MIDLAND CARE CONNECTION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MIDLAND CARE CONNECTION INC (EIN 48-0883888)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-07-01
- IRS object ID
- 201601839349300125
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-07-01T12:12:08-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341857238 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 990 SW FAIRLAWN ROAD | AddressLine1Txt |
| City | TOPEKA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480883888 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDLAND CARE CONNECTION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDL | BusinessNameControlTxt |
| Phone | 7852322044 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SW FRAZIER CIRCLE | AddressLine1Txt |
| City | TOPEKA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66606 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KARREN WEICHERT | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 7852322044 | PhoneNum |
| Signature | 2016-06-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DOUGLAS W GLENN | PreparerPersonNm |
| PTIN | P00451425 | PTIN |
| Phone | 7852723176 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KARREN WEICHERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SW FRAZIER CIRCLE | AddressLine1Txt |
| City | TOPEKA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,798,433 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MIDLANDCARECONNECTION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | MIDLAND CARE MEETS INDIVIDUAL HEALTHCARE NEEDS THROUGH END OF LIFE CARE FOR TERMINALLY ILL PATIENTS, THROUGH ELDER CARE SERVICES TO HELP FRAIL ELDERS REMAIN LIVING SAFELY IN THEIR HOMES AND THROUGH GRIEF COUNSELING SERVICES FOR THOSE SUFFERING A LOSS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 366 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $534,406 | PYContributionsGrantsAmt |
| CY Contributions Grants | $575,548 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,725,717 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,833,602 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,308 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,989 | CYInvestmentIncomeAmt |
| PY Other Revenue | $114,086 | PYOtherRevenueAmt |
| CY Other Revenue | $263,157 | CYOtherRevenueAmt |
| PY Total Revenue | $21,377,517 | PYTotalRevenueAmt |
| CY Total Revenue | $21,676,296 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,555,904 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,131,544 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $311,492 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,310,354 | PYOtherExpensesAmt |
| CY Other Expenses | $9,848,249 | CYOtherExpensesAmt |
| PY Total Expenses | $20,866,258 | PYTotalExpensesAmt |
| CY Total Expenses | $21,979,793 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $511,259 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$303,497 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,824,810 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,907,856 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,319,513 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,801,702 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,505,297 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,106,154 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MEETING INDIVIDUAL NEEDS THROUGH THE PROVISION OF PATIENT CENTERED CARE TO FRAIL ELDERS AND THOSE WITH LIFE-LIMITING ILLNESSES, ALLOWING THEM TO LIVE AS FULLY AS POSSIBLE IN THEIR OWN HOMES AND AVOIDING UNNECESSARY HOSPITALIZATIONS OR INSTITUTIONALIZATION. PROVIDING SUPPORT AND EDUCATION TO PATIENTS AND CAREGIVERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,768,959 | ExpenseAmt |
| Revenue | $12,030,603 | RevenueAmt |
| Desc | MIDLAND CARE CONNECTION , INC. IS A NOT-FOR-PROFIT COMMITTED TO HELPING PEOPLE WITH HEALTH CARE CHALLENGES STAY IN THEIR HOMES WHENEVER POSSIBLE. MIDLAND CARE HAS DEVELOPED A FULL CONTINUUM OF COMMUNITY BASED SERVICES TO SUPPORT PATIENTS WITH NON-MEDICAL SUPPORTIVE CARE NEEDS ALL THE WAY THROUGH SKILLED CARE NEEDS AND TO END-OF-LIFE AND BEREAVEMENT SUPPORT TO SURVIVING FAMILY MEMBERS. OUR HOSPICE PROGRAM PROVIDES CARE TO ALL AGES AND ALL DIAGNOSES AND INCLUDES BOTH HOME CARE AS WELL AS THE AVAILABILITY OF OUR HOSPICE HOUSE FOR INPATIENT STAYS FOR COMPLEX PAIN AND SYMPTOM MANAGEMENT AND RESPITE CARE. ADDITIONALLY OUR CERTIFIED PALLIATIVE PHYSICIANS PROVIDE CONSULTATION FOR THOSE PATIENTS WITH PAIN AND SYMPTOMS RELATED TO THEIR DISEASE PROCESS OR TREATMENTS. OUR HOME CARE PROGRAM CONSISTS OF A NON-MEDICAL SUPPORTIVE SERVICE FOR ASSISTANCE WITH ACTIVITIES OF DAILY LIVING LIKE BATHING AND PERSONAL CARE, LIGHT HOUSEKEEPING, SHOPPING, ERRANDS AND COMPANION CARE. PEOPLE NEEDING MORE MEDICAL CARE MIGHT ACCESS OUR MEDICARE CERTIFIED HOME HEALTH PROGRAM FOR ASSISTANCE WITH MORE COMPLEX NURSING AND THERAPY NEEDS ESPECIALLY FOLLOWING AN ACCIDENT OR HOSPITAL STAY AS WELL AS PERSONAL CARE ASSISTANCE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,498,522 | ExpenseAmt |
