KANSAS CITY HOSPICE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- KANSAS CITY HOSPICE INC (EIN 43-1209344)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-06
- IRS object ID
- 201203119349301415
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-06T14:20:39-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431209344 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KANSAS CITY HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KANS | NameControl |
| Phone | 8163632600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9221 WARD PARKWAY NO 100 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64114 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RAY LETOURNEAU JR | Name |
| Title | CAO | Title |
| Phone | 8163632600 | Phone |
| Date Signed | 2012-11-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RAY LETOURNEAU | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9221 WARD PARKWAY NO 100 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 22277969 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.KANSASCITYHOSPICE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | SEE PART III, LINE I | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 371 | TotalNbrEmployees |
| Total Nbr Volunteers | 435 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1935780 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2541632 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20637001 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19670337 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 445 | InvestmentIncomePriorYear |
| Investment Income Current Year | 423 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 74530 | OtherRevenuePriorYear |
| Other Revenue Current Year | 65577 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22647756 | TotalRevenuePriorYear |
| Total Revenue Current Year | 22277969 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 14408487 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 14521332 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8194269 | OtherExpensePriorYear |
| Other Expenses Current Year | 7756213 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 22602756 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22277545 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 45000 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 424 | RevenuesLessExpensesCY |
| Total Assets BOY | 19374598 | TotalAssetsBOY |
| Total Assets EOY | 18300912 | TotalAssetsEOY |
| Total Liabilities BOY | 7764571 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7800132 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11610027 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10500780 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO BRING EXPERT CARE, PEACE OF MIND, COMFORT, GUIDANCE, AND HOPE TO PEOPLE WHO ARE AFFECTED BY LIFE-THREATENING AND LIFE-LIMITING ILLNESS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 19220115 | Expense |
| Revenue | 19670337 | Revenue |
| Description | KANSAS CITY HOSPICE, INC. IS A NONPROFIT ORGANIZATION OFFERING A RANGE OF SERVICES FOR PEOPLE OF ALL AGES AND AT ANY STAGE OF SERIOUS ILLNESS. WE'VE BEEN PROVIDING COMFORT AND CARE TO THE SERIOUSLY ILL AND THEIR FAMILIES IN THE GREATER KANSAS CITY AREA SINCE 1980. PLEASE SEE SCHEDULE O FOR A CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS. VISIT US ON THE WEB AT WWW.KANSASCITYHOSPICE.ORG. | Description |
| Total Program Service Expense | 19220115 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 1 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 87 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 371 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAY LETOURNEAU | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8162762611 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9221 WARD PARKWAY SUITE 100 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64114 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| LYNNE BROWN | |||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| MICHELLE STARK KAUFMAN | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| ROBERT HILL | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| ELAINE MCINTOSH | |||||||
| PRESIDENT/CEO | 40.00 | X | X | 237848 | 0 | 9917 | |
| NANCY DEBASIO | |||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| ALFRED BIGGS | |||||||
| IMMEDIATE PAST CHAIR | 1.00 | X | 0 | 0 | 0 | ||
