2023-05-08T14:25:06-05:00 2022-09-30 300038643 VARNEY & ASSOCIATES CPAS LLC 1501 POYNTZ AVENUE MANHATTAN KS 665026092 990 2021-10-01 480877419 GOOD SHEPHERD HOMECARE & HOSPICE INC GOOD 7855370688 3801 VANESTA DR MANHATTAN KS 66503 CHRISTINA NOLTE EXECUTIVE DIRECTOR 7855370688 2023-05-01 1 CHRISTINA NOLTE 999009999 APRIL G SWARTZ P01266112 7855372202 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CHRISTINA NOLTE 3801 VANESTA DRIVE MANHATTAN KS 66503 2195130 0 X WWW.HOMECAREANDHOSPICE.ORG X 1992 KS TO ENABLE CLIENTS TO LIVE AT HOME, WHILE PRESERVING DIGNITY, INDEPENDENCE AND SELF-DETERMINATION. 13 13 84 76 0 0 645513 521074 1600049 1673990 59 66 921 0 2246542 2195130 88652 147072 0 0 1461524 1402587 0 0 0 446698 515421 1996874 2065080 249668 130050 340583 396447 310775 236589 29808 159858 X TO HONOR EVERY MOMENT IN LIFE 0 0 1141544 143648 1425163 HOSPICE IS A SPECIALIZED, COMPASSIONATE CONCEPT OF CARE THAT RECOGNIZES HOPE AS A POWERFUL FORCE THAT SUSTAINS LIFE THROUGHOUT A SERIOUS ILLNESS. THE HOSPICE TEAM CARES FOR CLIENTS IN THEIR OWN HOMES, NURSING HOMES, ASSISTED LIVING CENTERS, HOSPITALS OR AT THE GOOD SHEPHERD HOSPICE HOUSE. THEY HELP CLIENTS TO BE AS COMFORTABLE AS POSSIBLE THROUGH EXPERT PAIN AND SYMPTOM MANAGEMENT, SUPPORTING THEM AND THEIR FAMILIES, PROVIDING RESPITE TO THE CAREGIVERS AND OTHER PRACTICAL ASSISTANCE. 307574 3424 154063 HOME CARE SERVICES ARE PROVIDED TO CLIENTS WHO REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. THE SERVICES PROVIDED ARE NON-MEDICAL IN-HOME SERVICES WHICH INCLUDE MEAL PREPARATION, HOUSEKEEPING, LAUNDRY, DRESSING, ETC. 27659 76542 HOME HEALTH SERVICES ARE PROVIDED TO CLIENTS WHO HAVE A QUALIFYING SKILLED MEDICAL NEED AND A PHYSICIAN'S ORDER FOR SERVICES. CLIENTS NEEDING THIS SERVICE ARE HOMEBOUND AND HAVE A NEED FOR A SKILLED NURSE, PHYSICAL THERAPIST, OCCUPATIONAL THERAPIST AND OR SPEECH THERAPIST. 17903 18222 OTHER PROGRAM SERVICES SUCH AS CARE COORDINATION. 17903 18222 1494680 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 84 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X CHRISTINA NOLTE 7855370688 3801 VANESTA DRIVE MANHATTAN KS 66503 KEVIN INGRAM CHAIR 0.30 X X 0 0 0 SCOTT EMLEY VICE CHAIR 0.30 X X 0 0 0 TODD CHYBA TREASURER 0.30 X X 0 0 0 DAN CROUCH BOARD MEMBER 0.30 X 0 0 0 ANDY ELLIS BOARD MEMBER 0.30 X 0 0 0 LAKI EVANGELIDIS BOARD MEMBER 0.30 X 0 0 0 MARILYN FOX BOARD MEMBER 0.30 X 0 0 0 BEVERLY FULTON BOARD MEMBER 0.30 X 0 0 0 NEIL HORTON BOARD MEMBER 0.30 X 0 0 0 BRAD ROBERTS BOARD MEMBER 0.30 X 0 0 0 DEVIN WENDT BOARD MEMBER 0.30 X 0 0 0 LARIE SCHOAP BOARD MEMBER 0.30 X 0 0 0 CHANCE WILLIAMS BOARD MEMBER 0.30 X 0 0 0 CHRISTINA NOLTE EXECUTIVE DIRECTOR 35.00 5.00 X 97421 0 3997 97421 0 3997 0 0 0 0 0 250000 232996 38078 521074 HOSPICE DIRECT 621610 841728 841728 HOSPICE FACILITY 621610 583435 583435 HEALTH CARE ATTENDANT 621610 154063 154063 HOME HEALTH DIRECT 621610 76542 76542 CARE MANAGEMENT 621610 18222 18222 1673990 66 66 2195130 1673990 0 66 147072 147072 97421 97421 1072853 869126 203727 143424 106831 36593 88889 71555 17334 326 326 19798 19798 43405 17794 25611 13186 13186 80449 51412 29037 74829 7744 67085 