2021-11-04T18:56:29-05:00 2020-12-31 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2020-01-01 990203930 HOSPICE HAWAII INC HOSP 8089249255 860 IWILEI ROAD HONOLULU HI 968175018 TORI ABE CARAPELHO PRESIDENT & CEO 8089249255 2021-11-04 1 TORI ABE CARAPELHO 999009999 MELANIE A KING P00220997 8085311040 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z NAVIAN HAWAII TORI ABE CARAPELHO 860 IWILEI ROAD HONOLULU HI 968175018 15075697 0 X WWW.NAVIANHAWAII.ORG X 1979 HI TO IMPROVE THE QUALITY OF LIFE FOR PERSONS FACING LIFE-LIMITING ILLNESSES AND FOR THEIR FAMILIES THROUGH DIRECT HOSPICE SERVICES 24 HOURS A DAY, SEVEN DAYS A WEEK WHEREVER THE PATIENT RESIDES AND THROUGH COMMUNITY EDUCATION ON THE ISLANDS OF OAHU, MOLOKAI AND LANAI. 14 14 147 46 0 0 1056733 1279688 11607185 12631087 134237 231981 38820 -31082 12836975 14111674 0 52256 0 0 7706703 8096241 0 0 511563 5575700 5036601 13282403 13185098 -445428 926576 7077457 9642847 1316670 2706794 5760787 6936053 X TO PROMOTE THE QUALITY OF LIFE FOR PERSONS FACING LIFE-LIMITING ILLNESSES AND FOR THEIR FAMILIES. 0 0 9809399 24616 11790558 DIRECT HOSPICE SERVICES: HOSPICE HAWAII DBA NAVIAN HAWAII PROVIDES EXPERT MEDICAL, EMOTIONAL, PRACTICAL, PSYCHO-SOCIAL, AND SPIRITUAL CARE TO PERSONS FACING LIFE-LIMITING ILLNESSES AND TO THEIR FAMILIES 24 HOURS A DAY, SEVEN DAYS A WEEK BY QUALIFIED PHYSICIANS, NURSES, HOSPICE AIDES, SOCIAL WORKERS, NON-DENOMINATIONAL CHAPLAINS, AND OTHER PROFESSIONALS ON THE ISLANDS OF OAHU, MOLOKAI, AND LANAI. PATIENTS MAY RECEIVE OUR CARE IN THEIR OWN HOMES AND IN NURSING FACILITIES AND CARE HOMES WHERE THEY RESIDE. IN 2020, HOSPICE HAWAII SERVED 863 PATIENTS ON THE ISLANDS OF OAHU, MOLOKAI, AND LANAI AND HAD 51,989 PATIENT DAYS OF CARE. OF THOSE PATIENT DAYS OF CARE, 4,682 DAYS WERE FOR PEDIATRIC CARE IN OUR PEDIATRIC CONCURRENT CARE PROGRAM, THE FIRST IN HAWAII. HOSPICE HAWAII DBA NAVIAN HAWAII ALSO PROVIDED UNCOMPENSATED AND CHARITY CARE IN 2020 AT AN ESTIMATED COST OF $51,000. HOSPICE HAWAII DBA NAVIAN HAWAII VOLUNTEER SERVICES TO PATIENTS AND THEIR FAMILIES IN 2020 WERE ENRICHED BY OUR VOLUNTEER TRAININGS THAT EDUCATED 15 HOSPICE HAWAII VOLUNTEERS IN 4 TRAININGS. COMMUNITY BEREAVEMENT SUPPORT MET MONTHLY (EXCEPT IN MARCH WHEN THE COVID-19 PANDEMIC STARTED) ON OAHU AND MOLOKAI VIA ZOOM MEETINGS AND PHONE CALLS. A TOTAL OF 28 GROUPS MET LAST YEAR AND APPROXIMATELY 161 INDIVIDUALS WERE SERVED. 