2015-11-16T12:05:29-06:00 2014-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2014-01-01 431209344 KANSAS CITY HOSPICE INC % BILL DICHISER KANS 8163632600 1500 MEADOW LAKE PARKWAY SUITE 200 KANSAS CITY MO 64114 BILL DICHISER CHIEF FINANCIAL OFFICER 8163632600 2015-11-15 true Michael J Engle P00482834 8162216300 2014 2016-02-25 16:41:14Z ELAINE MCINTOSH 1500 MEADOW LAKE PKWY STE 200 KANSAS CITY MO 64114 21707140 false X WWW.KANSASCITYHOSPICE.ORG X 1980 MO TO BRING EXPERT CARE, PEACE OF MIND, COMFORT, GUIDANCE AND HOPE TO PEOPLE WHO ARE AFFECTED BY LIFE-THREATENING AND LIFE-LIMITING ILLNESS. 18 17 369 482 0 2281380 3251854 20343706 18423933 2946 5 9738 31348 22637770 21707140 0 0 0 0 15030756 14670608 0 0 0 7604068 7036527 22634824 21707135 2946 5 16133332 15649562 7241722 8989939 8891610 6659623 X TO BRING EXPERT CARE, PEACE OF MIND, COMFORT, GUIDANCE AND HOPE TO PEOPLE WHO ARE AFFECTED BY LIFE-THREATENING AND LIFE-LIMITING ILLNESS. false false 17199111 0 18423933 SEE SCHEDULE O 17199111 true true false false false false false false false true true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 134 0 true 369 true false false false false false false false false false false X 18 17 false false false false false false false true true false false true true true true true true true false false MO X BILL DICHISER 8163632600 1500 MEADOW LAKE PARKWAY SUITE 200 KANSAS CITY MO 64114 LYNNE BROWN CHAIRMAN 1.0 0.0 X X 0 0 0 MICHELLE STARK KAUFMAN SECRETARY 1.0 0.0 X X 0 0 0 ROBERT HILL TREASURER 1.0 0.0 X X 0 0 0 NANCY DEBASIO BOARD MEMBER 1.0 0.0 X 0 0 0 ALFRED BIGGS IMMEDIATE PAST CHAIR 1.0 0.0 X 0 0 0 STEVE JONES VICE CHAIR 1.0 1.0 X X 0 0 0 KEITH ASHCRAFT BOARD MEMBER 1.0 1.0 X 0 0 0 SHERRY AINSWORTH BOARD MEMBER 1.0 0.0 X 0 0 0 FRAN MARTINSEN BOARD MEMBER 1.0 1.0 X 0 0 0 FREDA MENDEZ-SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 MIKE O'FLAHERTY BOARD MEMBER 1.0 1.0 X 0 0 0 LEE STANFORD BOARD MEMBER 1.0 1.0 X 0 0 0 SHERMAN STEINZEIG BOARD MEMBER 1.0 0.0 X 0 0 0 BILL INTRATER BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERT WOOD BOARD MEMBER 1.0 0.0 X 0 0 0 BARBARA LUKERT BOARD MEMBER 1.0 0.0 X 0 0 0 SUSAN PINGLETON BOARD MEMBER 1.0 0.0 X 0 0 0 DONNA PAYNE BOARD MEMBER 1.0 0.0 X 0 0 0 ELAINE MCINTOSH PRESIDENT/CEO 40.0 1.0 X X 273917 0 15735 BILL TAMMEUS VICE CHAIR 1.0 0.0 X X 0 0 0 RON JONES BOARD MEMBERS 1.0 0.0 X 0 0 0 DAVID WILEY CHIEF OPERATING OFFICER 40.0 0.0 X 82811 0 1341 BILL DICHISER CHIEF FINANCIAL OFFICER 40.0 0.0 X 108101 0 27985 STEVEN COHN PHYSICIAN 40.0 0.0 X 105952 0 5574 TERRIE TATUM VP CLINICAL SERVICES 40.0 0.0 X 104197 0 24574 JAY RISEMAN PHYSICIAN 40.0 0.0 X 173785 0 27349 PAMELA HARRIS PHYSICIAN 40.0 0.0 X 137757 0 35430 