Kindness, compassion and courage when life is in transition

Karuna Hospice Services 2009 Annual Report

The dedication and adaptability of our staff and volunteers together with our supportive community meant that Karuna realised a generally positive 2008/09 financial year despite the constrictions imposed by the global financial downturn. During the year Karuna implemented a number of economic strategies to ensure the sustainability of the organisation without compromising the range and quality of care provided to our clients.

Key strategies for limiting the economic strain included reducing staff hours and increasing community support provided by our volunteers. The Board, executives and managers are extremely grateful to the staff and volunteers for supporting this initiative. The generous response of Queensland Health, our major donors and the community together with the success of our Art Market, Christmas Craft Market and Bridge Days also contributed to Karuna’s financial stability during the year. The altruism and sheer effort of everyone involved is greatly appreciated. Thank you to all.

Karuna expanded its services for clients by including more counselling volunteers and social workers in the family support team. The enhanced service was required to meet the increasing number of clients and families admitted to Karuna with complex psychosocial needs. These changes have enabled Karuna to offer services to more clients, carers, families and children.

Karuna’s commitment to quality services for clients and families is ensured through the organisation’s voluntary participation in the Palliative Care Outcomes Collaborative (PCOC) program. The PCOC program is a national quality initiative to help palliative care services improve and achieve national standards for best practice.

Services to clients have been enhanced by Karuna’s partnerships with other palliative care organisations. Social workers from Karuna and The Prince Charles Hospital have worked collaboratively to facilitate a number of bereavement support groups for people in the community. Karuna also worked with the Wesley Mission and Spiritus Community Care to provide palliative related services for clients at home and in residential aged care facilities. Karuna’s partnership approach has enabled more clients to access appropriate palliative care.

A particular highlight of the collaborative approach has been Karuna’s work with the Motor Neurone Disease Association of Queensland (MNDAQ). Karuna partnered with MNDAQ

and Rick Searle Productions to produce an educational DVD about the disease and how a palliative approach can optimise the client’s quality of life. Karuna client, Mr Tony Hynes who has been living with motor neurone disease for a long time was guest of honour at the launch of the DVD: Glass Half Full. Living with Motor Neurone Disease (available through www.mandalabooks.com.au)

Karuna is a member of the advisory committee for the ‘Palliation for Sick Hearts Project’, a component of the statewide Hospital at Home Heart Program. We contributed to the development of an end-of-life care pathway for clients with advanced or end stage heart failure. A key outcome of the project is the End Stage Heart Failure Management Protocol that provides guidelines for non-cardiac health care providers in acute and community sectors. Karuna will be involved in the implementation and evaluation of the guidelines. The ‘Palliation for Sick Hearts Project’ is a collaborative of Prince Charles Hospital and the Royal Brisbane and Women’s Hospital cardiac services.

Karuna Ethics committee, chaired by Ms Theresa McCormack, and the Compliance Committee chaired by Mr. David Marsden, were established during 2009. Both committees have provided invaluable support to the Karuna Board and the management team.

Karuna Board Members

Chairperson: Dr Deborah Prior

Vice Chairperson: Dr Neil Flanagan

Honorary Treasurer: Mr David Marsden

General Directors:

Mr Peter Caswell

Ms Theresa McCormack

Ms Catherine Mickel

Executive Director: Venerable Yeshe Khadro

The year in review

“Be kind as much as possible: it is always possible”

His Holiness the Dalai Lama

Spiritual Patron – His Holiness the Dalai Lama

Born in Tibet in 1935, His Holiness the Dalai Lama is the spiritual leader of the Tibetan people. Today he lives in exile in Northern India and is universally admired as a world leader for kindness and peace. His Holiness was awarded the Nobel Peace Prize in 1989 in recognition of his campaign for peaceful resolutions to world conflict. As a revered living Buddhist master, His Holiness exemplifies the teachings of the Buddha. His teachings on ‘universal responsibility’ and the ‘oneness with humanity’, remind us that we each have the power to change our own life for the better, as well as improving the lives of others. His Holiness the Dalai Lama graciously accepted our invitation to become Karuna’s Spiritual Patron during his visit to Karuna in June 2007.

Spiritual Director – Lama Zopa Rinpoche

Lama Zopa Rinpoche was born in Nepal in 1946 and at the age of three was recognised as the reincarnation of a renowned meditator from the Himalayan area of Lawudo. He studied Buddhism in Tibet until the Chinese invasion in 1959 and then continued his studies in the Tibetan refugee camps in India. In 1969, Rinpoche began teaching Buddhism to westerners at Kopan Monastery outside Kathmandu and the Foundation for the Preservation of the Mahayana Tradition (FPMT) was established. Karuna is one of over 200 organisations now affiliated with this international network of education centres and social services under Rinpoche’s spiritual leadership.

