Kansas City Hospice & Palliative Care

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1 Kansas City Hospice & Palliative Care General Information Contact Information Nonprofit Address Kansas City Hospice & Palliative Care 1500 Meadow Lake Parkway Suite 200 Kansas City, MO Phone (816) Fax Website Facebook facebook.com/kchospice Twitter twitter.com/kchospice At A Glance Kansas City Hospice, Inc. Kansas City Hospice House NorthCare Hospice House Solace House Center for Grief and Healing Former Names NorthCare Hospice, Inc. 1

2 How to donate, support, and volunteer We are honored to accept one-time general donations as well as tribute gifts in honor or in memory of loved ones. We are also thankful for support year-round through our Sustaining Angels Society, which allows donors to set up recurring gifts to ensure that when families need us, we will be there. We never turn anyone away because they lack resources to pay. One-time donations or Sustaining Angel Society recurring gifts can be made or set up in any of the following ways: Online at By calling (816) By mailing a check to KCH Foundation, 1500 Meadow Lake Pkwy, Suite 200, Kansas City, MO If you would like to visit with someone regarding how your financial support will be used to further the Kansas City Hospice mission, or ways you might make a significant impact through a financial gift or by including KCH in your estate plans, please contact: Caryn Hohnholt, BSW, CFRE, Vice President of Development chohnholt@kchospice.org Phone: or Mary Zahner Bauer, Director of Donor Relations mbauer@kchospice.org Clothing, jewelry and household goods can be donated to Top Drawer Resale Shop (9433 Mission Road, Leawood, KS 66206). With one full-time staff member overseeing an all-volunteer crew, we work hard to maximize every dollar earned from your gifts in kind to Top Drawer! You can also find beautiful things at amazing prices to bring home! We accept vehicles, real estate, or cemetery plot donations. We participate in many employer matching gift programs as well as United Way, Community Health Charities, Combined Federal Campaign, and other workplace giving opportunities. Volunteer opportunities include: patient care assistance at home, Kansas City Hospice House, NorthCare Hospice House, Top Drawer Resale Shop, Pet Care, Solace House Center for Grief and Healing (serving children ages 3-adults), special events, and office support. 2

3 Mission & Areas Served Statements Mission Statement Mission: To bring expert care, peace of mind, comfort, guidance and hope to people who are affected by life threatening and life limiting illness. Background Statement Kansas City Hospice & Palliative Care (KCH&PC) was founded in Since our beginning we have responded thoughtfully to community needs as they have arisen, expanding into the comprehensive system of end-of-life programs and services we offer today. KCH&PC programs include Kansas City Hospice House, NorthCare Hospice House, Hospice Home Health Care, Palliative Home Health Care (pre-hospice), Carousel Pediatric Hospice, Solace House Center for Grief and Healing, Passages Counseling Center, and grief support camps Camp Erin and Camp Carousel. KCH&PC is instrumental in helping to educate local physicians through the Palliative Care Fellowship Program offered in conjunction with The University of Kansas Medical Center. In the 1990s KCH&PC created the Carousel Program, the first pediatric hospice program in the area specializing in the care of seriously ill children and their families. NorthCare Hospice & Palliative Care was established in 1995 providing compassionate, state-of-the-art hospice care serving Cass, Clay, Clinton, Jackson, Platte and Ray counties in Missouri. In the early 2000s we began providing Palliative Home Health for patients who have a life-threatening diagnosis, but are not ready for hospice. In 2005 KCH&PC created a Fellowship Program in Hospice and Palliative Medicine. Today the program continues through partnership with the University of Kansas Medical Center. In 2006 KCH&PC opened the Kansas City Hospice House, the first free-standing hospice facility in the area for patients too ill to be cared for at home. In 2009 Solace House joined KCH&PC s umbrella of programs as the only grief support center of its kind in the Kansas City area serving children, families and individuals. In July 2015 NorthCare Hospice became a subsidiary of Kansas City Hospice & Palliative Care. NorthCare merged with KCH&PC on February 1, In the spring of 2016 Elaine McIntosh announced her retirement. David Wiley now serves as Kansas City Hospice and Palliative Care President and CEO. David previously served on the Board and served as the Chief Operating Officer since Impact Statement Accomplishments for 2017: 1. Quality of Care: We understand that the quality of our care is the most important focus in caring for patients and their families at the end of life. We continue to receive Honors and Awards for our top tier results from family satisfaction surveys. 88% of our families said they would recommend us to others which exceeds the national average. 2. Growth of our business: We are striving to help more people in our community and have grown by 25% to serve more than 485 patients each day across all of our care programs. 3. Focusing on our people: Attracting and retaining the right staff is key to our success. We are proud that we retain 85% of our staff on an annual basis. 4. Leadership is important: We have hired key talent that positions our organization for both short and long term success. In 2017, we hired a new COO, CFO, and Vice President of Development. Goals for 2018: 1. Quality of Care: Continuing to focus on high quality care is critically important to the provision of a meaningful end of life experience to patients and their families. 2. Growth of our Business: We are striving to provide care to more people in our community through strategic partnerships with large health systems, physician practices, and helping patients in long term care settings. 3. Focusing on our People: Helping employees do this meaningful work is accomplished through a supportive environment, education, and ensuring we have the right number of staff to meet the needs of patients and families. 4. Optimizing our Expenses: Focusing on streamlining back-end processes and reducing expenses that do not impact great patient care is important to offsetting the increasing costs of operating our business with minimal increases to reimbursement for care. 5. Our organization made tremendous strides in 2017 and plans to enhance those efforts in 2018 to provide more diverse services and address needs of the community into the future. 3

