Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 46,498 | 13,336 | 20,617 | 42,059 | 28,982 | 151,492 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 4,186,345 | 3,373,272 | 3,174,656 | 3,151,003 | 3,265,529 | 17,150,805 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 4,232,843 | 3,386,608 | 3,195,273 | 3,193,062 | 3,294,511 | 17,302,297 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support (Subtract line 7c from line 6.) | 17,302,297 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 4,232,843 | 3,386,608 | 3,195,273 | 3,193,062 | 3,294,511 | 17,302,297 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 701 | 279 | 0 | 0 | 0 | 980 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 701 | 279 | 0 | 0 | 0 | 980 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 0 | |||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 4,233,544 | 3,386,887 | 3,195,273 | 3,193,062 | 3,294,511 | 17,303,277 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART 1, LINE 1 AND PART III, LINE I THE FULL MISSION OF THE ORGANIZATION IS AS FOLLOWS: HOMECARE OF MID-MISSOURI IS PASSIONATELY COMMITTED TO PROVIDING THE BEST INDIVIDUALIZED HEALTH CARE SERVICES FOR OUR CLIENTS, SUPPORT FOR THEIR FAMILIES, AND IMPROVING THE HEALTH OF THE COMMUNITY. THE SERVICES AND PROGRAMS PROVIDED THROUGH HOMECARE OF MID-MISSOURI PROMOTE THE WELLBEING OF THOSE WE SERVE ALLOWING THEM TO REMAIN IN THEIR HOMES AND COMMUNITIES. |
| OUR VALUES | HOMECARE OF MID-MISSOURI IS A CLIENT-CENTERED FINANCIALLY VIABLE NON-PROFIT ORGANIZATION PROVIDING EXCEPTIONAL HOMECARE SERVICES IN AN EMPLOYEE VALUED CULTURE AND CHARACTERIZED BY: -RESPECT -STEWARDSHIP -TEAMWORK -COMPASSION -EXCELLENT SERVICE |
| PROGRAM SERVICES | FORM 990, PART III, LINE 4 BECAUSE SO MANY SENIORS WISH TO REMAIN IN THEIR HOME AND COMMUNITY THAT HOLDS A LIFETIME OF MEMORIES FOR THEM, HOMECARE OF MID-MISSOURI'S UNDERTAKING HAS BEEN TO EXPAND SERVICES AND FUNDING SOURCES TO SUPPORT THIS LIFESTYLE. HOMECARE OF MID-MISSOURI CURRENTLY OFFERS CLIENTS A VARIETY OF PROGRAMS SUCH AS: HOME HEALTH, IN-HOME CARE, CARELINK, HOSPICE, PALLIATIVE CARE, & EDUCATIONAL OFFERINGS. EDUCATION AND SUPPORT SERVICES INCLUDE HEALTH FAIRS, BLOOD PRESSURE CLINICS, CLINICS, AND CAREGIVER WORKSHOPS. |
| HOMECARE OF MID-MISSOURI IN-HOME SERVICES | FORM 990, PART III, LINE 4A SIMPLE TASKS SUCH AS SETTING UP MEDICATIONS, HOUSEKEEPING, SHOPPING, MEAL PREPARATION, OPENING A JAR, OR PERSONAL HYGIENE CAN BECOME INCREASINGLY DIFFICULT FOR MANY OLDER ADULTS. RESPITE CARE, HOMEMAKER SERVICES, PERSONAL CARE, AND NURSING SERVICES ARE AVAILABLE. RESPITE CARE IS COMPANIONSHIP AND OVERSIGHT OF A LOVED ONE SO THE CAREGIVERS CAN TAKE A BREAK OR TEND TO PERSONAL BUSINESS FOR THEMSELVES. HOMEMAKER SERVICES INCLUDE ASSISTANCE WITH SUCH THINGS AS HOUSEKEEPING, SHOPPING, MEAL PREPARATION AND LAUNDRY. PERSONAL CARE ASSISTANTS HELP WITH TASKS SUCH AS BATHING, DRESSING, GROOMING, TOILETING AND TRANSFERRING. NURSING SERVICES ARE FOR HEALTH EVALUATIONS, MEDICATION AND INSULIN SET UPS, NAIL CARE AND EVALUATING THE CLIENT'S CARE PLAN. IN-HOME SERVICES ARE AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK TO ASSIST OUR CLIENTS IN WHATEVER CAPACITY IS NEEDED. |
