2024-11-04T13:26:16+00:00 2023-12-31 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-01-01 431329610 Howard County Home Health and Hospice Inc HOWA 6602482100 101 Furr Street Fayette MO 652481069 Serse Wiehardt CEO 6602484100 2024-11-04 true Kayla Bell P01682975 4178658701 2024-11-04 2023 2024-10-15 13:58:12Z Hometown Homecare SERESE WIEHARDT 101 Furr Street Fayette MO 652481069 2262513 false X http://www.hometownhomecare.org/ X 1984 MO PROVIDE HOME HEALTH, HOSPICE, PRIVATE DUTY SERVICES TO PATIENTS IN THE AGENCY'S SERVICE AREA. 7 7 59 15 0 0 222963 50904 1857786 2211373 575 236 0 0 2081324 2262513 0 0 0 1617547 1627463 0 0 471202 579292 2088749 2206755 -7425 55758 1513917 1790349 252527 438788 1261390 1351561 TO PROVIDE SKILLED, COMPASSIONATE CARE, KEEPING THE PATIENT AT THE HEART OF OUR SERVICES. false false 1548963 0 2211373 THE ORGANIZATION PROVIDED VARIOUS HOME HEALTH SERVICES AND HOSPICE CARE FOR PATIENTS IN THE AGENCY SERVICE AREA. DURING 2023, THE AGENCY SERVED A TOTAL OF 230 HOME HEALTH PATIENTS AND 136 HOSPICE PATIENTS. 3 HOME HEALTH PATIENTS RECEIVED 21 CHARITY CARE VISITS, OFFERING AGENCY CHARITY SERVICES WITH A VALUE OF $2,934. THE ORGANIZATION ALSO PROVIDED PRIVATE DUTY SERVICES, CONSISTING OF NURSES AIDES AND CHORE SERVICES, TO 143 PATIENTS DURING 2023. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 1548963 true true false true false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 4 0 true 59 true false false false false false false false false false false false false X 7 7 true false false false false false false true true false false true true true true true true true true false X SERESE WIEHARDT 6602482100 101 FURR STREET FAYETTE MO 652481069 JILL WISEMAN TREASURER 1.0 0.0 X X 0 0 0 MARK HARBISON SECRETARY 1.0 0.0 X X 0 0 0 MARYANN RUSTEMEYER VICE PRESIDENT - BEGINNING 07/2023 1.0 0.0 X X 0 0 0 SARAH FRIEDRICH PRESIDENT - BEGINNING 07/2023 1.0 0.0 X X 0 0 0 ANNAMARIE SMITH MEMBER - BEGINNING 05/2023 1.0 0.0 X 0 0 0 CAROL NORMAN MEMBER 1.0 0.0 X 0 0 0 DOUG ABELE MEMBER ENDING 07/2023 1.0 0.0 X 0 0 0 STEVE MURRELL MEMBER BEGINNING 11/2023 1.0 0.0 X 0 0 0 BETTY COOK VP - ZONE 4 39.7 0.0 X 71841 0 792 DENISE HASKAMP CFO 36.5 0.0 X 69912 0 24137 DINA HASKAMP-POLSON VP - PATIENT CARE 48.8 0.0 X 97249 0 18369 JENNIFER DRESSLER VP - THERAPY COORDINATION 24.1 0.0 X 58218 0 1747 JUDY LUSCOMBE VP - ZONE 3 37.4 0.0 X 75271 0 2208 KRISTA CRAVENS VP - ZONE 2 32.3 0.0 X 67800 0 23324 LOGAN COMEGYS VP - ETHICS AND CRISIS MANAGEMENT 37.1 0.0 X 83208 0 2346 MISSY HOMER VP - ZONE 1 48.5 0.0 X 70747 0 25207 SERESE WIEHARDT CEO 63.2 0.0 X 81387 0 3304 SHANNON GRIFFY VP - PRIVATE DUTY 39.8 0.0 X 77201 0 1790 752834 0 103224 0 false false false 0 36500 14404 50904 NET PATIENT SERVICE REVENUE 624100 2211102 2211102 OTHER REVENUE 624100 271 271 0 0 0 0 2211373 236 236 0 0 0 0 0 0 0 0 0 2262513 2211373 0 236 856058 591764 264294 642424 445870 196554 7742 6048 1694 24491 14123 10368 96748 66858 29890 8269 8269 49976 49976 0 0 17820 17820 26484 26484 64079 64079 13074 7064 6010 127619 127170 449 1840 1840 11673 6307 5366 27813 15029 12784 MEDICAL SUPPLIES & DRUGS 