986520 0 137988 7 false true false TEAM CONSTRUCTION CONSTRUCTION 327670 HARTSOOK CONSULTATION 270022 VERIZON WIRELESS CELL PHONES 157627 HMP MEDICAL EQUIPEMENT 226073 ECLIPSE HEALTHCARE LLC CONTRACT THERAPY 133801 10 3251541 313 3251854 PATIENT SERVICE REVENUE 621300 17636528 17636528 NURSING HOME SUPPORT 621300 787405 787405 18423933 5 5 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 31348 31348 31348 21707140 18423933 31353 0 0 0 0 505819 424528 81291 0 11730216 9845042 1885174 140815 120559 20256 1436222 984602 451620 857536 704045 153491 0 58208 58208 57375 57375 0 0 0 864425 456673 407752 0 130057 49003 81054 670022 519833 150189 307444 239298 68146 0 799341 246372 552969 245190 218286 26904 24198 24198 17969 8545 9424 135202 4797 130405 0 909951 639496 270455 469097 451181 17916 MEDICARE ROOM & BOARD 785436 785436 BAD DEBT EXPENSE 110000 110000 PATIENT TRANSPORTATION 99654 99654 MEDICAL SUPPLIES 330361 330361 1022597 961400 61197 21707135 17199111 4508024 0 543408 259907 5858 13386 0 0 2248116 2302550 0 0 0 0 0 0 0 0 248588 224013 20101205 7496364 12809050 12604841 223414 207026 0 0 0 0 0 0 54898 37839 16133332 15649562 1593977 1842418 0 0 0 0 0 0 0 0 0 0 5424331 6940495 0 0 223414 207026 7241722 8989939 X 8858471 6626484 33139 33139 0 0 8891610 6659623 16133332 15649562 X 5 -2231992 X false true X true false X 1905018 2541632 2787926 2281380 3251854 12767810 20637001 19670337 20024584 20343706 18423933 99099561 0 0 0 22542019 22211969 22812510 22625086 21675787 111867371 0 0 0 111867371 445 423 284 2946 5 4103 0 445 423 284 2946 5 4103 0 74530 65577 74400 9738 31348 255593 22616994 22277969 22887194 22637770 21707140 112127067 0.99768 0.99773 0.00004 0.00005 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1323359 87278 62589 6927 1341121 1285488 232007 187589 6547 1323359 1130348 102060 163938 110858 1285488 1128922 1426 1130348 1112921 9000 7001 1128922 0.14810 0.85190 0.00000 false true true 1571077 1571077 13038247 3623802 9414445 612962 88035 524927 4682320 3624568 1057752 196599 159959 36640 12604841 0 life insurance payable 207026 207026 21513556 -193584 -193584 21707140 21707140 22691459 984324 984324 21707135 21707135 SCHEDULE D, PART V, LINE 4 THE ENDOWMENT FUNDS ARE REPORTED AS PERMANENTLY RESTRICTED NET ASSETS ON THE FINANCIAL STATEMENTS OF KANSAS CITY HOSPICE FOUNDATION. THE ENDOWMENT CONSISTS OF 2 DONOR RESTRICTED FUNDS. NET ASSETS ASSOCIATED WITH THE ENDOWMENT FUND ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR IMPOSED RESTRICTIONS. DONOR RESTRICTIONS CONFORM TO THE ORGANIZATION'S MISSION. THE POLSKY FAMILY SUPPORTING FOUNDATION ENDOWMENT, A DONOR RESTRICTED ENDOWMENT, OPERATES UNDER THE FOLLOWING GUIDELINES. THE PURPOSE