2015-09-09T18:17:50-07:00 2014-10-31 990 2013-11-01 954022185 KEIRO SERVICES KEIR 3239807555 325 SOUTH BOYLE AVENUE LOS ANGELES CA 90033 SHAWN MIYAKE PRESIDENT & CEO 3239807500 2015-09-10 2013 2016-02-25 16:41:14Z KEIRO SENIOR HEALTHCARE SHAWN MIYAKE 325 SOUTH BOYLE AVENUE LOS ANGELES CA 90033 4267358 0 X www.keiro.org X 1961 CA TO ENHANCE THE QUALITY OF SENIOR LIFE IN OUR COMMUNITY 11 10 37 79 0 0 964459 627870 0 0 594266 688180 3617217 2951308 5175942 4267358 0 0 0 0 2218687 2203862 0 0 349061 1013245 1297265 3231932 3501127 1944010 766231 33522746 34978845 637793 562672 32884953 34416173 To enhance the quality of senior life in our community. 0 0 123018 0 KEIRO SENIOR HEALTHCARE (KEIRO SERVICES) PROVIDES A FULL CONTINUUM OF CARE THROUGH KEIRO NURSING HOME, SOUTH BAY KEIRO NURSING HOME, KEIRO INTERMEDIATE CARE FACILITY, KEIRO RETIREMENT HOME, AND THE INSTITUTE FOR HEALTHY AGING AT KEIRO (IHA). THE TOTAL OPERATING EXPENSES FOR THE IHA WERE $258,330 ALL OF WHICH WERE FOCUSED ON COMMUNITY BENEFIT ACTIVITES. 258330 0 The Institute for Healthy Aging at Keiro (IHA) achievements are: 1) Partnered with community organizations to educate 1,841 people through evidence based seminars/conferences; 2) Provided case management/referral services to 60 people; 3) Provided nikkei community internship programs; community needs assessments and clinical observations site for graduate student in Public Health, undergraduate students in Human Development & Ethnic Studies, Gerontology, Asian Pacific Studies, Human Biology and other and other university/college projects; 4) Provided health promotion/wellness, caregiving and consumer education to over 29,000 families through Keiro's website, blog and newsletters; 5) Provided Meeting space/parking/overhead to other NFP community Organizations; 6) Grant writing to support IHA; 7) Contributed $1,700 to other NFP organizations. 0 0 0 381348 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 21 0 1 37 1 0 0 0 0 0 1 1 0 0 0 0 1 0 X 11 10 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X DALE POSADAS 3239807503 325 SOUTH BOYLE AVENUE LOS ANGELES CA 90033 Ernest Doizaki Director 1 0 X 0 0 0 Jeff Folick Director 1 0 X 0 0 0 Gerald Fukui Director 1 0 X 0 0 0 Thomas Iino CPA Treasurer 1 0 X X 0 0 0 Gary Kawaguchi Director & Chairman 1 0 X X 0 0 0 Lynn Miyamoto ESQ Director 1 0 X 0 0 0 Makoto Nakayama Pharm D Director 1 0 X 0 0 0 Stuart Tsujimoto Director 1 0 X 0 0 0 Ruth Watanabe Director & Secretary 1 0 X X 0 0 0 Shawn Miyake Director & President/CEO 40 1 X X X 264496 0 17820 John Ikegami Director 1 0 X 0 0 0 Dianne Belli Chief Administrative Officer 40 1 X 138891 0 13623 Audrey Lee-Sung Director of Resource Development 40 0 X 107422 0 8474 Gene Kanamori Director of Human Resources 40 0 X 103795 0 14223 Dale Posadas Controller 40 0 X 113754 0 5478 728358 0 59618 5 0 1 0 Adams & Associates 5318 East 2nd Street Number 486 Long Beach CA 908038674 Security Services 230947 LOCKE LORD LLP 300 S GRAND AVENUE STE 2600 LOS ANGELES CA 90071 LEGAL SERVICES 336076 2 0 0 0 0 0 627870 57585 627870 0 688180 0 0 688180 0 0 0 0 0 0 0 0 0 0 0 0 0 Management Fee 900099 2832869 2832869 0 0 118439 118439 0 0 2951308 4267358 2951308 0 688180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1671658 151630 1354000 166028 50244 2760 42000 5484 352165 29212 286297 36656 129795 12432 103350 14013 0 0 0 0 22477 0 22477 0 12373 0 12373 0 0 0 0 0 0 0 82391 0 36802 45589 7502 0 0 7502 0 0 0 0 104711 5889 88452 10370 0 0 0 0 0 0 0 0 35825 35825 0 0 34693 7957 22885 3851 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 87191 87191 0 0 82572 0 82572 0 Purchased Services 323690 35479 233693 54518 Dues and Subscriptions 16647 238 13457 2952 Planning expenses 452281 0 452281 0 34912 12735 20079 2098 3501127 381348 2770718 349061 2345700 864355 574301 165854 0 0 -958 9122 0 0 0 0 0 0 599 0 25166 51217 1291023 733856 500355 557167 18441703 17563374 0 0 0 0 0 0 11635880 15767756 33522746 34978845 637793 562672 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 637793 562672 X 15701992 17163400 6582889 6619617 10600072 10633156 32884953 34416173 33522746 34978845 X 766231 426433 0 0 0 338556 X 0 1 X 1 0 X X 0 0 0 Keiro Nursing Home 953946299 7 1 1 1 4096004 Keiro Retirement Home 952916028 7 1 1 1 -295681 2 3800323 