GOOD SHEPHERD HOMECARE & HOSPICE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD HOMECARE & HOSPICE INC (EIN 48-0877419)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-02-13
- IRS object ID
- 201340449349301564
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2013-02-13T16:54:49-06:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300038643 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VARNEY & ASSOCIATES CPAS LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 120 NORTH JULIETTE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 665026092 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480877419 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOMECARE & HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOME | NameControl |
| Phone | 7855370688 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3801 VANESTA DRIVE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 66503 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JUDINE MECSERI | Name |
| Title | DIRECTOR OF PROGRAM OPERATIONS | Title |
| Phone | 7855370688 | Phone |
| Date Signed | 2013-02-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMANDA VANKLEECK | Name |
| PTIN | P01264704 | PTIN |
| Phone | 7855372202 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JUDINE MECSERI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3801 VANESTA DRIVE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 66503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1956956 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HOMECAREANDHOSPICE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | TO ENABLE CLIENTS TO LIVE AT HOME, WHILE PRESERVING DIGNITY, INDEPENDENCE AND SELF-DETERMINATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 76 | TotalNbrEmployees |
| Total Nbr Volunteers | 100 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 423499 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 389765 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1428357 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1560914 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 229 | InvestmentIncomePriorYear |
| Investment Income Current Year | 238 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6039 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1852085 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1956956 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1309123 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1323334 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2218 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 425358 | OtherExpensePriorYear |
| Other Expenses Current Year | 530016 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1734481 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1853350 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 117604 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 103606 | RevenuesLessExpensesCY |
| Total Assets BOY | 352886 | TotalAssetsBOY |
| Total Assets EOY | 269083 | TotalAssetsEOY |
| Total Liabilities BOY | 333344 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 145935 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19542 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 123148 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO ENABLE CLIENTS TO LIVE AT HOME, WHILE PRESERVING DIGNITY, INDEPENDENCE AND SELF-DETERMINATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1026794 | Expense |
| Revenue | 1048453 | Revenue |
| Description | HOSPICE DIRECT SERVICES USES A HOLISTIC APPROACH TO PROVIDING CARE AND SERVICES TO TERMINAL PATIENTS. CLIENTS HAVE ACCESS TO NURSING STAFF, SOCIAL WORKERS, VOLUNTEERS, A VOLUNTEER MEDICAL DIRECTOR, HOSPICE CHAPLAIN AND SUPPORT STAFF. HOSPICE PROVIDES THIS ALL INCLUSIVE CARE TO HELP ENSURE THAT THE CLIENTS AS WELL AS THEIR FAMILIES NEEDS ARE MET. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 291148 | Expense |
| Revenue | 297290 | Revenue |
| Description | HEALTH CARE ATTENDANT 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, DRESSSING, ETC. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 216640 | Expense |
| Revenue | 221210 | Revenue |
| Description | HOME HEALTH DIRECT 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 AND OR SPEECH THERAPIST. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1534582 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 76 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JUDINE MECSERI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7855370688 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3801 VANESTA DRIVE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 66503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| DALE BRADLEY | |||||
| CHAIR | 2.00 | X | 0 | 0 | 0 |
| BARRY CLARK | |||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 |
| DOUG DENNING | |||||
| TREASURER | 2.00 | X | 0 | 0 | 0 |
| MICHAEL HAMLER | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| ANNETTE LAUPPE | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| CAM MCCONNELL | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| ERIC PURDOM | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| PREETI SINGH | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| ROB STITT | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| KRISHNA TUMMALA | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| LAUREN WELCH | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| SHARON WOLFF | |||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 230425 | RelatedOrganizations |
| Government Grants | 115000 | GovernmentGrants |
| All Other Contributions | 44340 | AllOtherContributions |
| Total Contributions | 389765 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 621610 | BusinessCode |
| Total Revenue Column | 1560914 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1560914 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1560914 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 238 | TotalRevenueColumn |
| Exclusion | $238 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| REIMBURSEMENTS | 900099 | 4985 | 4985 |
| OTHER | 900099 | 1054 | 1054 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6039 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1956956 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1566953 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $238 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151932 | Total |
| Program Services | 102611 | ProgramServices |
| Management And General | 49321 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 944057 | Total |
| Program Services | 799922 | ProgramServices |
| Management And General | 144135 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149490 | Total |
| Program Services | 124689 | ProgramServices |
| Management And General | 24801 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77855 | Total |
| Program Services | 64412 | ProgramServices |
| Management And General | 13443 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15979 | Total |
| Management And General | 15979 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19637 | Total |
