2015-05-05T13:01:57-05:00 2014-12-31 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2014-01-01 910995069 HOSPICE OF SPOKANE HOSP 5094560438 PO BOX 2215 SPOKANE WA 99210 GINA DRUMMOND CHIEF EXECUTIVE OFFICER 5094560438 2015-05-05 true THOMAS DINGUS P00951009 5092420874 2015-05-05 2014 2016-02-25 16:41:14Z GINA DRUMMOND CEO PO BOX 2215 SPOKANE WA 99210 28626331 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. 10 10 182 345 0 1229063 1138315 19229290 19754515 241751 444027 14685 25696 20714789 21362553 0 0 10351752 11097558 0 221885 7185877 7260331 17537629 18357889 3177160 3004664 27847033 30234627 2078831 1588406 25768202 28646221 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. false false 13011172 16414258 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 LOVE 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 1,965 UNDUPLICATED CLIENTS IN 2014, PROVIDING 97,133 DAYS OF ROUTINE HOME CARE, 3,876 DAYS OF ACUTE INPATIENT CARE, 154 DAYS OF RESPITE CARE AND 1 DAY OF CONTINUOUS CARE FOR THE YEAR ENDED DECEMBER 31, 2014. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 19,980 FOR CHARITY CARE, 289,027 FOR MEDICARE (INCLUDES SEQUESTRATION 2% PAYMENT REDUCTIONS), 62,413 FOR MEDICAID AND 118,027 FOR OTHER THIRD-PARTY PAYERS FOR THE YEAR ENDED DECEMBER 31, 2014. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE (DBA SPOKANE PALLATIVE 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 TWO ARNPS WITH COLLABORATION AND GUIDANCE OF OUR MEDICAL DIRECTOR. IN 2014, 610 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. 2560938 3340257 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 5,953 PATIENT DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2014 TO 715 PATIENTS AND THEIR FAMILIES. 442863 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 3,574 CLIENT VISITS RELATED TO BEREAVEMENT FOR THE YEAR ENDED DECEMBER 31, 2014. 16014973 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 101 0 true 182 true false false false false false false false false false false X 10 10 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 MONTE CHITWOOD TRUSTEE 1.00 X 0 0 0 ANGI SHAMBLIN TRUSTEE 1.00 X 0 0 0 RONDA BECKNER MD TRUSTEE 1.00 X 0 0 0 JOHN BJORKMAN CPA AEP CHAIR 1.00 X X 0 0 0 NATHAN DIKES TRUSTEE 1.00 X 0 0 0 MARK KETTNER TREASURER 1.00 X X 0 0 0 DR BRIAN STEVERSON TRUSTEE 1.00 X 0 0 0 AL RUBENS PAST CHAIR 1.00 X X 0 0 0 STEVE BRISBOIS MD VICE CHAIR 1.00 X X 0 0 0 LISA STILLER MD TRUSTEE 1.00 X 0 0 0 GINA DRUMMOND CEO 40.00 X 194379 0 12665 SHERRIE SYKES FINANCE DIRE 40.00 X 103377 0 10961 ROBERT BRAY MEDICAL DIRE 40.00 X 223441 0 13313 MICHAEL SELLS ARNP 40.00 X 105642 0 9907 TERESA STOTT DIRECTOR OF 40.00 X 104447 0 10963 COLLEEN CONNORS HR DIRECTOR 40.00 X 101650 0 10939 832936 68748 6 false true false 60236 36710 1041369 1138315 HOSPICE CARE SERVICES, NET 621610 19754515 19754515 19754515 144781 144781 7528435 12 7229201 299234 12 299246 299246 46426 36710 34577 11849 OTHER 900099 13847 13847 13847 21362553 19754515 457874 321382 321382 8510720 7593386 830378 86956 220306 139362 79309 1635 1124986 972595 140161 12230 920164 824995 87701 7468 2638 2638 32750 32750 52497 52497 1419622 1339494 76137 3991 251 13 238 416765 369268 34681 12816 162300 138066 19853 4381 381083 261182 69665 50236 499732 484951 13719 1062 51836 44903 6833 100 459605 437334 18061 4210 75374 46050 29324 MEDICAL SUPPLIES 3242291 3242291 COMMUNITY RELATIONS 374923 76905 291150 6868 DUES AND SUBSCRIPTIONS 48213 33896 13959 358 OTHER EXPENSE 40451 10282 595 29574 18357889 16014973 2121031 221885 X 11656 4615 7041 200 200 10931151 9195529 302272 163475 2361451 2638009 90614 121739 11716274 2856370 8076401 8859904 5642974 8802355 441970 453416 27847033 30234627 2078831 1588406 2078831 1588406 X 24829407 27817878 744241 633789 194554 194554 25768202 28646221 27847033 30234627 3004664 -138091 11446 X false true X true false X 796506 779220 699301 1229063 1138315 4642405 796506 779220 699301 1229063 1138315 4642405 69878 4572527 64418 137409 136355 241795 144781 724758 39090 -2065 3168 14685 25696 80574 5447737 91875518 0.83930 0.85040 X PART II, LINE 10 OTHER INCOME 80,574 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 371574 4286 3941 379801 325228 43586 2760 371574 287566 35574 2088 325228 302511 -15304 359 287566 270971 34038 2498 302511 0.49000 0.51000 false false 1646323 1646323 7875588 1284065 6591523 320175 202655 117520 1874188 1369650 504538 8859904 X 21235908 -138091 11446 -126645 21362553 21362553 18357889 18357889 18357889 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 UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2014 AND 2013, HOSPICE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN BENEFICIAL INTEREST IN TRUSTS 11,446 TASTE OF LIFE 50126 14500 35626 20809 3038 GOLF SCRAMBLE 33010 22210 10800 10730 83136 36710 46426 20809 13768 34577 11849 X true true X X X X X X false true false false false false false true false GINA DRUMMOND CEO 194379 12665 207044 ROBERT BRAY MEDICAL DIRECTOR 218441 5000 13313 236754 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 2014. THE FINANCE AND MEDICAL DIRECTORS WERE NOT VESTED IN THE PLAN DURING THE YEAR AND HAVE NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN. THE CHIEF EXECUTIVE OFFICER WAS 30% VESTED IN THE PLAN DURING 2014 BUT HAS NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN. FORM 990, PAGE 2, PART III, LINE 4A HOSPICE OF SPOKANE SERVED 1,965 UNDUPLICATED CLIENTS IN 2014, PROVIDING 97,133 DAYS OF ROUTINE HOME CARE, 3,876 DAYS OF ACUTE INPATIENT CARE, 154 DAYS OF RESPITE CARE AND 1 DAY OF CONTINUOUS CARE FOR THE YEAR ENDED DECEMBER 31, 2014. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 19,980 FOR CHARITY CARE, 289,027 FOR MEDICARE (INCLUDES SEQUESTRATION 2% PAYMENT REDUCTIONS), 62,413 FOR MEDICAID AND 118,027 FOR OTHER THIRD-PARTY PAYERS FOR THE YEAR ENDED DECEMBER 31, 2014. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE (DBA SPOKANE PALLATIVE 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 TWO ARNPS WITH COLLABORATION AND GUIDANCE OF OUR MEDICAL DIRECTOR. IN 2014, 610 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 5,953 PATIENT DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2014 TO 715 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 11,446