2018-09-05T11:07:56-05:00 2017-10-31 410746749 CLIFTONLARSONALLEN LLP 2210 EAST ROUTE 66 GLENDORA CA 91740 990 2016-11-01 954022185 KEIRO SERVICES KEIR 2138735700 420 EAST THIRD STREET SUITE 1000 LOS ANGELES CA 90013 LEONA HIRAOKA PRESIDENT & CEO 2138735700 2018-09-05 1 TIMOTHY EVANS P00050546 6268577300 2018-09-04 2016 2022-09-23 18:48:47Z KEIRO SENIOR HEALTHCARE LEONA HIRAOKA 420 EAST THIRD STREET SUITE 1000 LOS ANGELES CA 90013 4234895 0 X KEIRO.ORG X 1961 CA KEIRO'S MISSION IS TO ENHANCE THE QUALITY OF SENIOR LIFE IN OUR COMMUNITY. (CONT'D ON SCHEDULE O). 13 12 39 139 0 0 989358 102542 731066 0 576493 1302274 29256 0 2326173 1404816 2500 19983 0 0 1554093 703708 0 0 0 1930175 1332393 3486768 2056084 -1160595 -651268 51183820 56195561 18093705 18284717 33090115 37910844 X SEE PART I, LINE 1 0 0 57088 19983 0 KEIRO'S KEY PROGRAMS FOR THE YEAR ENDED OCTOBER 31, 2017 INCLUDED:1) CONDUCTED OR ORGANIZED WELLNESS PROGRAMS, HEALTH SCREENINGS, HEALTH EDUCATION, AND PROVIDED 7,843 HOURS OF CLASSES SERVING 2,170 INDIVIDUALS. PROGRAMS INCLUDED COURSES ON FALL PREVENTION, MEMORY ENHANCEMENT, MANAGING ONGOING HEALTH CONDITIONS, FRAUD AVOIDANCE, ALZHEIMER'S/DEMENTIA, FINDING LONG-TERM CARE OPTIONS, UNDERSTANDING MEDICARE AND COMMUNICATING WITH HEALTH CARE PROFESSIONALS.(CONTINUED ON SCHEDULE O) 57088 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 20 0 1 39 1 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X LEONA HIRAOKA 2138735700 420 EAST THIRD STREET SUITE 1000 LOS ANGELES CA 90013 GENE KANAMORI INTERIM PRES. & CEO 20.00 20.00 X X 133667 0 20957 ERNEST DOIZAKI DIRECTOR 1.00 X 0 0 0 JEFF FOLICK DIRECTOR 1.00 X 0 0 0 GERALD FUKUI SECRETARY 1.00 X 0 0 0 THOMAS IINO CFO/TREASURER 1.00 X 0 0 0 JOHN IKEGAMI DIRECTOR 1.00 X 0 0 0 GARY KAWAGUCHI DIRECTOR & CHAIRMAN 1.00 X 0 0 0 LYNN MIYAMOTO DIRECTOR & CHAIRMAN 1.00 X 0 0 0 MAKOTO NAKAYAMA VICE CHAIRMAN 1.00 X 0 0 0 STUART TSUJIMOTO DIRECTOR 1.00 X 0 0 0 RUTH WATANABE SECRETARY 1.00 X 0 0 0 LEONA HIRAOKA PRESIDENT & CEO 20.00 20.00 X X 0 0 0 KIMIKO FUJITA DIRECTOR 1.00 X 0 0 0 CLAIRE KOGA DIRECTOR 1.00 X 0 0 0 JACK KURIHARA DIRECTOR 1.00 X 0 0 0 LISA SUGIMOTO DIRECTOR 1.00 X 0 0 0 DENNIS SUGINO DIRECTOR 1.00 X 0 0 0 DIANNE BELLI CHIEF ADMIN OFFICER 40.00 X 164932 0 17679 DALE POSADAS CONTROLLER 40.00 X 145008 0 5989 AUDREY LEE-SUNG DIRECTOR OF RESOURCE DEVELOPMENT 40.00 X 125280 0 11891 SHAWN MIYAKE FORMER DIR. & CEO 20.00 20.00 X 789433 0 16197 1358320 0 72713 5 1 1 0 LOCKE LORD LLP 300 S GRAND AVE SUITE 2600 LOS ANGELES CA 90071 LEGAL 731006 DRAPER CONSULTING 10736 JEFFERSON BOULEVARD 650 CULVER CITY CA 90230 CONSULTANT 407688 FIONAHUTTON & ASSOCIATES 12711 VENTURA BLVD 170 STUDIO CITY CA 91604 COMMUNICATIONS AGENCY 194029 LITTLE TOKYO ASSOCIATES LLC 420 E THIRD STREET 808 LOS ANGELES CA 