2011-09-15T15:10:08-07:00 2010-10-31 990 2009-11-01 954022185 KEIRO SERVICES KEIR 3239807555 325 South Boyle Avenue Los Angeles CA 90033 Dale Posadas 3239807500 2011-09-15 2009 2016-03-07 17:11:31Z Keiro Senior HealthCare Shawn Miyake 325 South Boyle Avenue Los Angeles CA 90033 4790212 0 X www.keiro.org X 1961 CA Since 1961, Keiro Services' founders, volunteers, residents & staff have worked together to fulfill its mission to enhance the quality of senior life in our community. Served over 60K families at its facilities providing care in a culturally-sensitive environment with familiar language, food, activities and values. Provides education and resources to families caring for seniors at home, adults 50+, employees and volunteers through Institute of Healthy Aging for Keiro. 15 14 38 49 0 0 689934 1165594 0 0 488724 412837 4602988 2952088 5781646 4530519 0 0 0 0 2129484 2124459 0 0 655900 1137704 1303100 3267188 3427559 2514458 1102960 26763373 27432976 2047126 1613769 24716247 25819207 Since 1961, Keiro Services' founders, volunteers, residents & staff have worked together to fulfill its mission to enhance the quality of senior life in our community. Served over 125K families providing 24/7 residential care & skilled nursing care in a culturally-sensitive environment with familiar language, food, activities and values through Keiro Nursing Home & Japanese Home for the Aged. Provides education and resources to families caring for seniors at home, adults 50+, employees and volunteers through Institute of Healthy Aging for Keiro. 0 0 2027588 0 2374874 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 Healthly Aging at Keiro (IHA). The total operating expenses for IHA were $195,181 all of which were focused on community benefit activities. 195181 195181 The Institute for Healthy Aging at Keiro (IHA) achievements are: 1) Partnered with community organizations to educate 1256 people through evidence-based seminars/conferences; provided free health screening to 70 people 2) Provided case management/referral services to 118 people 3) Donated 10 hours for HICAP Medicare counseling and 20 hours to the Alzheimer's Association 4) Provided health promotion/wellness, caregiving and consumer education to over 29,000 families through Keiro's website, blog, and newsletters 6) Provided meeting space/parking/overhead to other NFP community organizations. 7) With Keiro Retirement Home, participated in the "Transitional Subsidized Employment Program." Working with the Chicana Service Action Center, we provided workplace training for 7 participants. We trained them on janitorial, environmental, kitchen, dietary, safety, compliance and basic dependability skills, totaling over 2,000 hours of training. 8) Provided Community Leadership Development training through Nikkei Senior Network Conference. 9) Contributed $3,600 to other NFP organizations event sponsorships/support and donations. 0 0 0 2222769 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 13 1 1 38 1 0 0 0 0 0 1 1 0 0 0 0 1 15 14 1 0 0 0 1 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 Frank Kawana 5 X 0 0 0 Kiyoshi Maruyama 2 X 0 0 0 Ruth Watanabe 2 X 0 0 0 Ernest Doizaki 2 X 0 0 0 Tom Haga 1 X 0 0 0 Thomas Iino 2.0 X 0 0 0 Donald Kaneoka 1 X 0 0 0 Gary Kawaguchi 2.00 X 0 0 0 Takashi Makinodan 1 X 0 0 0 James Mitsumori 0 X 0 0 0 Makoto Nakayama 2 X 0 0 0 Thomas Shigekuni 1 X 0 0 0 George Sugimoto 1 X 0 0 0 Stuart Tsujimoto 2 X 0 0 0 Lynn Miyamoto 2 X 0 0 0 Shawn Miyake 40 X X 217860 0 15079 Dianne Belli 40 X 131637 0 12543 Audrey Lee-Sung 40 X 100146 0 7237 449643 0 34859 3 0 1 0 Adams & Associates 5318 East 2nd Street 486 Long Beach CA 90803 Security Services 185393 1 0 0 0 0 0 1165594 202099 1165594 0 412837 0 0 412837 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 785319 0 183645 601674 601674 0 0 231881 76048 155833 155833 0 0 Unrealized Gain/Loss on value of investment 1013965 0 0 1013965 Unrealized Gain/Loss on CRT -1389439 0 0 -1389439 Management fee revenue 2539911 2539911 0 0 30144 30144 0 0 2194581 4530519 3327562 0 37363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1617464 1139414 261188 216862 46813 33129 7661 6023 334678 244785 56367 33526 125504 87868 19907 17729 0 0 0 0 546 437 109 0 18110 14488 3622 0 0 0 0 0 0 0 68709 54967 13742 0 29120 4236 884 24000 0 0 0 0 316371 90537 86656 139178 114925 57822 14385 42718 0 0 0 0 42707 34166 8541 0 28505 20370 4126 4009 0 0 0 0 0 0 0 0 8107 6486 1621 0 0 0 0 0 107312 107312 0 0 74176 59341 14835 0 Purchased services 325810 154977 38295 132538 Dues and Subscriptions 14340 7966 1984 4390 Seminars 9907 7579 1788 540 144455 96889 13179 34387 3427559 2222769 548890 655900 309206 2222798 699898 425389 140702 200702 364 -93760 0 0 0 0 0 0 1146 2235 95167 60311 2168781 661944 1538560 1506837 10179954 12433635 0 0 0 13798376 10674829 26763373 27432976 449807 419320 0 0 0 0 0 0 0 0 0 0 300000 0 0 0 1297319 1194449 2047126 1613769 X 11608983 11178384 4605788 5374852 8501476 9265971 24716247 25819207 26763373 27432976 X 0 1 1 X 0 X 3686667 3568389 1712922 1426997 1923101 12318076 2668554 2462611 2356123 3865925 