2023-11-13T13:51:29-06:00 2022-12-31 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2022-01-01 431724085 KANSAS CITY HOSPICE FOUNDATION % TIMOTHY MCLANE KANS 8163632600 9001 STATE LINE RD Suite 300 KANSAS CITY MO 64114 TIMOTHY MCLANE CFO 8163632600 2023-11-15 true Timothy McLane XXX-XX-XXXX April Arnold P01559426 8162216300 2023-11-15 2 2022 2023-04-26 12:10:37Z DAVID WILEY 9001 STATELINE ROAD SUITE 300 KANSAS CITY MO 64114 3525003 false X WWW.KANSASCITYHOSPICE.ORG X 1995 MO TO BRING EXPERT CARE, PEACE of MIND, COMFORT, GUIDANCE AND HOPE TO PEOPLE WHO ARE AFFECTED BY SERIOUS ILLNESS OR BY GRIEF. 13 12 10 27 0 0 2690252 2888830 0 0 2524652 373597 -109913 -116841 5104991 3145586 3722288 5346557 0 0 921771 845293 0 0 1475522 690910 756217 5334969 6948067 -229978 -3802481 22601330 14963515 1098 124085 22600232 14839430 TO BRING EXPERT CARE, PEACE OF MIND, COMFORT, GUIDANCE AND HOPE TO PEOPLE WHO ARE AFFECTED BY SERIOUS ILLNESS OR BY GRIEF. false false 5346557 5346557 0 THE FUNDRAISING ACTIVITIES OF THE KANSAS CITY HOSPICE FOUNDATION CONTRIBUTE TO THE ABILITY OF KANSAS CITY HOSPICE, INC TO FULFILL ITS MISSION. 5346557 true true false false false false false false false true true true false false true false false true false false true false false false true false false true false true false false false false false false false false true false false false false true false false false true 0 0 10 true false false false false false true true false false false false false false X 13 12 true false false false true true true true true false false true true true true true true false false false MO X TIMOTHY MCLANE 8163632600 9001 STATE LINE ROAD STE 300 KANSAS CITY MO 64114 DAVID WILEY SECRETARY 5.0 35.0 X X 0 326429 53205 TIMOTHY MCLANE CFO 1.0 39.0 X 0 193400 43551 CARYN HOHNOHOLT CHIEF DEVELOPMENT & OFFICER 39.0 1.0 X 178455 0 22005 CHUCK MAGGIOROTTO CHAIR 1.0 1.0 X X 0 0 0 CHRISTINA LIVELY VICE CHAIR 1.0 1.0 X X 0 0 0 SHERRY AINSWORTH BOARD MEMBER 1.0 0.0 X 0 0 0 CAROL BARNETT BOARD MEMBER 1.0 0.0 X 0 0 0 EMILY BROCKMEIER BOARD MEMBER 1.0 0.0 X 0 0 0 PAUL DREHER BOARD MEMBER 1.0 0.0 X 0 0 0 PAUL HENTZEN BOARD MEMBER 1.0 0.0 X 0 0 0 STEVE JONES BOARD MEMBER 1.0 0.0 X 0 0 0 ZACH MALLIN BOARD MEMBER 1.0 0.0 X 0 0 0 CASSIDY MCCRITE BOARD MEMBER 1.0 0.0 X 0 0 0 MICHAEL RAUPP BOARD MEMBER 1.0 0.0 X 0 0 0 MAXINE SANDMAN BOARD MEMBER 1.0 0.0 X 0 0 0 178455 519829 118761 1 false true false 0 17063 606905 2264862 310678 2888830 0 561443 561443 0 0 0 0 0 187846 -187846 -187846 -187846 74730 606905 191571 -116841 -116841 0 0 0 0 0 0 0 3145586 256756 5346557 5346557 0 0 0 0 0 691069 691069 0 103590 103590 50634 50634 0 0 0 0 0 125988 125988 5506 5506 47111 47111 38877 38877 0 0 140328 140328 917 917 0 6977 6977 0 0 37768 37768 0 SHARED OVERHEAD 331769 331769 MISC EXPENSES 20976 20976 6948067 5346557 125988 1475522 75 75 963288 1566462 172215 207692 0 0 0 0 0 0 0 0 0 0 14910 20257 188839 91272 135335 97567 19751821 11705135 1563686 1246334 0 0 0 0 0 119993 22601330 14963515 1098 2372 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 121713 1098 124085 X 20516438 13052644 2083794 1786786 22600232 14839430 22601330 14963515 X -3802481 -3024853 -933468 X false true X true false X X 1 KANSAS CITY HOSPICE 431209344 10 true 5346557 0 1 5346557 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1835603 10500 -86435 83 1759585 1766991 1500 122792 55680 1835603 1696036 1000 105402 35447 1766991 1390515 34499 275654 4632 1696036 1411555 -14239 6801 1390515 0.22920 0.77080 0.00000 false false 188839 91272 97567 97567 OFF SHORE HEDGE FUND 1246334 F 1246334 0 OPERATING LEASE LIABILITIES 121713 121713 SCHEDULE D, PART V, LINE 4 THE POLSKY FAMILY SUPPORTING FOUNDATION ENDOWMENT, A DONOR RESTRICTED ENDOWMENT, HAS THESE RESTRICTIONS. 