HOSPICE MAUI INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE MAUI INC (EIN 99-0215149)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-01-11
- IRS object ID
- 202210119349301221
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-01-11T12:07:57-06:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 990303190 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARBONARO CPAS & MANAGEMENT GROUP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1885 MAIN ST STE 408 | AddressLine1Txt |
| City | WAILUKU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96793 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990215149 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE MAUI INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 8082445555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MAHALANI STREET | AddressLine1Txt |
| City | WAILUKU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96793 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTOFFER RASOS | PersonNm |
| Person Title | BUSINESS SERVICE DIR | PersonTitleTxt |
| Phone | 8082445555 | PhoneNum |
| Signature | 2022-01-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KRISTOFFER | PersonFirstNm |
| Person Last | RASOS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GRETCHEN KREMEYER | PreparerPersonNm |
| PTIN | P00768528 | PTIN |
| Phone | 8082425002 | PhoneNum |
| Preparation | 2022-01-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MELANIE DWYER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MAHALANI STREET | AddressLine1Txt |
| City | WAILUKU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96793 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,800,119 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HOSPICEMAUI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | HOSPICE CARE FOR TERMINALLY ILL INDIVIDUALS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 81 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,325,082 | PYContributionsGrantsAmt |
| CY Contributions Grants | $544,042 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,556,426 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,241,714 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,639 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,716 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,022 | PYOtherRevenueAmt |
| CY Other Revenue | $7,647 | CYOtherRevenueAmt |
| PY Total Revenue | $7,919,169 | PYTotalRevenueAmt |
| CY Total Revenue | $7,800,119 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,733,427 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,256,609 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,747 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,944,499 | PYOtherExpensesAmt |
| CY Other Expenses | $2,030,907 | CYOtherExpensesAmt |
| PY Total Expenses | $6,677,926 | PYTotalExpensesAmt |
| CY Total Expenses | $7,287,516 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,241,243 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $512,603 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,630,773 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,905,208 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,310,108 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,071,503 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,320,665 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,833,705 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE MEDICAL, NURSING, COUNSELING AND OTHER SUPPORTIVE SERVICES NECESSARY FOR INDIVIDUALS WITH LIFE-LIMITING ILLNESSES AND THEIR FAMILIES | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,656,769 | ExpenseAmt |
| Revenue | $7,249,074 | RevenueAmt |
| Desc | PROVIDE FOR THE PHYSICAL, SOCIAL, EMOTIONAL AND SPIRITUAL NEEDS OF TERMINALLY ILL PATIENTS AND THEIR FAMILIES ON MAUI SO THAT THEIR FINAL DAYS TOGETHER CAN BE MEANINGFULLY SPENT IN COMFORT AND WITH DIGNITY. | Desc |
| Total Program Service Expenses | $5,656,769 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 81 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HOSPICE MAUI INC | PersonNm |
| Phone | 8082445555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MAHALANI STREET | AddressLine1Txt |
| City | WAILUKU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96793 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DALE BONAR | ||||||||
| PRESIDENT | 9.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GREG KNUE | ||||||||
| VICE PRESIDE | 9.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANNE ROWEHL | ||||||||
| SECRETARY | 9.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRIAN K YANO | ||||||||
| TREASURER | 9.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BARRY HYMAN | ||||||||
| DIRECTOR | 9.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHERRI REEVE | ||||||||
| DIRECTOR | 9.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| REV TERRANCE WATANABE | ||||||||
| DIRECTOR | 9.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARILYN GRIFFIN | ||||||||
| DIRECTOR | 9.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| R GREGORY LAGOY | ||||||||
| CEO | 45.00 | 0.00 | Yes (X) | $144,932 | $0 | $8,244 | ||
| KRISTOFFER RASOS | ||||||||
| BUSINESS SER | 45.00 | 0.00 | Yes (X) | $85,798 | $0 | $10,140 | ||
| MELANIE DWYER | ||||||||
| CLINICAL DIR | 45.00 | 0.00 | $143,548 | $0 | $9,024 | Yes (X) | ||
| CHAD FARMER | ||||||||
| MEDICAL DIRE | 45.00 | 0.00 | $189,610 | $0 | $8,244 | Yes (X) | ||
| JENNIFER BERNARD | ||||||||
| NURSING DIRE | 45.00 | 0.00 | $112,666 | $0 | $9,564 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $676,554 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $45,216 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $16,949 | FederatedCampaignsAmt |
| All Other Contributions | $527,093 | AllOtherContributionsAmt |
| Noncash Contributions | $900 | NoncashContributionsAmt |