90013 RENT 163721 THE REGENTS OF THE UNIVERSITY OF CALIFOR 414 13TH STREET OAKLAND CA 94612 REPORTS AND SURVEY 141968 6 102542 102542 1291641 1291641 2840712 2830079 10633 10633 10633 1404816 0 0 1302274 19983 19983 376203 376203 245703 245703 1719 1719 39560 39560 40523 40523 399055 399055 84171 84171 118343 37105 81238 140470 140470 79188 79188 39596 39596 76451 76451 18433 18433 3550 3550 71074 71074 37335 37335 TAXES AND LICENSES 136781 136781 STRATEGIC PLANNING 111017 111017 OTHER EXPENSES 16929 16929 2056084 57088 1998996 0 1633278 2342928 8909668 219934 16580 622 189178 132158 526521 248502 379988 278019 31705381 43498556 4468738 5696198 3881009 4027146 51183820 56195561 274105 218858 17819600 18065859 18093705 18284717 X 15555789 18184813 6895134 9086734 10639192 10639297 33090115 37910844 51183820 56195561 X -651268 5325121 146876 X X 0 1 X 1 0 X X 1 JAPANESE HOME FOR THE AGED 952916028 7 1 160211 0 1 160211 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 X 1 1 PART IV, SECTION E, LINE 3A KEIRO SERVICES HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS, DIRECTORS, OR TRUSTEES OF EACH OF THE SUPPORTED ORGANIZATIONS. PART IV, SECTION E, LINE 3B KEIRO SERVICES EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS, KEIRO NURSING HOME AND JAPANESE HOME FOR THE AGED, BY SETTING UP THEIR ANNUAL BUDGETS IN ORDER FOR THEM TO OPERATE AND SERVE THE JAPANESE AMERICANS IN THE COMMUNITY. KEIRO SERVICES ALSO HAS CENTRALIZED SUPPORTING DEPARTMENTS SUCH AS ACCOUNTING, HUMAN RESOURCES, INFORMATION TECHNOLOGY, PURCHASING AND RESOURCE DEVELOPMENT & COMMUNICATION THAT HELP EACH SUPPORTED ORGANIZATION WITH THEIR DAILY OPERATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13654162 0 2043090 15697252 13294850 700 358612 13654162 13353499 5065 -63714 13294850 13581119 32761 818348 1078729 13353499 11558981 660845 1361293 13581119 0.00000 0.67720 0.32280 0 0 23225 23225 236382 118191 118191 266914 130311 136603 278019 PARTNERSHIPS 5696198 F 5696198 OTHER ASSETS 9372 LONG TERM RECEIVABLE FROM CHARITABLE REMAINDER UNITRUSTS 4017774 4027146 DUE TO RELATED ENTITIES 18065859 18065859 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND THE DEGREE OF CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES. THE PRIMARY TAX POSITIONS EVALUATED ARE RELATED TO THE ORGANIZATION'S CONTINUED QUALIFICATION AS A TAX EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS ARE MORE LIKELY THAN NOT (OVER 50%) OF BEING SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION. THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE ORGANIZATION FILES INFORMATION RETURNS IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. THE STATUE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA STATE PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY. X