| STEVE JONES | |||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| KEITH ASHCRAFT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SHERRY AINSWORTH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| FRAN MARTINSEN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| FREDA MENDEZ-SMITH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MIKE O'FLAHERTY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LEE STANFORD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SHERMAN STEINZEIG | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM TAMMEUS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARGE SIRRIDGE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT WOOD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BARBARA LUKERT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID SMALL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DONNA PAYNE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RAY LETOURNEAU JR | |||||||
| CHIEF ADMINISTRATIVE OFF | 40.00 | X | 95954 | 0 | 7704 | ||
| ANN ALLEGRE | |||||||
| DIR. OF MEDICAL PROGRAM | 30.00 | 143679 | 0 | 6965 | X | ||
| CHRISTIAN SINCLAIR | |||||||
| MEDICAL DIRECTOR | 34.00 | 116616 | 0 | 3494 | X | ||
| JAY RISEMAN | |||||||
| MEDICAL DIRECTOR | 40.00 | 133887 | 0 | 5132 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 727984 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 33212 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD | |||||
| PO BOX 419016 | KANSAS CITY | MO | 64141 | EMPLOYEE HEALTH CARE BENEFIT | 1534607 |
| UVANTA PHARMACY | |||||
| 9204 BOND STREET | OVERLAND PARK | MO | 66214 | PATIENT CARE MEDICATIONS | 1001199 |
| WARD PARKWAY CS LLC | |||||
| 700 W 47TH STREET STE 200 | KANSAS CITY | MO | 64112 | OFFICE RENTAL | 335679 |
| TRANSCEND MARKETING | |||||
| 1500 TIMBERWOLF DR | HOLLAND | OH | 43528 | MARKETING/ADVERTISING | 282402 |
| PRESBYTERIAN MANOR | |||||
| 7850 FREEMAN AVE | KANSAS CITY | MO | 66112 | NURSING HOME | 121179 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Related Organizations | 2405523 | RelatedOrganizations |
| All Other Contributions | 136109 | AllOtherContributions |
| Total Contributions | 2541632 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621300 | 18709377 | 18709377 |
| NURSING HOME SUPPORT | 621300 | 960960 | 960960 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19670337 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44 | TotalRevenueColumn |
| Exclusion | $44 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 379 | TotalRevenueColumn |
| Exclusion | $379 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 65577 | TotalRevenueColumn |
| Exclusion | $65,577 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 65577 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22277969 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19670337 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $66,000 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351423 | Total |
| Program Services | 292191 | ProgramServices |
| Management And General | 59232 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11883008 | Total |
| Program Services | 9880138 | ProgramServices |
| Management And General | 2002870 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142479 | Total |
| Program Services | 132126 | ProgramServices |
| Management And General | 10353 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1277113 | Total |
| Program Services | 1152116 | ProgramServices |
| Management And General | 124997 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 867309 | Total |
| Program Services | 745179 | ProgramServices |
| Management And General | 122130 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17122 | Total |
| Management And General | 17122 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93468 | Total |
| Management And General | 93468 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 794562 | Total |
| Program Services | 544102 | ProgramServices |
| Management And General | 250460 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 355501 | Total |
| Program Services | 355501 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2595595 | Total |
| Program Services | 2414172 | ProgramServices |
| Management And General | 181423 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130289 | Total |
| Program Services | 130289 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 741040 | Total |
| Program Services | 741040 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289607 | Total |
| Program Services | 261807 | ProgramServices |
| Management And General | 27800 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26038 | Total |
| Program Services | 13502 | ProgramServices |
| Management And General | 12536 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155039 | Total |
