2013-05-10T17:57:15-05:00 2012-12-31 DINGUS ZARECOR & ASSOCIATES 12015 E MAIN STE A SPOKANE VALLEY WA 99206 990 2012-01-01 910995069 HOSPICE OF SPOKANE HOSP 5094560438 PO BOX 2215 SPOKANE WA 99210 GINA DRUMMOND 5094560438 2013-05-06 true THOMAS DINGUS 5092420874 2013-05-10 2012 2016-02-24 21:20:13Z GINA DRUMMOND CEO PO BOX 2215 SPOKANE WA 99210 20203705 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. 13 13 161 324 0 779220 699301 17479129 19332525 137371 136370 -2065 3168 18393655 20171364 0 0 8799340 9327865 0 213031 7652276 7296212 16451616 16624077 1942039 3547287 20347994 24227647 1641206 1843940 18706788 22383707 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 12566140 16992791 HOSPICE OF SPOKANE OFFERS CARE AND SUPPORT FOR THE TERMINALLY ILL AND THEIR LOVED ONES. THROUGH IN-HOME SKILLED NURSING CARE, HOME HEALTH AIDES FOR PERSONAL CARE, SPIRITUAL SUPPORT, GRIEF AND BEREAVEMENT COUNSELING SERVICES, CLIENTS 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'S JOURNEY. MEDICARE, MEDICAID, AND MOST PRIVATE POLICIES PAY FOR PRESCRIPTION DRUGS RELATED TO THE PATIENT'S TERMINAL ILLNESS, RESPITE CARE, MEDICAL EQUIPMENT, SUPPLIES, MEDICAL CARE, A FULL RANGE OF SOCIAL SERVICES, AND MUCH MORE. HOSPICE SERVED 2,048 UNDUPLICATED CLIENTS IN 2012. HOSPICE PROVIDED 98,081 DAYS OF ROUTINE HOME CARE, 4 DAYS OF CONTINUOUS CARE, 123 DAYS OF RESPITE CARE, AND 3,625 DAYS OF ACUTE INPATIENT CARE FOR THE YEAR ENDED DECEMBER 31, 2012. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 22,567 FOR CHARITY CARE, 38,741 FOR MEDICARE, 50,732 FOR MEDICAID, AND 99,249 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR YEAR ENDED DECEMBER 31, 2012. IN KEEPING WITH ITS MISSION, HOSPICE EXPANDED OFFERINGS TO THE COMMUNITY BY PROVIDING PALLIATIVE CARE CONSULTATION IN APRIL 2012 TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES DOING BUSINESS AS SPOKANE PALLIATIVE CARE. 150 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. 1604985 2339734 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 IN-PATIENT 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 AT 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 SIMPLY ANOTHER OPTION. HOSPICE HOUSE PROVIDED 3,991 PATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2012 TO 445 PATIENTS AND THEIR FAMILIES. 401353 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. THE 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 4,025 CLIENT VISITS RELATED TO BEREAVEMENT FOR THE YEAR ENDED DECEMBER 31, 2012. 14572478 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 122 0 true 161 true false false false false false false false false false false X 13 13 false false false false false false false true true false false false true true true true true true true false WA X SHERRIE SYKES 5094560438 PO BOX 2215 SPOKANE WA 99210 HELENE PAROFF 1.00 X 0 0 0 LINDA THOMPSON 1.00 X 0 0 0 STEVE COTE CLUCFS 1.00 X 0 0 0 JOHN BJORKMAN CPA AEP 1.00 X X 0 0 0 PAM DECOUNTER MA 1.00 X 0 0 0 MARK KETTNER 1.00 X 0 0 0 JIM BINGHAM MD 1.00 X 0 0 0 GARY LAWTON 1.00 X 0 0 0 AL RUBENS 1.00 X X 0 0 0 