED, OR REPEALED BY SUCH COMMITTEE; OR TO TAKE ANY OTHER ACTION PROHIBITED BY LAW. INDIVIDUALS MAY BE APPOINTED TO COMMITTEES WHO ARE NOT MEMBERS OF THE BOARD BY ACTION OF A MAJORITY OF THE ENTIRE BOARD OF DIRECTORS OR BY THE COMMITTEE CHAIRPERSON. TO THE EXTENT THE BOARD DOES NOT ESTABLISH OTHER PROCEDURES, EACH COMMITTEE (INCLUDING, WITHOUT LIMITATION, THE PROFESSIONAL ADVISORY COMMITTEE AND THE FINANCE COMMITTEE) SHALL BE GOVERNED BY THE PROCEDURES SET FORTH IN THESE BYLAWS FOR NOTICE, HOLDING MEETINGS (OTHER THAN ANNUAL MEETINGS), QUORUM AND TAKING ACTION AS IF THE COMMITTEE WERE THE BOARD. EACH COMMITTEE (INCLUDING, WITHOUT LIMITATION, THE PROFESSIONAL ADVISORY COMMITTEE AND THE FINANCE COMMITTEE) SHALL KEEP REGULAR MINUTES OF ITS MEETINGS, WHICH SHALL BE REPORTED TO THE BOARD AND SUBMITTED TO THE SECRETARY OF THE CORPORATION FOR INCLUSION IN THE CORPORATE RECORDS.
FORM 990, PART VI, SECTION B, LINE 11
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 DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:
CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF COMMUNITY FIRST FOUNDATION 2,556.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.