2015-11-04T20:59:23-07:00 2014-12-31 990 2014-01-01 990203930 HOSPICE HAWAII INC HOSP 8089249255 860 Iwilei Road Honolulu HI 96817 Kenneth Zeri President & CPO 8089249255 2015-11-13 2014 2016-02-25 16:41:14Z Kenneth L Zeri 860 Iwilei Road Honolulu HI 96817 9877046 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 15 154 140 0 0 891507 1002245 10377667 8620947 99119 138376 -12403 -94229 11355890 9667339 0 0 0 0 7074745 6280449 0 0 334957 4980019 4519206 12054764 10799655 -698874 -1132316 8455146 7415102 1189791 1228257 7265355 6186845 To promote the quality of life for persons facing life-limiting illnesses and for their families. 0 0 8162229 0 7954194 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 2014, Hospice Hawaii served 739 patients in the Oahu, Molokai and Lanai communities and had 38,208 patient days of care, of which 1,072 days were for pediatric care in our pediatric concurrent care program, the first in Hawaii. Hospice Hawaii also provided uncompensated and charity care in 2014 at an estimated cost of $172,000. Hospice Hawaii volunteer services to patients and their families in 2014 were enriched by our Volunteer Trainings. Volunteer Trainings in 2014 trained 71 Hospice Hawaii volunteers and 14 Bereavement Camp volunteers in six trainings. Community bereavement support met monthly in five locations on Oahu and Molokai and served approximately 68 individuals. 760236 0 666753 INPATIENT HOSPICE SERVICES: Hospice Hawaii Kailua Home provides 24 hours a day, seven days a week professional hospice residential care to our hospice patients that cannot be adequately provided care in their own homes. Patients receive expert, compassionate care in our 5-bed home-like residential facility on the island of Oahu and round-the-clock monitoring to be kept as symptom-free and comfortable as possible. In 2014, Hospice Hawaii Kailua Home served 103 patients and had 1,507 patient days of care, including residential indigent and respite care under our charity endowment agreement. 394891 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 on radio, television and on-site to groups of all sizes to inform and to educate the public. Topics in 2014 include POLST, advance care directives, hospice care & services, Medicare hospice benefit, end-of-life planning, supportive care, how to live at the end of life, nursing leadership, hospice care in America, best care for persons with dementia, hospice pediatrics, interfaith conversations, grief and grief support. Hospice Hawaii also partners with Kokua Mau, a coalition of hospice and palliative care professionals, to speak to the public on end of life matters and physician orders for life-sustaining treatment. In 2014, Hospice Hawaii made approximately 35 group presentations to the public. 0 0 0 9317356 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 65 0 1 154 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 Creighton K K Liu Chair 2 0 X 0 0 0 Terri T Fujii Vice Chair 2 0 X 0 0 0 Melanie King Treasurer 2 0 X 0 0 0 Lance N Tanaka Secretary 2 0 X 0 0 0 Jim Alberts Director 1 0 X 0 0 0 George D Bussey Director 1 0 X 0 0 0 Jen Chahanovich 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 Patrick E Klein Director 1 0 X 0 0 0 Brigitte McKale Director 1 0 X 0 0 0 Gwen N Ouye Yokota Director 1 0 X 0 0 0 Kim Sung Director 1 0 X 0 0 0 Angela Tokuda Director 1 0 X 0 0 0 Kenneth L Zeri President & CPO 40 0 X X 140000 0 10728 Kim G Hanson Controller 40 0 X 75583 0 23974 Liane T Pang Medical Director 40 0 X 180784 0 17185 Geoffrey Galbraith Medical Director 40 0 X 113241 0 0 Fay J Van Fleet Director of Clinical Operations 40 0 X 135000 0 1519 644608 0 53406 4 0 1 0 Aloha Nursing and Rehab Centre 45 545 Kamehameha Highway Kaneohe HI 96744 Nursing home service 285981 UCERA PO Box 31000 Honolulu HI 96849 Physician services 136667 Kahala Senior Living Community 4389 Malia Street Honolulu HI 96821 Nursing home service 128047 Hale Ho Aloha Inc 2670 Pacific Heights Road Honolulu HI 96813 Nursing home service 118743 4 122115 0 214753 0 0 665377 49718 1002245 Patient services 