2016-11-15T14:58:55-07:00 2015-12-31 990 2015-01-01 990203930 HOSPICE HAWAII INC HOSP 8089249255 860 Iwilei Road Honolulu HI 96817 Kenneth Zeri President & CPO 8089249255 2016-11-15 2015 2017-02-10 21:41:12Z Kenneth L Zeri 860 Iwilei Road Honolulu HI 96817 11428697 0 X www.hospicehawaii.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. 15 15 145 138 0 0 1002245 1237390 8620947 9970850 138376 125855 -94229 -91604 9667339 11242491 0 0 0 0 6280449 6750355 0 0 325225 4519206 4931595 10799655 11681950 -1132316 -439459 7415102 6723240 1228257 1096575 6186845 5626665 To promote the quality of life for persons facing life-limiting illnesses and for their families. 0 0 9109355 0 9267538 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 2015, Hospice Hawaii served 741 patients on the islands of Oahu, Molokai, and Lanai and had 45,270 patient days of care. Of those patient days of care, 969 days were for pediatric care in our pediatric concurrent care program, the first in Hawaii. Hospice Hawaii also provided uncompensated and charity care in 2015 at an estimated cost of $216,000. Hospice Hawaii volunteer services to patients and their families in 2015 were enriched by our Volunteer Trainings that educated 46 Hospice Hawaii volunteers in five trainings. Community bereavement support met monthly in five locations on Oahu and served approximately 67 individuals. 726378 0 703312 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 2015, Hospice Hawaii Kailua Home served 111 patients and provided 1,568 patient days of care. 494465 0 0 COMMUNITY EDUCATION: Hospice Hawaii gives presentations to healthcare agencies and to the community on the islands of Oahu, Molokai, and Lanai in regards to life-limiting illnesses to inform and educate the public. In 2015, Hospice Hawaii employees educated the public on hospice services, hospice myths, philosophy of hospice and palliative care, difficult conversations, advance health care directives, end of life choices, and pain and symptom management. Additionally, Hospice Hawaii partners with other hospice and palliative care organizations to inform the community on end of life matters. In 2015, Hospice Hawaii employees made 89 presentations to various groups. 0 0 0 10330198 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 81 0 145 1 0 0 0 0 0 1 1 0 0 0 1 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 HI X Kim Hanson 8089249255 860 Iwilei Road Honolulu HI 96817 Terri T Fujii Chair 2 0 X 0 0 0 Lance N Tanaka Vice Chair 2 0 X 0 0 0 Kim Sung Treasurer 2 0 X 0 0 0 Jim Alberts Secretary 2 0 X 0 0 0 George D Bussey Director 1 0 X 0 0 0 Boki Chung Director 1 0 X 0 0 0 Barbara Craft Director 1 0 X 0 0 0 Signe Godfrey Director 1 0 X 0 0 0 Joel D Kam Director 1 0 X 0 0 0 Melanie King Director 1 0 X 0 0 0 Creighton K K Liu Director 1 0 X 0 0 0 Brigitte McKale Director 1 0 X 0 0 0 Sarah Neal-Fujimoto Director 1 0 X 0 0 0 Jason Nagai Director 1 0 X 0 0 0 John Nitao Director 1 0 X 0 0 0 Kenneth L Zeri President & CPO 40 0 X X 143000 0 10647 Kim G Hanson Controller 40 0 X 74475 0 26026 Michael J Nisco Medical Director 40 0 X 129624 0 4660 Shawn T Giles After Hours Nurse 40 0 X 114702 0 6972 461801 0 48305 3 0 1 0 Cross Country Staffing Inc File 50941 Los Angeles CA 900740941 Nursing services 317695 Express Services Inc P O Box 844277 Los Angeles CA 900844277 Nursing services 155848 Hale Ho Aloha Inc 2670 Pacific Heights Road Honolulu HI 96813 Nursing home services 144436 UCERA P O Box 31000 Honolulu HI 96849 Physician services 126667 Craigside Retirement Residence 15 Craigside Place Honolulu HI 96817 Nursing home services 126466 7 122681 0 235047 0 0 879662 46806 1237390 Patient services 621610 9970850 9970850 0 0 0 0 0 0 9970850 118981 118981 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 62177 0 55303 0 6874 0 6874 6874 0 0 35534 235047 130903 -95369 0 -95369 0 0 0 0 0 0 0 0 0 0 0 0 Healing Touch 621610 2370 2370 0 0 1395 1395 0 0 3765 11242491 10100470 0 -95369 0 0 0 0 0 0 0 0 364416 192087 162319 10010 0 0 0 0 5155145 4633496 349149 172500 57516 41711 14007 1798 737966 649410 66417 22139 435312 383075 39178 13059 123624 123624 0 0 11003 0 11003 0 15518 0 15518 0 0 0 0 0 0 0 26788 0 26788 0 867276 689933 169515 7828 130060 