204309 204309 BAD DEBT EXPENSE 11998 11998 LICENSES, DUES, SUBSCRIPTIONS 9810 9810 REPAIRS & MAINTENANCE 4528 2447 2081 0 0 0 0 2206755 1548963 657792 0 100 100 428240 511948 189721 317762 0 0 0 0 6906 8728 31293 35377 320142 219274 88241 100868 554416 586593 0 0 215000 215000 0 13973 1513917 1790349 250423 438788 0 0 2104 0 252527 438788 X 1236552 1336756 24838 14805 1261390 1351561 1513917 1790349 55758 34413 0 X true X false true false X 50571 361148 85544 222963 50904 771130 1918518 2026551 2158058 1857786 2211373 10172286 0 0 0 1969089 2387699 2243602 2080749 2262277 10943416 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10943416 223 771 763 575 236 2568 0 223 771 763 575 236 2568 0 0 0 0 0 0 0 1969312 2388470 2244365 2081324 2262513 10945984 0.9998 0.9997 0 0.0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1426 1426 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE ORGANIZATION'S DUES TO THE MISSOURI ALLIANCE FOR HOME CARE AND THE NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE ARE ATTRIBUTABLE TO LOBBYING EXPENSES. 142186 73659 68527 83016 56812 26204 94940 88803 6137 100868 Form 990, Part I, Line 6 VOLUNTEERS HOSPICE VOLUNTEERS ASSIST PATIENTS AND THEIR FAMILIES IN MANY WAYS. A VOLUNTEER MAY SIT WITH A PATIENT FOR AN HOUR TO GIVE THE FAMILY A BREAK; THE VOLUNTEER MAY VISIT WITH THE PATIENT OR THEIR FAMILY AS A FORM OF COMPANIONSHIP. ANOTHER ASPECT OF VOLUNTEER SERVICES INCLUDES RUNNING ERRANDS OR DOING LIGHT HOUSEKEEPING TO PATIENT'S HOME. VOLUNTEERING AT HOMETOWN HOMECARE IS A REWARDING, ENRICHING EXPERIENCE THAT BENEFITS NOT ONLY THE PATIENT AND FAMILY BUT ALSO THE VOLUNTEER. THE DIRECTORS OF THE ORGANIZATION ARE ALSO VOLUNTEERS OF THE ORGANIZATION. Form 990, Part III, Line 4a PROGRAM SERVICES HOME HEALTH SERVICES AVAILABLE TO PATIENTS INCLUDE: - SKILLED NURSING SERVICES - THERAPY (PHYSICAL, OCCUPATIONAL, AND SPEECH) SERVICES - JOINT REPLACEMENT REHAB SERVICES - SOCIAL WORK SERVICES - HOME HEALTH AIDE SERVICES THESE SERVICES ARE GIVEN BY A VARIETY OF SKILLED HEALTH CARE PROFESSIONALS AT THE PATIENT'S HOME. ALONG WITH THE PHYSICIAN, HOME HEALTH STAFF CREATE A CARE PLAN WHICH INCLUDES A PLAN FOR THE PATIENT'S CARE. THE PLAN DESCRIBES WHICH SERVICES THE PATIENT WILL RECEIVE IN ORDER TO REACH AND KEEP HIS OR HER MAXIMUM MENTAL AND SOCIAL WELL-BEING. THE HOME HEALTH STAFF COMMUNICATES THE PATIENT'S CONDITION AND PROGRESS WITH THE PHYSICIAN THROUGHOUT CARE AND UPDATES THE CARE PLAN AS NEEDED. HOSPICE SERVICES INCLUDE: - SPECIALIZED CARE TO THE TERMINALLY ILL PATIENTS AND FAMILY - INTERDISCIPLINARY TEAM PROVIDING ASSISTANCE IN DEVELOPING A COMPREHENSIVE PLAN OF ACTION TO MEET INDIVIDUAL NEEDS AND CHALLENGES - REGISTERED NURSES, LICENSED PRACTICAL NURSE, AIDES, MEDICAL SOCIAL WORKER, DIETICIAN, AND VOLUNTEERS ARE TRAINED IN CARING FOR PATIENTS AND FAMILIES LIVING WITH A TERMINAL ILLNESS AND ARE INVOLVED IN HOSPICE PATIENT CARE - SPIRITUAL CONSELOR IS AVAILABLE TO ADDRESS ISSUES AND OFFER SUPPORT SYSTEM MANAGEMENT HOSPICE CARE BY OUR TEAM FOCUSES ON SYMPTOM MANAGEMENT. AS SYMPTOMS ARISE, THEY ARE TREATED ON THOROUGH ASSESSMENTS AND PHYSICIAN