4 Needs Statement With philanthropic support from donors in our community, KCH&PC: 1. Provides approximately $400,000 annually in dignified, high quality end-of-life care to individuals in the Kansas City area without resources to pay. 2. Annually sees more than 100,000 individuals who come through the doors to visit friends and loved ones being served by the capable Kansas City Hospice House and NorthCare Hospice House caregiving teams. Capital expenses are expected to exceed $300,000 in Cares for more than 70 little ones on pediatric hospice service each year. As the only hospice in the Kansas City area with a team dedicated to the unique needs of children, Team Carousel cares for approximately 22 little ones on any one day. $288,000 in donations from the community must be raised each year for this important service. 4. At no charge, provides Expressive Therapies including art, music, and play for children served by Team Carousel and their siblings and other family members. These therapies are non-billable, and expenses exceed $133,000 each year. 5. Provides grief support at no charge to nearly 3,000 individuals at any one time, including those who have experienced sudden and unexpected loss. Solace House Center for Grief and Healing needs $162,000 annually to offer this valuable care to the community. CEO/Executive Director/Board Chair Statement Kansas City Hospice & Palliative Care is the leader in our region in hospice and palliative care and provides a continuum of services and an array of programs for those who are affected by life-threatening and life-limiting illness. The Board of Directors consists of knowledgeable, highly experienced members who take seriously their role as stewards of the organization's mission to bring expert care, peace of mind, comfort, guidance and hope to people who are affected by life-threatening and life-limiting illness. The Board is deeply grateful for the generosity of the Kansas City community. Thanks to philanthropic support from our community, families can be assured of care when they need it. Service Categories Hospice Home Health Care Areas of Service Areas Served Areas MO KS MO - Jackson County MO - Clay County MO - Platte County KS - Wyandotte County KS - Johnson County MO - Eastern Jackson Co MO - Jackson County Urban Core KS - Wyandotte County Urban Core MO - Clinton MO - Ray County KS - Leavenworth County Kansas City Hospice & Palliative Care serves families in the Greater Kansas City Metropolitan Area. The 12- county service area includes: Douglas, Johnson, Leavenworth, Miami, and Wyandotte counties in Kansas, and Cass, Clay, Clinton, Jackson, Lafayette, Platte, and Western Ray in Missouri. 4

