2024-10-30T13:51:32-05:00 2023-12-31 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2023-01-01 843414418 HOSPICE OF KONA FOUNDATION HOSP 8083247700 75-5925 WALUA ROAD 202 KAILUAKONA HI 967455311 LAURA VARNEY CEO 8083247700 2024-10-30 1 0 RODNEY M HARANO P00389596 8085311040 2024-10-30 2023 2024-10-15 13:58:12Z LAURA VARNEY 75-5925 WALUA ROAD 202 KAILUAKONA HI 967455311 917593 0 X WWW.HOSPICEOFKONA.ORG X 2019 HI HOSPICE OF KONA FOUNDATION WORKS TO RAISE COMMUNITY AWARENESS AND FUNDING IN SUPPORT OF HOSPICE OF KONA INC.'S SERVICES, PROGRAMS AND MISSION TO PROVIDE FAMILY-CENTERED SUPPORT, EDUCATION, AND CARE FOR THOSE APPROACHING END OF LIFE. 8 8 15 82 0 0 1689857 216968 221510 171416 33170 61175 68705 21321 2013242 470880 0 0 0 0 416783 499310 0 0 162632 361154 304572 777937 803882 1235305 -333002 2894429 1640686 654869 491214 2239560 1149472 HOSPICE OF KONA FOUNDATION WORKS TO RAISE COMMUNITY AWARENESS AND FUNDING IN SUPPORT OF HOSPICE OF KONA INC.'S SERVICES, PROGRAMS AND MISSION TO PROVIDE FAMILY-CENTERED SUPPORT, EDUCATION, AND CARE FOR THOSE APPROACHING END OF LIFE. 0 0 544954 171416 THE HOSPICE OF KONA FOUNDATION OPERATES A 5 BED HOUSE (NAKAMARU HALE) FOR THOSE PATIENTS WHO ARE UNABLE TO BE CARED FOR AT HOME, OPERATES A THRIFT STORE (MEMORY LANE), AND PROVIDES FREE GRIEF COUNSELING TO COMMUNITY MEMBERS. THE FOUNDATION ALSO ANNUALLY HOLDS A GRIEF CAMP FOR CHILDREN. 544954 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 1 8 0 1 15 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 HI X HOSPICE OF KONA INC 8083247700 PO BOX 4130 KAILUAKONA HI 96740 DIANDRA DICKENSON BOARD CHAIR 1.00 X X 0 0 0 BRIAN ASBJORNSON BOARD VICE CHAIR 1.00 X X 0 0 0 WILLIAM MEHL BOARD TREASURER 1.00 X X 0 0 0 SARA LABRUN SCOTT BOARD SECRETARY 1.00 X X 0 0 0 LEO BONOMY BOARD DIRECTOR 1.00 X 0 0 0 ALISON JONES LEONG BOARD DIRECTOR 1.00 X 0 0 0 MONIQUE PEACOCK BOARD DIRECTOR 1.00 X 0 0 0 TOM DANIEL BOARD DIRECTOR 1.00 X 0 0 0 LAURA VARNEY CEO 20.00 20.00 X 0 177982 12749 0 177982 12749 0 0 1 0 0 41231 175737 28676 216968 PATIENT SERVICES 621610 171416 171416 171416 61175 61175 10115 455 9660 9660 9660 86374 41231 68329 18045 18045 371545 377929 -6384 -6384 470880 171416 0 82496 378182 302546 37818 37818 53367 42693 5337 5337 67761 54209 6776 6776 9279 9279 36689 18345 9172 9172 136130 68293 33691 34146 2549 2549 1605 803 401 401 CAMP ERIN EXPENSES 36867 12166 24701 DME EXPENSE 22716 22716 HALE FOOD AND SUPPLIES 13358 4408 8950 CIRCLE OF REMEMBRANCE 12767 4213 8554 32612 14562 3101 14949 803882 544954 96296 162632 1130137 79715 648390 13900 14489 2708 4668 11781 496723 1262901 886900 2894429 1640686 56684 50421 10000 91727 89369 496458 351424 654869 491214 X 2239560 1149472 2239560 1149472 2894429 1640686 -333002 -757086 0 X 0 1 X 1 0 X 111048 421182 201473 166968 900671 111048 421182 201473 166968 900671 91997 808674 29190 81681 71290 182161 1082832 2183980 