2014-05-13T13:52:49-05:00 2013-12-31 DINGUS ZARECOR & ASSOCIATES 12015 E MAIN STE A SPOKANE VALLEY WA 99206 990 2013-01-01 910995069 HOSPICE OF SPOKANE HOSP 5094560438 PO BOX 2215 SPOKANE WA 99210 GINA DRUMMOND CHIEF EXECUTIVE OFFICER 5094560438 2014-05-06 true THOMAS DINGUS P00951009 5092420874 2014-05-13 2013 2015-11-30 17:44:51Z GINA DRUMMOND CEO PO BOX 2215 SPOKANE WA 99210 20747001 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 11 172 325 0 699301 1229063 19332525 19229290 136370 241751 3168 14685 20171364 20714789 0 0 9327865 10351752 0 235014 7296212 7185877 16624077 17537629 3547287 3177160 24227647 27847033 1843940 2078831 22383707 25768202 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 12755722 16930333 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'S JOURNEY. 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, A FULL RANGE OF SOCIAL SERVICES AND MUCH MORE. HOSPICE OF SPOKANE SERVED 2,010 UNDUPLICATED CLIENTS IN 2013, PROVIDING 99,599 DAYS OF ROUTINE HOME CARE, 3,226 DAYS OF ACUTE INPATIENT CARE, 175 DAYS OF RESPITE CARE AND 2 DAYS OF CONTINUOUS CARE FOR THE YEAR ENDED DECEMBER 31, 2013. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 15,569 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, 2013. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE CONTINUED OFFERINGS EXPANDED TO THE COMMUNITY IN 2012 BY PROVIDING PALLIATIVE CARE CONSULTATION TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES DOING BUSINESS AS SPOKANE PALLIATIVE CARE. 233 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 2013, 386 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. 2149590 2298957 WHEN HOSPICE PATIENTS ARE NO LONGER ABLE TO MANAGE AT HOME, THEY CAN GO TO THE HOSPICE HOUSE WHERE THEY 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 ALSO HAVE 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. HOSPICE HOUSE PROVIDED 4,054 PATIENT DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2013 TO 492 PATIENTS AND THEIR FAMILIES. 416926 HOSPICE OF SPOKANE PROVIDES INDIVIDUAL 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 GRIEVING 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 6,521 CLIENT VISITS RELATED TO BEREAVEMENT FOR THE YEAR ENDED DECEMBER 31, 2013. 15322238 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 114 0 true 172 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 HELENE PAROFF TRUSTEE 1.00 X 0 0 0 ANGI SHAMBLIN TRUSTEE 1.00 X 0 0 0 MONTE CHITWOOD TRUSTEE 1.00 X 0 0 0 JOHN BJORKMAN CPA AEP VICE CHAIR 1.00 X X 0 0 0 MICHAEL WARD PAST CHAIR 1.00 X 0 0 0 MARK KETTNER TREASURER 1.00 X X 0 0 0 JIM BINGHAM MD TRUSTEE 1.00 X 0 0 0 GARY LAWTON TRUSTEE 1.00 X 0 0 0 AL RUBENS CHAIR 1.00 X X 0 0 0 STEVE BRISBOIS MD SECRETARY 1.00 X X 0 0 0 NATHAN DIKES TRUSTEE 1.00 X 0 0 0 LISA STILLER MD TRUSTEE 1.00 X 0 0 0 GINA DRUMMOND CEO 40.00 X 187263 0 8177 SHERRIE SYKES FINANCE DIRE 40.00 X 101497 0 8177 ROBERT BRAY MEDICAL DIRE 40.00 X 219640 0 8177 TERESA STOTT DIRECTOR OF 40.00 X 103085 0 8177 611485 32708 4 false true false 62688 38025 1128350 1229063 HOSPICE CARE SERVICES, NET 621610 19229290 19229290 19229290 241795 241795 44 -44 -44 -44 35204 38025 32168 3036 OTHER 900099 11649 11649 11649 20714789 19229290 253400 X 305114 305114 7937268 7090551 771349 75368 151753 130276 19984 1493 1076245 933051 131772 11422 881372 791766 82883 6723 9215 9215 32750 32750 19200 19200 1859783 1784566 68460 6757 83309 83309 443652 384053 41970 17629 142903 120785 17036 5082 359438 239537 69665 50236 483723 464053 18441 1229 33355 16344 16576 435 303073 259623 25245 18205 74212 43137 31075 MEDICAL SUPPLIES 2998632 2998632 COMMUNITY RELATIONS 227416 33023 191835 2558 OTHER EXPENSE 63989 24971 2007 37011 DUES AND SUBSCRIPTIONS 51227 7870 42491 866 17537629 15322238 1980377 235014 X 28718 13607 15111 200 200 14681247 10931151 4600 302272 2064839 2361451 74753 90614 10473167 2396766 5240730 8076401 1758545 5642974 402733 441970 24227647 27847033 1843940 2078831 1843940 2078831 X 21781820 24829407 407333 744241 194554 194554 22383707 25768202 24227647 27847033 3177160 168098 39237 X false true X true false X 873837 796506 779220 699301 1229063 4377927 873837 796506 779220 699301 1229063 4377927 49941 4327986 52181 64418 137409 136355 241795 632158 24590 39090 -2065 3168 14685 79468 5089553 87664541 0.85040 0.83600 X PART II, LINE 10 OTHER INCOME 79,468 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 325228 43586 2760 371574 287566 35574 2088 325228 302511 -15304 359 287566 270971 34038 2498 302511 194554 15590 60827 270971 0.48000 0.52000 false false 1646323 1646323 4071409 1006298 3065111 314805 183195 131610 1510488 1207273 303215 2930142 2930142 8076401 X 20922124 168098 39237 207335 20714789 20714789 17537629 17537629 17537629 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, 2013 AND 2012, HOSPICE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN BENEFICIAL INTEREST IN TRUSTS 39,237 TASTE OF LIFE 45504 19500 26004 19845 3383 GOLF SCRAMBLE 27725 18525 9200 1909 7031 73229 38025 35204 21754 10414 32168 3036 X true true X X X X X X false true false false false false false true false GINA DRUMMOND CEO 187263 8177 195440 ROBERT BRAY MEDICAL DIRECTOR 214640 5000 8177 227817 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 2013, BUT WERE NOT VESTED IN THE PLAN DURING THE YEAR AND HAVE 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 233 PATIENTS IN 2013. 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 IN DEACONESS AND VALLEY HOSPITALS, 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 2,010 UNDUPLICATED CLIENTS IN 2013, PROVIDING 99,599 DAYS OF ROUTINE HOME CARE, 3,226 DAYS OF ACUTE INPATIENT CARE, 175 DAYS OF RESPITE CARE AND 2 DAYS OF CONTINUOUS CARE FOR THE YEAR ENDED DECEMBER 31, 2013. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 15,569 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, 2013. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE CONTINUED OFFERINGS EXPANDED TO THE COMMUNITY IN 2012 BY PROVIDING PALLIATIVE CARE CONSULTATION TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES DOING BUSINESS AS SPOKANE PALLIATIVE CARE. 233 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 2013, 386 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 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 IX, LINE 11G CONTRACT SERVICES & PRO FEES 1,784,566 68,460 6,757 FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN TRUSTS 39,237