2016-05-10T10:43:02-05:00 2015-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2015-01-01 910995069 HOSPICE OF SPOKANE HOSP 5094560438 PO BOX 2215 SPOKANE WA 99037 GINA DRUMMOND CEO 5094560438 2016-05-04 true THOMAS DINGUS P00951009 5092420874 2016-05-10 2015 2016-09-27 15:27:22Z GINA DRUMMOND PO BOX 2215 SPOKANE WA 99210 28358189 false X WWW.HOSPICEOFSPOKANE.ORG X 1976 WA HOSPICE OF SPOKANE PROVIDES A HOLISTIC APPROACH TO END-OF-LIFE CARE, ADDRESSING THE MEDICAL, EMOTIONAL, PSYCHOLOGICAL, AND SPIRITUAL NEEDS OF THE TERMINALLY ILL PERSON AND THEIR LOVED ONES. 11 11 179 340 0 1138315 660977 19754515 21241493 444027 413134 25696 7569 21362553 22323173 0 0 11097558 11653980 0 224109 7260331 6971599 18357889 18625579 3004664 3697594 30234627 33279141 1588406 1760394 28646221 31518747 X HOSPICE OF SPOKANE PROVIDES A HOLISTIC APPROACH TO END-OF-LIFE CARE, ADDRESSING THE MEDICAL, EMOTIONAL, PSYCHOLOGICAL, AND SPIRITUAL NEEDS OF THE TERMINALLY ILL PERSON AND THEIR LOVED ONES. true false 12791736 16876612 HOSPICE OF SPOKANE OFFERS CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR LOVED ONES. THROUGH IN-HOME SKILLED NURSING CARE, HOME HEALTH AIDES FOR PERSONAL CARE, SPIRITUAL SUPPORT, GRIEF AND BEREAVEMENT COUNSELING SERVICES, PATIENTS AND THEIR LOVED ONES ARE ASSURED OF THE BEST POSSIBLE QUALITY OF LIFE TO THE END OF LIFE. THE FOCUS OF CARE IS ON COMFORT AND SUPPORTING QUALITY OF LIFE WHEN TREATMENTS AIMED AT CURE OR EXTENDING LIFE ARE NO LONGER DESIRABLE. HOSPICE CARE IS FOR ANYONE, OF ANY AGE, WHO IS NEARING THE END OF LIFE. THE HOSPICE BENEFIT THROUGH MEDICARE, MEDICAID AND MOST PRIVATE INSURANCE POLICIES PAYS FOR MEDICAL CARE, PRESCRIPTION DRUGS RELATED TO THE PATIENT'S TERMINAL ILLNESS, RESPITE CARE, MEDICAL EQUIPMENT, SUPPLIES, AND A FULL RANGE OF SOCIAL SERVICES. HOSPICE OF SPOKANE SERVED 2,198 UNDUPLICATED CLIENTS IN 2015, PROVIDING 99,456 DAYS OF ROUTINE HOME CARE, 4,608 DAYS OF ACUTE INPATIENT CARE, 176 DAYS OF RESPITE CARE AND 1 DAY OF CONTINUOUS CARE FOR THE YEAR ENDED DECEMBER 31, 2015. THE UNREIMBURSED VALUE OF PROVIDING CARE TO ALL PATIENTS WAS 59,962 FOR CHARITY CARE, 524,593 FOR MEDICARE (INCLUDES SEQUESTRATION 2% PAYMENT REDUCTIONS), 73,325 FOR MEDICAID AND 30,611 FOR OTHER THIRD-PARTY PAYERS FOR THE YEAR ENDED DECEMBER 31, 2015. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE (DBA SPOKANE PALLIATIVE CARE) CONTINUES OFFERING PALLIATIVE CARE CONSULTATION TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES. 278 PATIENTS WERE SERVED BY THE PALLIATIVE CARE CERTIFIED INTERDISCIPLINARY TEAM, ACHIEVING IMPROVED ADHERENCE TO TREATMENT PLANS, ASSISTING IN OPTIMAL SYMPTOM CONTROL AND IMPROVING QUALITY OF LIFE DESPITE LIFE-LIMITING ILLNESS. IN JANUARY OF 2013, HOSPICE OF SPOKANE FURTHER EXPANDED OUR PALLIATIVE CARE SERVICES TO INCLUDE PRIMARY CARE FOR INDIVIDUALS WHO HAVE DIFFICULTY GETTING TO AND FROM A PRIMARY CARE PROVIDER. DOING BUSINESS AS MOBILE MEDICINE OF SPOKANE, THIS CARE IS PROVIDED BY ARNPS WITH COLLABORATION AND GUIDANCE OF OUR MEDICAL DIRECTOR. IN 2015, 495 PATIENTS WERE SERVED THROUGH MOBILE MEDICINE OF SPOKANE. THERE CONTINUES TO BE MORE DEMAND THAN WE CURRENTLY HAVE CAPACITY FOR. THIS IS A MUCH-NEEDED PRIMARY PALLIATIVE CARE SERVICE, FOCUSED ON BRINGING PRIMARY CARE TO INDIVIDUALS IN ASSISTED LIVING AND ADULT FAMILY HOMES. 