| Program Services | 15316 | ProgramServices |
| Management And General | 4095 | ManagementAndGeneral |
| Fundraising | 226 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27818 | Total |
| Program Services | 20733 | ProgramServices |
| Management And General | 6715 | ManagementAndGeneral |
| Fundraising | 370 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67327 | Total |
| Program Services | 55908 | ProgramServices |
| Management And General | 10916 | ManagementAndGeneral |
| Fundraising | 503 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37048 | Total |
| Program Services | 27612 | ProgramServices |
| Management And General | 8943 | ManagementAndGeneral |
| Fundraising | 493 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27134 | Total |
| Program Services | 20223 | ProgramServices |
| Management And General | 6550 | ManagementAndGeneral |
| Fundraising | 361 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 612 | Total |
| Management And General | 612 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19946 | Total |
| Program Services | 14866 | ProgramServices |
| Management And General | 4815 | ManagementAndGeneral |
| Fundraising | 265 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18555 | Total |
| Management And General | 18555 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| HOSPICE COSTS | 194992 | 194992 |
| CHARITY WRITE-OFF | 67113 | 67113 |
| BAD DEBT | 12423 | 12423 |
| BOOKS, DUES & SUBSCRIPT | 7834 | 7834 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13598 | Total |
| Program Services | 5928 | ProgramServices |
| Management And General | 7670 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1853350 | Total |
| Program Services | 1534582 | ProgramServices |
| Management And General | 316550 | ManagementAndGeneral |
| Fundraising | 2218 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67204 | BOY |
| EOY | 39751 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153672 | BOY |
| EOY | 120718 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12828 | BOY |
| EOY | 10767 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13123 | BOY |
| EOY | 8261 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 161963 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 84599 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93837 | BOY |
| EOY | 77364 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12222 | BOY |
| EOY | 12222 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352886 | BOY |
| EOY | 269083 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143773 | BOY |
| EOY | 140995 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41921 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20650 | BOY |
| EOY | 4940 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127000 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 333344 | BOY |
| EOY | 145935 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19542 | BOY |
| EOY | 123148 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19542 | BOY |
| EOY | 123148 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 352886 | BOY |
| EOY | 269083 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 103606 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 101276 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 106879 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 231331 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 423499 | CurrentTaxYearMinus1Year |
| Current Tax Year | 389820 | CurrentTaxYear |
| Total | 1252805 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 101276 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 106879 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 231331 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 423499 | CurrentTaxYearMinus1Year |
| Current Tax Year | 389820 | CurrentTaxYear |
| Total | 1252805 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 1252805 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2643 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 677 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 491 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 229 | CurrentTaxYearMinus1Year |
| Current Tax Year | 238 | CurrentTaxYear |
| Total | 4278 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1257083 | TotalSupport |
| Gross Receipts From Admissions Etc | 6207704 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99660 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99240 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 161963 | OtherCostOrOtherBasis |
| Depreciation | 84599 | Depreciation |
| Book Value | 77364 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 77364 | TotalOfBookValueLandBuildings |
| Total Revenue | 1956956 | TotalRevenue |
| Total Expenses | 1853350 | TotalExpenses |
| Excess Or Deficit For Year | 103606 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 103606 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. FASB ASC 740-10-05 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTERPRISE FINANCIAL STATEMENTS. THIS TOPIC PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS TOPIC ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. THE ORGANIZATION HAS NOT IDENTIFIED ANY UNCERTAINTIES IN FEDERAL OR STATE INCOME TAXES FOR ANY OPEN TAX YEARS AS OF SEPTEMBER 30, 2012. THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009. NO AUTHORITIES HAVE COMMENCED INCOME TAX EXAMINATIONS AS OF SEPTEMBER 30, 2012. | Explanation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | VOLUNTEERED PROFESSIONAL SERVICES | Description |
| Number Of Contributions | 100 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 57011 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV OF SERVICES PROVIDED | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT OF THE 990 WILL BE 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 DIRECTOR OF PROGRAM OPERATIONS IF A POTENTIAL CONFLICT COULD EXIST AND THIS IS COMMUNICATED THROUGH THE POLICY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE WAGES OF OFFICERS, KEY EMPLOYEES AND TOP MANAGEMENT ARE DETERMINED, SUPPORTED AND APPROVED DIRECTLY BY THE BOARD OF DIRECTORS. ANY CHANGES MUST ALSO BE APPROVED BY THE BOARD. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE MAIN LOCATION. | |
| FORM 990 PART XI LINE 2C | THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITOR. | PROCESS FOR SELECTION AND OVERSIGHT OF INDEPENDENT AUDIT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOMECARE & HOSPICE FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3801 VANESTA DRIVE | AddressLine1 |
| City | MANHATTAN | City |
| State | KS | State |
| ZIP Code | 66503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481182638 | EIN |
| Primary Activities | ACCEPTING DONATIONS AND INVESTING MONIES ON BEHALF OF HOMECARE & HOSPICE INC | PrimaryActivities |
| Legal Domicile State | KS | LegalDomicileState |
| Exempt Code Section | 501C3 | ExemptCodeSection |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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