OF THE ENDOWMENT IS TO PROVIDE FUNDS TO: 1) TEACH MEMBERS/OFFICERS/TRUSTEES/STAFF PRINCIPLES OF PRUDENT INVESTING AND BY RECEIVING AND CONSIDERING PERIODIC INVESTMENT RECOMMENDATIONS FROM NORMAN POLSKY OR HIS SUCCESSOR, AND/OR 2) FOSTER STAFF DEVELOPMENT THROUGH FORMAL EDUCATION, REGULAR TRAINING, ATTENDANCE AT INDUSTRY CONFERENCES AND EVENTS, AND WHATEVER OTHER STAFF PROGRAMS THE KCHF BOARD DETERMINES TO BE APPROPRIATE, AND/OR 3) FOSTER AND ENCOURAGE FUND RAISING BY HIRING A SUCCESSFUL PROFESSIONAL FUND RAISER CAPABLE OF TEACHING THE STAFF AND THE PROFESSIONAL VOLUNTEER OFFICERS OF KCH, AND/OR 4) FOSTER IMPROVED PUBLIC RELATIONS FOR KCH BY HIRING A PROFESSIONAL TO TEACH THE STAFF AND OFFICERS AND/OR 5) ENCOURAGE RESEARCH AND EDUCATION, EDUCATIONAL ACCREDITATION AND OTHER SIMILAR ACTIVITIES, AND/OR 6) ESTABLISH AN ARCHIVE OF KCHF TO PRESERVE THE HISTORY, AND/OR 7) ESTABLISH A PROGRAM RECOGNIZING AND UTILIZING MORE OF THE PAST OFFICERS, BOARD MEMBERS AND STAFF, AND/OR 8) CARRY ON ANY OTHER ACTIVITIES CONSISTENT WITH KCH TAX-EXEMPT STATUS AND AS DETERMINED BY KCH BOARD OF DIRECTORS, EXCEPT THAT NO PART OF THE ENDOWMENT PRINCIPAL MAY BE USED TO DEFRAY OPERATING EXPENSES SUCH AS, WITHOUT LIMITATION, RENT, PAYROLL, EMPLOYEE BENEFIT PROGRAMS, EQUIPMENT PURCHASES, LEASES, AND SUPPLIES-UNLESS SPECIFICALLY APPROVED IN WRITING IN ADVANCE BY PFSF. THE SECOND ENDOWMENT, THE COMMUNITY HEALTH GROUP ENDOWMENT, OPERATES UNDER THE FOLLOWING GUIDELINES: 1) TO ESTABLISH, OPERATE, SUPPORT, PROVIDE THE CAPITAL REQUIREMENTS OF, AND MAINTAIN HOSPITALS, INPATIENT FACILITIES, CLINICS, LABORATORIES, OFFICE BUILDINGS, PHARMACIES, AND ALL MEASURE OF FACILITIES AND PROGRAMS FOR OR RELATING TO, THE STUDY OR CARE OF THE HUMAN MIND AND BODY OR ANY PART THEREOF, AND 2) TO FOSTER THE HEALTH OF THE COMMUNITY AND TO ENGAGE IN EDUCATIONAL ACTIVITIES, RESEARCH AND OPERATIONS RELATED THERETO. SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D RELATED ORGANIZATION REVENUE $ 3,057,957 ELIMINATIONS $(4,678,553) CHANGE IN BENEFICIAL INTEREST IN FOUNDATION NET ASSETS $ 1,427,012 ----------- $ (193,584) SCHEDULE D, PART XII, LINE 2D RELATED ORGANIZATION EXPENSE $ 4,235,865 ELIMINATIONS $(3,251,541) ----------- $ 984,324 X X false true false false false false false false false ELAINE MCINTOSH PRESIDENT/CEO 217729 0 0 0 56188 0 2800 0 12935 0 289652 0 29240 0 JAY RISEMAN PHYSICIAN 173785 0 0 0 0 0 3701 0 23648 0 201134 0 0 0 PAMELA HARRIS PHYSICIAN 137757 0 0 0 0 0 1625 0 33805 0 173187 0 0 0 SCHEDULE J, PART I, LINE 4B ELAINE MCINTOSH, CEO, IS AWARDED BENEFITS INCLUDING THE CHOICE OF MUTUAL FUNDS, LIFE INSURANCE, AND OTHER SIMILAR ASSETS FOR 2014, AMOUNTS RELATING TO THIS PLAN WERE CREDITED TO A