5 Programs Programs Hospice Care Description Category Population Served Short-Term Success Hospice care is a philosophy of holistic care designed to make the final months, weeks and days of illness as comfortable and high quality as possible. Hospice care can be delivered in many settings, however the majority of hospice care is provided in the home of the patient. The goals of hospice are to ease pain, control symptoms, provide comfort to patients and families and help people live as fully as possible for as long as possible. Hospice teams consist of nurses, physicians, social workers, chaplains, therapists, home health aides and volunteers. Locations of care include the patient's personal residence, long term care and assisted living facilities, and in one of our two Inpatient Hospice Houses. The Kansas City Hospice House is located at Wornall Road in Kansas City, MO, and NorthCare Hospice House is located on the 2nd floor of the North Kansas City Hospital, located at 2800 Clay Edwards Dr., North Kansas City, MO. Health Care, General/Other Hospice Care Adults, Aging, Elderly, Senior Citizens, Families Patients feel less pain and discomfort; family members receive the emotional and spiritual support they need; families feel confident in knowing how to care for their loved ones. These outcomes plus 47 others are measured through a questionnaire sent by an independent company to all families served. The results of the questionnaires are compiled and compared to a national database of over 1,700 hospices nationwide. Success is indicated when at least 90% of families state that: 1.The patient received the right amount of help with pain. 2.Family members received the right amount of emotional support. 3.Caregivers received the right amount of spiritual support. Long- Term Success Program Success Monitored By Long term successes are achieved when: no one dies in pain, and patients receive all of the emotional and spiritual support they need to make the journey at the end of life as easy as possible; family members are not overburdened when serving as home caregivers for their loved ones. Instead they are able to participate in the care at whatever level they feel is best; and the patient and family members express and manage grief appropriately so that the path to healing can begin. Nurses and social workers monitor the patient's pain levels and psychological and emotional well-being on each visit to the home. The effectiveness of pain management, the management of anxiety and stress and whether or not loved ones receive the right amount of support following a patient's death are measured by DEYTA LLC, the largest hospice benchmark data base in the U.S, which evaluates family satisfaction and compares those outcomes to those of over 1,700 hospices nationwide. Any concerns identified are addressed in regular meetings of the Quality Assessment and Improvement Committee, which sets objectives and establishes methods of improving and measuring program outcomes. 5

6 Examples of Program Success The most recent Family Satisfaction Survey shows that: % of families responding to the survey agreed that the patient received the right amount of help with pain % of families rated the care of their loved one as "8","9", or "10" on a 10 point scale % stated that family members received the right amount of emotional support % stated that family members received the right amount of spiritual support. Community Based Palliative Care Description Category There are two services in this category, Palliative Home Health Care and Advanced Illness Support. Palliative Care provides hospice-like services to seriously ill patients who are not eligible for or interested in hospice care. As with hospice, care focuses on quality of life, symptom management, support and education for families, however, patients may be receiving active treatment, or be unsure of longer term treatment goals. This program is a pioneering effort unmatched in Kansas City offering a continuum of care so patients can access the expertise and guidance they need at any time during illness. PALLIATIVE HOME HEALTH: As with hospice, care is provided by a team of nurses, social workers, physical and occupational therapists, nurse aides, chaplains and others as needed. ADVANCED ILLNESS MANAGEMENT: Nurse Practitioners visit patients in their homes one or multiple times to help assess, educate patients and family, and support the patient's physician in managing the patient's care. Health Care, General/Other Home Health Care Population Served Adults,, Short-Term Success Long- Term Success Program Success Monitored By Examples of Program Success Patient's symptoms are managed, family is confident, with patient stabilizing and discharged if appropriate, or transferred to other levels or types of care if needed and desired. Patient's course of illness is well coordinated through all levels of care and stages of illness, with no crises or emergencies, and loved ones are well supported and prepared for the future. Patient resides in their home throughout the illness if that is desired by the patient and loved ones. Nurses monitor the patient's pain levels and psychological and emotional well-being on each visit to the home. Adjustments to medications and management of symptoms can be made at each visit as needed. The growth of Community Based Palliative Care services reflects that this is becoming a normal part of the health care continuum. While the terms "hospice" and "palliative care" traditionally have been understood as end of life care, our heartfelt purpose embraces a wider purpose as well -- to improve quality of life, helping people with serious illness to remain in their home environment, surrounded by their loved ones, for as long as possible. In order to do so many families need a broad spectrum of supports personally tailored to their specific needs. Our Palliative Home Care and Advance Illness Support professionals in many cases have the honor of spending extended periods of time with these patients and becoming intimately familiar with the family, fostering deep trust and caring. When appropriate, families can then transition comfortably from community based palliative care to hospice cared for by professionals who are familiar with them and their families. 6