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: BEQUEST DATE: 12/31/22 AMOUNT: 1290168. DESCRIPTION: BEQUEST DATE: 12/31/22 AMOUNT: 179616. DESCRIPTION: BEQUEST DATE: 12/31/21 AMOUNT: 1250000. DESCRIPTION: BEQUEST DATE: 12/26/23 AMOUNT: 50000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10918 1532 9386 3571 1176 2395 11781 INTERCOMPANY ACCOUNTS 528927 SECURITY DEPOSIT 16686 OPERATING LEASE RIGHT-OF-USE ASSETS 341287 886900 OPERATING LEASE LIABILITIES 351424 351424 X 3670318 3171707 3171707 498611 -27731 -27731 470880 4282639 3716845 3716845 565794 238088 238088 803882 PART X, LINE 2: U.S. GAAP REQUIRES UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED THE TAX POSITIONS OF HOK AND THE FOUNDATION AS OF DECEMBER 31, 2023 AND 2022, AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. HOK AND THE FOUNDATION ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. PART XI, LINE 2D - OTHER ADJUSTMENTS: HOSPICE OF KONA REVENUE 3,031,411. DME RENTAL INCOME - ELIMINATED IN CONSOLIDATION -143,400. COST OF GOODS SOLD - MEMORY LANE 377,929. DIRECT RENTAL EXPENSES 455. CAMP ERIN EXPENSES -34,021. HOSPICE OF KONA - BAD DEBT EXPENSE -60,667. PART XI, LINE 4B - OTHER ADJUSTMENTS: IN-KIND FUNDRAISING EXPENSES -27,731. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING IN-KIND EXPENSE 27,731. COST OF GOODS SOLD - MEMORY LANE 377,929. HOSPICE OF KONA EXPENSES 3,310,730. DIRECT RENTAL EXPENSES 455. PART XII, LINE 4B - OTHER ADJUSTMENTS: DME RENTAL INCOME, ELIMINATING ENTRY 143,400. CAMP ERIN EXPENSES 34,021. HOSPICE OF KONA - BAD DEBT EXPENSE 60,667. ROYAL TEA 96866 21818 75048 27331 28143 LOVE 2 FISH 30739 19413 11326 675 1857 10323 127605 41231 86374 28006 1857 38466 68329 18045 0 0 0 0 0 0 0 0 0 LAURA VARNEY CEO 0 177982 0 0 0 0 0 5421 0 7328 0 190731 0 0 CHARLES IAELA FAMILY MEMBER OF LAURA VARNEY, CEO 21950 INDEPENDENT CONTRACTOR - DURABLE MEDICAL EQUIPMENT MAINTENANCE, ORGANIZATION, ASSEMBLY, AND DELIVERY. MEMORY LANE TRANSPORTATION. 0 TAWNA IAELA FAMILY MEMBER OF LAURA VARNEY, CEO 78664 CAMP DIRECTOR FOR CAMP ERIN, EXECUTIVE ASSISTANT FUND DEVELOPER OF FUNDRAISING EVENTS, ASSISTANCE FOR PROGRAM EVENTS 0 X 945 COST BASIS X GIFT CARDS AND AUCTION ITEMS 97 27731 COST BASIS 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B HOSPICE OF KONA FOUNDATION PROVIDES THE FORM 990 AND ALL SCHEDULES TO EVERY MEMBER OF THE BOARD OF DIRECTORS. THE FORM 990 IS SUBJECT TO APPROVAL BY THE BOARD'S FINANCE COMMITTEE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE ANNUALLY REQUIRED TO REVIEW AND SIGN THE CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION C, LINE 19 HOSPICE OF KONA FOUNDATION MAKES ALL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. HOSPICE OF KONA PO BOX 4130 KAILUAKONA HI 96740 990246297 FAMILY-CENTERED SUPPORT, EDUCATION, AND CARE FOR HOSPICE PATIENTS HI 501(C)(3) LINE 7 N/A 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0