| Revenue | $8,516,123 | RevenueAmt |
| Desc | MIDLAND CARE SENIOR SERVICES INCLUDES THE PROVISION OF A PROGRAM FOR ALL INCLUSIVE CARE FOR THE ELDERLY, OR PACE PROGRAM, FOR A MULTI-COUNTY AREA. THIS PROGRAM COORDINATES ALL MEDICAL AND HOMECARE SERVICES FOR INDIVIDUALS WITH MULTIPLE CHRONIC CONDITIONS OR COMPLEX CARE NEEDS TO ASSIST THEM TO STAY IN THE COMMUNITY, AVOID HOSPITALIZATIONS AND IMPROVE OVERALL QUALITY OF LIFE THROUGH PATIENT CENTERED CARE COORDINATION. THOSE IN THIS PROGRAM ARE PRIMARILY BENEFICIARIES WHO QUALIFY FOR BOTH MEDICAID AND MEDICARE. MIDLAND CARE SENIOR SERVICES ALSO INCLUDES ADULT DAY CARE, MEDICAL TRANSPORTATION, RESPITE SERVICES, AND SOME SENIOR HOUSING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $17,267,481 | 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 | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | 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 | 198 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 366 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | KARREN WEICHERT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7852322044 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 SW FRAZIER CIRCLE | AddressLine1Txt |
| City | TOPEKA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66606 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DONALD CHUBB JR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK MAYWORM | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LAURA NORWOOD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM PALACE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VERONICA PADILLA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KENT PALMBERG | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFF UNGERER | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| WILLIAM ELIASON | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MIKE DUNNAWAY | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KEITH WARTA | ||||||||
| VICE-CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DAN FOLTZ | ||||||||
| PAST CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KARREN WEICHERT | ||||||||
| PRESIDENT/CEO | 40.00 | $166,540 | $0 | $14,513 | Yes (X) | |||
| MARILYN KEYSER | ||||||||
| CFO | 40.00 | $67,212 | $0 | $5,949 | Yes (X) | |||
| CHAD WILKINS | ||||||||
| CFO | 40.00 | $90,935 | $0 | $5,079 | Yes (X) | |||
| GREG NELSON | ||||||||
| HOSPICE MEDICAL DIRECTOR | 40.00 | $189,932 | $0 | $19,934 | Yes (X) | |||
| DAVID WENSEL | ||||||||
| PACE MEDICAL DIRECTOR | 40.00 | $180,290 | $0 | $25,196 | Yes (X) | |||
| MARSHA KENT | ||||||||
| VP OF CLINICAL SERVICES | 40.00 | $106,340 | $0 | $11,467 | Yes (X) | |||
| HARMONY HINES | ||||||||
| VP OF COMPLIANCE | 40.00 | $102,979 | $0 | $5,564 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $904,228 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $87,702 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CAREKINESIS INC | |||||
| 110 MARTER AVE STE 309 | MOORESTOWN | NJ | 08057 | PACE PHARMACY | $1,474,515 |
| ST FRANCIS HEALTH CENTER | |||||
| 1700 SW 7TH ST | TOPEKA | KS | 66606 | MEDICAL SERVICES | $581,642 |
| WISIAN HOSPICE PARTNERS LLC | |||||
| 1733 NORMAL HILL | EDMOND | OK | 73034 | HOSPICE PHARMACY | $523,988 |
| WISE MANAGEMENT SOLUTIONS | |||||
| 10932 NW 116TH ST | YUKON | OK | 73099 | MEDICAL EQUIPMENT | $323,123 |
| MEDLINE INDUSTRIES | |||||
| DEPT 1080 PO BOX 121080 | DALLAS | TX | 75312 | MEDICAL SUPPLY | $315,210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $575,548 | AllOtherContributionsAmt |
| Total Contributions | $575,548 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| PROGRAM FEES | 623990 | $20,646,726 | $20,646,726 | |
| THRIFT STORE INCOME | 448000 | $186,876 | $186,876 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,833,602 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,989 | TotalRevenueColumnAmt |
| Exclusion | $3,989 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $385,294 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $122,137 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $263,157 | TotalRevenueColumnAmt |
| Exclusion | $263,157 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,676,296 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,646,726 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $454,022 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $765,579 | TotalAmt |
| Management And General | $765,579 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,636,860 | TotalAmt |
| Program Services | $7,228,873 | ProgramServicesAmt |
| Management And General | $2,205,224 | ManagementAndGeneralAmt |
| Fundraising | $202,763 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,145 | TotalAmt |
| Program Services | $64,728 | ProgramServicesAmt |