7 Children's Hospice & Palliative Care Description The CAROUSEL PROGRAM serves seriously ill children. Although we have made remarkable strides in so many diseases, unfortunately children do die of cancer, of neurological disease, or of congenital problems which exist from birth. The Carousel Program addresses the physical, emotional and spiritual needs of the child and all who live him or her. The program provides a unique blend of health and counseling services, all designed to support the child and family through the illness. We want children to have as normal a life as possible for as long as possible. Our staff is available to visit children, toddlers to teens, at school or day care, for their medical or counseling appointments. When home is not the ideal setting, The Kansas City Hospice House is available for families if care at home is not possible. We also provide grief support after a child has died for as long as the family needs it. Category Health Care, General/Other Hospice Care Population Served Children and Youth (0-19 years),, Short-Term Success Short term success is achieved when the patient's days are as pain free as possible, with the child able to engage in activities and interact with family members and friends. In addition to medical care, other services such as art therapy, music therapy, and counseling help both the child and family during this time. Grief counseling, Camp Carousel and Camp Erin help families who need assistance with the healing process. These are described in further detail under "Specialized Counseling and Grief Support Program". Outcomes are monitored by a national database which evaluates family satisfaction of over 50 outcomes, comparing KCHPC outcomes to over 1,700 hospices nationwide. The following are three of those outcomes. Success is indicated when at least 90% of Carousel families state: 1.Their child received the right amount of help with pain. 2.Family members received the right amount of emotional support. 3.Family members received the right amount of spiritual support. Long- Term Success Program Success Monitored By Long term success for this program is realized when every family in our service area is aware of the services we provide; when all children with life-limiting illnesses or conditions are as pain-free as possible and able to live their last days in a high quality manner; when both the child and family members receive the counseling and support they need to make this difficult journey easier; when no adult is overburdened by serving as home caregiver for a child. Nurses and social workers monitor the child's pain levels on each visit to the home. Pediatric and Perinatal Hospice are included in our monitoring via Family Satisfaction Surveys. DEYTA, LLC, the largest hospice quality benchmark data base in the U.S., evaluates family satisfaction of over 50 outcomes and compares individual hospice outcomes to those of over 1,700 hospices nationwide. Any concerns identified are addressed in regular meetings of the Quality Assessment and Improvement Committee, which sets objectives and establishes methods of improving and measuring program outcomes. 7

8 Examples of Program Success The latest Family Satisfaction Survey shows that: % of families responding to the survey agreed that the child received the right amount of help with pain % of families rated the care of their loved one as "8", "9" or "10" on a 10-point scale % stated that family members received the right amount of emotional support % stated that family members received the right amount of spiritual support. Specialized Counseling and Grief Support Description Category Services include: 1. Individual and family grief support counseling in the family's home or at one of our facilities. 2.Grief Support Groups in various locations throughout the community. 3. Solace House Center for Grief and Healing serves children ages 3 through adults. 4. Two therapeutic weekend grief support camps. Both school-aged children and parents or guardians attend Camp Carousel where children integrate the loss of a loved one, while providing parents with beneficial ways to nurture themselves and their children. Camp Erin for children and teens offers children the opportunity to meet other children who have experienced a loss as a result of a death. 5. Passages - counseling for difficult life transitions, the emotional impact of health problems, trauma, grief and loss, or adult mental illness. 6.Art Therapy and Music Therapy Mental Health, Substance Abuse Programs, General/other Grief Counseling Population Served General/Unspecified,, Short-Term Success Long- Term Success Program Success Monitored By Examples of Program Success Clients achieve short term success when they are able to begin the healing process, show improvement, and return to a level of work or school and other activity that is normal for them. Short term success is indicated when those who have experienced a loss know how to ask for help, how to express their grief appropriately and how to act compassionately toward others. Long term success is achieved when those who have experienced a loss are able to express feelings of grief and have strategies for coping, communicating, healing and have integrated the loss into life and reentered the normal course of life. At the beginning of grief support counseling clients receive two Bereavement Risk Assessments, an intake assessment by a social worker and a second assessment by a grief specialist during their first visit with the client. A Care Plan is developed based on these two assessments. Every 90 days the Care Plan is re-evaluated until the support cycle is completed. According to the most recent Family Satisfaction Survey, 94.1% of families reported that they received the right amount of emotional support. 8