| HOMECARE OF MID-MISSOURI HOME HEALTH CARE | FORM 990, PART III, LINE 4B THERE'S NO PLACE LIKE HOME, ESPECIALLY WHEN RECUPERATING FROM SURGERY OR AN ILLNESS. YOUR OWN BED, YOUR FAMILY AND FRIENDS ARE FAMILIAR AND COMFORTING. BEING IN YOUR OWN HOME GIVES YOU A SENSE OF INDEPENDENCE, PRIVACY AND CONTROL. THE STAFF IS MADE UP OF HIGHLY TRAINED PROFESSIONALS: NURSES, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIST, SOCIAL WORKERS AND CERTIFIED NURSING ASSISTANTS. EACH OF THESE PROFESSIONALS IS READY TO WORK WITH CLIENTS AND PROVIDE VITAL SERVICES AND EDUCATION TO HELP CLIENTS REGAIN STRENGTH & MOBILITY, MASTER ACTIVITIES FOR DAILY LIVING, RESTORE YOUR SPEECH & COMMUNICATION ABILITIES, OBTAIN NEEDED MEDICAL EQUIPMENT & SUPPLIES, MANAGE YOUR MEDICATIONS, AND FOLLOW SPECIALIZED CARE REGIMENS. |
| HOMECARE OF MID-MISSOURI HOSPICE | FORM 990, PART III, LINE 4C HOMECARE OF MID-MISSOURI HOSPICE STAFF CONSISTS OF A MEDICAL DIRECTOR, NURSES, SOCIAL WORKER, CHAPLAIN, DIETICIAN, AIDES, VOLUNTEERS AND OFFICE SUPPORT STAFF. THE HOSPICE NURSE MAKES REGULARLY SCHEDULED VISITS TO THE PATIENT PROVIDING EXPERT PAIN MANAGEMENT AND SYMPTOM CONTROL TECHNIQUES. THROUGHOUT THE TIME THAT THE PATIENT IS UNDER THE CARE OF HOSPICE, THE NURSE KEEPS THE PRIMARY PHYSICIAN INFORMED OF THE PATIENT'S CONDITION. NURSES PROVIDE THE COMPLETE SPECTRUM OF SKILLED NURSING CARE AND ARE AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. HOME HEALTH AIDES PROVIDE ASSISTANCE WITH THE PERSONAL CARE OF THE PATIENT. SOCIAL WORKERS PROVIDE ASSISTANCE WITH PRACTICAL AND FINANCIAL CONCERNS AS WELL AS EMOTIONAL SUPPORT, COUNSELING AND BEREAVEMENT FOLLOW-UP. THEY EVALUATE THE NEED FOR VOLUNTEERS AND OTHER SUPPORT SERVICES NEEDED BY THE FAMILY AND FACILITATE COMMUNICATION BETWEEN THE FAMILY AND COMMUNITY AGENCIES. CHAPLAINS PROVIDE SPIRITUAL SUPPORT TO PATIENTS AND FAMILIES, OFTEN SERVING AS A LIAISON BETWEEN THEM AND THEIR RELIGIOUS COMMUNITY. CHAPLAINS OFTEN ASSIST WITH MEMORIAL SERVICES AND FUNERAL ARRANGEMENTS. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS REVIEWED BY TOP MANAGEMENT OF THE ORGANIZATION. ONCE A FINAL DRAFT IS COMPLETE, A COPY IS DISTRIBUTED TO ALL BOARD MEMBERS VIA EMAIL OR PERSONAL DELIVERY. THE FORM 990 IS THEN FILED WITH THE IRS. |
| MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE OF ANY CONFLICTS OF INTERESTS IS TO BE ANNUALLY ACKNOWLEDGED AND ADDRESSED DURING CONSIDERATION FOR APPOINTMENT TO THE BOARD OF DIRECTORS. MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS PRIOR TO DISCUSSION OF ANY ISSUE. AFTER MAKING DISCLOSURE, THE PERSON(S) MAY PARTICIPATE IN DISCUSSION OF THE ISSUE, BUT SHALL ABSTAIN FROM VOTING. ABSTENTION SHALL BE RECORDED IN THE MINUTES. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY REVIEW POTENTIAL CONFLICTS. |
| DOCUMENT DISCLOSURE | FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE VIEWED IN THE ADMINISTRATIVE OFFICE UPON REQUEST. |
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