APPROVED PROTOCOLS. PROTOCOLS ARE DEVELOPED FOR PAIN, NAUSEA AND VOMITING, PREVENTION OF CONSTIPATION, ANXIETY, AGITATION, SHORTNESS OF BREATH, AND DEPRESSION. UNIQUE APPROACHES TO SYMPTOM MANAGEMENT ARE UTILIZED SUCH AS SPECIALLY FORMULATED, PHYSICIAN ORDERED MEDICATION COMBINATIONS THAT ARE APPLIED TO SKIN. THE USE OF NEEDLES IN ADMINISTER MEDICATION TO OUR HOSPICE PATIENTS IS VERY RARE. OUR ULTIMATE GOAL IS TO MANAGE THE PAIN AND/OR SYMPTOMS EXPERIENCED TO ENSURE THE PATIENT'S COMFORT AND PEACE OF MIND. IN ADDITION, BEREAVEMENT SERVICES ARE A BENEFIT PROVIDED TO EACH OF OUR HOSPICE FAMILIES. OUR BEREAVEMENT STAFF INCLUDES SOCIAL WORKER AND CHAPLAIN, TRAINED IN ASSISTING OUR HOSPICE FAMILIES WITH GRIEF AND LOSS ISSUES. WE HAVE TAILORED OUR BEREAVEMENT PROGRAM TO MEET A WIDE VARIETY OF INTERESTED AND NEEDS. PRIVATE DUTY SERVICES: THESE SERVICES INCLUDE PERSONAL AIDE CARE, HOMEMAKER/CHORE, COMPANIONSHIP, IN-HOME RESPITE, AND TRANSPORTATION SERVICES. Form 990, Part VI, Line 15 COMPENSATION REVIEW IN 2023 AN AVERAGE RAISE OF 2% WAS APPROVED BY BOARD OF DIRECTORS FOR RETENTION AND COST OF LIVING ADJUSTMENT. IN 2022 AN AVERAGE RAISE OF 9% WAS IMPLEMENTED PER BOARD OF DIRECTOR APPROVAL DUE TO HIRING AND RETENTION CHALLENGES RELATED TO HIGHER WAGES/BENEFITS AVAILABLE AT OTHER AREA EMPLOYERS. IN 2021 AND 2020, A COST-OF LIVING RAISE OF $1.00 PER HOUR WAS AWARDED. IN 2019, A COST-OF-LIVING RAISE OF $0.85 PER HOUR WAS AWARDED. PRIOR TO THAT, ANNUAL RAISES HAD NOT BEEN GIVEN SINCE 2008. THE BOARD-DETERMINED COMPENSATION PRIOR TO 2008 FOR ALL EMPLOYEES, INCLUDING CEO AND OTHER OFFICERS, WAS DETERMINED BY CONSULTING THE NAHC SALARY SURVEY AS WELL AS JOB POSTINGS OF AREA HOSPITALS FOR SIMILAR POSITIONS, WITH SUMMARY IN BOARD MINUTES. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons SHANNON GRIFFY, OFFICER; LOGAN COMEGYS, OFFICER; AND MISSY HOMER, OFFICER - Family relationship Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE 990 IS DISTRIBUTED TO ALL BOARD MEMBERS VIA EMAIL OR IN PERSON AT THE BOARD MEETING, ALLOWING FOR QUESTIONS, COMMENTS OR OTHER CHANGES TO THE RETURN BEFORE THE FINAL FORM 990 IS FILED. Form 990, Part VI, Line 12c Conflict of interest policy ALL EMPLOYEES, VOLUNTEERS, AND BOARD MEMBERS ARE COVERED BY THE CONFLICT-OF-INTEREST POLICY AND REQUIRED TO REPORT ANY CONFLICTS OF INTEREST. ALL COVERED MEMBERS COMPLETE A SEPARATE QUESTIONNAIRE EACH YEAR DEVELOPED TO HELP ANSWER THE FORM 990 QUESTIONS. IN THE EVENT THAT A CONFLICT OF INTEREST EXISTS, IT IS REVIEWED BY THE BOARD. IF THE CONFLICT INVOLVES A BOARD MEMBER, THAT BOARD MEMBER ABSTAINS FROM VOTING ON THE TOPICS RELATED TO THAT CONFLICT OF INTEREST. THE BOARD HAS DELEGATED THE CEO AUTHORITY TO MONITOR DAY TO DAY EMPLOYEE CONFLICTS OF INTEREST, INCLUDING POTENTIAL CONFLICTS CREATED BY EMPLOYEES WHICH ARE EMPLOYED AT MULTIPLE AND COMPETING AGENCIES, EMPLOYEE FAMILIAL RELATIONSHIP, ETC. IF AN UNUSUAL SITUATION OCCURS, THE CEO PRESENTS THE ISSUE TO THE BOARD FOR A DECISION OF THE ISSUE. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE VIEWED AT THE ORGANIZATION'S LOCATION OF BUSINESS UPON WRITTEN REQUEST.