| Management And General | $26,601 | ManagementAndGeneralAmt |
| Fundraising | $1,816 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $884,164 | TotalAmt |
| Program Services | $614,424 | ProgramServicesAmt |
| Management And General | $252,506 | ManagementAndGeneralAmt |
| Fundraising | $17,234 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751,796 | TotalAmt |
| Program Services | $522,439 | ProgramServicesAmt |
| Management And General | $214,703 | ManagementAndGeneralAmt |
| Fundraising | $14,654 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,482 | TotalAmt |
| Management And General | $23,482 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,850 | TotalAmt |
| Management And General | $17,850 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784,960 | TotalAmt |
| Program Services | $730,901 | ProgramServicesAmt |
| Management And General | $10,260 | ManagementAndGeneralAmt |
| Fundraising | $43,799 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,842 | TotalAmt |
| Program Services | $55,447 | ProgramServicesAmt |
| Management And General | $129,395 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,202 | TotalAmt |
| Program Services | $18,109 | ProgramServicesAmt |
| Management And General | $43,816 | ManagementAndGeneralAmt |
| Fundraising | $1,277 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,220 | TotalAmt |
| Management And General | $279,220 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $622,241 | TotalAmt |
| Program Services | $622,241 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,779 | TotalAmt |
| Program Services | $388,922 | ProgramServicesAmt |
| Management And General | $24,401 | ManagementAndGeneralAmt |
| Fundraising | $1,456 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,542 | TotalAmt |
| Program Services | $73,730 | ProgramServicesAmt |
| Management And General | $33,720 | ManagementAndGeneralAmt |
| Fundraising | $7,092 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,208 | TotalAmt |
| Program Services | $152,208 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,522 | TotalAmt |
| Program Services | $500,522 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,863 | TotalAmt |
| Program Services | $51,887 | ProgramServicesAmt |
| Management And General | $136,976 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICATIONS | $2,139,279 | $2,139,279 |
| PACE EXPENSES | $1,688,535 | $1,688,535 |
| OUTPAITION, LAB & THERA | $723,498 | $723,498 |
| OTHER PATIENT EXPENSES | $626,064 | $626,064 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,324,162 | TotalAmt |
| Program Services | $1,065,674 | ProgramServicesAmt |
| Management And General | $237,087 | ManagementAndGeneralAmt |
| Fundraising | $21,401 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,979,793 | TotalAmt |
| Program Services | $17,267,481 | ProgramServicesAmt |
| Management And General | $4,400,820 | ManagementAndGeneralAmt |
| Fundraising | $311,492 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,679 | BOYAmt |
| EOY | $361,901 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,855,183 | BOYAmt |
| EOY | $1,415,904 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,500 | BOYAmt |
| EOY | $2,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,112,658 | BOYAmt |
| EOY | $2,290,608 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,130 | BOYAmt |
| EOY | $62,759 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,466 | BOYAmt |
| EOY | $353,298 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,168,277 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,176,737 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,776,502 | BOYAmt |
| EOY | $6,991,540 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,634 | BOYAmt |
| EOY | $550,844 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,058 | BOYAmt |
| EOY | $878,502 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,824,810 | BOYAmt |
| EOY | $12,907,856 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,539,325 | BOYAmt |
| EOY | $3,071,599 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,230 | BOYAmt |
| EOY | $45,661 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,625,000 | BOYAmt |
| EOY | $3,405,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,008,958 | BOYAmt |
| EOY | $1,279,442 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,319,513 | BOYAmt |
| EOY | $7,801,702 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,626,128 | BOYAmt |
| EOY | $4,282,701 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759,307 | BOYAmt |
| EOY | $703,591 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,862 | BOYAmt |
| EOY | $119,862 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,505,297 | BOYAmt |
| EOY | $5,106,154 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,824,810 | BOYAmt |
| EOY | $12,907,856 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$303,497 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$95,646 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