X X X X 1 1 0 0 0 0 0 0 0 GENE KANAMORI INTERIM PRES. & CEO 108364 0 25303 0 0 0 4260 0 16697 0 154624 0 0 0 DIANNE BELLI CHIEF ADMIN OFFICER 130191 0 34741 0 0 0 5155 0 12524 0 182611 0 0 0 DALE POSADAS CONTROLLER 117508 0 27500 0 0 0 4350 0 1639 0 150997 0 0 0 SHAWN MIYAKE FORMER DIR. & CEO 126933 0 62500 0 600000 0 8041 0 8156 0 805630 0 0 0 PART I, LINE 3 COMPENSATION PROCESS FOR CEO AND KEY EMPLOYEES: THE PROCESS FOR DETERMINING COMPENSATION OF THE CEO AND KEY EMPLOYEES OCCURS IN A TWO STEP PROCESS. THE FIRST STEP INCLUDES A MEETING OF A COMMITTEE WHICH IS MADE UP OF INDEPENDENT BOARD MEMBERS AS VERIFIED BY THE COMPLETION OF CONFLICT OF INTEREST DISCLOSURES. IN THIS MINUTED MEETING, THE COMMITTEE REVIEWS COMPARABILITY WITH CURRENT COMPENSATION ARRANGEMENTS FOR KEY EMPLOYEES. ONCE A DECISION IS FINALIZED, A RECOMMENDATION IS MADE TO THE FULL BOARD ON WHETHER TO ACCEPT THE ARRANGEMENTS OR MODIFY THEM. THE FULL BOARD THEN VOTES TO ACCEPT THEIR RECOMMENDATION OR MODIFY THE RECOMMENDATION. THE SAME INDEPENDENT DATA SOURCES ARE UTILIZED FOR COMPARABILITY PURPOSES. THE CEO GOES THROUGH AN ADDITIONAL LEVEL OF REVIEW WITH THE FULL BOARD WHICH INCLUDES A PERFORMANCE REVIEW AND COMPENSATION REVIEW UTILIZING INDEPENDENT DATA SOURCES. AFTER THE DELIBERATIONS, THE FULL BOARD MAKES A DETERMINATION ON THE CEO'S COMPENSATION ARRANGEMENT. THIS DISCUSSION AND ANY DECISIONS MADE ARE CONTEMPORANEOUSLY MINUTED. PART I, LINES 4A-B DALE POSADAS, SEVERENCE AGREEMENT DATED FEBRUARY 10, 2017. SHAWN MIYAKE, $600,000 RETIREMENT BENEFIT. THE AMOUNT WAS DEVELOPED IN CONJUNCTION WITH AN INDEPENDENT COMPENSATION CONSULTANT BASED ON HIS RESPONSIBILITIES, CONTRIBUTIONS AND YEARS OF SERVICE. THE RETIREMENT BENEFIT AMOUNT IS CONSISTENT WITH PAYMENTS MADE TO OTHER CEOS FOR ORGANIZATIONS OF SIMILAR SIZE AND COMPLEXITY. FORM 990, ORGANIZATION'S MISSION (CONTINUED FROM PART I, LINE 1): IN THIS COMMITMENT TO OUR MISSION, "OUR COMMUNITY" IS DEFINED AS JAPANESE AMERICAN AND JAPANESE OLDER ADULTS AND THEIR FAMILIES, CAREGIVERS AND THE COMMUNITY ORGANIZATIONS THAT SUPPORT THEM. THE ORGANIZATION EXPANDED ITS REACH FROM A FOCUS ON LONG-TERM HEALTH CARE FACILITIES TO BROADLY ENGAGING AND SUPPORTING THOUSANDS OF JAPANESE AMERICAN AND JAPANESE OLDER ADULTS THROUGHOUT LOS ANGELES, ORANGE, AND VENTURA COUNTIES. THIS STRATEGIC CHANGE WAS RESEARCHED AND DEVELOPED OVER SEVERAL YEARS. DUE TO SENIORS' INCREASING DESIRE TO AGE IN PLACE AT HOME, DECREASING UTILIZATION OF HEALTHCARE FACILITY-BASED CARE, RISING HEALTHCARE COSTS AND GREATER ACCULTURATION WITHIN OUR COMMUNITY, KEIRO MOVED FROM FACILITY-BASED SERVICES WHERE KEIRO COULD SERVE UP TO 600 PEOPLE AT ANY TIME TO ADDRESS THE NEEDS OF APPROXIMATELY 70,000 JAPANESE AMERICAN AND JAPANESE SENIORS WHO HAVE OR WILL HAVE NEEDS. IN ADDITION, FOR