2999749 4364881 WHEN HOSPICE PATIENTS ARE NO LONGER ABLE TO MANAGE AT HOME, THEY CAN GO TO THE HOSPICE HOUSE TO RECEIVE HOSPICE CARE IN AN INPATIENT SETTING. RESIDENTS OF THE HOSPICE HOUSE HAVE PRIVATE ROOMS WITH MANY OF THE COMFORTS OF HOME AND SPACE FOR VISITING FAMILY AND FRIENDS. RESIDENTS CONTINUE TO RECEIVE ALL OF THE MEDICAL, EMOTIONAL, AND SPIRITUAL CARE SERVICES HOSPICE OF SPOKANE OFFERS. PHYSICIANS, NURSES, NURSE AIDES, SOCIAL WORKERS, GRIEF COUNSELORS AND CHAPLAINS ALL HELP IN THEIR OWN WAYS - RIGHT IN THE HOSPICE HOUSE. BEING IN THE HOSPICE HOUSE MEANS PATIENTS CAN GET THE SAME LEVEL OF HOSPICE CARE THEY WOULD RECEIVE IN A HOSPITAL OR NURSING HOME; HOSPICE HOUSE IS ANOTHER OPTION FOR THAT LEVEL OF CARE. BASED ON COMMUNITY NEED, HOSPICE OF SPOKANE OPENED A SECOND HOSPICE HOUSE IN SPRING OF 2014. THE SECOND HOUSE INCREASES CAPACITY FOR THIS SPECIALIZED CARE TO 24 BEDS TOTAL. HOSPICE HOUSE PROVIDED 7,419 PATIENT DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2015 TO 929 PATIENTS AND THEIR FAMILIES. 431692 HOSPICE OF SPOKANE PROVIDES INDIVIDUAL AND GROUP GRIEF COUNSELING FOR ANYONE IN THE COMMUNITY WHO HAS EXPERIENCED LOSS THROUGH THE DEATH OF SOMEONE CLOSE TO THEM. PROFESSIONAL COUNSELORS SPECIALLY TRAINED IN GRIEF AND LOSS ISSUES HELP THE GRIEVING IDENTIFY AND ATTEND TO THEIR UNIQUE NEEDS. GRIEF SUPPORT GROUPS PROVIDE A SAFE PLACE TO SHARE ONE'S PAIN WITH OTHERS WHO ARE GRIEVING. WITHIN THE GROUPS, EACH PERSON IS ENCOURAGED TO EXPRESS FEELINGS OPENLY AND TO GIVE AND RECEIVE SUPPORT. HOSPICE OF SPOKANE MADE 3,955 CLIENT VISITS RELATED TO BEREAVEMENT FOR THE YEAR ENDED DECEMBER 31, 2015. 16223177 true true false false false false false false false true true false false false false true true false false false false false false false true false false false false true false false false false false false false false false false false false false false false false false true 94 0 true 179 true false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false WA X SHERRIE SYKES 5094560438 PO BOX 2215 SPOKANE WA 99210 STEVE BRISBOIS MD CHAIR 1.00 X X 0 0 0 MARK KETTNER VICE CHAIR 1.00 X X 0 0 0 MONTE CHITWOOD TREASURER 1.00 X X 0 0 0 ANGI SHAMBLIN SECRETARY 1.00 X X 0 0 0 JOHN BJORKMAN CPA AEP PAST CHAIR 1.00 X 0 0 0 RONDA BECKNER MD TRUSTEE 1.00 X 0 0 0 NATHAN DIKES TRUSTEE 1.00 X 0 0 0 DR BRIAN STEVERSON TRUSTEE 1.00 X 0 0 0 AL RUBENS TRUSTEE 1.00 X 0 0 0 LISA STILLER MD TRUSTEE 1.00 X 0 0 0 LARRY SWARTZ TRUSTEE 1.00 X 0 0 0 GINA DRUMMOND CEO 40.00 X 207551 0 12843 SHERRIE SYKES FINANCE DIRE 40.00 X 107847 0 11034 ROBERT BRAY MEDICAL DIRE 40.00 X 234646 0 13424 MICHAEL SELLS ARNP 40.00 X 121100 0 11849 TERESA STOTT DIRECTOR OF 40.00 X 110985 0 11026 COLLEEN CONNORS HR DIRECTOR 40.00 X 107730 0 11012 889859 71188 6 false true false 53076 48700 559201 660977 HOSPICE CARE SERVICES, NET 621610 21241493 21241493 21241493 225570 225570 6186206 5998611 31 187595 -31 187564 187564 35266 48700 36374 -1108 OTHER 900099 8677 8677 8677 22323173 21241493 421811 339275 339275 8885173 7939240 855620 90313 242398 151539 89150 1709 1217807 1057618 146868 13321 969327 868541 93273 7513 2436 2436 33500 33500 68863 68863 1189199 1156816 31544 839 407627 363438 33208 10981 176931 150163 21375 5393 404307 284970 69375 49962 567715 547669 19162 884 56727 50451 6031 245 472133 458423 12703 1007 74729 61769 12960 MEDICAL SUPPLIES 3029606 3029606 COMMUNITY RELATIONS 404592 64193 314474 25925 DUES AND SUBSCRIPTIONS 58966 38741 19940 285 OTHER EXPENSE 24268 8536 15732 18625579 16223177 2178293 224109 X 22537 10343 12194 200 275 9195529 10268324 163475 106526 2638009 2958685 121739 216463 11825745 3328503 8859904 8497242 8802355 10770337 453416 461289 30234627 33279141 1588406 1760394 1588406 1760394 X 27817878 30742352 633789 581841 194554 194554 28646221 31518747 30234627 33279141 3697594 -832941 7873 X false true X true false X 779220 699301 1229063 1138315 660977 4506876 779220 699301 1229063 1138315 660977 4506876 70351 4436525 137409 136355 241795 144781 225570 885910 -2065 3168 14685 25696 7569 49053 5441839 97036952 0.81530 0.83930 X PART II, LINE 10 FUNDRAISING & OTHER INCOME 49,053 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 379801 3128 -14449 368480 371574 4286 3941 379801 325228 43586 2760 371574 287566 35574 2088 325228 302511 -15304 359 287566 0.47000 0.53000 false false 1646323 1646323 7924925 1601504 6323421 325113 221088 104025 1919656 1505911 413745 9728 9728 8497242 X 21498105 -832941 7873 -825068 22323173 22323173 18625579 18625579 18625579 SCHEDULE D, PAGE 2, PART V, LINE 4 EARNINGS FROM ENDOWMENT FUNDS ARE DESIGNATED FOR THE SUPPORT OF CURRENT OPERATIONAL EXPENSES OF HOSPICE OF SPOKANE. SCHEDULE D, PAGE 3, PART X HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS NECESSARY. HOSPICE EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2015 AND 2014, HOSPICE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN BENEFICIAL INTEREST IN TRUSTS 7,873 TASTE OF LIFE 48485 30450 18035 1289 13388 2368 3532 GOLF SCRAMBLE 35481 18250 17231 6756 1983 7058 83966 48700 35266 1289 20144 4351 10590 36374 -1108 X true true X X X X X X false true false false false false false true false GINA DRUMMOND CEO 207551 12843 220394 ROBERT BRAY MEDICAL DIRECTOR 229646 5000 13424 248070 SCHEDULE J, PAGE 1, PART I, LINE 4 GINA DRUMMOND 0 24,000 0 SHERRIE SYKES 0 