| Management And General | 155039 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 862219 | Total |
| Program Services | 862219 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310902 | Total |
| Program Services | 310902 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICARE ROOM & BOARD | 1049808 | 1049808 |
| BAD DEBT EXPENSE | 193047 | 193047 |
| PATIENT TRANSPORTATION | 141976 | 141976 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22277545 | Total |
| Program Services | 19220115 | ProgramServices |
| Management And General | 3057430 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1406096 | BOY |
| EOY | 820838 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 265469 | BOY |
| EOY | 355032 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2792035 | BOY |
| EOY | 2683495 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36481 | BOY |
| EOY | 36481 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200887 | BOY |
| EOY | 196238 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19073965 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5223981 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14303330 | BOY |
| EOY | 13849984 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169102 | BOY |
| EOY | 158321 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201198 | BOY |
| EOY | 200523 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19374598 | BOY |
| EOY | 18300912 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1144115 | BOY |
| EOY | 1294726 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6000000 | BOY |
| EOY | 5800000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 451353 | BOY |
| EOY | 547085 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169103 | BOY |
| EOY | 158321 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7764571 | BOY |
| EOY | 7800132 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11579266 | BOY |
| EOY | 10470018 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30761 | BOY |
| EOY | 30762 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11610027 | BOY |
| EOY | 10500780 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19374598 | BOY |
| EOY | 18300912 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 424 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1109671 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1761814 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3468275 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1905018 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2541632 | CurrentTaxYear |
| Total | 9676739 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18164547 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18293261 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19794945 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20637001 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19670337 | CurrentTaxYear |
| Total | 96560091 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18164547 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20055075 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23263220 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22542019 | CurrentTaxYearMinus1Year |
| Current Tax Year | 22211969 | CurrentTaxYear |
| Total | 106236830 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 90237 | CurrentTaxYearMinus4Years |
| Total | 90237 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 90237 | CurrentTaxYearMinus4Years |
| Total | 90237 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 106146593 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41143 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10158 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1607 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 445 | CurrentTaxYearMinus1Year |
| Current Tax Year | 423 | CurrentTaxYear |
| Total | 53776 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41143 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10158 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1607 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 445 | CurrentTaxYearMinus1Year |
| Current Tax Year | 423 | CurrentTaxYear |
| Total | 53776 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 60129 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 111125 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 28556 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 74530 | CurrentTaxYearMinus1Year |
| Current Tax Year | 65577 | CurrentTaxYear |
