2024-05-13T22:19:22-05:00 2023-12-31 465002021 ALEX J SMITH CPA 1403 FRANK STREET HONOLULU HI 96816 990 2023-01-01 990218512 HOSPICE OF HILO HOSP 8089691733 1011 WAIANUENUE AVENUE HILO HI 96720 BRENDA S HO CHIEF EXECUTIVE OFFICER 8089691733 2024-05-13 1 BRENDA HO 999009999 1 ALEX J SMITH P00994702 8089271725 X 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z HAWAII CARE CHOICES BRENDA S HO 1011 WAIANUENUE AVENUE HILO HI 96720 10581964 0 X WWW.HAWAIICARECHOICES.ORG X 1983 HI TO IMPROVE THE LIVES OF THOSE WE TOUCH BY OFFERING SUPPORT, GUIDANCE AND COMPASSIONATE CARE OF BODY, MIND AND SPIRIT. 15 15 121 190 0 0 724847 820166 9722270 9739849 -9045 14808 16612 -64643 10454684 10510180 0 0 0 0 8253021 7002464 0 0 246417 2548833 2422571 10801854 9425035 -347170 1085145 11537145 13891044 1214817 1259284 10322328 12631760 X TO IMPROVE THE LIVES OF THOSE WE TOUCH BY OFFERING SUPPORT, GUIDANCE AND COMPASSIONATE CARE OF BODY, MIND AND SPIRIT. 1 0 5493197 8798922 PATIENT CARE PROGRAMS: HOSPICE CARE, FOCUSING ON THE WHOLE PERSON - BODY, MIND AND SPIRIT. AN INTERDISCIPLINARY TEAM COMPOSED OF PHYSICIANS, NURSES, SOCIAL WORKERS, SPIRITUAL COUNSELORS, CNA'S AND VOLUNTEERS SERVE NOT ONLY THE PHYSICAL NEEDS OF INDIVIDUALS WITH A LIFE LIMITING ILLNESS, BUT ALSO ATTEND TO THEIR SOCIAL, EMOTIONAL AND SPIRITUAL WELL-BEING. IN ADDITION, EMOTIONAL/SPIRITUAL SUPPORT IS PROVIDED FOR FAMILY MEMBERS AND CAREGIVERS WHO ARE INCLUDED IN THE PATIENT'S PLAN OF CARE. SERVICES ARE PROVIDED IN THE HOME OR IN INSTITUTIONAL SETTINGS. 564738 940916 PALLIATIVE CARE - COMPLEX MANAGEMENT AND CARE PLANNING FOR SERIOUSLY ILL PATIENTS WHO ARE RECEIVING CURATIVE TREATMENTS. SERVICES ARE PROVIDED AT THE PATIENT'S HOME OR AT ACCESSIBLE LOCATIONS. 1285961 7141 PATIENT SUPPORT AND COMMUNITY OUTREACH - PATIENT SUPPORT IS A COLLABORATED EFFORT WITH VOLUNTEERS TO ASSIST THE CLINICAL STAFF TO BETTER PROVIDE CARE AND SUPPORT TO OUR PATIENTS AND THEIR FAMILY. COMMUNITY OUTREACH INVOLVES THE DEVELOPMENT AND IMPLEMENTATION OF EDUCATION OPPORTUNITIES WITH COMMUNITY MEMBERS/PARTNERS TO LEARN ABOUT HAWAII CARE CHOICES SERVICES AND SUPPORT AND TO INCREASE THE ORGANIZATION'S VISIBILITY. 181152 BEREAVEMENT & YOUTH CAMP PROGRAM: BEREAVEMENT COUNSELORS OFFER GRIEF SUPPORT TO FAMILIES AND THE COMMUNITY AT LARGE THROUGH COUNSELING SERVICES AND SUPPORT GROUPS. IN ADDITION, HOSPICE HOLDS AN ANNUAL BEREAVEMENT CAMP FOR YOUTH WHO HAVE EXPERIENCED A LOSS. CAMP POHAI MALUHIA PROVIDES A RELAXED, SUPPORTIVE, SAFE AND OPEN ENVIORONMENT WHERE YOUTH WILL ENJOY THE TYPICAL ACTIVITIES OF A SUMMER CAMP. PARTICIPANTS HAVE THE OPPORTUNITY TO WORK WITH PROFESSIONALS AND SHARE FEELINGS RELATED TO THEIR LOSS WHILE LEARNING NEW WAYS TO COPE. PARENTS AND GUARDIANS ARE INVITED TO EXPERIENCE CAMP BY PARTICIPATING IN A FULL DAY PROGRAM THAT WILL TEACH STRATEGIES TO BETTER HELP THEMSELVES AND THEIR YOUTH. 641772 11 POHAI MALAMA CARE CENTER - BEING CONVERTED FROM AN IN-PATIENT HOSPICE CARE FACILITY TO A ADULT RESIDENTIAL CARE HOME (ARCH). 