9 Education - Professional and Community Description Category This program offers two services, Professional Education and Community Education. PROFESSIONAL EDUCATION: Physicians, residents, medical students, nurses and other health care professionals are able to see firsthand hospice and palliative care. Students accompany staff on patient visits, attend staff team meetings and meet with our medical directors to learn about hospice and palliative care. COMMUNITY EDUCATION: KCHPC provides community education to broaden the understanding of hospice and palliative services. Our Speakers Bureau offers an array of educational topics including support services for the seriously ill, how to make end of life decisions, how to deal with grief and loss and how to be an effective caregiver. Solace House Center for Grief and Healing provides education and support to area schools, businesses, organizations, and community groups when they experience a sudden and often traumatic loss, helping them to develop appropriate response and support to students, employees, and members. Human Services, General/Other Information & Referral Population Served Adults,, Short-Term Success Long- Term Success Program Success Monitored By Examples of Program Success PROFESSIONAL EDUCATION: The physicians, residents, and medical and nursing students we train are able to apply their knowledge to make a difference in the care of persons who have life-limiting illnesses or palliative care needs. The Palliative Medicine Fellowship program is instrumental in helping physicians prepare to specialize in this muchneeded field. COMMUNITY EDUCATION: Those who attend our educational programs receive what they need in order to make informed decisions about hospice and palliative care, for themselves and for their families. Home caregivers with specific concerns can get helpful, practical advice, and learn how to reduce stress. PROFESSIONAL EDUCATION: The Kansas City metropolitan and surrounding areas are well served by compassionate, knowledgeable physicians and other clinicians who have received state-of-the-art training in hospice and palliative care. COMMUNITY EDUCATION: Knowing that we have informed and educated the community so that anyone who desires hospice or palliative care is well informed about resources available to them and can easily access this care so as to realize the full benefits of the services that are available through hospice and palliative care. PROFESSIONAL EDUCATION: Progress is monitored through the use of evaluations that are completed by both instructors and trainees. COMMUNITY EDUCATION: Progress is monitored through the use of evaluation forms distributed at the beginning of each session. Attendees are invited to rate several aspects of the presentation, and include additional comments and observations. PROFESSIONAL EDUCATION: In their evaluation of our education programs, participants regularly express their satisfaction with the quality of the experience, and note how their introduction to hospice, and additional skills acquired, will be of lasting value in their careers. COMMUNITY EDUCATION: Evaluations by attendees show that an acceptable level of education goals has been met. CEO Comments A hallmark of our organization is that we have both great depth and great breadth in our programs. As an American Hospital Association Circle of Life award winner, we have received national recognition for the breadth of our programming, and in both 2017 and 2018 we received the Health Care First Honors awards for 9

10 excellence in our patient/family satisfaction survey results for Home Health and Hospice programs, respectively. We pride ourselves on being able to meaningfully care for people of all ages. Our pediatric hospice program is rare in that we have a team dedicated to the special needs of children, rather than having children in our general patient population. Our Specialized Counseling and Grief Support services are extensive for both those we have served through hospice care, as well as those who are referred to Solace House by schools, churches, psychotherapists, the juvenile courts and mental health agencies. Our Community Based Palliative Care services are a pioneering effort which is unmatched in terms of scope of care allowing patients who are receiving active treatment to be followed at home by nurses and counselors. Kansas City Hospice & Palliative Care is a recognized leader in educating physicians through our Fellowship partnership with the University of Kansas Medical School. We are pleased to have completed the merger of NorthCare Hospice into Kansas City Hospice in 2017 which enhanced our reach in the community, predominantly in the Northland. 10

11 Leadership & Staff Executive Director/CEO Executive Director Mr. David Wiley Term Start Jan Experience Mr. Wiley held over 20 years of progressive leadership as Vice President, Field Operations with H&R Block, Inc. which included field management, call center, finance, accounting and cross-functional leadership of organizations. He was responsible for 4,200 retail tax locations in 22 states generating $1 billion in revenue from both company and franchised locations. He has served on the Board of the Kansas City Free Clinic and AIDS Service Foundation for Greater KC, the H&R Block Volunteer Committee and the National Kidney Foundation Home Tour Finance Committee. He has received the I.J. Mnookin Award for Outstanding Community Service. Former CEOs Name Term Ms. Elaine McIntosh Ms. Carol Peltier Nov Nov 1993 Senior Staff Mr. Paul Weddle Title Chief Operating Officer Mr. Tim McLane Title Chief Financial Officer Ms. Caryn Hohnholt Title Vice President Development Staff Paid Full-Time Staff 264 Paid Part- Time Staff 86 Volunteers 525 Retention Rate 84% Paid Contractors 14 Formal Evaluations CEO Formal Evaluation CEO/Executive Formal Evaluation Frequency Senior Management Formal Evaluation Annually 11

