2016-07-01T12:12:08-05:00 2015-12-31 341857238 CBIZ MHM LLC 990 SW FAIRLAWN ROAD TOPEKA KS 66606 990 2015-01-01 480883888 MIDLAND CARE CONNECTION INC MIDL 7852322044 200 SW FRAZIER CIRCLE TOPEKA KS 66606 KARREN WEICHERT PRESIDENT/CEO 7852322044 2016-06-23 1 DOUGLAS W GLENN P00451425 7852723176 2015 2016-09-27 15:27:22Z KARREN WEICHERT 200 SW FRAZIER CIRCLE TOPEKA KS 66606 21798433 0 X WWW.MIDLANDCARECONNECTION.ORG X 1978 KS 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. 14 14 366 200 0 0 534406 575548 20725717 20833602 3308 3989 114086 263157 21377517 21676296 0 0 0 0 11555904 12131544 0 0 311492 9310354 9848249 20866258 21979793 511259 -303497 12824810 12907856 7319513 7801702 5505297 5106154 X 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. 0 0 6768959 12030603 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. 10498522 8516123 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. 17267481 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 198 0 1 366 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X KARREN WEICHERT 7852322044 200 SW FRAZIER CIRCLE TOPEKA KS 66606 DONALD CHUBB JR DIRECTOR 1.00 X 0 0 0 MARK MAYWORM DIRECTOR 1.00 X 0 0 0 LAURA NORWOOD DIRECTOR 1.00 X 0 0 0 TOM PALACE DIRECTOR 1.00 X 0 0 0 VERONICA PADILLA DIRECTOR 1.00 X 0 0 0 KENT PALMBERG DIRECTOR 1.00 X 0 0 0 JEFF UNGERER SECRETARY 1.00 X X 0 0 0 WILLIAM ELIASON TREASURER 1.00 X X 0 0 0 MIKE DUNNAWAY CHAIRMAN 1.00 X X 0 0 0 KEITH WARTA VICE-CHAIR 1.00 X X 0 0 0 DAN FOLTZ PAST CHAIRMAN 1.00 X X 0 0 0 KARREN WEICHERT PRESIDENT/CEO 40.00 X 166540 0 14513 MARILYN KEYSER CFO 40.00 X 67212 0 5949 CHAD WILKINS CFO 40.00 X 90935 0 5079 GREG NELSON HOSPICE MEDICAL DIRECTOR 40.00 X 189932 0 19934 DAVID WENSEL PACE MEDICAL DIRECTOR 40.00 X 180290 0 25196 MARSHA KENT VP OF CLINICAL SERVICES 40.00 X 106340 0 11467 HARMONY HINES VP OF COMPLIANCE 40.00 X 102979 0 5564 904228 0 87702 5 0 1 0 CAREKINESIS INC 110 MARTER AVE STE 309 MOORESTOWN NJ 08057 PACE PHARMACY 1474515 ST FRANCIS HEALTH CENTER 1700 SW 7TH ST TOPEKA KS 66606 MEDICAL SERVICES 581642 WISIAN HOSPICE PARTNERS LLC 1733 NORMAL HILL EDMOND OK 73034 HOSPICE PHARMACY 523988 WISE MANAGEMENT SOLUTIONS 10932 NW 116TH ST YUKON OK 73099 MEDICAL EQUIPMENT 323123 MEDLINE INDUSTRIES DEPT 1080 PO BOX 121080 DALLAS TX 75312 MEDICAL SUPPLY 315210 5 575548 575548 PROGRAM FEES 623990 20646726 20646726 THRIFT STORE INCOME 448000 186876 186876 20833602 3989 3989 385294 122137 263157 263157 21676296 20646726 0 454022 765579 765579 9636860 7228873 2205224 202763 93145 64728 26601 1816 884164 614424 252506 17234 751796 522439 214703 14654 23482 23482 17850 17850 784960 730901 10260 43799 184842 55447 129395 63202 18109 43816 1277 279220 279220 622241 622241 414779 388922 24401 1456 114542 73730 33720 7092 152208 152208 500522 500522 188863 51887 136976 MEDICATIONS 2139279 2139279 PACE EXPENSES 1688535 1688535 OUTPAITION, LAB & THERA 723498 723498 OTHER PATIENT EXPENSES 626064 626064 1324162 1065674 237087 21401 21979793 17267481 4400820 311492 347679 361901 1855183 1415904 6500 2500 2112658 2290608 55130 62759 302466 353298 12168277 5176737 6776502 6991540 368634 550844 1000058 878502 12824810 12907856 2539325 3071599 146230 45661 3625000 3405000 1008958 1279442 7319513 7801702 X 4626128 4282701 759307 703591 119862 119862 5505297 5106154 12824810 12907856 -303497 -95646 0 X 0 1 1 0 X 287558 293912 262375 534406 575548 1953799 287558 293912 262375 534406 575548 1953799 416188 1537611 6967 2448 1934 3308 3989 18646 1972445 89766569 0.77950 0.87810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 382698 193357 -7113 4012 564930 356387 10073 19858 3620 382698 319045 10497 30069 3224 356387 313904 998 5173 1030 319045 291087 22817 313904 0.76620 0.21220 0.02160 0 0 588450 588450 8913024 3275384 5637640 2666803 1901353 765450 6991540 BOND ISSUE COSTS, NET 589629 BENEFICIAL INTEREST IN TRUST 288873 878502 21589078 -95646 -95646 21684724 -8428 -8428 21676296 21988221 8428 8428 21979793 0 21979793 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. CELEBRATION WALK 110149 110149 29259 CAPITAL CAMPAIGN 140440 140440 53081 4 125528 125528 21251 376117 376117 103591 103591 272526 X X 0 0 0 0 0 0 0 0 0 KARREN WEICHERT PRESIDENT/CEO 153353 0 13187 0 0 0 6500 0 8013 0 181053 0 0 0 GREG NELSON HOSPICE MEDICAL DIRECTOR 189932 0 0 0 0 0 7808 0 12126 0 209866 0 0 0 DAVID WENSEL PACE MEDICAL DIRECTOR 180290 0 0 0 0 0 7748 0 17448 0 205486 0 0 0 A SHAWNEE COUNTY KANSAS 486028759 820556FK9 2013-05-29 3955000 SERIES 2013 BOND ISSUE 0 0 0 A 3955000 3875900 79100 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 JENNIFER FRIEDLEY RELATED TO PRESIDENT 68677 COMPENSATION 0 DONALD WEICHERT RELATED TO PRESIDENT 8247 COMPENSATION 0 JESSICA SCHELL RELATED TO PRESIDENT 36300 COMPENSATION 0 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.