839094 27640 841944 INPATIENT HOSPICE SERVICES: THE KAILUA HOME ON THE ISLAND OF OAHU PROVIDES RESIDENTIAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK TO OUR HOSPICE PATIENTS THAT CANNOT BE ADEQUATELY PROVIDED CARE IN THEIR OWN HOMES. PATIENTS RECEIVE EXPERT, COMPASSIONATE CARE AND AROUND THE CLOCK MONITORING TO BE KEPT AS SYMPTOM FREE AND COMFORTABLE AS POSSIBLE IN OUR FIVE-BED HOMELIKE RESIDENTIAL FACILITY. IN 2020, THE KAILUA HOME SERVED 77 PATIENTS AND PROVIDED 1,520 PATIENT DAYS OF CARE. IN 2020, THE HOPE HOUSE ON LANAI (FUNDED BY THE MANELE KOELE GRANT) SERVED 1 PATIENT AND PROVIDED 4 PATIENT DAYS OF CARE. 842642 COMMUNITY EDUCATION: HOSPICE HAWAII DBA NAVIAN HAWAII GIVES PRESENTATIONS TO HEALTHCARE AGENCIES AND TO THE COMMUNITY ON THE ISLANDS OF OAHU, MOLOKAI, AND LANAI WITH REGARDS TO LIFE-LIMITING ILLNESSES TO INFORM AND EDUCATE THE PUBLIC. IN 2020, HOSPICE HAWAII EMPLOYEES EDUCATED THE PUBLIC ON HOSPICE SERVICES, HOSPICE MYTHS, PALLIATIVE CARE, HISTORY & PHILOSOPHY OF HOSPICE AND PALLIATIVE CARE, END OF LIFE CARE ISSUES, ADVANCE CARE PLANNING, SPIRITUALITY, AND DEALING WITH GRIEF DURING HOLIDAY. ADDITIONALLY, HOSPICE HAWAII PARTNERS WITH OTHER HOSPICE AND PALLIATIVE CARE ORGANIZATIONS TO INFORM THE COMMUNITY ON END OF LIFE MATTERS. IN 2020, HOSPICE HAWAII EMPLOYEES MADE 27 PRESENTATIONS TO VARIOUS GROUPS ON THE PREVIOUSLY MENTIONED TOPICS. DUE TO THE COVID-19 PANDEMIC, THERE WERE FEWER PRESENTATIONS HELD IN 2020. 11491135 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 65 0 147 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X WENNIE TOMITA 8087918002 860 IWILEI ROAD HONOLULU HI 968175018 CREIGHTON KK LIU CHAIR 2.00 X X 0 0 0 KEVIN T SAKAMOTO VICE CHAIR 2.00 X X 0 0 0 JOHN NITAO SECRETARY 1.00 X X 0 0 0 RICK KEENE TREASURER 1.00 X X 0 0 0 BEN ANCHETA JR IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 VICKI BORGES DIRECTOR 1.00 X 0 0 0 COLLEEN CHING DIRECTOR 1.00 X 0 0 0 BOKI CHUNG DIRECTOR 1.00 X 0 0 0 SUZANNE EUGENIO DIRECTOR 1.00 X 0 0 0 KARLEE PALMS DIRECTOR 1.00 X 0 0 0 STEPHANY VAIOLETI DIRECTOR 1.00 X 0 0 0 JENNIFER ANN WALKER DIRECTOR 1.00 X 0 0 0 BENNETT WO DIRECTOR 1.00 X 0 0 0 MICHAEL JAMES YANI DIRECTOR 1.00 X 0 0 0 TORI ABE CARAPELHO PRESIDENT & CEO 40.00 X 168321 0 18932 WENNIE TOMITA DIRECTOR OF FINANCE 40.00 X 117284 0 17016 JOAN EMMA GROTE MEDICAL DIRECTOR 26.00 X 167600 0 34062 CRAIG FURUYA DIRECTOR OF CLINICAL ADMINISTRATION 40.00 X 116197 0 22799 MARJORIE ESSENBERG APRN 40.00 X 112927 0 14603 MERYL WEISS PATIENT CARE MANAGER 40.00 X 108014 0 10032 KIMBERLY WUN APRN 40.00 X 103596 0 20182 893939 0 137626 9 0 1 0 PALOLO CHINESE HOME 2459 10TH AVENUE HONOLULU HI 96816 NURSING HOME SERVICES 521255 KAHALA SENIOR LIVING COMMUNITY 4389 MALIA STREET HONOLULU HI 96821 NURSING HOME SERVICES 287486 MEDICAL SOLUTIONS 1010 NORTH 102ND ST SUITE 300 OMAHA NE 68114 STAFFING SERVICES 180276 KA PUNAWAI OLA 91-575 FARRINGTON HIGHWAY KAPOLEI HI 96707 NURSING HOME SERVICES 156515 PEARL CITY NURSING HOME 919 LEHUA AVENUE PEARL CITY HI 96782 NURSING HOME