| Total Contributions | $544,042 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOSPICE CARE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $7,241,714 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,241,714 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,241,714 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,716 | TotalRevenueColumnAmt |
| Exclusion | $6,716 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $287 | FundraisingGrossIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $287 | TotalRevenueColumnAmt |
| Exclusion | $287 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $7,360 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,360 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,360 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,800,119 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,249,074 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $7,003 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,277 | TotalAmt |
| Program Services | $214,464 | ProgramServicesAmt |
| Management And General | $39,022 | ManagementAndGeneralAmt |
| Fundraising | $791 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,482,863 | TotalAmt |
| Program Services | $3,780,971 | ProgramServicesAmt |
| Management And General | $687,944 | ManagementAndGeneralAmt |
| Fundraising | $13,948 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,943 | TotalAmt |
| Program Services | $96,946 | ProgramServicesAmt |
| Management And General | $17,639 | ManagementAndGeneralAmt |
| Fundraising | $358 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,078 | TotalAmt |
| Program Services | $82,722 | ProgramServicesAmt |
| Management And General | $15,051 | ManagementAndGeneralAmt |
| Fundraising | $305 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,448 | TotalAmt |
| Program Services | $258,467 | ProgramServicesAmt |
| Management And General | $47,028 | ManagementAndGeneralAmt |
| Fundraising | $953 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,036 | TotalAmt |
| Management And General | $4,036 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,354 | TotalAmt |
| Management And General | $26,354 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,455 | TotalAmt |
| Program Services | $59,634 | ProgramServicesAmt |
| Management And General | $9,626 | ManagementAndGeneralAmt |
| Fundraising | $195 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,564 | TotalAmt |
| Program Services | $19,929 | ProgramServicesAmt |
| Management And General | $11,635 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,041 | TotalAmt |
| Management And General | $150,041 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,184 | TotalAmt |
| Program Services | $14,253 | ProgramServicesAmt |
| Management And General | $181,931 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,375 | TotalAmt |
| Management And General | $1,375 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,025 | TotalAmt |
| Management And General | $101,025 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,356 | TotalAmt |
| Program Services | $86,462 | ProgramServicesAmt |
| Management And General | $74,575 | ManagementAndGeneralAmt |
| Fundraising | $319 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICINES, SUPPLIES & EQU | $672,574 | $672,574 | |
| BAD DEBT EXPENSE | $167,814 | $167,814 | |
| TELECOMMUNICATIONS | $78,951 | $78,951 | |
| MILEAGE REIMBURSEMENT | $68,519 | $67,767 | $752 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,659 | TotalAmt |
| Program Services | $134,766 | ProgramServicesAmt |
| Management And General | $150,015 | ManagementAndGeneralAmt |
| Fundraising | $16,878 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,287,516 | TotalAmt |
| Program Services | $5,656,769 | ProgramServicesAmt |
| Management And General | $1,597,000 | ManagementAndGeneralAmt |
| Fundraising | $33,747 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,872,833 | BOYAmt |
| EOY | $3,456,913 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $712,177 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $740,928 | BOYAmt |
| EOY | $740,558 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $9,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,652,984 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $779,189 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,915,076 | BOYAmt |
| EOY | $2,873,795 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,677 | BOYAmt |
| EOY | $50,554 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,259 | BOYAmt |
| EOY | $61,727 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,630,773 | BOYAmt |
| EOY | $7,905,208 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,310,108 | BOYAmt |
| EOY | $1,071,503 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,310,108 | BOYAmt |
| EOY | $1,071,503 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,209,482 | BOYAmt |
| EOY | $6,759,985 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,183 | BOYAmt |
| EOY | $73,720 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,320,665 | BOYAmt |
| EOY | $6,833,705 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,630,773 | BOYAmt |
| EOY | $7,905,208 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $512,603 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $437 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $504,934 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $637,237 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $454,750 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,374,051 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $614,042 | CurrentTaxYearAmt |
| Total | $3,585,014 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,175,046 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,154,770 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,817,984 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,507,457 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,179,074 | CurrentTaxYearAmt |