CAPITAL ACCUMULATION ACCOUNT. CONTRIBUTIONS MADE PRIOR TO 2013 CARRIED A 2-YEAR VESTING PERIOD. DURING 2014, SHE VESTED AND RECEIVED $29,240 THAT RELATES TO THE AMOUNTS CREDITED TO HER CAPITAL ACCUMULATION ACCOUNT IN 2012. IN ADDITION, $26,948 WAS CREDITED TO HER CAPITAL ACCUMULATION ACCOUNT FOR THE 2014 PLAN YEAR. SCHEDULE J, PART II, COLUMN F COMPENSATION IS REPORTED ON THE FORM 990 IN THE YEAR THAT THE COMPENSATION IS EARNED BY OR AWARDED TO AN INDIVIDUAL, EVEN IF THE COMPENSATION IS NOT PAID TO THE INDIVIDUAL, IS NOT FULLY VESTED, OR IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. IF COMPENSATION IS EARNED OR AWARDED IN ONE YEAR BUT PAID IN A LATER YEAR, THEN THE COMPENSATION IS GENERALLY REPORTED A SECOND TIME ON THE FORM 990 IN THE YEAR THE COMPENSATION IS PAID TO THE INDIVIDUAL. AS A RESULT OF THE REPORTING REQUIREMENT, AN ORGANIZATION IS REQUIRED TO REPORT THE SAME COMPENSATION AMOUNTS ON THE FORM 990 IN TWO SEPARATE YEARS. ONCE WHEN AWARDED AND ONCE WHEN PAID. THE AMOUNTS REPORTED IN COLUMN F INCLUDE AMOUNTS WHICH WERE REPORTED IN PREVIOUS 990S. FORM 990, PART III, LINE 4A KANSAS CITY HOSPICE, INC IS A NONPROFIT ORGANIZATION OFFERING A RANGE OF SERVICES FOR PEOPLE OF ALL AGES AND AT ANY STAGE OF SERIOUS ILLNESS. WE'VE BEEN PROVIDING COMFORT AND CARE TO THE SERIOUSLY ILL AND THEIR FAMILIES IN THE GREATER KANSAS CITY AREA SINCE 1980. a) KANSAS CITY HOSPICE HOMECARE PROGRAM - KANSAS CITY HOSPICE PROVIDES IN HOME (WHETHER IT BE A HOME, LONG TERM CARE FACILITY, ASSISTED LIVING FACILITY OR OTHER TYPE OF HOME) CARE TO PATIENTS RESIDING IN 9 COUNTIES. IN THE KANSAS CITY METROPOLITAN AREA SPECIALLY TRAINED STAFF, OF MULTIPLE DISCIPLINES, HELPS PATIENTS AND THEIR LOVED ONES WITH THE CHALLENGES OF LIFE-THREATENING ILLNESSES. WE HAD 1,259 ADMISSIONS AND 68,337 TOTAL CARE DAYS IN THIS YEAR. b) INPATIENT FACILITY HOSPICE HOUSE - IN APRIL OF 2006, KANSAS CITY HOSPICE OPENED THE FIRST INPATIENT HOSPICE FACILITY IN THE KANSAS CITY METROPOLITAN AREA. THE KANSAS CITY HOSPICE HOUSE PROVIDES THE COMFORTS OF HOME COUPLED WITH THE ADDITION OF EXPERTS AT THE PATIENT'S SIDE. THE 32-BED FACILITY ADDRESSES NOT ONLY MEDICAL AND NURSING CARE FOR PATIENTS FACING ADVANCED ILLNESSES, BUT ALSO EMOTIONAL AND SPIRITUAL SUPPORT FOR PATIENTS AND THEIR FAMILIES. THIS PROGRAM IS A SUPPLEMENT TO OUR HOMECARE PROGRAM IN THAT IT IS USED WHEN MEDICAL PROBLEMS ARE TOO SERIOUS TO MANAGE IN THE HOME SETTING. WE HAD 894 ADMISSIONS AND 7,881 CARE DAYS IN THIS YEAR. c) KANSAS CITY HOSPICE PALLIATIVE HOME CARE PROGRAM - THE PALLIATIVE HOME CARE PROGRAM IS LIKE OUR HOSPICE PROGRAM. AN INTERDISCIPLINARY TEAM FOCUSES ON SPECIALIZED MANAGEMENT OF PAIN AND OTHER SYMPTOMS. THE TEAM ADDRESSES EMOTIONAL