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      <Desc>Women's Christian Association of Kansas City, Missouri (WCA), doing business as Armour Oaks Senior Living Community (AO) is a retirement facility providing a continuum of care with independent living, assisted living, and skilled nursing services, dedicated to providing a secure homelike environment where seniors can live with dignity and independence. We provide personalized housing, health and social services to meet the needs of each resident. Our senior living services are provided to persons, including those at or below the poverty level, without regard to race, national origin, gender, age, disability, or religious belief. WCA is a stand-alone private not-for-profit corporation. All income is combined and used for the charitable purpose of WCA and all programs of WCA/AO are combined in one operating statement. This process allows WCA/AO to continue services to those seniors who have exhausted all of their income and savings and are at poverty level. As a point of reference, approximately seventy-five percent (60%) of our skilled population is Medicaid dependent. Medicaid reimbursement for these residents is far less than the actual cost of providing services and housing. In keeping with its charitable mission, WCA/AO has NEVER evicted a resident due to inability to pay. Residents receiving Independent Living services enjoy a stress free lifestyle, free of home (Continued on Schedule O)</Desc>
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        <FormAndLineReferenceDesc>Schedule D, Part IV, Line 1b</FormAndLineReferenceDesc>
        <ExplanationTxt>Women's Christian Association of Kansas City, MO dba Armour Oaks Senior Living Community is required by Missouri State Regulation 10 CSF 30-88 to maintain an account for Resident Funds separate from the funds of the corporation. These funds are the property of the residents and a quarterly accounting is provided to the resident or their designated representative.</ExplanationTxt>
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        <ExplanationTxt>The Endowment Funds maintained by Women's Christian Association are to be used to further the mission of the organization (as stated on Form 990, Part III, Line 1) to provide a home for seniors where they can live with dignity and independence. WCA believes that all seniors are entitled to a homelike setting where their health and social needs are met without qualification by their ability to pay. WCA has never evicted a resident that has exhausted all of their funds and is unable to pay. The Endowment is Board directed and is used to supplement operations as needed to ensure that this mission is fulfilled.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive compensation is determined by the Board of Directors as outlined in the "Policy on Determining Executive Compensation". It requires use of external sources to determine comparable compensation, review and approval of changes by the Board of Directors and contemporaneous documentation on the deliberations and decisions. The President/CEO's compensation for health insurance and car allowance are grossed-up to cover the income tax impact.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive compensation is determined by the Board of Directors as outlined in the "Policy on Determining Executive Compensation". It requires use of external sources to determine comparable compensation, review and approval of changes by the Board of Directors and contemporaneous documentation on the deliberations and decisions. The President/CEO's compensation for health insurance and car allowance are grossed-up to cover the income tax impact.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Activity or Mission Description Women's Christian Association of Kansas City, MO is dedicated to fulfilling the mission established in 1905 which is to provide secure &amp; home-like environment, where seniors can live with dignity and independence. The staff and Board of Directors share a commitment to personal senior care. Mission Description Women's Christian Association of Kansas City, Missouri is dedicated to providing a secure, home-like environment where seniors can live with dignity and independence. The Board of Directors and Armour Oaks staff share a commitment to the person-centered approach to senior care. We provide the very best in personalized health and social services to meet the complete need of each and every resident. First Program Service Accomplishment Women's Christian Association of Kansas City, Missouri (WCA), doing business as Armour Oaks Senior Living Community (AO) is a retirement facility providing a continuum of care with independent living, assisted living, and skilled nursing services, dedicated to providing a secure homelike environment where seniors can live with dignity and independence. We provide personalized housing, health and social services to meet the needs of each resident. Our senior living services are provided to persons, including those at or below the poverty level, without regard to race, national origin, gender, age, disability, or religious belief. WCA is a stand-alone private not-for-profit corporation. All income is combined and used for the charitable purpose of WCA and all programs of WCA/AO are combined in one operating statement. This process allows WCA/AO to continue services to those seniors who have exhausted all of their income and savings and are at poverty level. As a point of reference, approximately seventy-six percent (76%) of our skilled population is Medicaid dependent. Medicaid reimbursement for these residents is far less than the actual cost of providing services and housing. In keeping with its charitable mission, WCA/AO has NEVER evicted a resident due to inability to pay. Residents receiving Independent Living services enjoy a stress free lifestyle, free of home maintenance, security and medical service. Services include daily life enrichment activities, weekly spiritual services, weekly