SERVICES 101230 5 37513 99149 242486 900540 1279688 PATIENT SERVICE REVENUE 621610 12631087 12631087 12631087 125697 125697 1037435 928351 2800 109084 -2800 106284 106284 375 99149 32872 -32497 -32497 OTHER INCOME 621610 1415 1415 1415 14111674 12632502 0 199484 52256 52256 321553 93627 181113 46813 6101874 5377617 473174 251083 73549 73549 1056503 903287 98843 54373 542762 461348 54275 27139 13070 13070 34745 34745 26471 26471 659962 481597 156450 21915 136597 99967 36630 296956 178302 47561 71093 163318 162899 419 377612 342171 24290 11151 86279 85797 482 58438 43048 11293 4097 77 77 90604 78238 8244 4122 164778 129738 15263 19777 PATIENT SERVICES & SUPP 2834383 2834383 BAD DEBT EXPENSE 93311 93311 13185098 11491135 1182400 511563 900 900 1745970 3920958 215478 190350 1181302 1031254 15483 20115 73811 66453 1631411 1311474 334121 319937 3479820 4062298 30572 30582 7077457 9642847 1273774 1187045 6000 236346 0 1249000 36896 34403 1316670 2706794 X 4900507 6029160 860280 906893 5760787 6936053 7077457 9642847 926576 248690 0 X 0 1 X 1 0 X 1150730 1518571 1385328 1056733 1279688 6391050 1150730 1518571 1385328 1056733 1279688 6391050 2018172 4372878 92247 115674 129223 132769 125697 595610 105000 144930 149750 3344 1415 404439 7391099 24416119 0.59160 0.59540 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 105,000. 2017 AMOUNT: $ 144,930. 2018 AMOUNT: $ 149,750. 2019 AMOUNT: $ 3,344. 2020 AMOUNT: $ 1,415. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 402 402 11490733 11491135 724557 181139 0 0 767523 791445 719824 724557 3003349 4505024 289 363 405 402 1459 191881 197861 179956 181139 750837 1126256 750000 20258 20258 750000 750000 18674 18674 750000 750000 11692 11692 750000 750000 11024 11024 750000 750000 7803 7803 750000 0.00000 1.00000 0.00000 0 0 321031 218406 102625 1310380 1093068 217312 319937 CHARITABLE GIFT ANNUITY 34403 34403 X 13798026 0 13798026 26471 287177 313648 14111674 13027147 0 13027147 26471 131480 157951 13185098 PART V, LINE 4: ENDOWMENT FUND IS PERMANENTLY RESTRICTED BY THE DONOR OF THE FUNDS TO 1) PROVIDE CARE FOR INDIGENT TERMINALLY ILL PATIENTS AND THEIR FAMILIES AND 2) PROVIDE RESPITE CARE FOR FAMILIES WHO CANNOT AFFORD HOME HEALTHCARE SERVICES AND WHOSE FINANCIAL RESOURCES ARE LESS THAN THE FINANCIAL RESOURCES OF FIFTY PERCENT OF THE INDIVIDUALS IN THIS COMMUNITY. ONLY THE EARNINGS OF THE ENDOWMENT ARE AVAILABLE FOR USE TOWARD THIS CHARITABLE PURPOSE. PART X, LINE 2: U.S. GAAP REQUIRES UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED NAVIAN HAWAII'S TAX POSITIONS AS OF DECEMBER 31, 2020 AND 2019 AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. NAVIAN HAWAII IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INCREASE (DECREASE) IN NET ASSETS WITH DONOR RESTRICTIONS 46,613. BAD DEBT EXPENSE 93,311. REALIZED GAINS 109,084. ASSISTANCE TO INDIVIDUALS 38,169. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 93,311. ASSISTANCE TO INDIVIDUALS 38,169. NA HOA MALAMA GALA 44800 44800 19175 HOT PURSUIT RUN 54349 54349 13697 1 375 375 0 99524 99149 375 32872 32872 -32497 1 NON-BILLABLE ROUTINE CARE, ROOM & BOARD 12 31231 COMPUTED COST NON-BILLABLE ROUTINE CARE, ROOM & BOARD SUPPLIES AND SERVICES 24 20000 ACTUAL COST SUPPLIES & SERVICES NON-COVERED CREMATION SERVICES 1 1025 ACTUAL COST NON-COVERED CREMATION SERVICES PART I, LINE 2: GRANT TRACKING REPORTS PREPARED AND UPDATED MONTHLY. MONITOR USE OF FUNDS VIA THESE REPORTS. PAYMENT FOR SERVICES AND SUPPLIES ARE PAID DIRECTLY TO THE SERVICE PROVIDER OR VENDOR. CROSSCHECKED WITH RECORDS TO ENSURE SERVICES ARE APPLIED TO CORRECT RECIPIENTS. X X X X 0 0 0 0 0 0 0 0 0 JOAN EMMA GROTE MEDICAL DIRECTOR 167600 0 0 0 0 0 19500 0 14562 0 201662 0 0 0 TORI ABE CARAPELHO PRESIDENT & CEO 148321 0 20000 0 0 0 4450 0 14482 0 187253 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM AND IS REVIEWED BY ITS PRESIDENT/CHIEF EXECUTIVE OFFICER WHO SIGNS THE RETURN. THE RETURN IS DISTRIBUTED IN DRAFT FORM TO ALL MEMBERS OF THE FINANCE AND EXECUTIVE COMMITTEES OF THE BOARD OF DIRECTORS AND RECOMMENDATIONS FOR MODIFICATION OR CORRECTION OF THE RETURN, IF ANY, ARE MADE PRIOR TO FILING. THE FINAL FORM 990 IS OFFERED FOR DISTRIBUTION TO ALL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS AND STAFF ARE REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT AFFIRMING THAT THEY UNDERSTAND AND AGREE TO COMPLY WITH THE POLICY BY REPORTING ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. DISCLOSURE STATEMENTS, IF ANY, ARE RECEIVED AND REVIEWED BY THE BOARD OF DIRECTORS OR A COMMITTEE OF THE BOARD BY DISCLOSURE OF THE EXISTENCE OF THE INTEREST AND ALL MATERIAL FACTS AND TO THE BOARD OF COMMITTEE. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS AND BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER EVERY TWO YEARS. COMPENSATION IS CONSISTENT WITH COMMUNITY STANDARDS AS STUDIED AND EVALUATED BY EXECUTIVES ON THE BOARD OF DIRECTORS OF HOSPICE HAWAII ON A VOLUNTEER BASIS AT NO COST. THE COMPENSATION OF ALL STAFF IS EVALUATED AND MEASURED AGAINST COMMUNITY STANDARDS ANNUALLY BY HUMAN RESOURCE MANAGEMENT AND REVIEWED BY THE PRESIDENT. DOCUMENTATION OF THE PROCESS AND FINDINGS IS RETAINED IN COMPANY RECORDS. THE PROCESS WAS LAST UNDERTAKEN IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. BECAUSE HOSPICE HAWAII FILED ITS FORM 1023 PRIOR TO JULY 15, 1987, THE ORGANIZATION IS EXEMPT FROM THE REQUIREMENT OF SUPPLYING A COPY OF THE FORM 1023 FOR PUBLIC INSPECTION.