| 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 | $287,558 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $293,912 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $262,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $534,406 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $575,548 | CurrentTaxYearAmt |
| Total | $1,953,799 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $287,558 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $293,912 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $262,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $534,406 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $575,548 | CurrentTaxYearAmt |
| Total | $1,953,799 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $416,188 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,537,611 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,967 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,448 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,934 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,308 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,989 | CurrentTaxYearAmt |
| Total | $18,646 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,972,445 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $89,766,569 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.77950 | PublicSupportCY170Pct |
| Public Support PY170 | 0.87810 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $382,698 | BeginningYearBalanceAmt |
| Contributions | $193,357 | ContributionsAmt |
| Investment Earnings Or Losses | -$7,113 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,012 | AdministrativeExpensesAmt |
| End Year Balance | $564,930 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $356,387 | BeginningYearBalanceAmt |
| Contributions | $10,073 | ContributionsAmt |
| Investment Earnings Or Losses | $19,858 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $3,620 | AdministrativeExpensesAmt |
| End Year Balance | $382,698 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $319,045 | BeginningYearBalanceAmt |
| Contributions | $10,497 | ContributionsAmt |
| Investment Earnings Or Losses | $30,069 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $3,224 | AdministrativeExpensesAmt |
| End Year Balance | $356,387 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $313,904 | BeginningYearBalanceAmt |
| Contributions | $998 | ContributionsAmt |
| Investment Earnings Or Losses | $5,173 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,030 | AdministrativeExpensesAmt |
| End Year Balance | $319,045 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $291,087 | BeginningYearBalanceAmt |
| Contributions | $22,817 | ContributionsAmt |
| End Year Balance | $313,904 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.76620 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.21220 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.02160 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $588,450 | OtherCostOrOtherBasisAmt |
| Book Value | $588,450 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,913,024 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,275,384 | DepreciationAmt |
| Book Value | $5,637,640 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,666,803 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,901,353 | DepreciationAmt |
| Book Value | $765,450 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,991,540 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BOND ISSUE COSTS, NET | $589,629 |
| BENEFICIAL INTEREST IN TRUST | $288,873 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $878,502 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $21,589,078 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$95,646 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$95,646 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,684,724 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$8,428 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$8,428 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,676,296 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,988,221 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,428 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,428 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,979,793 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,979,793 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUNDS ARE TO BE USED TO FUND UNREIMBURSED CARE AND FUTURE CAPITAL IMPROVEMENTS. |
| FORM 990, SCHEDULE D, PART XI | RECONCILIATION OF REVENUE FORM 990, SCHEDULE D, PART XI: ON THE AUDITED FINANCIAL STATEMENTS, INCOME FROM THE THRIFT STORES IS SHOWN NET OF EXPENSES WITHIN TOTAL REVENUE. THE TAX RETURN SHOWS THE GROSS REVENUE FROM THE THRIFT STORE WHILE THE OFFSETTING AMOUNTS ARE REPORTED ON PAGE 10 OF THE 990. IN ADDITION, THE FUNDRAISING EVENTS ARE SHOWN NET OF ANY EXPENSES ON PAGE 9 OF THE 990. THE TOTAL THRIFT STORE EXPENSES BEING NETTED ON THE FINANCIAL STATEMENTS IS $113,709. THE TOTAL FUNDRAISING EXPENSES RELATED TO FUNDRAISING ACTIVITIES IS $122,137. THE NET ADJUSTMENT IS ($8,428). |