STEVE BRISBOIS MD 1.00 X X 0 0 0 NATHAN DIKES 1.00 X 0 0 0 MICHAEL WARD 1.00 X X 0 0 0 LISA STILLER MD 1.00 X 0 0 0 GINA DRUMMOND 40.00 X 185722 0 8712 ROBERT BRAY 40.00 X 217515 0 8712 TERESA STOTT 40.00 X 101306 0 8712 504543 26136 3 false true false 58286 52256 588759 699301 HOSPICE CARE SERVICES, NET 621610 19332525 19332525 19332525 136355 136355 15 15 15 15 27719 52256 32341 -4622 OTHER 900099 7790 7790 7790 20171364 19332525 144160 X 194434 194434 7288856 6389849 813344 85663 138797 119280 17914 1603 937730 797235 128377 12118 768048 685644 75519 6885 15285 15285 32150 32150 9169 9169 2236288 2172435 59406 4447 61222 61222 367096 321659 33347 12090 105435 99026 2458 3951 289199 201147 55796 32256 461293 449480 11024 789 15934 13104 2706 124 304593 267096 23761 13736 65697 36566 29131 MEDICAL SUPPLIES 2936994 2936994 COMMUNITY RELATIONS 261483 37582 222008 1893 OTHER EXPENSE 69971 21234 12756 35981 DUES AND SUBSCRIPTIONS 50247 9991 38761 1495 14156 14156 16624077 14572478 1838568 213031 X 29875 28584 1291 200 200 11215522 14681247 12719 4600 1737605 2064839 69566 74753 7326621 2085891 5405789 5240730 1526570 1758545 380023 402733 20347994 24227647 1641206 1843940 1641206 1843940 X 18119492 21781820 392742 407333 194554 194554 18706788 22383707 20347994 24227647 3547287 106922 22710 X false true X true false X 859295 873837 796506 779220 699301 4008159 859295 873837 796506 779220 699301 4008159 143116 3865043 129311 52181 64418 137409 136355 519674 30754 24590 39090 -2065 3168 95537 4623370 84380407 0.83600 0.85690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 287566 35574 2088 325228 302511 -15304 359 287566 270971 34038 2498 302511 194554 15590 60827 270971 0.40000 0.60000 false false 1558121 1558121 4071409 842343 3229066 241196 165967 75229 1376122 1077581 298541 79773 79773 5240730 20286840 106922 8554 115476 20171364 20171364 16609921 16609921 14156 14156 16624077 INTENDED USES FOR ENDOWMENT FUNDS 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. LIABILITY UNDER FIN 48 FOOTNOTE 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, 2012 AND 2011, HOSPICE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN BENEFICIAL INTEREST IN TRUSTS 22,710 BAD DEBT INCLUDED IN NPSR ON FINANCIAL STATEMENTS -14,156 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B BAD DEBT INCLUDED IN NPSR ON FINANCIAL STATEMENTS 14,156 TASTE OF LIFE 47880 34117 13763 21001 GOLF SCRAMBLE 32095 18139 13956 11340 79975 52256 27719 32341 32341 -4622 X true true X X X X X X false true false false false false false true false GINA DRUMMOND 165722 20000 8712 194434 ROBERT BRAY 212515 5000 8712 226227 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 GINA DRUMMOND 0 24,000 0 ROBERT BRAY 0 15,000 0 NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PAGE 1, PART I, LINE 7 THE CHIEF EXECUTIVE OFFICER RECEIVED A BONUS PER RECOMMENDATION OF THE EXECUTIVE COMPENSATION COMMITTEE OF THE HOSPICE BOARD OF TRUSTEES; AMOUNT DETERMINED BY INDUSTRY CONSULTANT AND MARKET STUDY. 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. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III THE CHIEF EXECUTIVE OFFICER, FINANCE DIRECTOR, AND MEDICAL DIRECTOR PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING 2012, BUT WERE NOT VESTED IN THE PLAN DURING THE YEAR AND HAVE NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN. ANY SIGNIFICANT NEW PROGRAM SERVICES NOT LISTED ON A PRIOR RETURN FORM 990, PAGE 2, PART III, LINE 2 IN KEEPING WITH OUR MISSION, WE EXPANDED OUR COMMUNITY OFFERINGS AND BEGAN PROVIDING PALLIATIVE CARE CONSULTATION IN APRIL 2012 TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES SUCH AS CANCER, ADVANCED HEART, LUNG, HEPATIC, RENAL AND/OR NEUROLOGICAL CONDITIONS. THESE SERVICES ARE AVAILABLE MONDAY THROUGH FRIDAY 8A-5P (HOLIDAYS EXCLUDED) AND ARE OVERSEEN BY OUR MEDICAL DIRECTOR. A PALLIATIVE CARE CERTIFIED INTERDISCIPLINARY TEAM CONSISTING OF A MD, ARNP, RN LIAISON, MSW, CHAPLAIN AND BEREAVEMENT COUNSELORS ARE AVAILABLE AT THE REFERRAL OF THE PATIENTS PRIMARY CARE PROVIDER. SERVICES ARE DELIVERED IN THE SETTING THE CLIENT CALLS HOME (PRIVATE RESIDENCE, EXTENDED CARE FACILITY, ETC.) AND IN DEACONESS HOSPITAL AND VALLEY HOSPITAL ASSISTING THE PATIENTS PCP WITH ACHIEVING IMPROVED ADHERENCE TO TREATMENT PLANS, ASSISTING IN OPTIMAL SYMPTOM CONTROL AND IMPROVING QUALITY OF LIFE DESPITE LIFE-LIMITING ILLNESS. THE SERVICES ARE CONSULTATIVE UPON THE PCPS ORDER FOR COLLABORATION, CO-MANAGEMENT OR INITIATION OF THERAPEUTIC INTERVENTIONS. WE WORK CLOSELY WITH THE PALLIATIVE CARE TEAM AT SACRED HEART AND HOLY FAMILY HOSPITALS AS WELL. SERVICES DO NOT INCLUDE CHRONIC DISEASE MANAGEMENT OR CHRONIC PAIN MANAGEMENT FOR PATIENTS WITHOUT LIFE-LIMITING ILLNESS. WE ARE DOING BUSINESS AS SPOKANE PALLIATIVE CARE FOR THIS SERVICE LINE. 150 PATIENTS WERE SERVED IN 2012. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A HOSPICE SERVED 2,048 UNDUPLICATED CLIENTS IN 2012. HOSPICE PROVIDED 98,081 DAYS OF ROUTINE HOME CARE, 4 DAYS OF CONTINUOUS CARE, 123 DAYS OF RESPITE CARE, AND 3,625 DAYS OF ACUTE INPATIENT CARE FOR THE YEAR ENDED DECEMBER 31, 2012. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 22,567 FOR CHARITY CARE, 38,741 FOR MEDICARE, 50,732 FOR MEDICAID, AND 99,249 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR YEAR ENDED DECEMBER 31, 2012. IN KEEPING WITH ITS MISSION, HOSPICE EXPANDED OFFERINGS TO THE COMMUNITY BY PROVIDING PALLIATIVE CARE CONSULTATION IN APRIL 2012 TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES DOING BUSINESS AS SPOKANE PALLIATIVE CARE. 150 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. SECOND ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4B DECEMBER 31, 2012 TO 445 PATIENTS AND THEIR FAMILIES. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. THE BOARD FINANCE COMMITTEE IS ALSO PART OF THE REVIEW PROCESS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G CONTRACT SERVICES & PRO FEES 2,172,435 59,406 4,447 RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN TRUSTS 22,710 BAD DEBT INCLUDED IN NPSR ON FINANCIAL STATEMENTS -14,156 BAD DEBT INCLUDED IN NPSR ON FINANCIAL STATEMENTS 14,156