10,000 0 ROBERT BRAY 0 15,000 0 SCHEDULE J, PAGE 1, PART I, LINE 7 THE MEDICAL DIRECTOR RECEIVED A BONUS PER APPROVAL OF THE HOSPICE BOARD OF TRUSTEES AS BUDGETED BY POSITION BASED ON CORPORATE-WIDE ACCOMPLISHMENT OF GOALS. SCHEDULE J, PART III THE CHIEF EXECUTIVE OFFICER, FINANCE DIRECTOR, AND MEDICAL DIRECTOR PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING 2015. THE MEDICAL DIRECTOR WAS NOT VESTED IN THE PLAN DURING THE YEAR AND HAS NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN. THE CHIEF EXECUTIVE OFFICER AND FINANCE DIRECTOR WERE VESTED 50% AND 30% RESPECTIVELY, DURING 2015 BUT THEY NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN. FORM 990, PAGE 2, PART III, LINE 2 IN KEEPING WITH OUR MISSION, HOSPICE OF SPOKANE, DOING BUSINESS AS, SPOKANE PALLIATIVE CARE, CONTINUED THE PROVIDING PALLIATIVE CARE CONSULTATIONS TO 278 PATIENTS IN 2015. THE PROGRAM INTRODUCED IN 2012 EXPANDED COMMUNITY OFFERINGS PROVIDING NEEDED SERVICES TO INDIVIDUALS WITH LIFE-LIMITING DISEASES SUCH AS CANCER OR ADVANCED HEART, LUNG, HEPATIC, RENAL AND/OR NEUROLOGICAL CONDITIONS WHO ARE NOT HOSPICE-ELIGIBLE. A PALLIATIVE CARE- CERTIFIED INTERDISCIPLINARY TEAM CONSISTING OF MD, ARNP, RN, MSW, CHAPLAIN AND BEREAVEMENT COUNSELORS ARE AVAILABLE AT THE REFERRAL OF THE PATIENT'S PRIMARY CARE PROVIDER (PCP). THESE SERVICES ARE AVAILABLE MONDAY-FRIDAY 8A-5P (HOLIDAYS EXCLUDED) AND ARE OVERSEEN BY OUR MEDICAL DIRECTOR. SERVICES ARE DELIVERED IN THE SETTING THE CLIENT CALLS HOME (PRIVATE RESIDENCE, EXTENDED CARE FACILITY, ETC.) AND THROUGH A CONTRACT WITH DEACONESS AND VALLEY HOSPITALS FOR ON-SITE CONSULTATION, ASSISTING THE PATIENT'S PCP WITH ACHIEVING IMPROVED ADHERENCE TO TREATMENT PLANS, ASSISTING IN OPTIMAL SYMPTOM CONTROL AND IMPROVING QUALITY OF LIFE. WE WORK CLOSELY WITH THE PALLIATIVE CARE TEAM AT SACRED HEART AND HOLY FAMILY HOSPITALS AS WELL. THE SERVICES ARE CONSULTATIVE UPON THE PCP'S ORDER FOR COLLABORATION, CO-MANAGEMENT OR INITIATION OF THERAPEUTIC INTERVENTIONS. SERVICES DO NOT INCLUDE CHRONIC DISEASE MANAGEMENT OR CHRONIC PAIN MANAGEMENT FOR PATIENTS WITHOUT LIFE-LIMITING ILLNESS. FORM 990, PAGE 2, PART III, LINE 4A HOSPICE OF SPOKANE SERVED 2,198 UNDUPLICATED CLIENTS IN 2015, PROVIDING 99,456 DAYS OF ROUTINE HOME CARE, 4,608 DAYS OF ACUTE INPATIENT CARE, 176 DAYS OF RESPITE CARE AND 1 DAY OF CONTINUOUS CARE FOR THE YEAR ENDED DECEMBER 31, 2015. THE UNREIMBURSED VALUE OF PROVIDING CARE TO ALL PATIENTS WAS 59,962 FOR CHARITY CARE, 524,593 FOR MEDICARE (INCLUDES SEQUESTRATION 2% PAYMENT REDUCTIONS), 73,325 FOR MEDICAID AND 30,611 FOR OTHER THIRD-PARTY PAYERS FOR THE YEAR ENDED DECEMBER 31, 2015. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE (DBA SPOKANE PALLIATIVE CARE) CONTINUES OFFERING PALLIATIVE CARE CONSULTATION TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES. 278 PATIENTS WERE SERVED BY THE PALLIATIVE CARE CERTIFIED INTERDISCIPLINARY TEAM, ACHIEVING IMPROVED ADHERENCE TO TREATMENT PLANS, ASSISTING IN OPTIMAL SYMPTOM CONTROL AND IMPROVING QUALITY OF LIFE DESPITE LIFE-LIMITING ILLNESS. IN JANUARY OF 2013, HOSPICE OF SPOKANE FURTHER EXPANDED OUR PALLIATIVE CARE SERVICES TO INCLUDE PRIMARY CARE FOR INDIVIDUALS WHO HAVE DIFFICULTY GETTING TO AND FROM A PRIMARY CARE PROVIDER. DOING BUSINESS AS MOBILE MEDICINE OF SPOKANE, THIS CARE IS PROVIDED BY ARNPS WITH COLLABORATION AND GUIDANCE OF OUR MEDICAL DIRECTOR. IN 2015, 495 PATIENTS WERE SERVED THROUGH MOBILE MEDICINE OF SPOKANE. THERE CONTINUES TO BE MORE DEMAND THAN WE CURRENTLY HAVE CAPACITY FOR. THIS IS A MUCH-NEEDED PRIMARY PALLIATIVE CARE SERVICE, FOCUSED ON BRINGING PRIMARY CARE TO INDIVIDUALS IN ASSISTED LIVING AND ADULT FAMILY HOMES. FORM 990, PAGE 2, PART III, LINE 4B SECOND HOUSE INCREASES CAPACITY FOR THIS SPECIALIZED CARE TO 24 BEDS TOTAL. HOSPICE HOUSE PROVIDED 7,419 PATIENT DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2015 TO 929 PATIENTS AND THEIR FAMILIES. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND THE DIRECTOR OF FINANCE, WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS, ALONG WITH THE HOSPICE OF SPOKANE BOARD FINANCE COMMITTEE. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. THE CEO SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. FORM 990, PAGE 6, PART VI, LINE 12C NEW EMPLOYEES, VOLUNTEERS, AND TRUSTEES RECEIVE, REVIEW, AND SIGN THE CONFLICT OF INTEREST POLICY DURING ORIENTATION. THE POLICY IS INCLUDED IN THE EMPLOYEE HANDBOOK RECEIVED BY ALL STAFF. ONGOING ENFORCEMENT OCCURS VIA ROUTINE EDUCATION AND DISCUSSION AT VARIOUS TEAM MEETINGS AND AT ALL STAFF MEETINGS. CHART AUDITS, QUALITY ASSURANCE PERFORMANCE IMPROVEMENT QUARTERLY REVIEWS, SUPERVISORY VISITS, CARE CONFERENCES, AND SELF REPORTING ALLOW FOR CONTINUED MONITORING. IF AN ISSUE ARISES, THE SITUATION IS INVESTIGATED AND DISCIPLINARY PROCESSES ARE IMPLEMENTED ACCORDING TO THE POLICY, IF NECESSARY. FORM 990, PAGE 6, PART VI, LINE 15A COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, THROUGH PARTICIPATION IN AN INDUSTRY SURVEY, AND OTHER SIMILAR ORGANIZATIONS' IRS FORM 990. THE EXECUTIVE COMMITTEE (MADE UP OF THE OFFICERS OF THE BOARD OF TRUSTEES) REVIEWS THE COMPENSATION DATA AND MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR THE CEO COMPENSATION. THE BOARD OF TRUSTEES MUST THEN APPROVE AND DOCUMENT THE COMPENSATION AND NOTIFY HUMAN RESOURCES. FORM 990, PAGE 6, PART VI, LINE 15B COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, THROUGH PARTICIPATION IN AN INDUSTRY SURVEY, AND OTHER SIMILAR ORGANIZATIONS' IRS FORM 990. THE CEO USES THE COMPENSATION DATA OBTAINED TO MAKE COMPENSATION DECISIONS FOR OTHER OFFICERS AND EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 19 HOSPICE OF SPOKANE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN TRUSTS 7,873 TOTAL 7,873