2023-11-13T13:50:58-06:00 2022-12-31 FORVIS LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2022-01-01 431209344 KANSAS CITY HOSPICE INC % TIMOTHY MCLANE KANS 8163632600 9001 STATE LINE ROAD 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 STATE LINE RD STE 300 KANSAS CITY MO 64114 37149325 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 SERIOUS ILLNESS OR BY GRIEF. 19 18 450 288 0 0 8371314 5346557 30626265 31667542 0 0 118715 135226 39116294 37149325 0 0 0 0 25645998 26651385 0 0 0 9535248 10497940 35181246 37149325 3935048 0 14845810 17779265 11219402 13219389 3626408 4559876 X TO BRING EXPERT CARE, PEACE OF MIND, COMFORT, GUIDANCE AND HOPE TO PEOPLE WHO ARE AFFECTED BY SERIOUS ILLNESS OR BY GRIEF. false false 29322277 0 31667542 SEE SCHEDULE O 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JESSICA JEAN HINCHCLIFF ADVANCE PRACTICE REGISTERED NU 40.0 0.0 X 120529 0 26585 WENDI FOX DIRECTOR OF HUMAN RESOURCES 40.0 0.0 X 131108 0 11796 DAVE BROWN CHAIR 1.0 0.0 X X 0 0 0 JODY ABBOTT PAST CHAIR 1.0 0.0 X X 0 0 0 JENNIFER KOZINN VICE CHAIR 1.0 0.0 X X 0 0 0 ANNE O'BRIEN VICE CHAIR 1.0 0.0 X X 0 0 0 MELANIE COLEMAN TREASURER 1.0 0.0 X X 0 0 0 DR SUSAN PINGLETON SECRETARY 1.0 0.0 X X 0 0 0 CHUCK MAGGIOROTTO CHAIR OF FOUNDATION BOARD 1.0 1.0 X X 0 0 0 RABBI JAVIER CATTAPAN BOARD MEMBER 1.0 0.0 X 0 0 0 MEGAN COSTELLO BOARD MEMBER 1.0 0.0 X 0 0 0 SHEILAHN DAVIS-WYATT BOARD MEMBER 1.0 0.0 X 0 0 0 BILL INTRATER BOARD MEMBER 1.0 0.0 X 0 0 0 DR BARBARA LUKERT BOARD MEMBER 1.0 0.0 X 0 0 0 ED MARDIAT BOARD MEMBER 1.0 0.0 X 0 0 0 DONNA PAYNE BOARD MEMBER 1.0 0.0 X 0 0 0 DR OLEVIA PITTS BOARD MEMBER 1.0 0.0 X 0 0 0 DR ROBERT PLUENNEKE BOARD MEMBER 1.0 0.0 X 0 0 0 MIKE SCHUMACHER BOARD MEMBER 1.0 0.0 X 0 0 0 REV SHANNA STEITZ BOARD MEMBER 1.0 0.0 X 0 0 0 1686726 178455 265185 12 false true false Ashton Court Care Rehabilitation 1200 West College Street LIBERTY MO 64068 MEDICAL SERVICES 116217 New Mark Care Center 11221 N Nashua Drive KANSAS CITY MO 64155 MEDICAL SERVICES 162125 Soli Soli Inc 2006 Broadway Street KANSAS CITY MO 64108 PRINTING SERVICES 216219 University of Kansas Hosp PO Box 955915 ST LOUIS MO 63195 MEDICAL PROVIDER 239328 Villa St Francis 16600 W 126th Street OLATHE KS 66062 MEDICAL SERVICES 123364 7 5346557 5346557 PATIENT SERVICE REVENUE 621300 30894052 30894052 NURSING HOME SUPPORT 621300 773490 773490 31667542 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 135226 135226 135226 37149325 31667542 135226 0 0 0 0 852790 673517 179273 0 20782801 16413843 4368958 356323 231471 124852 3168424 2420069 748355 1491047 1170610 320437 0 54845 54845 109819 109819 0 0 0 2520490 1792422 728068 275804 275304 500 648672 88159 560513 479272 378625 100647 0 443397 257036 186361 471940 406057 65883 0 74003 10863 63140 174036 137488 36548 0 863562 714747 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39116294 37149325 169224083 0.88416 0.87872 0.01586 0.01613 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1835603 10500 -86435 83 1759585 1766991 1500 122792 55680 1835603 1696036 1000 105402 35447 1766991 1390516 233820 76332 4632 1696036 1411556 -14239 6801 1390516 0.22920 0.77080 0.00000 false true true 1576652 1576652 13476176 7331529 6144647 22252 6696 15556 3200397 1732780 1467617 9204472 DEPOSITS 24394 FUNDS HELD FOR DEFERRED COMP. 90000 ROU ASSETS - OPERATING 