| Total | 339917 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18265819 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20176358 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23293383 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 22616994 | CurrentTaxYearMinus1Year |
| Current Tax Year | 22277969 | CurrentTaxYear |
| Total | 106630523 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99550 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97490 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00300 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1128922 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1426 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1130348 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1112921 | BeginningOfYearBalance |
| Contributions | 9000 | Contributions |
| Investment Earnings Or Losses | 7001 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1128922 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1049519 | BeginningOfYearBalance |
| Contributions | 45667 | Contributions |
| Investment Earnings Or Losses | 17735 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1112921 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1064013 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -14494 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1049519 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1571077 | OtherCostOrOtherBasis |
| Book Value | 1571077 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13017284 | OtherCostOrOtherBasis |
| Depreciation | 2293385 | Depreciation |
| Book Value | 10723899 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16689 | OtherCostOrOtherBasis |
| Depreciation | 15931 | Depreciation |
| Book Value | 758 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3774248 | OtherCostOrOtherBasis |
| Depreciation | 2736593 | Depreciation |
| Book Value | 1037655 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 694667 | OtherCostOrOtherBasis |
| Depreciation | 178072 | Depreciation |
| Book Value | 516595 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13849984 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL ACCUMULATION LIABILITY | $30,597 |
| LIFE INSURANCE PAYABLE | $127,724 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 158321 | TotalOfAmounts |
| Total Revenue | 22277969 | TotalRevenue |
| Total Expenses | 22277545 | TotalExpenses |
| Excess Or Deficit For Year | 424 | ExcessOrDeficitForYear |
| Other | -$1,109,671 | OtherAmount |
| Total Adjustments | -1109671 | TotalAdjustments |
| Excess Or Deficit Per FS | -1109247 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 20147884 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -2130085 | OtherRevenues |
| Revenue Not Rptd F990 | -2130085 | RevenueNotRptdF990 |
| Revenue Subtotal | 22277969 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 22277969 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 22277545 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 22277545 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 22277545 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE ENDOWMENT FUNDS ARE REPORTED AS PERMANENTLY RESTRICTED NET ASSETS ON THE FINANCIAL STATEMENTS OF KANSAS CITY HOSPICE FOUNDATION. THE ENDOWMENT CONSISTS OF 2 DONOR-RESTRICTED FUNDS. NET ASSETS ASSOCIATED WITH ENDOWMENT FUND ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. DONOR RESTRICTIONS CONFORM TO THE ORGANIZATION'S MISSION. THE POLSKY FAMILY SUPPORTING FOUNDATION ENDOWMENT, A DONOR RESTRICTED ENDOWMENT, OPERATES UNDER THE FOLLOWING GUIDELINES. THE PURPOSE OF THE ENDOWMENT IS TO PROVIDE FUNDS TO: I. TEACH MEMBERS/OFFICERS/TRUSTEES/STAFF PRINCIPLES OF PRUDENT INVESTING BY USING THE POLSKY LESSONS FOR LIFE MODEL AS A PASS OUT AND PRESENTATION (WWW.POLSKY-LESSONS-FOR-LIFE.COM ) AND BY RECEIVING AND CONSIDERING PERIODIC INVESTMENT RECOMMENDATIONS FROM NORMAN POLSKY OR HIS SUCCESSOR; AND / OR 2. FOSTER STAFF DEVELOPMENT THROUGH: FORMAL EDUCATION; REGULAR TRAINING; ATTENDANCE AT INDUSTRY CONFERENCES AND EVENTS; AND WHATEVER OTHER STAFF PROGRAMS THE KCHF BOARD DETERMINES TO BE APPROPRIATE; AND/OR 3. FOSTER AND ENCOURAGE FUND RAISING BY HIRING A SUCCESSFUL PROFESSIONAL FUND RAISER CAPABLE OF TEACHING THE STAFF AND THE PROFESSIONAL VOLUNTEER OFFICERS OF KCH; AND/OR 4. FOSTER IMPROVED PUBLIC RELATIONS FOR KCH BY HIRING A PROFESSIONAL TO TEACH THE STAFF AND OFFICERS AND/OR 5. ENCOURAGE RESEARCH AND EDUCATION, EDUCATIONAL ACCREDITATION AND OTHER SIMILAR ACTIVITIES; AND/OR 6. ESTABLISH AN ARCHIVE OF KCHF TO PRESERVE THE HISTORY; AND/OR 7. ESTABLISH A PROGRAM RECOGNIZING AND UTILIZING MORE OF THE PAST OFFICERS, BOARD MEMBERS AND STAFF; AND/OR 8. CARRY ON ANY OTHER ACTIVITIES