120743 81458 39285 106 106 4038 4038 2913 2870 43 15351 15351 MEDICAL EQUIPMENT AND S 139809 138350 1459 HOSPICE DURABLE MEDICAL 468 468 2065080 1494680 570400 0 15830 67180 285084 298789 14493 8216 170401 160361 12954 10040 12222 12222 340583 396447 189075 167700 18000 18000 103700 50889 310775 236589 X 29808 159858 29808 159858 340583 396447 130050 0 X X 0 1 X 1 0 X 782243 442903 427058 645513 521074 2818791 782243 442903 427058 645513 521074 2818791 2818791 83 71 161 59 66 440 2819231 8715461 0.99980 0.99980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12222 0 170401 160361 10040 10040 X PART X, LINE 2: THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. FOR EACH OF THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021, THE ORGANIZATION DID NOT RECOGNIZE ANY INTEREST OR PENALTIES ASSOCIATED WITH TAX MATTERS. THE FOUNDATION'S FEDERAL EXEMPT ORGANIZATION RETURNS (FORM 990) ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. NO TAXING AUTHORITIES HAVE COMMENCED INCOME TAX EXAMINATIONS FOR OPEN YEARS AS OF THE REPORTING DATE. 1 CHARITY CARE 28 147072 COST OF SERVICES PROVIDED HOSPICE AND HEALTH CARE ATTENDANT SERVICES PART I, LINE 2: FOR THE CHARITY CARE PROVIDED BY THE ORGANIZATION, IT IS TRACKED BASED ON PROGRAM AND PAYER SOURCE. ANY CHARITY CARE PROVIDED UNDER THE HOME CARE PROGRAM IS DOCUMENTED THROUGH A REFERRAL FROM THE NORTH CENTRAL FLINT HILLS AREA AGENCY ON AGING, WHICH DOCUMENTS THE GRANT AMOUNTS (OLDER AMERICANS ACT AND SENIOR CARE ACT) THAT WILL PAY FOR A CLIENT'S CARE. THE DIFFERENCE BETWEEN THAT GRANT AMOUNT AND THE 100% SELF PAY COST OF THE PROGRAM DETERMINES EACH CLIENT'S CHARITABLE CARE AMOUNT. FOR THE HOSPICE PROGRAM, CHARITABLE CARE INFORMATION IS TRACKED IN THE PAYERS AND NEGOTIATED RATES SCREEN OF NETSMART (EMR). ANY CLIENT WHO RECEIVES CHARITABLE CARE UNDER THE HOSPICE PROGRAM COMPLETES THE SELF PAY SLIDING FEE SCALE APPLICATION. THIS DATA IS REFLECTED IN THE NEGOTIATED RATES SCREEN AND A HARD COPY OF THE APPLICATION IS PLACED IN THE CLIENT'S MEDICAL CHART. THE DIFFERENCE BETWEEN THE SLIDING FEE SCALE AMOUNT AND THE 100% SELF PAY COST OF OUR PROGRAM DETERMINES EACH CLIENT'S CHARITABLE CARE AMOUNT. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 IS PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL PRIOR TO FILING THE 990 ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C THE EMPLOYEES ARE REQUIRED TO TELL THE EXECUTIVE DIRECTOR IF A POTENTIAL CONFLICT COULD EXIST AND THIS IS COMMUNICATED THROUGH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE WAGES OF OFFICERS, KEY EMPLOYEES AND TOP MANAGEMENT ARE DETERMINED, SUPPORTED AND APPROVED DIRECTLY BY THE BOARD OF DIRECTORS. ANY CHANGES MUST ALSO BE APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE MAIN LOCATION. FORM 990 PART XI LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITOR. HOMECARE & HOSPICE FOUNDATION INC 3801 VANESTA DRIVE MANHATTAN KS 66503 481182638 ACCEPTING DONATIONS AND INVESTING MONIES ON BEHALF OF HOMECARE & HOSPICE INC KS 501C3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 HOMECARE & HOSPICE FOUNDATION C 250000 CASH HOMECARE & HOSPICE FOUNDATION O 69167 CASH