GOOD SHEPHERD HOMECARE & HOSPICE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD HOMECARE & HOSPICE INC (EIN 48-0877419)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-02-15
IRS object ID
201140479349300314
Schema version
2009v1.7
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

FieldValueIRS element (for citing)
Timestamp2011-02-15T12:37:02-06:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Varney & Associates CPAs LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1120 North JulietteAddressLine1
CityManhattanCity
StateKSState
ZIP Code665026092ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN480877419EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOMECARE & HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOMENameControl
Phone7855370688Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13801 Vanesta DriveAddressLine1
CityMANHATTANCity
StateKSState
ZIP Code66503ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUDINE MECSERIName
TitleDIRECTOR OF PROGRAM OPERATIONSTitle
Phone7855370688Phone
Date Signed2011-02-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael V RogersName
Phone7855372202Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUDINE MECSERINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13801 Vanesta DriveAddressLine1
CityMANHATTANCity
StateKSState
ZIP Code66503ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1442449GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.HOMECAREANDHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTo enable clients to live at home, while preserving dignity, independence and self-determination.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees63TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year266864ContributionsGrantsPriorYear
Contributions Grants Current Year231331ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1027709ProgramServiceRevenuePriorYear
Program Service Revenue CY1210627ProgramServiceRevenueCY
Investment Income Prior Year232InvestmentIncomePriorYear
Investment Income Current Year491InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1294805TotalRevenuePriorYear
Total Revenue Current Year1442449TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year799689SalariesEtcPriorYear
Salaries Etc Current Year1175522SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year605TotalFundrsngExpCurrentYear
Other Expense Prior Year426345OtherExpensePriorYear
Other Expenses Current Year382766OtherExpensesCurrentYear
Total Expenses Prior Year1226034TotalExpensesPriorYear
Total Expenses Current Year1558288TotalExpensesCurrentYear
Revenues Less Expenses Prior Year68771RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-115839RevenuesLessExpensesCY
Total Assets BOY1800281TotalAssetsBOY
Total Assets EOY379907TotalAssetsEOY
Total Liabilities BOY241947TotalLiabilitiesBOY
Total Liabilities EOY477521TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1558334NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-97614NetAssetsOrFundBalancesEOY
Mission DescriptionTo enable clients to live at home, while preserving dignity, independence and self-determination.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense743462Expense
Revenue755918Revenue
DescriptionHospice 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

FieldValueIRS element (for citing)
Expense281886Expense
Revenue207841Revenue
DescriptionHealth 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

FieldValueIRS element (for citing)
Expense183815Expense
Revenue246868Revenue
DescriptionHome 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
FieldValueIRS element (for citing)
Total Program Service Expense1209163TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees63NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Judine MecseriBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7855370688TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1323 POYNTZAddressLine1
CityMANHATTANCity
StateKSState
ZIP Code66502ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Peggy Anderson
Chair2.00X000
JEFF LEVIN
VICE CHAIR2.00X000
ROB BERARD
TREASURER2.00X000
PHYLLIS ALLERHEILIGEN
BOARD MEMBER0.50X000
DALE BRADLEY
BOARD MEMBER0.50X000
BARRY CLARK
BOARD MEMBER0.50X000
MARCIA HORNUNG
BOARD MEMBER0.50X000
CAROL WEIBERT
BOARD MEMBER0.50X000
DR Lauren WELCH
BOARD MEMBER0.50X000
SHARON WOLFF
BOARD MEMBER0.50X000
KAY WRIGHT
BOARD MEMBER0.50X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations117529RelatedOrganizations
Government Grants110800GovernmentGrants
All Other Contributions3002AllOtherContributions
Noncash Contributions2306NoncashContributions
Total Contributions231331TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient RevenueDescription
Business Code621610BusinessCode
Total Revenue Column1210627TotalRevenueColumn
Related Or Exempt Function Income1210627RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1210627TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column491TotalRevenueColumn
Exclusion$491ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1442449TotalRevenueColumn
Related Or Exempt Function Income1210627RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$491ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total936871Total
Program Services773028ProgramServices
Management And General163843ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total158018Total
Program Services125425ProgramServices
Management And General32593ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total80633Total
Program Services73734ProgramServices
Management And General6899ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total753Total
Management And General753ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total15484Total
Management And General15484ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14219Total
Program Services7120ProgramServices
Management And General7019ManagementAndGeneral
Fundraising80Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total18927Total
Program Services14138ProgramServices
Management And General4539ManagementAndGeneral
Fundraising250Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45706Total
Program Services13360ProgramServices
Management And General32174ManagementAndGeneral
Fundraising172Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total21056Total
Program Services6447ProgramServices
Management And General14609ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total52444Total
Program Services26591ProgramServices
Management And General25805ManagementAndGeneral
Fundraising48Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total161Total
Program Services97ProgramServices
Management And General64ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total736Total
Management And General736ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15498Total
Program Services4105ProgramServices
Management And General11338ManagementAndGeneral
Fundraising55Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total16490Total
Management And General16490ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Hospice costs1572631572630
Bad Debt Expense1149211492
Books, Dues & Subscript565228282824
Minor Furniture & Equip498049800
Licensing & Other Fees1403471356