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13581119 32761 818348 0 1078729 0 13353499 11558981 660845 1361293 0 0 0 13581119 10326218 417763 965000 0 150000 0 11558981 9924521 335176 66521 0 0 0 10326218 8087196 825341 1067249 0 55265 0 9924521 0 0.8 0.2 0 0 0 52475 52475 0 219784 107962 111822 0 0 0 0 0 837213 625894 211319 0 181551 0 181551 557167 INTEREST RECEIVABLES -477 OTHER ASSETS 9841 LONG-TERM RECEIVABLE-CRT 3884366 DUE FROM/TO RELATED ORGANIZATIONS-NET 11874026 15767756 0 0 X Schedule D, Part V, Line 4 THE KS ENDOWMENT FUND WAS ESTABLISHED TO ENSURE THAT THE ORGANIZATION IS FUNDED TO CONTINUE TO MEET ITS MISSION TO CARE FOR THE ELDERLY. NET ASSETS ASSOCIATED WITH THE ENDOWMENT ARE CLASSIFIED AND REPORTED BASED ON THE DONOR-IMPOSED RESTRICTIONS. Schedule D, Part X, Line 2 KEIRO IS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501 (A) OF THE CODE AND CORRESPONDING SECTIONS OF THE CALIFORNIA REVENUE AND TAXATION CODE, THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSES, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. ACCORDINGLY, NO PROVISION OR CREDIT FOR FEDERAL OR STATE INCOME TAXES IS RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA STATE PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY. X X X 0 0 0 0 0 0 0 0 0 Shawn Miyake Director & President/CEO 250000 0 0 0 14496 0 7650 0 10170 0 282316 0 0 0 Dianne Belli Chief Administrative Officer 138965 0 0 0 0 0 4336 0 9213 0 152514 0 0 0 X 113 57585 Net proceeds from vehicle sale 0 0 1 1 Schedule M, Part I, Line 6 Number of contributions Schedule M, Part I, Line 32b Third parties are used to process and sell vehicles Form 990, Part I, Line 1 FULFILL ITS MISSION TO ENHANCE THE QUALITY OF SENIOR LIFE IN OUR COMMUNITY. AS THE LARGEST HEALTHCARE PROVIDER SERVICING THE JAPANESE AMERICAN COMMUNITY, WE OFFER PEACE OF MIND TO OVER 130,000 FAMILIES AT OUR FACILITIES PROVIDING CARE IN A CULTURALLY SENSITIVE ENVIRONMENT WITH FAMILIAR LANGUAGE, FOOD ACTIVITIES AND VALUES. WE PROVIDE EDUCATION AND RESOURCES TO FAMILIES CARING FOR SENIORSAT HOME, ADULTS 50+, EMPLOYEES AND VOLUNTEERS THROUGH THE INSTITUTE FOR HEALTHY AGING AT KEIRO. Form 990, Part VI, Section A, Line 2 ONE BOARD MEMBER AND THE CEO HAVE A BUSINESS RELATIONSHIP OUTSIDE OF THE ORGANIZATION. THE BOARD MEMBER ABSTAINS HIMSELF ON ANY MATTERS THAT PRESENT A CONFLICT. Form 990, Part VI, Section A, Line 7a MEMBERS OF THE GOVERNING BODY ARE ELECTED BY THE EXECUTIVE BOARD. Form 990, Part VI, Section A, Line 7b DECISIONS MADE BY THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE KEIRO SERVICES BOARD. Form 990, Part VI, Section B, Line 11b THE 990 IS REVIEWED BY THE FINANCE 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 SUBMISSION. Form 990, Part VI, Section B, Line 12c A CHIEF COMPLIANCE OFFICER (CCO) IS DESIGNATED BY THE CORPORATION TO OVERSEE COMPLIANCE TO POLICIES AND PROCEDURES. ANNUAL MANDATORY MEETINGS ARE HELD FOR ALL STAFF TO GO OVER COMPLIANCE ISSUES SPECIFIC TO OUR INDUSTRY. CCO ALSO PROVIDES EDUCATION TO THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, Line 15 THE PROCESS FOR DETERMINING COMPENSATION OF THE CEO AND KEY EMPLOYEES OCCURS IN A TWO STEP PROCESS. THE FIRST STEP INCLUDES A MEETING OF THE PERSONNEL 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 DATA FROM INDEPENDENT DATA SOURCES. THE COMMITTEE DELIBERATES OVER THE MATERIAL AND ITS 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 THE RECOMMENDATION OR NOT. IN THE SECOND STEP, THE CEO'S COMPENSATION IS REVIEWED AT AN EXECUTIVE SESSION OF THE FULL BOARD. THE SAME INDEPENDENT DATA SOURCES ARE UTILIZED FOR COMPARABILITY PURPOSES. 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 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 NET UNREALIZED GAIN ON CHARITABLE REMAINDER TRUST KEIRO NURSING HOME 2221 LINCOLN PARK AVENUE LOS ANGELES CA 90031 953946299 SKILLED NURSING CARE CA 501 (C)(3) LINE 7 KEIRO SERVICES 0 KEIRO RETIREMENT HOME 325 SOUTH BOYLE AVENUE LOS ANGELES CA 90033 952916028 NURSING & RESIDENTIAL CARE CA 501 (c)(3) LINE 7 KEIRO SERVICES 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 KEIRO NURSING HOME p 29300995 ACTUAL COSTS KEIRO NURSING HOME q 33396999 ACTUAL COSTS KEIRO RETIREMENT HOME p 8271097 ACTUAL COSTS KEIRO RETIREMENT HOME q 7975416 ACTUAL COSTS