| Total | $28,834,331 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,679,980 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,792,007 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,272,734 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,881,508 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,793,116 | CurrentTaxYearAmt |
| Total | $32,419,345 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $686 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,404 | CurrentTaxYearAmt |
| Total | $8,090 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $222,831 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $228,886 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $701,558 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $686,441 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $424,187 | CurrentTaxYearAmt |
| Total | $2,263,903 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $222,831 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $228,886 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $701,558 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $687,127 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $431,591 | CurrentTaxYearAmt |
| Total | $2,271,993 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $30,147,352 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $725 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,451 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,639 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,716 | CurrentTaxYearAmt |
| Total | $41,562 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $725 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,451 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,639 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,716 | CurrentTaxYearAmt |
| Total | $41,562 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,725 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,505 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,766 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $287 | CurrentTaxYearAmt |
| Total | $53,772 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,694,194 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,807,763 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,297,690 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,914,913 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,800,119 | CurrentTaxYearAmt |
| Total | $32,514,679 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92720 | PublicSupportCY509Pct |
| Public Support PY509 | 0.93350 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,000 | OtherCostOrOtherBasisAmt |
| Book Value | $200,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,479,225 | OtherCostOrOtherBasisAmt |
| Depreciation | $249,357 | DepreciationAmt |
| Book Value | $2,229,868 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $729,409 | OtherCostOrOtherBasisAmt |
| Depreciation | $428,288 | DepreciationAmt |
| Book Value | $301,121 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $142,899 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,814 | DepreciationAmt |
| Book Value | $67,085 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,451 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,730 | DepreciationAmt |
| Book Value | $75,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,873,795 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,800,556 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $437 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $437 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,800,119 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,800,119 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,287,516 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,287,516 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,287,516 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND ALSO FROM STATE OF HAWAII INCOME TAXES UNDER SECTION 237-23 (B) OF THE HAWAII REVISED STATUTES, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. THE ORGANIZATION DOES NOT HAVE ANY UNRELATED BUSINESS INCOME. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITION TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR 2018, 2019, AND 2020 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| R GREGORY LAGOY | |||
| CEO | $144,932 | $8,244 | $153,176 |
| MELANIE DWYER | |||
| CLINICAL DIRECTOR | $143,548 | $9,024 | $152,572 |
| CHAD FARMER | |||
| MEDICAL DIRECTOR | $189,610 | $8,244 | $197,854 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS DISTRIBUTED TO ALL DIRECTORS AT A MONTHLY BOARD MEETING WHERE IT IS REVIEWED OUT LOUD BY THE CEO AND THE TREASURER, AND QUESTIONS FROM THE DIRECTORS ARE RECEIVED AND ANSWERED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS ARE ANNUALLY GIVEN A COPY OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, ALONG WITH A FORM ON WHICH THEY STATE WHETHER OR NOT THEY HAVE READ AND UNDERSTOOD THE POLICY, AND UPON WHICH THEY AFFIRM THEIR WILLINGNESS TO BRING ANY SUCH CONFLICT OF INTEREST BEFORE THE BOARD SHOULD SUCH AN OCCASION ARISE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE COMMITTEE GATHERS INFORMATION ON SALARY RANGES FOR SIMILIAR ORGANIZATIONS IN SIMILAR SETTINGS, ALONG WITH THE INDIVIDUAL'S EVALUATION BY BOARD AND STAFF, AND MAKES THEIR RECOMMENDATION TO THE FULL BOARD WHO THEN TAKES APPROPRIATE ACTION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE COMMITTEE GATHERS INFORMATION ON SALARY RANGES FOR SIMILIAR ORGANIZATIONS IN SIMILAR SETTINGS FOR COMPENSATED OFFICERS, ALONG WITH THE INDIVIDUAL'S EVALUATION BY BOARD AND STAFF, AND MAKES THEIR RECOMMENDATION TO THE FULL BOARD WHO THEN TAKES APPROPRIATE ACTION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT HOSPICE MAUI'S OFFICE. |
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