EACH SENIOR WHO NEEDS SUPPORT, THERE ARE MANY MORE FAMILY AND INFORMAL CAREGIVERS. KEIRO STRIVES TO SUPPORT JAPANESE AMERICAN AND JAPANESE OLDER ADULTS TO AGE WITH CONFIDENCE BY EQUIPPING THEM WITH KNOWLEDGE, RESOURCES AND ASSISTANCE SO THEY CAN EFFECTIVELY MANAGE THEIR LIVES AND WELLBEING WHEREVER THEY CALL HOME. KEIRO WORKS COOPERATIVELY WITH COMMUNITY PARTNERS AND AGENCIES TO IMPROVE THE HEALTH AND CIRCUMSTANCES OF OLDER ADULTS THROUGH THE HOLISTIC LENS OF GENKI LIVING PRINCIPLES. WE SUPPORT OLDER ADULTS WHO DESIRE TO LIVE INDEPENDENTLY AS LONG AS THEY ARE ABLE TO DO SO SAFELY. KEIRO FOSTERS A SENSE OF COMMUNITY AMONG JAPANESE AMERICAN AND JAPANESE OLDER ADULTS TO REDUCE ISOLATION AND EDUCATE OLDER ADULTS AND THEIR FAMILIES TO MAKE INFORMED DECISIONS AND THOUGHTFUL PLANS, INCLUDING END OF LIFE ISSUES. WHILE CARRYING OUT THIS MISSION, KEIRO HAS MAINTAINED OUR CORE VALUES OF RESPECT FOR THE ELDERLY, INTEGRITY, COMPASSION, COMMUNITY, STEWARDSHIP AND CULTURAL SENSITIVITY. FORM 990, PART III, LINE 4A CONTINUED: 2) AWARDED $916,668 IN GRANTS TO 44 ORGANIZATIONS TO SUPPORT PROGRAMS AND SERVICES FOR OLDER ADULTS AND CAREGIVERS IN APRIL 2017. CONDUCTED WORKSHOPS FOR ORGANIZATION LEADERS INTERESTED IN APPLYING FOR KEIRO GRANTS. NEARLY HALF OF THE 164 ATTENDEES HAD NEVER WRITTEN OR APPLIED FOR A GRANT AND REQUIRED ASSISTANCE IN ORDER TO SECURE MUCH NEEDED FUNDS. WORKSHOPS WERE OFFERED IN BOTH ENGLISH AND JAPANESE. 3) PARTNERED WITH UCLA CENTER FOR HEALTH POLICY RESEARCH TO OVERSAMPLE THE JAPANESE POPULATION IN CALIFORNIA AS PART OF THE CALIFORNIA HEALTH INTERVIEW SURVEY. 4) SUPPORTED RESIDENTS OF THE FOUR SENIOR CARE FACILITIES PREVIOUSLY OWNED BY KEIRO AFTER THE SALE THROUGH CULTURALLY-SENSITIVE PROGRAMMING AND ACTIVITIES, INCLUDING ANNUAL KEIRO NO HI EVENT (ELDERLY DAY), SUMMER FESTIVAL, TANABATA, SHOGATSU (NEW YEAR'S LUNCHEON CELEBRATION), GIRLS DAY, SETSUBUN AND MONTHLY CULTURAL PROGRAMMING. 5) PROVIDED INTERNSHIPS FOR AN UNDERGRADUATE AT UCLA STUDYING ASIAN AMERICAN STUDIES, AN UNDERGRADUATE AT BROWN UNIVERSITY STUDYING BIOLOGY, AND A RECENT GRADUATE FROM CHAPMAN UNIVERSITY STUDYING POLITICAL SCIENCE. INTERNS PROVIDED COMMUNITY EDUCATION ON NUTRITION, DEVELOPED CURRICULUM FOR FUTURE EDUCATION PROGRAMS, AND COORDINATED SPECIAL ACTIVITIES FOR RESIDENTS IN THE LONG TERM CARE FACILITIES FORMERLY OWNED BY KEIRO. 6) PROVIDED CASE MANAGEMENT/REFERRAL SERVICES, INCLUDING PLACEMENT IN A LONG-TERM CARE FACILITY, LOCATING IN-HOME CARE AGENCIES, AND ACCESSING SERVICES. 7) PARTNERED WITH PROVIDENCE HEALTH & SERVICES TO PROVIDE CULTURALLY SENSITIVE PALLIATIVE CARE TO OLDER ADULTS WITH SERIOUS ILLNESSES AND/OR DEBILITATING SYMPTOMS AND THEIR FAMILIES. 