GOOD SHEPHERD HOMECARE & HOSPICE INC: Form 990, tax year 2020
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- Organization
- GOOD SHEPHERD HOMECARE & HOSPICE INC (EIN 48-0877419)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-06-28
- IRS object ID
- 202221799349301607
- Schema version
- 2020v4.2
- 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) |
|---|---|---|
| Return | 2022-06-28T16:49:35-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 300038643 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VARNEY & ASSOCIATES CPAS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 POYNTZ AVENUE | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 665026092 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480877419 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD HOMECARE & HOSPICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 7855370688 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3801 VANESTA DR | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66503 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTINA NOLTE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7855370688 | PhoneNum |
| Signature | 2022-06-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHRISTINA | PersonFirstNm |
| Person Last | NOLTE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | APRIL G SWARTZ | PreparerPersonNm |
| PTIN | P01266112 | PTIN |
| Phone | 7855372202 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTINA NOLTE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3801 VANESTA DRIVE | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,246,542 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOMECAREANDHOSPICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | TO ENABLE CLIENTS TO LIVE AT HOME, WHILE PRESERVING DIGNITY, INDEPENDENCE AND SELF-DETERMINATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 86 | TotalEmployeeCnt |
| Total Volunteers | 92 | TotalVolunteersCnt |
| Total Gross UBI | $921 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $427,058 | PYContributionsGrantsAmt |
| CY Contributions Grants | $645,513 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,899,325 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,600,049 | CYProgramServiceRevenueAmt |
| PY Investment Income | $161 | PYInvestmentIncomeAmt |
| CY Investment Income | $59 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $921 | CYOtherRevenueAmt |
| PY Total Revenue | $2,326,544 | PYTotalRevenueAmt |
| CY Total Revenue | $2,246,542 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $228,182 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $88,652 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,525,609 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,461,524 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $502,080 | PYOtherExpensesAmt |
| CY Other Expenses | $446,698 | CYOtherExpensesAmt |
| PY Total Expenses | $2,255,871 | PYTotalExpensesAmt |
| CY Total Expenses | $1,996,874 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $70,673 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $249,668 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $410,311 | TotalAssetsBOYAmt |
| Total Assets EOY | $340,583 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $596,708 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $310,775 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$186,397 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,808 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO HONOR EVERY MOMENT IN LIFE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,086,801 | ExpenseAmt |
| Grant | $83,644 | GrantAmt |
| Revenue | $1,291,288 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $366,954 | ExpenseAmt |
| Grant | $5,008 | GrantAmt |
| Revenue | $219,906 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $67,466 | ExpenseAmt |
| Revenue | $71,315 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,935 | ExpenseAmt |
| Revenue | $17,540 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES SUCH AS CARE COORDINATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,935 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $17,540 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,531,156 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 86 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTINA NOLTE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7855370688 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3801 VANESTA DRIVE | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66503 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| KEVIN INGRAM | |||||||
| CHAIR | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SCOTT EMLEY | |||||||
| VICE CHAIR | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TODD CHYBA | |||||||
| TREASURER | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAN CROUCH | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| ANDY ELLIS | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| LAKI EVANGELIDIS | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| MARILYN FOX | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY FULTON | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| NEIL HORTON | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| BRAD ROBERTS | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| DEVIN WENDT | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINA NOLTE | |||||||
| EXECUTIVE DIRECTOR | 35.00 | Yes (X) | $78,106 | $0 | $4,293 | 5.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $78,106 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,293 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $200,000 | RelatedOrganizationsAmt |
| Government Grants | $406,602 | GovernmentGrantsAmt |
| All Other Contributions | $38,911 | AllOtherContributionsAmt |
| Total Contributions | $645,513 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPICE DIRECT | 621610 | $839,044 | $839,044 |
| HOSPICE FACILITY | 621610 | $452,244 | $452,244 |
| HEALTH CARE ATTENDANT | 621610 | $219,906 | $219,906 |
| HOME HEALTH DIRECT | 621610 | $71,315 | $71,315 |
| CASE MANAGEMENT | 621610 | $17,540 | $17,540 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,600,049 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59 | TotalRevenueColumnAmt |
| Exclusion | $59 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $921 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $921 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $921 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,246,542 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,600,049 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $921 | UnrelatedBusinessRevenueAmt |