2032666 2147060 0 DEFERRED COMPENSATION LIABILITY 90000 OPERATING LEASE LIABILITIES 2139428 2229428 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. X X X X false true false false false false false false false DAVID WILEY PRESIDENT/CEO 304971 0 0 0 21458 0 39150 0 14055 0 379634 0 20000 CARYN HOHNHOLT CHIEF DEVELOPMENT & COMM OFFIC 0 171791 0 5000 0 1664 0 5487 0 16518 0 200460 PAUL WEDDLE COO 211944 0 0 0 3135 0 4250 0 16876 0 236205 0 TIMOTHY MCLANE CFO 191225 0 0 0 2175 0 6017 0 37534 0 236951 0 PAMELA HARRIS DIRECTOR OF MEDICAL PROGRAMS 250796 0 150 0 4474 0 1625 0 30541 0 287586 0 ALEXANDER LANE ASSOCIATE MEDICAL DIRECTOR 217699 0 12500 0 1402 0 3585 0 35571 0 270757 0 ROYA TEHRANI ASSOCIATE MEDICAL DIRECTOR 211785 0 0 0 1375 0 6153 0 9442 0 228755 0 SCHEDULE J, PART I, LINE 4B DAVID WILEY - ACCRUED $30,000 FORM 990, PART III, LINE 4A KANSAS CITY HOSPICE, INC. IS A NONPROFIT ORGANIZATION OFFERING A RANGE OF SERVICES IN THE GREATER KANSAS CITY AREA FOR PEOPLE OF ALL AGES AND AT ANY STAGE OF SERIOUS ILLNESS. SERVING THE 12-COUNTY AREA ENCOMPASSING THE GREATER KANSAS CITY METROPOLITAN AREA, WE HAVE BEEN PROVIDING EXPERT, COMPASSIONATE CARE SINCE 1980. A) HOSPICE HOMECARE PROGRAM - KANSAS CITY HOSPICE PROVIDES CARE TO PEOPLE WHEREVER THEY CALL HOME. THIS COULD INCLUDE A PRIVATE RESIDENCE, A LONG-TERM CARE OR ASSISTED LIVING FACILITY, OR ANOTHER TYPE OF RESIDENCE. MULTIDISCIPLINARY TEAMS OF EXPERT, COMPASSIONATE CARE PROFESSIONALS HELP PATIENTS AND THEIR LOVED ONES COPE WITH THE CHALLENGES OF LIFE-THREATENING ILLNESSES. PATIENTS RECEIVING HOSPICE CARE MUST MEET THE HOSPICE ELIGIBILITY REQUIREMENTS ESTABLISHED BY THE U.S. CENTERS FOR MEDICARE & MEDICAID SERVICES. IN 2022, KANSAS CITY HOSPICE CARED FOR 1,929 PATIENTS IN THEIR HOME OR RESIDENCE. B) TWO INPATIENT FACILITY HOSPICE HOUSES - IN APRIL OF 2006, KANSAS CITY HOSPICE OPENED THE FIRST INPATIENT HOSPICE FACILITY IN THE KANSAS CITY METROPOLITAN AREA. THE 32-BED KANSAS CITY HOSPICE HOUSE PROVIDES EXPERT INPATIENT CARE IN A HOME-LIKE ENVIRONMENT. IN JULY OF 2015, KANSAS CITY HOSPICE AQUIRED NORTHCARE HOSPICE AND THEN MERGED ON FEBRUARY 1, 2017. PART OF THIS ACQUISITION INCLUDED A 16-BED INPATIENT UNIT CALLED NORTHCARE HOSPICE HOUSE. NORTHCARE HOSPICE HOUSE, OPEN SINCE 2010, IS LOCATED INSIDE NORTH KANSAS CITY HOSPITAL. THESE INPATIENT HOSPICE HOUSES ARE UTILIZED WHEN MEDICAL NEEDS ARE TOO COMPLEX TO MANAGE IN THE HOME SETTING. MEDICAL AND NURSING CARE IS PROVIDED TO HELP PATIENTS MANAGE PHYSICAL SYMPTOMS. ADDITIONALLY, EMOTIONAL AND SPIRITUAL SUPPORT IS OFFERED TO PATIENTS AND THEIR FAMILIES. IN 2022, 702 PATIENTS WERE CARED FOR AT KANSAS CITY HOSPICE HOUSE AND 634 PATIENTS WERE CARED FOR AT NORTHCARE HOSPICE HOUSE. C) PALLIATIVE HOME HEALTH PROGRAM - FOR PATIENTS COPING WITH SERIOUS ILLNESS, PALLIATIVE CARE CAN HELP THEM TO MANAGE DISTRESSING SYMPTOMS SUCH AS PAIN, SHORTNESS OF BREATH, OR OTHER DISEASE-RELATED SYMPTOMS. SIMILAR TO OUR HOSPICE PROGRAM, PALLIATIVE CARE AT KANSAS CITY HOSPICE UTILIZES AN INTERDISCIPLINARY TEAM MODEL WHICH FOCUSES ON SYMPTOM MANAGEMENT, AS WELL AS THE EMOTIONAL AND SPIRITUAL NEEDS OF PATIENTS AND THEIR FAMILIES. THE PROGRAM SERVES PEOPLE WHO HAVE LIFE-THREATENING ILLNESSES, BUT WHO WISH 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 QUALITY OF LIFE FOR PATIENTS FACING LIFE-LIMITING