NEEDS OF THE PATIENT AND FAMILY. ITS GOAL IS TO MAKE THE MOST OF THE REMAINING LIFE OF THE PATIENT. THE PROGRAM SERVES PEOPLE WHO HAVE LIFE-THREATENING ILLNESSES, BUT WHO WANT TO CONTINUE SEEKING CURATIVE TREATMENT OR WHO DO NOT WISH TO ELECT HOSPICE CARE. KANSAS CITY HOSPICE ALSO HAS A PALLIATIVE MEDICINE PROGRAM WHICH IS A PHYSICIAN SERVICE FOCUSING ON IMPROVING THE QUALITY OF LIFE FOR PATIENTS FACING LIFE-LIMITING ILLNESSES. THE PROGRAM ALSO ASSISTS PATIENTS' FAMILIES. CARE IS CONCENTRATED ON PREVENTING AND RELIEVING SUFFERING THROUGH TREATING PAIN AND SYMPTOMS AS WELL AS BY PROVIDING EMOTIONAL AND SPIRITUAL SUPPORT. WE HAD 347 ADMISSIONS AND 21,180 CARE DAYS IN THIS YEAR. d) CAROUSEL PROGRAM - WE HAVE A PEDIATRIC PROGRAM. OUR TEAM OF PROFESSIONALS PROVIDES SUPPORT TO FAMILIES. WHEN HOME IS NOT THE IDEAL SETTING OUR HOSPICE HOUSE IS AVAILABLE. WE CARED FOR 34 FAMILIES IN 2014. ADDITIONAL SERVICES TO CHILDREN INCLUDES GRIEF SUPPORT GROUP AND INDIVIDUAL COUNSELING PROGRAMS CALLED SOLACE HOUSE. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT OF KANSAS CITY HOSPICE, INC. THE KANSAS CITY HOSPICE, INC BOARD MEMBERS ARE PROVIDED A COPY OF THE KANSAS CITY HOSPICE, INC'S FORM 990 FOR PERSONAL REVIEW PRIOR TO SUBMISSION WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE KCH BOARD EXECUTIVE COMMITTEE REVIEWS ALL FORMS WITH CONFLICTS. BOARD MEMBERS WILL ABSTAIN FROM PARTICIPATION IN PERTINENT DISCUSSION IF APPLICABLE WHEN CONFLICT OF INTEREST SITUATIONS ARISE. THE CONFLICT OF INTEREST FORM IS COMPLETED ANNUALLY BY ALL ONGOING BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINES 15A & 15B THE CEO'S SALARY IS REVIEWED BY THE EXECUTIVE COMMITIEE OF THE BOARD OF DIRECTORS. AN OUTSIDE COMPENSATION CONSULTANT'S COMPENSATION REVIEW IS RETAINED APPROXIMATELY EVERY THREE YEARS. THE CEO AND DIRECTOR OF HUMAN RESOURCES DETERMINE THE COMPENSATION FOR OFFICERS AND KEY MANAGEMENT PERSONNEL (WITH THE EXCEPTION OF THE CEO POSITION ITSELF). THREE SOURCES OF MARKET DATA ARE USED WHICH SPECIALIZE IN THE HOSPICE AND HEALTHCARE INDUSTRY. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 REQUESTS FOR INFORMATION ON FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND THE CONFLICT OF INTEREST POLICY ARE EVALUATED ON A CASE BY CASE BASIS BY THE ORGANIZATION'S MANAGEMENT. FORM 990, PART XI, LINE 9 NET ASSETS TRANSFERRED TO FOUNDATION $(2,231,992) KANSAS CITY HOSPICE FOUNDATION INC 1500 MEADOW LAKE PKWY STE 200 KANSAS CITY MO 64114 431724085 SUPPORT MO 501(C)(3) 11A KC HOSPICE true false false true false false false false false false false false false true true true true true true true KANSAS CITY HOSPICE FOUNDATION C 3251541 FMV KANSAS CITY HOSPICE FOUNDATION R 2231992 FMV