| Exclusion | $59 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,652 | TotalAmt |
| Program Services | $88,652 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,106 | TotalAmt |
| Management And General | $78,106 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,107,726 | TotalAmt |
| Program Services | $972,817 | ProgramServicesAmt |
| Management And General | $134,909 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,231 | TotalAmt |
| Program Services | $136,014 | ProgramServicesAmt |
| Management And General | $49,217 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,461 | TotalAmt |
| Program Services | $79,173 | ProgramServicesAmt |
| Management And General | $11,288 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,175 | TotalAmt |
| Management And General | $17,175 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,121 | TotalAmt |
| Program Services | $14,986 | ProgramServicesAmt |
| Management And General | $23,135 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,008 | TotalAmt |
| Management And General | $4,008 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,660 | TotalAmt |
| Program Services | $42,179 | ProgramServicesAmt |
| Management And General | $33,481 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,999 | TotalAmt |
| Program Services | $849 | ProgramServicesAmt |
| Management And General | $53,150 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,610 | TotalAmt |
| Program Services | $51,109 | ProgramServicesAmt |
| Management And General | $38,501 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,657 | TotalAmt |
| Management And General | $6,657 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,134 | TotalAmt |
| Program Services | $2,768 | ProgramServicesAmt |
| Management And General | $366 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,161 | TotalAmt |
| Management And General | $15,161 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL EQUIPMENT AND S | $142,236 | $141,672 | $564 |
| OTHER EXPENSES-PROGSERV | $937 | $937 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,996,874 | TotalAmt |
| Program Services | $1,531,156 | ProgramServicesAmt |
| Management And General | $465,718 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,259 | BOYAmt |
| EOY | $15,830 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,327 | BOYAmt |
| EOY | $285,084 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,176 | BOYAmt |
| EOY | $14,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $170,401 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $157,447 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,327 | BOYAmt |
| EOY | $12,954 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,222 | BOYAmt |
| EOY | $12,222 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,311 | BOYAmt |
| EOY | $340,583 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,102 | BOYAmt |
| EOY | $189,075 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,000 | BOYAmt |
| EOY | $18,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $311,856 | BOYAmt |
| EOY | $103,700 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,750 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,708 | BOYAmt |
| EOY | $310,775 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$186,397 | BOYAmt |
| EOY | $29,808 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$186,397 | BOYAmt |
| EOY | $29,808 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,311 | BOYAmt |
| EOY | $340,583 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $249,668 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$30,799 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$2,664 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $381,610 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $782,243 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $442,903 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $427,058 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $645,513 | CurrentTaxYearAmt |
| Total | $2,679,327 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $381,610 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $782,243 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $442,903 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $427,058 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $645,513 | CurrentTaxYearAmt |
| Total | $2,679,327 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $2,679,327 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $157 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $161 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59 | CurrentTaxYearAmt |
| Total | $531 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,679,858 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $8,699,151 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99980 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99980 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $12,222 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,401 | OtherCostOrOtherBasisAmt |
| Depreciation | $157,447 | DepreciationAmt |
| Book Value | $12,954 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,954 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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, 2021 AND 2020, 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. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CHARITY CARE | GrantTypeTxt |
| Recipient | 39 | RecipientCnt |
| Non Cash Assistance | $88,652 | NonCashAssistanceAmt |
| Valuation Method Used | COST OF SERVICES PROVIDED | ValuationMethodUsedDesc |
| Non Cash Assistance | HOSPICE AND HEALTH CARE ATTENDANT SERVICES | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 9: | BAD DEBT EXPENSE -2,664. |
| FORM 990 PART XI LINE 2C | THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOMECARE & HOSPICE FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3801 VANESTA DRIVE | AddressLine1Txt |
| City | MANHATTAN | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481182638 | EIN |
| Primary Activities | ACCEPTING DONATIONS AND INVESTING MONIES ON BEHALF OF HOMECARE & HOSPICE INC | PrimaryActivitiesTxt |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HOMECARE & HOSPICE FOUNDATION | ||
| C | $200,000 | CASH |
| HOMECARE & HOSPICE FOUNDATION | ||
| O | $76,791 | CASH |
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