The future Karuna’s leadership – its Buddhist lineage

“Whether one believes in religion or not, the very purpose of our life is happiness, the very motion of our life is toward happiness“

His Holiness the Dalai Lama

Several critical issues are confronting the future of hospice-palliative care at a State and National level. These include an increasing older population that inevitably requires more services, and a large cohort of imminent retirees in the health care workforce. To compound the challenges, the demand for palliative care services is increasing as many more people live with advanced diseases or chronic conditions other than cancer.

From its inception into modern health systems, hospice-palliative care has helped people with advanced cancer and their bereaved families. There is now national and international acknowledgement that the philosophy and principles of palliative care should be accessible to all people dealing with advanced or end stage disease.

An alliance to promote equity of access to palliative care

Karuna is a member of the End of Life Alliance (EOLA) established in 2009 to address the issues of inequities between clients’ needs for a palliative approach and the ability to access appropriate services. Membership of the EOLA includes Palliative Care Queensland (PCQ) and representatives of tertiary hospitals, community based hospice-palliative care, community nursing, General Practitioners, Nurse Practitioners, paediatric services and consumers.

The primary mission of the EOLA is to develop a model of palliative care that ensures equal access to quality end-of–life care for all, regardless of a person’s age, diagnosis or place of residence.

In response to the work of the EOLA, Karuna recognises the need to review its current model of service. Future service will include a broader skill mix, greater collaboration with other like organisations, extended volunteer training programs, education relating to general end-of-life issues and life education promoting a meaningful and happy life in the face of uncertainty.

I believe in the work that Karuna does and I know that my whole family is grateful for the wonderful assistance your organisation has given our family during the final stages of our mother’s life.

I remember distinctly the last night of my mother’s life and how difficult it was for me to deal with. It was a terrible memory and a terrible moment of my life but I have reflected many times on the fact that it would have been much, much worse if it wasn’t for the wonderful people from Karuna who gave us empathy and support as well as a plan and direction for how to best deal with our mother. If it wasn’t for that plan and rational understanding of what and how to do things, it would have been a lot harder.

I saw my mother accept death with dignity and I saw my family deal with the issues of death with honour and respect for the person we love so much. My mother believed in family and she believed in meal time. Mum passed away just after the whole family had finished our lunch together. I can see no better way for her to have left this world than for her to be with the family she gave so much to and loved so much - to have one last meal with us all. My mother was a beautiful lady with a great love for her family. Karuna will always be special to me because I believe that without you giving us that support things would have been much worse. You are the best and I will always support your work. When it is my time to go I know I will be grateful for Karuna.

Peter Dyer

New image

Feedback from the community indicated a need to re-brand Karuna’s public image so it better reflected the organisation’s progressiveness. The new Karuna logo and marketing material has been designed to present a more contemporary image with an update of the website in progress. Karuna’s Board acknowledges with gratitude the work and support of Graham Lowe from Publicis MOJO, who provided his expertise (pro bono) to create Karuna’ s new image.

Karuna’s philosophy of care is an holistic approach to attending the unique needs of clients and promoting well-being by helping people to understand and prepare for the end-of-life with calm and confidence. The word ‘Karuna’ is Sanskrit for compassion – to free others from fear and suffering. Karuna’s ethos of kindness, compassion and courage and its commitment to best practice are reflected in all sectors of the organisation. Karuna is accredited by the Australian Council of Healthcare Standards.

Care programs are delivered by an inter-disciplinary team of nurses, social workers, counsellors, spiritual carers and respite volunteers who provide home nursing care, health and social care planning, counselling and spiritual care services. The care programs also provide guidance for carers and families (including children), to help them understand and cope with the experience of illness, dying, death and loss.

During the year Karuna helped 576 people and their families. We offered care and support for a wide range of physical and psychosocial situations associated with end-of-life, from diagnosis with a life limiting illness through to bereavement. Of our clients, 90% received in-home care including symptom management, psychosocial care and bereavement support and 10% were community clients who received spiritual care and grief counselling.

In-home care

Karuna’s in-home care program allows people who are approaching the end-of-life to remain in the familiar comfort of their own home, with family and friends close to hand. Our interdisciplinary team works in partnership with families and other health providers, such as GPs to individualise a plan of care according to the client’s needs and wishes.

Karuna’s goal is to empower clients, carers and families to be confident in providing home care. This enables them to avoid unwanted or unnecessary hospital admissions. In the 2008/09 period 51% of Karuna’s clients were able to fulfil their wish to die at home compared to the national average of 33%.