12 Senior Management Formal Evaluation Frequency NonManagement Formal Evaluation Non Management Formal Evaluation Frequency Annually Annually Plans & Policies Organization Has a Fundraising Plan Organization Has a Strategic Plan Management Succession Plan Organization Policy and Procedures Nondiscrimination Policy Whistleblower Policy Document Destruction Policy Collaborations Kansas City Hospice regularly cooperates with area hospitals, nursing facilities, and other care-related agencies. Our hospice teams provide support to many hospital-based palliative care teams, and have advised 6 regional hospitals in developing such teams. We train students from the UMKC School of Medicine, the University of Kansas School of Medicine, and the Kansas City University of Medicine and Biosciences. We have created a Palliative Care Fellowship program, in cooperation with KU Med. External Assessment and Accreditations Assessment/Accreditation Centers for Medicare and Medicaid Services (U.S. Department of Health and Human Services) - Medicare Certification Central Missouri State University (CMSU) Annual Charter School Review Year Awards Awards 12

13 Award/Recognition Organization Year Hospice Honors HealthCare First, Inc Stevie Schuchart, LCSW, Employee of the Year Kathy Corbin, Administrative Volunteer of the Year Missouri Hospice & Palliative Care Association Missouri Hospice & Palliative Care Association HHCAHPS Honors HealthCare First, Inc Elaine McIntosh, Lifetime Achievement Award Ann Allegre, MD, Lifetime Achievement Award Joel Carmer, Employee of the Year Carol Barnett, Volunteer of the Year Missouri Hospice & Palliative Care Association Missouri Hospice and Palliative Care Association Missouri Hospice and Palliative Care Association Missouri Hospice and Palliative Care Association Hospice Honors DEYTA 2014 Program Award/"Kids Club" at Kansas City Hospice House" Mary Bales, Volunteer of the Year Hastings Center Cunniff-Dixon Award to Ann Allegre for exemplary end of life care Missouri Hospice and Palliative Care Association Missouri Hospice and Palliative Care Association Hastings Center 2010 Circle of Life Award American Hospital Association 2010 Kathy Fetters, Heart of Hospice Individual Award Vicki Archer, R.N., Heart of Healthcare Nursing Award Dr. Christian Sinclair, Project on Death in America Community Leadership Award Dr. Ann Allegre, named Fellow Missouri Hospice & Palliative Care Association University of Kansas School of Nursing American Academy of Hospice & Palliative Medicine American Academy of Hospice and Palliative Medicine Government Licenses Is your organization licensed by the government? CEO Comments Hospice care has now been part of the health care continuum for nearly 40 years. Kansas City Hospice & Palliative Care has been at the forefront of innovation and program development which has kept pace with the changes of these past four decades. Over the years, the patients we serve have become increasingly more complex. Hospital stays have become increasingly short and patients go home in need of an intense level of support. The health care environment has become more and more competitive and complex as well. These changes have necessitated creativity, commitment, and even courage to try new approaches to caring for patients and their loved ones. Expansions into palliative care, development of a state of the art hospice inpatient facility, along with many other initiatives bear witness to the Board of Directors' openness to learning and innovation, the expertise of the staff and the seriousness with which the mission is honored. Kansas City is fortunate to have this organization in the community. Many cities, both larger and smaller than ours do not have this level of expertise or service available. It is a tribute to the vast number of people who have helped the organization along the way. We look forward to many more decades of innovation and service. 13

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15 Board & Governance Board Chair Board Chair Ms. Donna Payne Term Apr 2014 to Mar Board Members Name Ms. Jody Abbott Vice Chair Ms. Sherry Ainsworth Dr. Alfred Biggs Ms. Lynne Brown Immediate Past Chair Mr. Dave Brown Treasurer Mr. Richard Cull Ms Sheilahn Davis-Wyatt Dr. Nancy DeBasio Mr. Bill Intrater Mr. Steve Jones Dr. Barbara Lukert Ms. Anne O'Brien Ms. Donna Payne Board Chair Dr. Susan Pingleton Secretary Dr. Robert Pluenneke Mr. John Sinnett, Jr. Ms. Michelle Stark Kaufman Mr. William Tammeus Vice Chair Mr. David S Wiley Affiliation North Kansas City Hospital Executive Assistant Lockton Companies Retired Physician Retired Elementary School Teacher, Community Volunteer CPA, Retired KC Plastic Laminating Health Care Administrator Research College Strategic Alliance for Adknowledge Retired Bishop, Community Volunteer Professor of Medicine, UMKC Attorney, Retired Executive Coach Kansas University Medical Center Physician, University of Kansas Cancer Center N Board of Trustees, North Kansas City Hospital Sonnenschein Nath & Rosenthal Editor, Writer President & CEO, KCH&PC Board Demographics - Ethnicity African American/Black 1 Asian American/Pacific Islander 0 Caucasian 18 Hispanic/Latino 0 Native American/American Indian 0 Other 0 Board Demographics - Gender Male 9 Female 10 15

