Civic Intelligence

Hospice Charitable Foundation of Derby

EIN 48-1175534 • 501(c)3 • Wichita, KS

Profile

Providing medical supplies and services to patients who would not otherwise be able to afford them.

C/O 200 W Douglas Suite 1000Wichita, KS 67202

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2015

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2015

Net Margin

3rd percentile

-1053%

Higher net margin than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2015

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2015

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

17th percentile

-54%

Faster revenue growth than 17% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $1,579 (-100%) from 2014

Liabilities

-

No earlier filing loaded for comparison.

Net Assets

Down

$0

Down $1,579 (-100%) from 2014

Operations
Liabilities / RevenueScore unavailableNet Margin3rd percentile

Revenue

Down

$150

Down $176 (-54%) from 2014

Expenses

Down

$1,729

Down $5,420 (-76%) from 2014

Net Income

Up

-$1,579

Up $5,244 (+77%) from 2014

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10K$5.0K$0Assets 2011: $7,639Net Assets 2011: $7,6392011Assets 2012: $7,801Liabilities 2012: $0Net Assets 2012: $7,8012012Assets 2013: $8,402Liabilities 2013: $02013Assets 2014: $1,579Liabilities 2014: $0Net Assets 2014: $1,5792014Assets 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities-
Net Assets$0
Open 2015 Filing

Operations Trend

Revenue Growth17th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10K$5.0K$0-$5.0K-$10KRevenue 2011: $709Expenses 2011: $7,220Net Income 2011: -$6,5112011Revenue 2012: $688Expenses 2012: $526Net Income 2012: $1622012Revenue 2013: $973Expenses 2013: $372Net Income 2013: $6012013Revenue 2014: $326Expenses 2014: $7,149Net Income 2014: -$6,8232014Revenue 2015: $150Expenses 2015: $1,729Net Income 2015: -$1,5792015

Highlighted filing

2015

Revenue$150
Expenses$1,729
Net Income-$1,579
Open 2015 Filing

Filings

Most recent year

2015 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
-
Net assets
$0
Revenue
$150
Expenses
$1,729
Net income
-$1,579
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$0$0$150$1,729$1,579
2014Detailed filing. Detailed filing data is available for this year.$1,579$0$1,579$326$7,149$6,823
2013Summary only. Only limited summary data is available for this year.$8,402$0$973$372$601
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7,801$0$7,801$688$526$162
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$7,639$7,639$709$7,220$6,511
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Jul 8, 2015
Return Version
2014v5.0
Gross Receipts
$150
Mission and Program Overview

Mission

Providing medical supplies and services to patients who would not otherwise be able to afford them.

Program Services

DescriptionGrantsExpenses
PROVIDING MEDICAL SUPPLIES AND SERVICES TO PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD THEM.-$1,729
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
DERRY LARSONPresident-$0--
LORENA K JENSENSecretary-$0--
LORENA K JENSENTreasurer-$0--
Filing and Contact Details

Filer

Filer Name
Hospice Charitable Foundation of
EIN
48-1175534
Phone
3162638030
Address
C/O 200 W DOUGLAS SUITE 1000, WICHITA, KS 67202

Signing Officer

Name
Derry a Larson
Title
President
Phone
3162638030
Signed
2015-07-08

Preparer

Firm
Larson & Company Pa
Address
200 W DOUGLAS AVE STE 1000, WICHITA, KS 67202
Preparer
Derry a Larson
Phone
3162638030
Supplemental Narrative

Additional Explanations

Form 990-ez, Part I, Line 16

“Expenses donations to charities 798 state fees 60 bank fees 110 total 968”

Form 990-ez, Part III

“Providing medical supplies and services to patients who would not otherwise be able to afford them.”

Raw XML Appendix149 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990EZ/BooksInCareOfDetail/PersonNm0DERRY LARSON
IRS990EZ/BooksInCareOfDetail/PhoneNum03162638030
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0200 W DOUGLAS
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0WICHITA
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0KS
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd067202
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt01579
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt0150
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0-1579
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt0761
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/FinalReturnInd0X
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt01579
IRS990EZ/Form990TotalAssetsGrp/EOYAmt00
IRS990EZ/GrossReceiptsAmt0150
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt01579
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt01579
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt0000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt1000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt2000.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0DERRY LARSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1LORENA K JENSEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2LORENA K JENSEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2TREASURER
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0true
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherExpensesTotalAmt0968
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0PROVIDING MEDICAL SUPPLIES AND SERVICES TO PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD THEM.
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0PROVIDING MEDICAL SUPPLIES AND SERVICES TO PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD THEM.
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt01729
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt01729
IRS990EZ/TotalProgramServiceExpensesAmt01729
IRS990EZ/TotalRevenueAmt0150
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0150
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0326
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0604
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0591
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0588
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt02259
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt02259
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0150
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0326
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0604
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0591
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0588
IRS990ScheduleA/Total509Grp/TotalAmt02259
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0150
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0326
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0604
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0591
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0588
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02259
IRS990ScheduleN/AssetsDistributedInd0false
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02015-06-18
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12015-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0480554339
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1480554440
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0648
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt1150
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0KANSAS HUMANE SOICETY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm1YWCA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt03313 N HILLSIDE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt11111 N ST FRANCIS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0WICHITA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1WICHITA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0KS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1KS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd067220
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd167214
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0EXPENSES DONATIONS TO CHARITIES 798 STATE FEES 60 BANK FEES 110 TOTAL 968
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PROVIDING MEDICAL SUPPLIES AND SERVICES TO PATIENTS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD THEM.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990-EZ, PART I, LINE 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990-EZ, PART III
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/PersonNm0DERRY A LARSON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum03162638030
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-07-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HOSPICE CHARITABLE FOUNDATION OF
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0DERBY
ReturnHeader/Filer/BusinessNameControlTxt0HOSP
ReturnHeader/Filer/EIN0481175534
ReturnHeader/Filer/PhoneNum03162638030
ReturnHeader/Filer/USAddress/AddressLine1Txt0C/O 200 W DOUGLAS SUITE 1000
ReturnHeader/Filer/USAddress/CityNm0WICHITA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0KS
ReturnHeader/Filer/USAddress/ZIPCd067202
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0481089910
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LARSON & COMPANY PA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0200 W DOUGLAS AVE STE 1000
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0WICHITA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0KS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd067202
ReturnHeader/PreparerPersonGrp/PhoneNum03162638030
ReturnHeader/PreparerPersonGrp/PreparationDt02015-07-08
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DERRY A LARSON
ReturnHeader/ReturnTs02015-07-08T16:22:36-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02014-07-01
ReturnHeader/TaxPeriodEndDt02015-06-30
ReturnHeader/TaxYr02014

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