ILLNESSES, AND THEIR FAMILIES. CARE IS CONCENTRATED ON PREVENTING AND RELIEVING SUFFERING BY TREATING PAIN AND OTHER DISTRESSING SYMPTOMS AS WELL AS BY PROVIDING EMOTIONAL AND SPIRITUAL SUPPORT. IN 2022, 217 PATIENTS WERE CARED FOR ON OUR PALLIATIVE HOME HEALTH PROGRAM. AN ADDITIONAL 154 PATIENTS WERE CARED FOR ON OUR ADVANCED ILLNESS SUPPORT PROGRAM, A LESS INTENSIVE MODEL OF SUPPORT FOR PEOPLE EXPERIENCING SERIOUS ILLNESS BUT NOT READY FOR PALLIATIVE CARE OR HOSPICE. D) CAROUSEL PEDIATRIC CARE - KANSAS CITY HOSPICE OFFERS A DEDICATED CARE TEAM FOCUSED ON THE UNIQUE NEEDS OF CHILDREN AND THEIR FAMILIES. OUR COMPASSIONATE TEAM OF PROFESSIONALS PROVIDES HOME HEALTH OR HOSPICE CARE TO INFANTS AND CHILDREN THROUGH THE YOUNG ADULT YEARS. CHILDREN AND THEIR FAMILIES ALSO RECEIVE EMOTIONAL AND SPIRITUAL SUPPORT; EXPRESSIVE THERAPIES INCLUDING ART AND MUSIC THERAPIES; AND CERTIFIED PET THERAPY. WHEN HOME IS NOT THE IDEAL SETTING, OUR HOSPICE HOUSES ARE AVAILABLE. WHEN IT IS APPROPRIATE FOR CHILDREN TO RECEIVE CARE IN THE INPATIENT HOSPICE HOUSE SETTING, THEY WILL BE CARED FOR IN AN AGE-APPROPRIATE ROOM WHICH MEETS THEIR DEVELOPMENT NEEDS AND PROVIDES A SAFE, COMFORTABLE PLACE FOR EACH CHILD AND THEIR FAMILY TO SPEND TIME TOGETHER. IN 2022, 63 LITTLE ONES RECEIVED PEDIATRIC HOSPICE OR HOME HEALTH CARE. E) ADDITIONAL SERVICES TO THE COMMUNITY INCLUDE INDIVIDUAL AND GROUP GRIEF SUPPORT, MENTAL HEALTH COUNSELING, AND SOLACE HOUSE CENTER FOR GRIEF AND HEALING WHICH PROVIDES COMMUNITY RESPONSE IN TIMES OF TRAGEDY AS WELL AS GRIEF SUPPORT GROUPS FOR CHILDREN AS YOUNG AS THREE, TEENS, AND ADULTS OF ALL AGES. ADDITIONALLY, KANSAS CITY HOSPICE OFFERS TWO WEEKEND GRIEF CAMPS EACH YEAR - CAMP ERIN FOR CHILDREN AGE 6 AND UP, AND CAMP CAROUSEL FOR CHILDREN AND THEIR FAMILIES. THERE IS NO FEE FOR FAMILIES TO PARTICIPATE. IN 2022, 329 CHILDREN AND FAMILIES RECEIVED COMMUNITY SERVICES, AND MORE THAN 3,400 PEOPLE WERE ENROLLED IN GRIEF SUPPORT SERVICES ON ANY ONE DAY. FORM 990, PART VI, LINE 1A THE EXECUTIVE COMMITTEE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS EXCEPT TO THE EXTENT, IF ANY, THAT SUCH AUTHORITY SHALL BE LIMITED BY RESOLUTION OF THE BOARD AND EXCEPT THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO PROVIDING FOR THE SALE, LEASE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION OTHERWISE THAN IN THE USUAL AND REGULAR COURSE OF ITS BUSINESS, PROVIDING FOR A VOLUNTARY DISSOLUTION OF THE CORPORATION OR A REVOCATION THEREOF, OR AMENDING THE ARTICLES OF INCORPORATION OR THESE BYLAWS. 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, LINE 15A & 15B THE CEO AND OTHER OFFICER'S SALARIES ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. AN OUTSIDE COMPENSATION CONSULTANT'S COMPENSATION REVIEW IS RETAINED APPROXIMATELY EVERY THREE YEARS. 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 A) 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. B) 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 XI, LINE 9 NET ASSETS TRANSFERRED TO AFFILIATES $933,468 KANSAS CITY HOSPICE FOUNDATION 9001 STATE LINE ROAD STE 300 KANSAS CITY MO 64114 431724085 SUPPORT MO 501(C)(3) 12A KC HOSPICE true false false true false true false false false false false false true true true true true true true false KANSAS CITY HOSPICE FOUNDATION C 5346557 FMV KANSAS CITY HOSPICE FOUNDATION R 933468 FMV