16 Unspecified 0 Governance Board Term Lengths 3 Board Term Limits 3 Board Meeting Attendance % 94% Written Board Selection Criteria? Written Conflict of Interest Policy? Percentage Making Monetary Contributions 100% Percentage Making In-Kind Contributions 100% Constituency Includes Client Representation Number of Full Board Meetings Annually 12 Standing Committees Audit Executive Finance Nominating Advisory Board / Advisory Council CEO Comments Kansas City Hospice is fortunate to have a highly dedicated and capable Board of Directors. Commitment to our mission, along with great care and concern for the staff and volunteers who carry out that mission, characterize this deeply knowledgeable group. Board leadership is especially important during this exciting and demanding time of national concern about the future of health care. Our Board is also supportive of our special events, including our annual Signature Event, which has helped to raise our visibility in the community as well as expand our donor base. 16

17 Financials Fiscal Year Fiscal Year Start Jan 01, 2018 Fiscal Year End Dec 31, 2018 Projected Revenue $26,849, Projected Expenses $29,400, Endowment Value $1,156, Spending Policy Income Only Percentage 0% Detailed Financials Revenue and Expenses Fiscal Year Total Revenue $23,234,121 $21,124,236 $21,707,140 Total Expenses $23,234,121 $21,124,236 $21,707,135 Revenue Sources Fiscal Year Foundation and Corporation $6,300,652 $0 $0 Contributions Government Contributions $0 $0 $313 Federal State Local Unspecified -- $0 $313 Individual Contributions Indirect Public Support -- $0 $0 Earned Revenue $16,798,845 $18,150,904 $18,423,933 Investment Income, Net of Losses $0 $0 $5 Membership Dues -- $0 $0 Special Events $0 $0 $0 Revenue In-Kind -- $0 $0 Other $134,624 $5,294 $31,348 17

18 Expense Allocation Fiscal Year Program Expense $18,129,295 $16,473,998 $17,199,111 Administration Expense $5,104,826 $4,650,238 $4,508,024 Fundraising Expense $0 $0 $0 Payments to Affiliates Total Revenue/Total Expenses Program Expense/Total Expenses 78% 78% 79% Fundraising Expense/Contributed Revenue 0% -- 0% Assets and Liabilities Fiscal Year Total Assets $15,443,532 $15,776,035 $15,649,562 Current Assets $4,207,150 $3,968,508 $2,837,695 Long-Term Liabilities $10,742,820 $8,320,110 $7,147,521 Current Liabilities $2,150,425 $2,134,909 $1,842,418 Total Net Assets $2,550,287 $5,321,016 $6,659,623 Short Term Solvency Fiscal Year Current Ratio: Current Assets/Current Liabilities Long Term Solvency Fiscal Year Long-Term Liabilities/Total Assets 70% 53% 46% Top Funding Sources Fiscal Year Top Funding Source & Dollar Amount Anonymous $6,300,652 Second Highest Funding Source & Dollar Amount Third Highest Funding Source & Dollar Amount Capital Campaign Currently in a Capital Campaign? No Goal $0.00 Capital Campaign Anticipated in Next 5 Years? No Organization Comments In a rapidly changing health care environment our biggest challenge today is guaranteeing our financial future. As a mission-based organization, we provide important and essential services some of which are not fully reimbursed by Medicare, Medicaid or private insurance. We realize that we will continue to depend on the philanthropic community to help make up the difference. Board leadership is especially important during this exciting and demanding time of national concern about the future of health care. We are fortunate to have a seasoned, experienced Board of Directors. With their thoughtful guidance and support Kansas City Hospice & Palliative Care will continue to lead our community in hospice and palliative care services for many years to come. Foundation Comments FY 2016, 2015, 2014: Financial data reported using the IRS Form 990. Foundation/corporate revenue line item may include contributions from individuals. Created Copyright 2018 Greater Kansas City Community Foundation 18