Karuna also offers support for infants and young children to enable the families to achieve their wish to have their child die at home. To strengthen the services for children, Karuna’s nurses, social workers, counsellors and volunteers will be undertaking specialist training in paediatric palliative care.

Karuna was one of 22 services which participated in a national survey of Palliative Care Client and Carer Experiences, undertaken during November 2008 and April 2009. Distinguishing attributes of Karuna’s services identified in the national survey included:

• respect for the patient’s dignity

• attention to the patient’s symptoms

• level of emotional support provided for patients and families.

When my wife Dulcie was ready to be discharged from Prince Charles Palliative Care unit after being taken there desperately ill, I was advised Karuna nurses would call at our home to help her. The next day, July 10 last year, Karuna was welcomed to our home in the form of Bronwen and so began a wonderful link with some extraordinary people. We had found earlier last year that the cancer had moved to Dulcie’s brain. We knew there was ultimately no hope but Karuna gave us comfort in that dark period.

Every nurse that came brought a spirit of good will to us. They became good friends. Dulcie was very appreciative of their concern. Time didn’t matter to them. Whether it be bathing her, making her comfortable, dressing a wound or simply cheering her up, they were great.

Several times, whatever the hour, I phoned and within minutes a nurse would return the call and calm me down. That support gave me and the family the strength to continue our desperate wish to keep Dulcie at home. I doubt we would have achieved that without Karuna.

Then there were the volunteers who came with a smile to ease the pressure on the family and Chodron who counselled Dulcie and gave her blessings.

When Dulcie left us, we again turned to Karuna for advice, help and comfort. Eleven months later, that has not changed. In our household the name of Karuna will always be a beacon of love and care.

Noel Turnbull

Karuna Care – When you need it most

“To live the full life, one must have the courage to bear responsibility for the needs of others“

Aung San Suu Kyi

I love working with Karuna for so many reasons. Primarily though, providing care and companioning clients and their carers in their experiences is what I enjoy most and find really inspiring.

I love the aspect of empowerment that Karuna gives to clients, their families and carers. People being diagnosed with life limiting illnesses can often feel like all control is lost. It’s great to be able to provide them with choices regarding how they deal with their illnesses, where and how they spend their time and I especially love witnessing the amazing work that our counselling team provides in preparing our clients and carers for this. I have seen the power of this work in facilitating and supporting clients to make peace with estranged family members, or their own inner turmoil and fears, in order to leave this world at peace and sometimes smiling!

I believe that my role as a nurse is more about facilitating clients to tap into their own inner resources and make their own choices regarding their bodies.

I get so much out of it that I would be reluctant to call it helping. Clients and carers teach me every day the preciousness of each and every moment and the importance of love and compassion

I believe that we should all have the right to choose where we die. I think that the last days and months of one’s life are sacred and precious, and the option to stay at home, surrounded by loved ones, should not be a privilege but a choice. I also believe that if possible, it can be beneficial to have a peaceful mind and heart at the time of death. I think that being at home in a peaceful, non medical environment can sometimes enhance this.

Camille DoyleKaruna Nurse

Dulcie, first great granddaughter Ella and Noel

Client referrals

This year, the age of clients helped by Karuna’s in-home care program ranged from 15 months to 101 years and while the majority of our clients were diagnosed with cancer, Karuna has a priority to ensure services are accessible to people dealing with other types of advanced or chronic illness. Over the past year Karuna has supported people with cardiac disease, renal failure and neurological disease.

Counselling and spiritual care

Karuna supports individuals and families through the life-transitions associated with the diagnosis of a life-limiting health condition and the death of a loved one. Such momentous experiences impact not only on individuals and their families but also on their work colleagues, friends and school communities.

Karuna’s counselling and spiritual care program aims to help people adjust to their changed circumstances. It also helps families and their communities through the journey with greater knowledge and confidence. A new initiative this year has been to connect more strongly with schools to increase support for children who have lost a parent.

Palliative Care Information Service

Since 2000 Karuna has coordinated the statewide 1800 Palliative Care Information Service (PCIS), funded by Queensland Health. The telephone-based service provides information to health care providers and the general community about palliative care, grief and loss and community resources. PCIS has a database of over 700 palliative care related services accessible by the Queensland community. Our team of experienced grief and loss counsellors responds to a wide range of calls. Over the past year there has been a 60% increase in calls from the community seeking emotional support after diagnosis with a life-limiting illness, or following a bereavement.

Karuna has an experienced team of educators, counsellors and ordained Buddhists who provide the community with a comprehensive range of professional development and Mind Life Wellbeing programs.

