2020-11-14T13:03:05-06:00 2019-12-31 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2019-01-01 990203930 HOSPICE HAWAII INC HOSP 8089249255 860 IWILEI ROAD HONOLULU HI 968175018 TORI ABE CARAPELHO PRESIDENT & CEO 8089249255 2020-11-14 1 MELANIE A KING P00220997 8085311040 67.53.223.34 2020-11-14 09:02:58 HS P 90D17378D355309A87D655311BCD3658B9A7649F 90D17378D355309A87D655311BCD3658B9A7649F 2019 2021-01-29 14:40:06Z NAVIAN HAWAII TORI ABE CARAPELHO 860 IWILEI ROAD HONOLULU HI 968175018 12992871 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. 13 13 172 79 0 0 1380241 1056733 11313692 11607185 180363 134237 -106060 38820 12768236 12836975 0 0 0 0 7820677 7706703 0 0 411864 5007859 5575700 12828536 13282403 -60300 -445428 7137147 7077457 1296658 1316670 5840489 5760787 X TO PROMOTE THE QUALITY OF LIFE FOR PERSONS FACING LIFE-LIMITING ILLNESSES AND FOR THEIR FAMILIES. 0 0 9906620 10862502 DIRECT HOSPICE SERVICES: HOSPICE 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 2019, HOSPICE HAWAII SERVED 767 PATIENTS ON THE ISLANDS OF OAHU, MOLOKAI, AND LANAI AND HAD 46,376 PATIENT DAYS OF CARE. OF THOSE PATIENT DAYS OF CARE, 3,729 DAYS WERE FOR PEDIATRIC CARE IN OUR PEDIATRIC CONCURRENT CARE PROGRAM, THE FIRST IN HAWAII. HOSPICE HAWAII ALSO PROVIDED UNCOMPENSATED AND CHARITY CARE IN 2019 AT AN ESTIMATED COST OF $170,000. HOSPICE HAWAII VOLUNTEER SERVICES TO PATIENTS AND THEIR FAMILIES IN 2019 WERE ENRICHED BY OUR VOLUNTEER TRAININGS THAT EDUCATED 20 HOSPICE HAWAII VOLUNTEERS IN 6 TRAININGS. COMMUNITY BEREAVEMENT SUPPORT MET MONTHLY IN THREE LOCATIONS ON OAHU AND SERVED APPROXIMATELY 95 INDIVIDUALS. 815639 745074 INPATIENT HOSPICE SERVICES: HOSPICE HAWAII 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 2019, HOSPICE HAWAII KAILUA HOME SERVED 115 PATIENTS AND PROVIDED 1,419 PATIENT DAYS OF CARE. IN 2019, THE HOPE HOUSE ON LANAI (FUNDED BY THE MANELE KOELE GRANT) SERVED 7 PATIENTS AND PROVIDED 20 PATIENT DAYS OF CARE. 674227 COMMUNITY EDUCATION: HOSPICE 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 2019, 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 2019, HOSPICE HAWAII EMPLOYEES MADE 101 PRESENTATIONS TO VARIOUS GROUPS ON THE PREVIOUSLY MENTIONED TOPICS. 11396486 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 83 0 172 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 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 BEN ANCHETA JR CHAIR 2.00 X X 0 0 0 CREIGHTON KK LIU VICE CHAIR 2.00 X X 0 0 0 SIGNE GODFREY SECRETARY 1.00 X X 0 0 0 RICK KEENE TREASURER 1.00 X X 0 0 0 BRIGITTE MCKALE IMMEDIATE PAST CHAIR 2.00 X X 0 0 0 JIM ALBERTS 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 JOHN NITAO DIRECTOR 1.00 X 0 0 0 KARLEE PALMS DIRECTOR 1.00 X 0 0 0 KEVIN T SAKAMOTO DIRECTOR 1.00 X 0 0 0 STEPHANY VAIOLETI DIRECTOR 1.00 X 0 0 0 BENNETT WO DIRECTOR 1.00 X 0 0 0 TORI ABE CARAPELHO PRESIDENT & CEO 40.00 X 143150 0 13493 WENNIE TOMITA DIRECTOR OF FINANCE 40.00 X 114915 0 10178 JOAN EMMA GROTE MEDICAL DIRECTOR 26.00 X 149271 0 9966 CRAIG NAKATSUKA HOSPICE PHYSICIAN 20.00 X 128947 0 9198 MAJORIE ESSENBERG APRN 40.00 X 116162 0 3467 CRAIG FURUYA DIRECTOR OF CLINICAL ADMINISTRATION 40.00 X 113125 0 12329 MERYL WEISS PATIENT CARE MANAGER 40.00 X 106088 0 9940 871658 0 68571 7 0 1 0 