CONSISTENT WITH KCH TAX-EXEMPT STATUS AND AS DETERMINED BY KCH BOARD OF DIRECTORS, EXCEPT THAT NO PART OF THE ENDOWMENT PRINCIPAL MAY BE USED TO DEFRAY OPERATING EXPENSES SUCH AS, WITHOUT LIMITATION, RENT, PAYROLL, EMPLOYEE BENEFIT PROGRAMS, EQUIPMENT PURCHASES, LEASES, AND SUPPLIES -- UNLESS SPECIFICALLY APPROVED IN WRITING IN ADVANCE BY PFSF. THE SECOND ENDOWMENT, THE COMMUNITY HEALTH GROUP ENDOWMENT, OPERATES UNDER THE FOLLOWING GUIDELINES: (A) TO ESTABLISH, OPERATE, SUPPORT, PROVIDE THE CAPITAL REQUIREMENTS OF, AND MAINTAIN HOSPITALS, INPATIENT FACILITIES, CLINICS, LABORATORIES, OFFICE BUILDINGS, PHARMACIES, AND ALL MEASURE OF FACILITIES AND PROGRAMS FOR OR RELATING TO, THE STUDY OR CARE OF THE HUMAN MIND AND BODY OR ANY PART THEREOF, AND (B) TO FOSTER THE HEALTH OF THE COMMUNITY AND TO ENGAGE IN EDUCATIONAL ACTIVITIES, RESEARCH AND OPERATIONS RELATED THERETO. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE HOSPICE IS A NOT-FOR-PROFIT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPICE HAS ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARDS (FASB) AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THAT ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT FOR THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE HOSPICES FINANCIAL STATEMENTS. THE HOSPICE HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2011 AND THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE HOSPICES FINANCIAL POSITION OR RESULTS OF OPERATIONS. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL TAX AUTHORITIES. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | ASSET TRANSFERS BETWEEN ENTITIES -1,109,671. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET ELIMINATED FOUNDATION ACTIVITY -1,020,414. ASSET TRANSFERS BETWEEN ENTITIES -1,109,671. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELAINE MCINTOSH | |||||||||||||
| 222319 | 0 | 15529 | 0 | 0 | 0 | 5092 | 0 | 4825 | 0 | 247765 | 0 | 15529 | 0 |
| ANN ALLEGRE | |||||||||||||
| 143679 | 0 | 0 | 0 | 0 | 0 | 3333 | 0 | 3632 | 0 | 150644 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | ELAINE MCINTOSH, CEO, IS AWARDED BENEFITS INCLUDING THE CHOICE OF MUTUAL FUNDS, LIFE INSURANCE, AND OTHER SIMILAR ASSETS. FOR 2011, AMOUNTS RELATING TO THIS PLAN WERE: DEPOSITS TO A CAPITAL ACCUMULATION ACCOUNT WITH 2-YEAR VESTING PERIOD: $ 15,529 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE INDUSTRIAL DEVELOPMENT AUTHORITY OF JACKSON COUNTY MISSOURI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521375404 | IssuerEIN |
| CUSIP Number | 46737CAR7 | CUSIPNumber |
| Date Issued | 2005-08-17 | DateIssued |
| Issue Price | 7200000 | IssuePrice |
| Description Of Purpose | SERIES 2005, SEE PART VI | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 1400000 | AmountRetired |
| Total Proceeds | 7321853 | TotalProceeds |
| Amount In Reserve Fund | 343741 | AmountInReserveFund |
| Issuance Costs From Proceeds | 172855 | IssuanceCostsFromProceeds |
| Capital Expenditures | 7148619 | CapitalExpenditures |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 1 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 1 | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRANSAMERICA | BusinessNameLine1 |
| Business Name Line2 | OCCIDENTAL LIFE INS | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 1.080000000000 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | 1 | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART I, COLUMN F | Identifier |
| Return Reference | PURPOSE OF BOND | ReturnReference |
| Explanation | THE PURPOSE OF THE 2005 SERIES BOND ISSUANCE IS AS FOLLOWS: THE PROCEEDS OF THE LOAN WILL BE USED BY THE CORPORATION (1) TO PAY OR TO REIMBURSE THE CORPORATION FOR THE COST OF ACQUIRING, CONSTRUCTING, EQUIPPING, AND RENOVATING CERTAIN HEALTH CARE FACILITIES (THE "PROJECT"), AND (2) TO PAY COSTS OF ISSUANCE OF THE BONDS, INCLUDING TO PAY INITIAL LETTER OF CREDIT FEES. THE PROJECT CONSISTS OF THE CONSTRUCTION, FURNISHING, AND EQUIPPING OF A HOSPICE INPATIENT FACILITY, WHICH WILL BE A FREESTANDING CARE FACILITY FOR INDIVIDUALS WHO HAVE A LIMITED LIFE EXPECTANCY. CARE WILL BE "PALLIATIVE," AND WILL FOCUS ON ADDRESSING THE COMFORT NEEDS OF THE PATIENT, RATHER THAN CURATIVE. INITIALLY, THE FACILITY WILL INCLUDE 24 BEDS, HOWEVER THE FACILITY AND SITE HAVE BEEN DESIGNED TO EXPAND TO 32 BEDS AND ULTIMATELY TO 48, IF NEEDED. A SMALL PHYSICIAN CLINIC WILL ALSO BE HOUSED AT THE FACILITY. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT OF KANSAS CITY HOSPICE, INC. THE KANSAS CITY HOSPICE BOARD EXECUTIVE COMMITTEE REVIEWED THE 990 IN DETAIL IN 2012, WITH THE PREPARER PRIOR TO FILING WITH THE IRS. THE KANSAS CITY HOSPICE, INC BOARD MEMBERS WERE OFFERED A COPY OF THE KANSAS CITY HOSPICE, INC'S FORM 990 FOR PERSONAL REVIEW PRIOR TO SUBMISSION WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | UPON ELECTION TO THE BOARD, MEMBERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST FORM. THE KCH BOARD EXECUTIVE COMMITTEE REVIEWS ALL FORMS WITH CONFLICTS. BOARD MEMBERS WILL ABSTAIN FROM PARTICIPATION IN PERTINENT DISCUSSION IF APPLICABLE WHEN CONFLICT OF INTEREST SITUATIONS ARISE. THE CONFLICT OF INTEREST FORM IS COMPLETED ANNUALLY BY ALL ONGOING BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO'S SALARY IS REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. AN OUTSIDE COMPENSATION CONSULTANT'S COMPENSATION REVIEW IS RETAINED APPROXIMATELY EVERY THREE YEARS. THE CEO AND DIRECTOR OF HUMAN RESOURCES DETERMINE THE COMPENSATION FOR OFFICERS AND KEY MANAGEMENT PERSONNEL (WITH THE EXCEPTION OF THE CEO POSITION ITSELF). THREE SOURCES OF MARKET DATA ARE USED WHICH SPECIALIZE IN THE HOSPICE AND HEALTHCARE INDUSTRY. | |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. | |
| FORM 990, PART VI, SECTION C, LINE 19 | REQUESTS FOR INFORMATION ON FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND THE CONFLICT OF INTEREST POLICY ARE EVALUATED ON A CASE BY CASE BASIS BY THE ORGANIZATION'S MANAGEMENT. | |
| FORM 990, PART XI, LINE 5: | ASSET TRANSFERS BETWEEN ENTITIES -1,109,671. TOTAL TO FORM 990, PART XI, LINE 5: -1,109,671. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | |
| FORM 990, PART III, LINE 4A: | KANSAS CITY HOSPICE HOMECARE PROGRAM: KANSAS CITY HOSPICE PROVIDES IN HOME (WHETHER IT BE A HOME, LONG TERM CARE FACILITY, ASSISTED LIVING FACILITY OR OTHER TYPE OF HOME) TO PATIENTS RESIDING IN 9 COUNTIES IN THE KANSAS CITY METROPOLITAN AREA. SPECIALLY TRAINED STAFF, OF MULTIPLE DISCIPLINES, HELPS PATIENTS AND THEIR LOVED ONES WITH THE CHALLENGES OF LIFE-THREATENING ILLNESSES. WE HAD 1,324 ADMISSIONS AND 95,010 TOTAL CARE DAYS IN THIS YEAR. INPATIENT FACILITY HOSPICE HOUSE: IN APRIL OF 2006, KANSAS CITY HOSPICE OPENED THE FIRST INPATIENT HOSPICE FACILITY IN THE KANSAS CITY METROPOLITAN AREA. THE KANSAS CITY HOSPICE HOUSE PROVIDES THE COMFORTS OF HOME COUPLED WITH THE ADDITION OF EXPERTS AT THE PATIENT'S SIDE. THE 32-BED FACILITY ADDRESSES NOT ONLY MEDICAL AND NURSING CARE FOR PATIENTS FACING ADVANCED ILLNESSES, BUT ALSO EMOTIONAL AND SPIRITUAL SUPPORT FOR PATIENTS AND THEIR FAMILIES. THIS PROGRAM IS A SUPPLEMENT TO OUR HOMECARE PROGRAM IN THAT IT IS USED WHEN MEDICAL PROBLEMS ARE TOO SERIOUS TO MANAGE IN THE HOME SETTING. WE HAD 927 ADMISSIONS AND 10,733 CARE DAYS IN THIS YEAR. KANSAS CITY HOSPICE PALLIATIVE HOME CARE PROGRAM: THE PALLIATIVE HOME CARE PROGRAM IS LIKE OUR HOSPICE PROGRAM. AN INTERDISCIPLINARY TEAM FOCUSES ON SPECIALIZED MANAGEMENT OF PAIN AND OTHER SYMPTOMS. THE TEAM ADDRESSES EMOTIONAL NEEDS OF THE PATIENT AND FAMILY. ITS GOAL IS TO MAKE THE MOST OF THE REMAINING LIFE OF THE PATIENT. THE PROGRAM SERVES PEOPLE WHO HAVE LIFE-THREATENING ILLNESSES, BUT WHO WANT TO CONTINUE SEEKING CURATIVE TREATMENT OR WHO DO NOT WISH TO ELECT HOSPICE CARE. KANSAS CITY HOSPICE ALSO HAS A PALLIATIVE MEDICINE PROGRAM WHICH IS A PHYSICIAN SERVICE FOCUSING ON IMPROVING THE QUALITY OF LIFE FOR PATIENTS FACING LIFE-LIMITING ILLNESSES. THE PROGRAM ALSO ASSISTS PATIENTS' FAMILIES. CARE IS CONCENTRATED ON PREVENTING AND RELIEVING SUFFERING THROUGH TREATING PAIN AND SYMPTOMS AS WELL AS BY PROVIDING EMOTIONAL AND SPIRITUAL SUPPORT. WE HAD 189 ADMISSIONS AND 8,839 CARE DAYS IN THIS YEAR. CAROUSEL PROGRAM: WE HAVE A PEDIATRIC PROGRAM. OUR TEAM OF PROFESSIONALS PROVIDE SUPPORT TO FAMILIES. WHEN HOME IS NOT THE IDEAL SETTING OUR HOSPICE HOUSE IS AVAILABLE. WE CARED FOR 35 FAMILIES IN 2011. ADDITIONAL SERVICES: IN 2009, SERVICES TO CHILDREN WERE EXPANDED THROUGH THE ADDITION OF GRIEF SUPPORT GROUP AND INDIVIDUAL COUNSELING PROGRAMS CALLED SOLACE HOUSE. | STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KANSAS CITY HOSPICE FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9221 WARD PARKWAY SUITE 100 | AddressLine1 |
| City | KANSAS CITY | City |
| State | MO | State |
| ZIP Code | 64114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431724085 | EIN |
| Primary Activities | SUPPORT/FUNDRAISING | PrimaryActivities |
| Legal Domicile State | MO | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 11A, I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KANSAS CITY HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| KANSAS CITY HOSPICE FOUNDATION | ||
| B | 1109671 | FMV |
| KANSAS CITY HOSPICE FOUNDATION | ||
| R | 2045523 | FMV |