2194581 13547794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6355221 6031000 4069045 5292922 4117682 25865870 25865870 375416 608831 769497 488724 412837 2655305 0 0 0 0 0 0 375416 608831 769497 488724 412837 2655305 0 0 0 0 0 0 0 0 0 0 0 0 6730637 6639831 4838542 5781646 4530519 28521175 0.90690 0.91193 0.09310 0.08807 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7574805 764495 1067249 0 0 205265 9201284 6081633 645782 1019257 0 0 171867 7574805 0 1 0 0 0 0 754527 754527 0 199970 30911 169059 0 0 0 0 0 1013956 631033 382923 0 200328 0 200328 1506837 Interest Receivables 7451 Other Assets 9161 Other Receivables 71218 Long-term Receivable-CRT 3216349 Due From/To Affiliates 7370650 10674829 0 Due to Affiliates 1194449 1194449 4530519 3427559 1102960 0 0 0 0 0 0 1102960 4530519 0 0 0 0 0 4530519 0 0 0 4530519 3427559 0 0 0 0 0 3427559 0 0 0 3427559 SchD_P05_S00_L04 Schedule D, Part V, Line 4 Any funds appropriated by the organization are done so in a manner consistent with the standard of prudence prescribed by UPMIFA. Keiro Services considers the following factors in making a determination to appropriate or accumulate donor-restricted endowment funds: the duration and preservation of funds, the purposes of the organization and the fund, the general economic conditions, the possible effect of inflation or deflation, expected total return from income or appreciation, other sources of the organization and the investment policies of the organization. The earnings from the endowment fund will be used for capital projects and to offset operating shortfalls, service enhancements, and to ensure a more stable operating environment for the provision of care. SchD_P10_S00_L00 Schedule D, Part X Due From/To Affiliates-intercompany transfer of accounts Golf Tournament 78475 0 78475 1700 6548 12825 3375 0 3340 Benefit Dinner 706844 28980 677864 0 28980 9120 58952 0 58805 0 785319 28980 756339 1700 35528 21945 62327 0 62145 183645 572694 0 0 0 0 0 0 0 0 0 0 231881 5700 28980 9120 32248 1 0.15 231881 5700 28980 9120 32248 76048 155833 CA 1 0 1 0 0 1 Audrey Lee-Sung 325 S Boyle Ave Los Angeles CA 90033 0 Audrey Lee-Sung 0 X 0 0 X X X 0 0 0 0 0 0 0 0 0 Shawn Miyake 178500 0 30000 0 9360 0 6660 0 8419 0 232939 0 231848 X 225 83190 net proceeds from vehicle sale X 1 390 net proceed from vessel sale X 10 118519 avg of high and low on date of receipt 0 0 1 1 SchM_P01_S00_L32b Schedule M, Part I, Line 32b Keiro uses a third party (Riteway Charity Services and UBS) to process and sell vehicle and vessel contributions and securities, respectively. F990_P06_S0A_L02 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 recuses himself on any matters that present a conflict. F990_P06_S0A_L06 Form 990, Part VI, Section A, Line 6 Keiro Services, the supporting organization, is the sole member of both Keiro Nursing Home and Japanese Home for the Aged. F990_P06_S0A_L07a Form 990, Part VI, Section A, Line 7a Members of the governing body are elected by the Executive Board. F990_P06_S0A_L07b Form 990, Part VI, Section A, Line 7b Decisions made by the governing body are subject to approval by Keiro Services Board. F990_P06_S0B_L11 Form 990, Part VI, Section B, Line 11 Management staff provide a copy of the completed draft form 990 to each Board member prior to it being approved for submission to the IRS. The form 990 is reviewed with Board members section by section. Policies and procedures decribed in Schedule O are discussed and relevant documents shared. Once all questions are addressed, the Form 990 is approved by the Board and submitted by the staff to the IRS. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c A Chief Compliance Officer is designated by the corporation to oversee compliance to policies and procedures. Annual mandatory meetings are held to all staff to go over compliance issues specific to our industry. CCO also provides education to Board of Directors. F990_P06_S0B_L15 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 the conflict of interest disclosures. In this minutes meeting, the committee reviews comparability data from independent data sources. The committee deliberates over the material and its comparability with the 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 a 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 deliberations, the full Board makes a determination on the CEO's compensation arrangement. The discussion and decisions made are contemporaneously minuted. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Financial Statements are published in the organization's annual report. Governing documents and conflict of interest policy are available upon request. Keiro Nursing Home 2221 Lincoln Park Avenue Los Angeles CA 90031 953946299 Skilled Nursing Care CA 501 (C) (3) 509 (a) (2) N/A Keiro Retirement Home 325 South Boyle Avenue Los Angeles CA 90033 952916028 Nursing Care & Residential Care CA 501 (c) (3) 509 (a) (2) N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 Keiro Nursing Home q 29518397 Keiro Nursing Home r 27337345 Keiro Retirement Home q 7469499 Keiro Retirement Home r 8023822