ALOHA NURSING AND REHAB CENTRE 45-545 KAMEHAMEHA HWY KANEOHE HI 96744 NURSING HOME SERVICES 311575 PEARL CITY NURSING HOME 919 LEHUA AVENUE PEARL CITY HI 96782 NURSING HOME SERVICES 282402 KAHALA SENIOR LIVING COMMUNITY 4389 MALIA STREET HONOLULU HI 96821 NURSING HOME SERVICES 198717 PALOLO CHINESE HOME 2459 10TH AVENUE HONOLULU HI 96816 NURSING HOME SERVICES 178779 KA PUNAWAI OLA 91-575 FARRINGTON HIGHWAY KAPOLEI HI 96707 NURSING HOME SERVICES 121292 5 86966 111790 857977 12475 1056733 PATIENT SERVICE REVENUE 621610 11607185 11607185 11607185 132769 132769 15368 13900 1468 1468 1468 177472 111790 141996 35476 35476 OTHER INCOME 621610 3344 391 2953 3344 12836975 11607576 0 172666 281736 70433 140869 70434 5927483 5103975 642930 180578 66389 66389 914487 758341 120777 35369 516608 428785 67159 20664 7336 7336 29408 29408 24655 24655 372389 219102 132821 20466 305887 158199 147688 365687 227532 75218 62937 141665 139841 1824 365530 324256 31562 9712 127759 127423 155 181 82619 61443 19358 1818 330 330 103708 87563 12346 3799 147647 122547 19194 5906 PATIENT SERVICES & SUPP 2912151 2912151 BAD DEBT EXPENSE 588506 588506 UNRELATED BUSINESS INCO 423 423 13282403 11396486 1474053 411864 1299 900 1418504 1745970 234396 215478 1949959 1181302 14202 15483 63264 73811 1558200 1224079 432950 334121 3012904 3479820 9669 30572 7137147 7077457 1234239 1273774 6000 62419 36896 1296658 1316670 X 4945679 4900507 894810 860280 5840489 5760787 7137147 7077457 -445428 457328 -91602 0 X 0 1 X 1 0 X 1134424 1150730 1518571 1385328 1056733 6245786 1134424 1150730 1518571 1385328 1056733 6245786 1853879 4391907 118981 92247 115674 129223 132769 588894 138500 105000 144930 149750 3344 541524 7376204 11784657 0.59540 0.62120 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2015 AMOUNT: $ 138,500. 2016 AMOUNT: $ 105,000. 2017 AMOUNT: $ 144,930. 2018 AMOUNT: $ 149,750. 2019 AMOUNT: $ 3,344. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 405 405 11396081 11396486 719824 179956 0 0 743716 767523 791445 719824 3022508 4533762 362 289 363 405 1419 185929 191881 197861 179956 755627 1133441 750000 18674 18674 750000 750000 11692 11692 750000 750000 11024 11024 750000 750000 7803 7803 750000 750000 7763 7763 750000 0.00000 1.00000 0.00000 0 0 321031 197115 123916 1237169 1026964 210205 334121 CAPITAL LEASE LIABILITY 477 CHARITABLE GIFT ANNUITY 36419 36896 X 12256876 0 12256876 24655 555444 580099 12836975 12669242 0 12669242 24655 588506 613161 13282403 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: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE 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, 2019, AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. 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 -34,530. BAD DEBT EXPENSE 588,506. REALIZED GAINS 1,468. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 588,506. WINE AUCTION DINNER 210262 34660 175602 39850 7924 61189 HOT PURSUIT RUN 77130 77130 377 217 1197 31242 1 1870 1870 289262 111790 177472 377 40067 9121 92431 141996 35476 X X X X 0 0 0 0 0 0 0 0 0 TORI ABE CARAPELHO PRESIDENT & CEO 143150 0 0 0 0 0 4295 0 9198 0 156643 0 0 0 JOAN EMMA GROTE MEDICAL DIRECTOR 149271 0 0 0 0 0 2506 0 7460 0 159237 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.