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total502Total
Management And General502ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1558288Total
Program Services1209163ProgramServices
Management And General348520ManagementAndGeneral
Fundraising605Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY98054BOY
EOY59199EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY141716BOY
EOY167910EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7235BOY
EOY14172EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5711BOY
EOY5504EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis171308LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45591LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9680BOY
EOY125717EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1537885BOY
EOY7405EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1800281BOY
EOY379907EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY79526BOY
EOY151618EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY162421BOY
EOY325903EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY241947BOY
EOY477521EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20449BOY
EOY-97614EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1537885BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1558334BOY
EOY-97614EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1800281BOY
EOY379907EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years106625CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101276CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106879CurrentTaxYearMinus1Year
Current Tax Year231331CurrentTaxYear
Total684123Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years138012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years106625CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101276CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year106879CurrentTaxYearMinus1Year
Current Tax Year231331CurrentTaxYear
Total684123Total
FieldValueIRS element (for citing)
Public Support Total170684123PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years744CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years351CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2643CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year677CurrentTaxYearMinus1Year
Current Tax Year491CurrentTaxYear
Total4906Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41270CurrentTaxYearMinus4Years
Total41270Total
FieldValueIRS element (for citing)
Total Support730299TotalSupport
Gross Receipts From Admissions Etc5434514GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93680PublicSupportPertcentage170
Public Support Pertcent Prior Year0.87800PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis171308OtherCostOrOtherBasis
Depreciation45591Depreciation
Book Value125717BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings125717TotalOfBookValueLandBuildings
Total Revenue1442449TotalRevenue
Total Expenses1558288TotalExpenses
Excess Or Deficit For Year-115839ExcessOrDeficitForYear
Prior Period Adjustments-1537885PriorPeriodAdjustments
Other-$2,224OtherAmount
Total Adjustments-1540109TotalAdjustments
Excess Or Deficit Per FS-1655948ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8 - Other Adjustments:Identifier
ExplanationLoss on disposal of fixed assets: -2224.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11A 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 12cTHE 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 15THE 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 19THE 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 2cThe 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

FieldValueIRS element (for citing)
Business Name Line1HOMECARE & HOSPICE FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1323 POYNTZAddressLine1
CityMANHATTANCity
StateKSState
ZIP Code66502ZIPCode
FieldValueIRS element (for citing)
EIN481182638EIN
Primary ActivitiesACCEPTING DONATIONS AND INVESTING MONIES ON BEHALF OF HOMECARE & HOSPICE INCPrimaryActivities
Legal Domicile StateKSLegalDomicileState
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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