| FORM 990, SCHEDULE D, PART XII | RECONCILIATION OF EXPENSES FORM 990, SCHEDULE D, PART XII: ON THE AUDITED FINANCIAL STATEMENTS, INCOME FROM THE THRIFT STORES IS SHOWN NET OF EXPENSES WITHIN TOTAL REVENUE. THE TAX RETURN SHOWS THE GROSS REVENUE FROM THE THRIFT STORE WHILE THE OFFSETTING AMOUNTS ARE REPORTED ON PAGE 10 OF THE 990. IN ADDITION, THE FUNDRAISING EVENTS ARE SHOWN NET OF ANY EXPENSES ON PAGE 9 OF THE 990. THE TOTAL THRIFT STORE EXPENSES BEING NETTED ON THE FINANCIAL STATEMENTS IS $114,682. THE TOTAL FUNDRAISING EXPENSES RELATED TO FUNDRAISING ACTIVITIES IS $86,575. THE NET ADJUSTMENT IS $28,107. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CELEBRATION WALK | Event1Nm |
| Gross Receipts Event1 | $110,149 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $110,149 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $29,259 | OtherDirectExpensesEvent1Amt |
| Event2 | CAPITAL CAMPAIGN | Event2Nm |
| Gross Receipts Event2 | $140,440 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $140,440 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $53,081 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 4 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $125,528 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $125,528 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $21,251 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $376,117 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $376,117 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $103,591 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $103,591 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $272,526 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KARREN WEICHERT | ||||||||||||||
| PRESIDENT/CEO | $153,353 | $0 | $13,187 | $0 | $0 | $0 | $6,500 | $0 | $8,013 | $0 | $181,053 | $0 | $0 | $0 |
| GREG NELSON | ||||||||||||||
| HOSPICE MEDICAL DIRECTOR | $189,932 | $0 | $0 | $0 | $0 | $0 | $7,808 | $0 | $12,126 | $0 | $209,866 | $0 | $0 | $0 |
| DAVID WENSEL | ||||||||||||||
| PACE MEDICAL DIRECTOR | $180,290 | $0 | $0 | $0 | $0 | $0 | $7,748 | $0 | $17,448 | $0 | $205,486 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHAWNEE COUNTY KANSAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 486028759 | BondIssuerEIN |
| CUSIP | 820556FK9 | CUSIPNum |
| Bond Issued | 2013-05-29 | BondIssuedDt |
| Issue Price | $3,955,000 | IssuePriceAmt |
| Purpose | SERIES 2013 BOND ISSUE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $3,955,000 | TotalProceedsAmt |
| Refunding Escrow | $3,875,900 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $79,100 | IssuanceCostsFromProceedsAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JENNIFER FRIEDLEY | |||
| RELATED TO PRESIDENT | $68,677 | COMPENSATION | 0 |
| DONALD WEICHERT | |||
| RELATED TO PRESIDENT | $8,247 | COMPENSATION | 0 |
| JESSICA SCHELL | |||
| RELATED TO PRESIDENT | $36,300 | COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE DIRECTORS OF THE ORGANIZATION CONSTITUTE ITS MEMBERS. THE MEMBERS APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS HAS THE POWER TO APPOINT OTHER BOARD MEMBERS. POTENTIAL BOARD MEMBERS COMPLETE AN APPLICATION WHICH IS THEN PRESENTED TO THE BOARD FOR REVIEW, DISCUSSION AND ACCEPTANCE. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS WERE PROVIDED THE COMPLETE FORM 990 AND RELATED SCHEDULES AT THE APRIL 27, 2016 BOARD MEETING. THE FORMS AND SCHEDULES WERE REVIEWED WITH TIME ALLOTED FOR QUESTIONS AND ANSWERS. THE 990 WAS PREPARED BY AN OUTSIDE CPA FIRM. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. IN THE EVENT A CONFLICT OF INTEREST WERE TO OCCUR, THE CONFLICT WOULD BE REVIEWED BY THE RISK MANAGEMENT COMMITTEE (COMPRISED OF THE EXECUTIVE COMMITTEE, CEO AND SENIOR MANAGEMENT TEAM) AND A DETERMINATION OF ACTION WOULD BE MADE. BOARD MEMBERS THAT HAVE A BUSINESS RELATIONSHIP THAT CREATES A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN THE FINAL DISCUSSIONS AND DECISION IN THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION IS DETERMINED BY USING COMPENSATION RESOURCES SUCH AS THE HOME CARE AND HOSPICE SALARY AND BENEFITS REPORT AND REGIONAL WAGE INDEXES. CEO COMPENSATION AND SALARY INCREASES ARE DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WITHIN THE CONFINES OF THE APPROVED ANNUAL BUDGET. OTHER EXECUTIVE COMPENSATION IS BASED ON BENCHMARKING REPORTS AND APPROVED WITHIN THE CONFINES OF THE APPROVED ANNUAL BUDGET. ALL APPROVED COMPENSATION AND SALARY INCREASES ARE DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILE. |
| FORM 990, PART VI, SECTION C, LINE 19 | MIDLAND PROVIDES OUR FORM 990 UPON WRITTEN REQUEST. |
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