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. Central America and the Caribbean 0 0 Investments 1246334 0 0 0 0 1246334 1246334 true false false false true false SCHEDULE F, PART I, LINE 3, COLUMN (F) THE ORGANIZATION USES THE ACCRUAL METHOD OF ACCOUNTING. SUNDAY NIGHT LIVE CAMPAIGN MANAGEMENT false SUNDAY NIGHT LV 637563 562833 74730 3500 88850 819 74230 CIRCLE OF LIGHT 44072 44072 0 375 300 23497 0 681635 606905 74730 3500 375 88850 1119 97727 191571 -116841 true KANSAS CITY HOSPICE INC 9001 STATELINE RD STE 300 KANSAS CITY MO 64114 431209344 501(C)(3) 5346557 OPERATIONAL SUPPORT 1 SCHEDULE I, PART I, LINE 2 THE ORGANIZATION MAKES CONTRIBUTIONS EXCLUSIVELY TO ITS SOLE MEMBER, KANSAS CITY HOSPICE, INC, FOR SUPPORT IN ITS EXEMPT PURPOSE AND MISSION. THE MONITORING OF THE USE OF THE GRANT FUNDS IS DONE BY THE COMMON BOARD MEMBERS AND OFFICERS OF THE FOUNDATION AND KANSAS CITY HOSPICE, INC. false true false false false false false false false DAVID WILEY SECRETARY 0 304971 0 0 0 21458 0 39150 0 14055 0 379634 20000 CARYN HOHNOHOLT CHIEF DEVELOPMENT & OFFICER 171791 0 5000 0 1664 0 5487 0 16518 0 200460 0 TIMOTHY MCLANE CFO 0 191225 0 0 0 2175 0 6017 0 37534 0 236951 SCHEDULE J, PART I, LINE 3 COMPENSATION IS PAID TO THE CEO AND OTHER OFFICERS BY KANSAS CITY HOSPICE INC., A RELATED ENTITY AND IS REPORTED AS REQUIRED. THESE SALARIES ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE KANSAS CITY HOSPICE BOARD OF DIRECTORS. AN OUTSIDE COMPENSATION CONSULTANT'S COMPENSATION REVIEW IS RETAINED APPROXIMATELY EVERY THREE YEARS USING MARKET DATA WHICH SPECIALIZES IN THE HOSPICE AND HEALTHCARE INDUSTRY. SCHEDULE J, PART I, LINE 4B DAVID WILEY - ACCRUED $30,000 X 310678 SELLING PRICE false false false FORM 990, PART VI, SECTION A, LINE 2 PER THE IRS INSTRUCTIONS, CERTAIN BUSINESS RELATIONSHIPS BETWEEN THE ORGANIZATION'S CURRENT OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES, AS REPORTED IN PART VII, SECTION A, MUST BE DISCLOSED. BECAUSE OF THE INTERRELATED NATURE OF THE FILING ORGANIZATION WITH ITS RELATED ENTITIES (AS DISCLOSED ON SCHEDULE R), SOME OF THE OFFICERS AND DIRECTORS HAVE OVERLAPPING RESPONSIBILITIES AND THUS HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 KANSAS CITY HOSPICE, INC, A RELATED 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A KANSAS CITY HOSPICE, INC HAS THE AUTHORITY TO ELECT AND REMOVE ALL BOARD MEMBERS AND TO REDUCE OR INCREASE THE NUMBER OF ACTIVE BOARD MEMBERS OF THE FOUNDATION (WITHIN PRESCRIBED LIMITS OF 3 TO 17). FORM 990, PART VI, SECTION A, LINE 7B KANSAS CITY HOSPICE, INC HAS THE AUTHORITY TO APPROVE OR DISAPPROVE ITEMS EXCEEDING THE APPROVAL AUTHORITY OF THE BOARD, TO ADOPT AND ENFORCE CORPORATE POLICIES, AND TO APPROVE IN ADVANCE ANY PROPOSED MERGER, SALE, DISSOLUTION, AND/OR LIQUIDATION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT PUBLIC ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT OF KANSAS CITY HOSPICE, INC. THE FOUNDATION BOARD MEMBERS WERE OFFERED A COPY OF THE FOUNDATION'S FORM 990 FOR PERSONAL REVIEW PRIOR TO SUBMISSION WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C UPON ELECTION TO THE BOARD, MEMBERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST FORM. THE KANSAS CITY HOSPICE, INC (THE SOLE MEMBER) 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 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 OTHER CHANGES IN NET ASSETS $933,468 ASSETS TRANSFERRED BETWEEN ENTITIES KANSAS CITY HOSPICE 9001 STATE LINE RD KANSAS CITY MO 64114 431209344 HOSPICE MO 501(C)(3) 10 NA false false true false true false false false false false false false true false true true true false false true