transportation and housekeeping services, total grounds upkeep including snow removal and landscaping. RN/LPN and security staff are on duty 24 hours per day. All maintenance is provided and along with daily meal service. AO strongly endorses the concept of "aging in place" within the independent living units. Assistance is provided in securing appropriate home health services, etc., in an effort to prevent placement in a more restrictive living environment. In addition, the following services are available with costs set by the provider: dental, lab, x-ray, mental health, optometry, podiatry and physician services; complete restorative services including physical, occupational and speech therapy by licensed personnel, pharmacy services and hospice care. Assisted Living Residents receive care from licensed and certified nursing professionals. Residents all receive the following services: three 3) meals per day with special diets and tastes addressed at each meal; weekly housekeeping and linen services; medical staff services and administration of all medications; daily life enrichment programs, group shopping, scheduled sightseeing trips. In addition, the following services are available on site: dental, lab, x-ray, mental health, optometry, podiatry and physician services; a complete restorative program including physical, occupational and speech therapy, pharmacy services, hospice care, and a beauty salon. Assisted Living residents who have exhausted their resources and are at or below poverty level are provided for with the assistance of Missouri HealthNet and our Endowment funds. Currently over fifty-six percent (56%) of our Assisted Living residents receive assistance from the Missouri HealthNet program. Skilled nursing services are provided in our Care Center in a professional, personalized and caring atmosphere. Our licensed and certified nursing staff work together with the resident and their family to ensure a feeling of health and well-being while providing assistance with activities of daily living and supporting the unique needs of short-term, long-term and end of life care. All of our thirty-eight (38) licensed beds are certified for Medicare and Medicaid Services, ensuring availability of services without regard to ability to pay. Special diets and individual food likes and dislikes are addressed at each meal. All residents of the Care Center receive the following services: RN, LPN, CMT and Certified Nursing Aide inclusive services provided 24 hours per day, seven (7) days per week; all housekeeping, personal laundry and linen services, daily activities and social services, spiritual services, registered dietician services. In addition, the following services are available on site: dental, x-ray, mental health, optometry, podiatry, and physician services; complete restorative program, pharmacy services, and hospice care.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IV, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Women's Christian Association of Kansas City, MO dba Armour Oaks Senior Living Community is required by Missouri State Regulation 10 CSF 30-88 to maintain an account for Resident Funds separate from the funds of the corporation. These funds are the property of the residents and a quarterly accounting is provided to the resident or their designated representative.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Endowment Funds maintained by Women's Christian Association are to be used to further the mission of the organization (as stated on Form 990, Part III, Line 1) to provide a home for seniors where they can live with dignity and independence. WCA believes that all seniors are entitled to a homelike setting where their health and social needs are met without qualification by their ability to pay. WCA has never evicted a resident that has exhausted all of their funds and is unable to pay. The Endowment is Board directed and is used to supplement operations as needed to ensure that this mission is fulfilled.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>As outlined in the approved Board Review Policy, the IRS Form 990 is reviewed and approved by the Finance Committee on behalf of the organization before it is filed with the IRS. The Board of Directors will review the IRS Form within sixty (60) days of filing. The means of delivery shall be either hard copy or electronic document to each Director.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are required to submit conflict of interest disclosure statements annually to the Board of Directors. In addition, Board members are required to promptly disclose any actual or potential conflict should it arise during the year.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive compensation is determined by the Board of Directors as outlined in the "Policy on Determining Executive Compensation". It requires use of external sources to determine comparable compensation, review and approval of changes by the Board of Directors and contemporaneous documentation on the deliberations and decisions. The President/CEO's compensation for health insurance and car allowance are grossed-up to cover the income tax impact.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Policies and financial statements are available to the public upon request.</ExplanationTxt>
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      <ExplanationTxt>Women's Christian Association of Kansas City Missouri (WCA/AO) is a Medicare and Medicaid service provider. After completion of the independent audit, WCA/AO prepares and files the Medicare and Medicaid Cost Reports which are typically due on the last day of the fifth month following the fiscal year. In WCA/AO's case, that is May 31st. Information from the cost reports are used to develop the IRS Form 990. Lastly, the IRS Form 990 must be reviewed by the Operational Oversight Committee and approved by the Board of Directors prior to filing. We also had a turnover in the CFO position.</ExplanationTxt>
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