822924 11 8166820 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 121 1 0 0 0 0 0 1 1 0 0 0 0 X 15 15 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X THE ORGANIZATION 8089691733 1011 WAIANUENUE AVENUE HILO HI 96720 KAREN MAEDO PRESIDENT 1.50 X X 0 0 0 JERACAH LAWLESS VICE-PRESIDENT 1.00 X X 0 0 0 CLARYSSE NUNOKAWA SECRETARY 1.00 X X 0 0 0 DAVID KUROHARA TREASURER 1.00 X X 0 0 0 BRENDA CAMACHO MD DIRECTOR 1.00 X 0 0 0 CHARLES ERSKINE DIRECTOR 1.00 X 0 0 0 DEAN FUKE DIRECTOR 1.00 X 0 0 0 EDWIN MONTELL MD DIRECTOR 1.00 X 0 0 0 KERRI OKAMURA DIRECTOR 1.00 X 0 0 0 LISA RANTZ DIRECTOR 1.00 X 0 0 0 RACHEL SHORT DIRECTOR 1.00 X 0 0 0 CHRISITINE TAKAHASHI DIRECTOR 1.00 X 0 0 0 AUDREY N TAKAMINE DIRECTOR 1.00 X 0 0 0 LEHUA M VEINCENT DIRECTOR 1.00 X 0 0 0 THOMAS YEH DIRECTOR 1.00 X 0 0 0 BRENDA S HO CHIEF EXECUTIVE OFFICER 50.00 X 156205 0 55698 JEANENE ANDREW DIRECTOR OF CLINICAL SERVI 40.00 X 127807 0 46006 GAYLE CROSLEY NURSE PRACTITIONER 40.00 X 141805 0 21770 SHIRLEY DELLINGER DIRECTOR OF HR & ACCOUNTIN 40.00 X 101553 0 44778 LORI JORDAN DIRECTOR OF QUALITY & COMP 40.00 X 120995 0 24942 648365 0 193194 5 0 1 0 0 4375 140957 674834 820166 PATIENT SERVICES 624100 9739849 9739849 9739849 14808 14808 0 140957 71784 -71784 -71784 NON-PATIENT INCOME 900099 7141 7141 7141 10510180 9746990 0 -56976 209819 209819 5396342 4621844 590853 183645 212738 207579 2702 2457 769164 653382 90922 24860 414401 390286 20096 4019 14140 10721 2873 546 82577 75766 5676 1135 19682 11807 7460 415 32001 18833 1871 11297 116698 100466 13512 2720 146244 133967 6491 5786 355854 348131 6435 1288 189891 180056 8136 1699 28597 19211 8138 1248 161 132 24 5 334303 326994 6091 1218 94763 87714 5874 1175 PATIENT SERVICES & SUPP 908720 908720 DUES AND SUBSCRIPTIONS 76961 64622 9549 2790 BAD DEBT EXPENSE 3323 3323 18656 3266 15276 114 9425035 8166820 1011798 246417 1344997 1992817 103943 704964 14166 12521 1150557 1181179 78304 158730 12402428 4620002 8018307 7782426 690600 743536 136271 1314871 11537145 13891044 640395 908944 547981 324214 26441 26126 1214817 1259284 X 9617953 10758759 704375 1873001 10322328 12631760 11537145 13891044 1085145 52936 1171351 0 X 0 1 X 1 0 X 951644 1789070 767565 724847 814021 5047147 28095 29839 30727 33746 34235 156642 979739 1818909 798292 758593 848256 5203789 524421 4679368 6220 15676 20078 14808 56782 6670 6670 2296 28742 15045 9942 7141 63166 5330407 44510890 0.87790 0.90880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 829375 304242 308617 825000 857500 301994 330119 829375 832500 393346 368346 857500 848649 1515080 1531229 832500 843042 72630 67023 848649 0.15000 0.85000 0 0 11225620 3736490 7489130 1169330 876034 293296 7478 7478 0 7782426 OTHER ASSETS (DLNR BOND) 2424 OTHER ASSETS - SOH/DOL SECURITY DEP 3861 UNEMPLOYMENT SELF-FINANCING DEPOSIT 109459 ROU ASSETS - OPERATING LEASES, NET 26126 FACILITY CONTRIBUTION RECEIVABLE, N 1173001 1314871 OPERATING LEASE LIABLITIES, NET 26126 26126 X 11844347 52936 1209447 71784 1334167 10510180 0 10510180 9534915 38096 71784 109880 9425035 0 9425035 PART V, LINE 4: THE ENDOWMENT FUND WAS RELEASED BY THE DONOR, FOR THE CORPUS AND EARNINGS TO BE AVAILABLE FOR CAPITAL PROJECTS. BOARD DESIGNATED FUNDS ARE FOR THE FOLLOWING: INDIGENT CARE $100,000 PROGRAM DEVELOPMENT RESERVE 25,000 TOTAL $125,000 PURPOSE RESTRICTED FUNDS ARE HELD FOR VARIOUS FUTURE PROJECTS. PART X, LINE 2: HAWAII CARE CHOICES FOLLOWS ACCOUNTING STANDARDS CODIFICATION TOPIC (ASC 740), INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, AND PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES, DISCLOSURE, AND