8) PARTNERED WITH LITTLE TOKYO SERVICE CENTER TO PROVIDE SUPPORT FOR A MULTIPURPOSE GATHERING SPACE FOR OLDER ADULTS, EXPANSION OF THE CAREGIVER SUPPORT SERVICES, AND ESTABLISHMENT OF A CLIENT ASSISTANCE FUND FOR OLDER ADULTS WITH LIMITED RESOURCES. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 - THE 990 IS REVIEWED BY THE AUDIT COMMITTEE, CHAIRPERSONS AND TREASURERS OF THE SUPPORTED ORGANIZATIONS. MEMBERS DISCUSS RELEVANT MATTERS AND ASK QUESTIONS OF STAFF. ONCE APPROVED, STAFF ARE DIRECTED TO PROVIDE COPIES TO ALL BOARD MEMBERS PRIOR TO FILING/SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICT OF INTEREST POLICY THE ORGANIZATION REQUIRES BOARD MEMBERS AND KEY EMPLOYEES TO COMPLETE THE CONFLICT OF INTEREST DISCLOSURE ON AN ANNUAL BASIS. ATTESTATION OF RECEIPT OF THE CONFLICT OF INTEREST DISCLOSURE IS PERFORMED BY THE SENIOR MANAGER OF POLICY & ADMINISTRATION. IF CONFLICTS OF INTEREST ARE DISCLOSED, BOARD MEMBERS DISCUSS THE IMPACT OF SUCH DISCLOSURES UPON DECISION MAKING AND REQUIRES MEMBERS WITH THE CONFLICTS TO ABSTAIN THEMSELVES. THE COMPANY HAS ASSIGNED THE DIRECTOR OF FINANCE & ADMINISTRATION TO MONITOR ALL COMPLIANCE ISSUES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR CEO AND KEY EMPLOYEES: THE PROCESS FOR DETERMINING COMPENSATION OF THE CEO AND KEY EMPLOYEES OCCURS IN A TWO STEP PROCESS. THE FIRST STEP INCLUDES A MEETING OF A COMMITTEE WHICH IS MADE UP OF INDEPENDENT BOARD MEMBERS AS VERIFIED BY THE COMPLETION OF CONFLICT OF INTEREST DISCLOSURES. IN THIS MINUTED MEETING, THE COMMITTEE REVIEWS COMPARABILITY WITH CURRENT COMPENSATION ARRANGEMENTS FOR KEY EMPLOYEES. ONCE A DECISION IS FINALIZED, A RECOMMENDATION IS MADE TO THE FULL BOARD ON WHETHER TO ACCEPT THE ARRANGEMENTS OR MODIFY THEM. THE FULL BOARD THEN VOTES TO ACCEPT THEIR RECOMMENDATION OR MODIFY THE RECOMMENDATION. THE SAME INDEPENDENT DATA SOURCES ARE UTILIZED FOR COMPARABILITY PURPOSES. THE CEO GOES THROUGH AN ADDITIONAL LEVEL OF REVIEW WITH THE FULL BOARD WHICH INCLUDES A PERFORMANCE REVIEW AND COMPENSATION REVIEW UTILIZING INDEPENDENT DATA SOURCES. AFTER THE DELIBERATIONS, THE FULL BOARD MAKES A DETERMINATION ON THE CEO'S COMPENSATION ARRANGEMENT. THIS DISCUSSION AND ANY DECISIONS MADE ARE CONTEMPORANEOUSLY MINUTED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION - FINANCIAL STATEMENTS ARE BEING PUBLISHED IN THE ORGANIZATION'S ANNUAL REPORT. GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: MISCELLANEOUS -2. CHANGE IN VALUE OF C.R.T. 146,878. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. KEIRO NURSING HOME 420 EAST THIRD STREET LOS ANGELES CA 90013 953946299 NURSING HOME CA 501(C)(3) 7 KEIRO SERVICES 1 JAPANESE HOME FOR THE AGED 420 EAST THIRD STREET LOS ANGELES CA 90013 952916028 RETIREMENT HOME CA 501(C)(3) 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 JAPANESE HOME FOR THE AGED O 160211 50/50 ALLOC WITH KEIRO SERVI