41927 88133 0 240915 145096 20351 75468 213253 193783 14904 4566 0 0 0 0 351754 322906 21637 7211 165125 163603 1480 42 0 0 0 0 73621 60751 7921 4949 1245 0 1245 0 0 0 0 0 89214 80664 6412 2138 117222 103155 10550 3517 Patient services and supplies 2403186 2403186 0 0 Bad debt expense 101791 101791 0 0 0 0 0 0 11681950 10330198 1026527 325225 1200 1200 1839497 1902830 155557 401396 1445257 1325466 0 0 0 0 0 0 0 0 84080 106038 1098071 884161 251261 213910 3631781 2765931 0 0 0 0 0 0 6469 6469 7415102 6723240 1178698 1050344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49559 46231 1228257 1096575 X 5398835 4653937 38010 222728 750000 750000 6186845 5626665 7415102 6723240 X -439459 -117731 0 0 0 -2990 X 0 1 X 1 0 X 938756 812357 910387 973471 1160824 4795795 0 0 0 0 0 0 0 0 0 0 0 0 938756 812357 910387 973471 1160824 4795795 1164678 3631117 36134 75341 105150 137140 118981 472746 0 0 0 0 0 0 94770 89800 103700 91365 138500 518135 5786676 518135 0.62750 0.6467 X Schedule A, Part II, Line 1 Unusual grants are omitted from Line 1 as follows: Column (a) $24,434, Column (c) $1,850. Schedule A, Part II, Line 10 Fundraising events Column (a): $94,770, Column (b): $89,800, Column (c): $103,700, Column (d): $91,365, Column (e): $138,500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 615 615 10329583 10330198 666510 166628 0 0 611498 686126 615868 666510 2580002 3870003 1190 739 500 615 3044 152875 171532 153967 166628 645002 967503 0 0 0 0 0 Schedule C, Part II-A, Line 1b NHPCO and HAH dues percentages for lobbying. 750000 0 7763 0 7763 0 750000 750000 0 7353 0 7353 0 750000 750000 0 5336 0 5336 0 750000 750000 0 6185 0 6185 0 750000 750000 0 10498 0 10498 0 750000 0 1 0 0 0 0 0 0 0 0 0 0 0 168266 134819 33447 0 929805 749342 180463 0 0 0 0 213910 0 Charitable gift annuities 35799 Obligation under capital lease 10432 46231 11279073 -117731 26400 0 -2990 -94321 11373394 0 -130903 -130903 11242491 11839253 26400 0 0 130903 157303 11681950 0 0 0 11681950 Schedule D, Part V, Line 4 Our 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. Schedule D, Part XI, Line 2d Change in value of charitable annuity liability ($2,990). Schedule D, Part XI, Line 4b Fundraising event direct expenses ($130,903). Schedule D, Part XII, Line 2d Fundraising event direct expenses $130,903. Wine Auct Dinner 201732 166642 35090 0 675 0 34161 5755 55004 Hot Pursuit Run 68849 68405 444 0 3989 0 1071 0 30248 0 270581 235047 35534 0 4664 0 35232 5755 85252 130903 -95369 X X X X 0 0 0 0 0 0 0 0 0 Kenneth L Zeri President & CPO 140000 0 3000 0 0 0 3675 0 6972 0 153647 0 0 0 X 59 35949 Selling price of donated items X Gift certificates 28 3989 Face value of certificates X Plants and rummage 1 5307 Selling price of donated items X Refreshments 5 1090 Retail value of donated items X Equipment rental 2 471 Retail value of donated items 0 0 1 0 Form 990, Part VI, Section B, Line 11b Form 990 is prepared by the Controller of the organization and reviewed by its auditor and President/Chief Professional 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, officers, and key managers are required to annually sign a Conflict of Interest Policy statement affirming that they understand and agree to comply with the policy by reporting any real or potential conflicts of interest. Disclosure statements, if any, are received by the President or Chair of the Board of Directors and reviewed by the Board of Directors by disclosure of material facts and the member's interest to the Board. A decision and determination of corrective action is made by an affirmative vote of a majority of the uninterested members of the Board of Directors. Form 990, Part VI, Section B, Line 15 The Executive Committee of the Board of Directors reviews the compensation of the President/Chief Professional 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 and members of the Board of Directors. Documentation of the process and findings is retained in company records. Form 990, Part VI, Section C, Line 19 The organization makes its Forms 990, governing documents, 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 Form 1023 for public inspection. Form 990, Part XI, Line 9 Change in value of split interest agreements ($2,990).