TRANSITION. MANAGEMENT BELIEVES THAT NO SUCH UNCERTAIN TAX POSITION EXISTS FOR HOSPICE. PART XI, LINE 2D AND PART XII, LINE 2D - OTHER ADUSTMENTS: FUNDRAISING EXPENSES SHOWN NET. CELEBRATION OF LIFE 134812 134812 64667 SEASON OF LIGHT 6145 6145 7117 0 140957 140957 71784 71784 -71784 1 X X X 0 0 0 0 0 0 0 0 0 BRENDA S HO CHIEF EXECUTIVE OFFICER 156205 0 0 0 0 0 39584 0 16114 0 211903 0 0 0 JEANENE ANDREW DIRECTOR OF CLINICAL SERVI 127807 0 0 0 0 0 15295 0 30711 0 173813 0 0 0 GAYLE CROSLEY NURSE PRACTITIONER 141805 0 0 0 0 0 12481 0 9289 0 163575 0 0 0 FORM 990, PART III, LINE 2 POHAI MALAMA CARE CENTER (PMCC), A 12-BED INPATIENT HOSPICE FACILITY IN HILO OWNED AND OPERATED BY HICARE, IS IN THE PROCESS OF CHANGING FROM PROVIDING INPATIENT HOSPICE CARE OPERATIONS, TO BEING OPERATED AS AN ADULT RESIDENTIAL CARE HOME (ARCH). PMCC PLANS TO BEGIN ADMITTING RESIDENTS AS AN ARCH IN 2024. FORM 990, PART VI, SECTION A, LINE 1A MEMBERS OF THE EXECUTIVE COMMITTEE: KAREN MAEDO - PRESIDENT, JERACAH LAWLESS - VICE PRESIDENT, CLARYSSE NUNOKAWA - SECRETARY, AND DAVID KUROHARA - TREASURER. FORM 990, PART VI, SECTION A, LINE 4 ARTICLE III - THE PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED WAS AMENDED AND FILED ON 11/17/2023 WITH THE BUSINESS REGISTRATION DIVISION OF THE DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS, STATE OF HAWAII. ARTICLE III IS AMENDED TO READ AS FOLLOWS: 1. TO PROVIDE A CONTINUUM OF QUALITY AND SPECIALIZED CARE FOR SENIORS OR FOR PATIENTS FACING A SERIOUS AND/OR LIFE LIMITING ILLNESS, AND THE FAMILIES OF SUCH SENIORS AND PATIENTS, THROUGH SERVICES SUCH AS RESIDENTIAL, ASSISTED, PALLIATIVE, HOSPICE AND BEREAVEMENT CARE, 2. TO UPHOLD THE VIRTUES OF INCLUSION, DIVERSITY, EQUITY AND ACCESS FOR THOSE IN NEED OF COMPASSIONATE CARE, SPIRITUAL AND GRIEF SUPPORT, 3. TO OFFER ONGOING EDUCATION AND TRAINING TO OUR COMMUNITY, PATIENTS, FAMILIES, AND TEAM, 4. TO EMPOWER INDIVIDUALS TO TAKE AN ACTIVE ROLE IN THEIR CARE JOURNEY, ENABLING THEM TO LIVE FULLY OF MIND, BODY AND SPIRIT; 5. TO CARRY ON ANY OTHER LAWFUL ACTIVITIES WHATSOEVER WHICH ARE CONSISTENT WITH THE PROVISIONS OF THE CORPORATON'S CHARTER OF INCORPORATION IN CONNECTION WITH THE FOREGOING PURPOSES AND POWERS, AND WHICH ARE CALCULATED DIRECTLY OR INDIRECTLY TO PROMOTE THE INTERESTS OF THE CORPORATION AND THE COMMUNITY. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED 990 IS GIVEN TO THE FINANCE & AUDIT COMMITTEE WHO REVIEWS AND FORWARDS THE 990 AND A RECOMMENDATION TO THE FULL BOARD, AND THEN AN OFFICER OR CEO AUTHORIZES THE 990 FOR SUBMITTAL. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ANNUALLY SIGN THE CONFLICT OF INTEREST/CODE OF ETHICS DOCUMENT AT THE FIRST MEETING OF THE NEW CALENDAR YEAR. IN THE DOCUMENT, THE BOARD IS DIRECTED TO REFER AND COMPLY WITH THE "CONFLICT OF INTEREST AND CONFLICT OF INTEREST TRANSACTION" AS STATED IN THE BOARD OF DIRECTORS SECTION OF HAWAII CARE CHOICES' POLICY AND PROCEDURE MANUAL AND THE BY-LAWS. FORM 990, PART VI, SECTION B, LINE 15 ALL WAGE AND SALARY ADJUSTMENTS ARE BASED ON DATA GATHERED FROM SALARY SURVEYS PROVIDED BY THE HAWAII EMPLOYERS COUNCIL, INDUSTRY RESOURCES I.E., MULTIVIEW INCORPORATED, AND COMPARISONS WITH SIMILAR INSTITUTIONS IN OUR COMMUNITY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.