621610 8620947 8620947 0 0 0 0 0 0 8620947 137140 137140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66665 0 65429 0 1236 0 1236 1236 0 0 42191 214753 144278 -102087 0 -102087 0 0 0 0 0 0 0 0 0 0 0 0 Healing Touch 621610 2744 2744 0 0 5114 5114 0 0 7858 9667339 8767181 0 -102087 0 0 0 0 0 0 0 0 656887 474168 167319 15400 0 0 0 0 4523313 3980555 377925 164833 60592 45101 13660 1831 594187 511000 65361 17826 445470 383104 49002 13364 156770 156770 0 0 59348 0 59348 0 30357 0 30357 0 500 0 500 0 0 0 31113 0 31113 0 275497 137898 125417 12182 179650 49561 130089 0 256789 148420 19005 89364 231528 208113 18528 4887 0 0 0 0 354136 319566 27162 7408 107293 107188 46 59 0 0 0 0 90062 73072 14089 2901 448 0 448 0 0 0 0 0 78019 69227 6908 1884 100595 86512 11065 3018 Bad debt expense 172627 172627 0 0 Patient services and supplies 2394474 2394474 0 0 0 0 0 0 10799655 9317356 1147342 334957 1200 1200 2616375 1839497 165401 155557 1547593 1445257 0 0 0 0 0 0 0 0 100503 84080 1046208 794947 220387 251261 3799250 3631781 0 0 0 0 0 0 4437 6469 8455146 7415102 1134808 1178698 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54983 49559 1189791 1228257 X 6391990 5398835 123365 38010 750000 750000 7265355 6186845 8455146 7415102 X -1132316 57543 0 0 0 -3737 X 0 1 X 1 0 X 860285 938756 810436 907707 966202 4483386 0 0 0 0 0 0 0 0 0 0 0 0 860285 938756 810436 907707 966202 4483386 1033351 3450035 32687 36134 75341 105150 137140 386452 0 0 0 0 0 0 73443 94770 91721 106380 98634 464948 5334786 464948 0.64671 0.65693 X Schedule A, Part II, Line 1 Unusual grants are omitted from Line 1 as follows: Column (a) $2,035,566, Column (b) $24,434, Column (d) $1,850. Schedule A, Part II, Line 10 Fundraising events Column (a): $73,443, Column (b): $94,770, Column (c): $91,721, Column (d): $106,380, Column (e): $98,634. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 500 500 9316856 9317356 615868 153967 0 0 534280 611498 686126 615868 2447772 3671658 248 1190 739 500 2677 133570 152875 171532 153967 611944 917916 0 0 0 0 0 Schedule C, Part II-A, Line 1b NHPCO and HAH dues percentages for lobbying. 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 750000 0 10338 0 10338 0 750000 0 1 0 0 0 0 0 0 0 0 0 0 0 168266 117331 50935 0 877942 677616 200326 0 0 0 0 251261 0 Liability for overpayments 12220 Charitable gift annuities 37339 49559 9885824 57543 20400 0 -3736 74207 9811617 0 -144278 -144278 9667339 10964333 20400 0 0 144278 164678 10799655 0 0 0 10799655 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 annuity liability ($3,736). Schedule D, Part XI, Line 4b Fundraising event direct expenses ($144,278). Schedule D, Part XII, Line 2d Fundraising event direct expenses $144,278. Wine Auct Dinner 153187 112325 40862 0 9000 0 34921 11118 30212 Hot Pursuit Run 103757 102428 1329 0 8522 680 1529 2300 45996 0 256944 214753 42191 0 17522 680 36450 13418 76208 144278 -102087 X X X X X 0 0 0 0 0 0 0 0 0 Liane T Pang Medical Director 180784 0 0 0 0 0 4441 0 12744 0 197969 0 0 0 Kenneth L Zeri President & CPO 140000 0 0 0 0 0 4200 0 6528 0 150728 0 0 0 X 114 30538 Selling price of donated property X 6 1529 Retail value X Gift certificates 43 8943 Face value X Potted plants 1 3278 Selling price of donated property X Equipment rental 4 2980 Retail value X Collateral material 1 2450 Retail value 0 0 1 0 Form 990, Part VI, Section B, Line 11b The Form 990 is prepared by the Controller for the organization, and reviewed by its auditor and President/Chief Professional Officer who signs the final return. The return is distributed in draft form to all members of the Finance and Executive Committees of the Board of Directors of Hospice Hawaii 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 he/she understands and agrees to comply with the policy by reporting any real or potential conflicts of interest. Disclosures statements from any source, if any, are received by the President or Chair of the Board of Directors and reviewed by the Board of Directors by disclosure of the 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 ($3,737).