Education and professional development

Our education and professional development programs, including formal presentations and work-experience, broaden health care professionals’ knowledge and skills in providing palliative and end-of-life care.

Over the last year Karuna has provided more than 1000 hours of palliative care practice experience to students and health professionals interested in community hospice palliative care underpinned by the values of Buddhist philosophy.

• Agreements with Brisbane universities saw Karuna provide nursing and social work supervised placements.

• Through the Program of Experience in the Palliative Approach (PEPA) Karuna provided work placements to GPs, nurses and allied health workers.

• Karuna responded to training requests from nursing homes and domiciliary nursing services.

Throughout the year Karuna has worked with the Palliative Care Network and Brisbane-South Palliative Care Collaborative to develop and implement best practice guidelines for handling medications by carers and clinicians in the community. Karuna is currently participating in the evaluation of a new initiative for safe practice in management of medications in the home.

Wellbeing

The Mind Life Wellbeing Program seeks to bring out the strength within individuals and communities to care for each other with kindness and compassion and to deal with life’s uncertainty and adversity with courage and confidence.

Throughout the year Karuna facilitated a number of courses and meditation classes. The positive feedback from participants has encouraged Karuna to expand the program. In 2010 we will integrate the courses into a health promotion component of our care program. This will be used as an early intervention strategy to enable the wider community to develop resilience while healthy.

Education

“What wisdom can you find that is greater than kindness.“ Jean Jacques Rousseau

“No matter what happens in your life, transform your mind into happiness. Whether you are sick or healthy, poor or rich, dying soon or living long, make it meaningful by trying to benefit others “How to be Happy by Lama Zopa Rinpoche

I love waking up in the morning knowing I am going to work at Karuna. I also know not many people can say that. I feel so privileged to be a part of the wonderful work Karuna does.

Many times I have experienced such honesty and intimacy with terminally ill people and their families which fulfils a deep yearning for connection. It feels like when I connect with one person so deeply I connect to the whole of humanity.

It is such a privilege to enter people’s lives in this meaningful way and it can also be very challenging and confronting. It is like putting a mirror of truth up to my ‘self’.

I have also learnt to value more: my family, simple things in my life, the caring things people do for each other, the ocean and ants!

Suzanne ClementiKaruna Counsellor

In 2008/9 a total of 283 volunteers directly contributed to Karuna’s work in the office and the community. Karuna sincerely thanks all our volunteers for their essential contribution. Quite simply, we could not have provided the range and quality of services without them.

Karuna’s highly trained family support volunteers provided over 2323 hours of service assisting the clinical team. They provided direct support to clients, carers and families at home in the form of companionship, respite, massage therapy and transport assistance.

Karuna’s dedicated group of office volunteers has ensured our organisation and administration costs have remained manageable. Over 20 volunteers now attend regularly to help with administration tasks including data entry and filing

plus housekeeping and gardening. Additionally, Karuna is proud of its very efficient mail-out volunteers who collate the newsletters and correspondence related to the appeals.

Volunteers also helped us raise much needed money at a number of events throughout the year.

We have a number of exceptional volunteers who help each week in our Mandala Books bookstore, which has an extensive collection of publications relating to Buddhism, personal development, grief and loss. www.mandalabooks.com.au

Karuna would like to extend its thanks and gratitude to our many donors who contributed a total of $665,513, during the 2008/09 year. Without their generosity Karuna would struggle to exist. In particular, we wish to thank everyone who responded so favourably to the 2009 June appeal. Karuna wishes to acknowledge the probono services of individuals and organisations who provided legal guidance, marketing, event support and auditing, all of which helped Karuna to reserve its funds for the core business of care for clients, carers and families. Our major donors and supporters are acknowledged in this report.

During the year Karuna ran a number of events, including the annual Art Market, Christmas Craft Market and Bridge Days. These events helped Karuna to raise $53,605.00 while also bringing a lot of joy to people in our local community.

Again the fundraising events would not be possible without the hard work and support of our volunteers who play a vital role in organising and managing them. Community art and jewellery donations ensure that the Art Market will continue each year. In addition, Karuna’s craft group has been pivotal in helping raise over $30,000 during 2008/09. The craft group meets once a week throughout the year to make beautiful items which are then sold at the Christmas Craft Market, open gardens and Bridge days. Our invaluable volunteers enrich the Karuna community at every level.

Valuing our volunteers

Fundraising “The moment you dedicate yourself to others you have space in your heart and mind.“

Lama Thubten Yeshe

“You make a living by what you get. You make a life by what you give.“

Sir Winston Churchill

Karuna’s annual art and jewellery market.

A festive Christmas market was enjoyed by all.

Over 80 people enjoyed a

lovely morning playing bridge.

Our irreplaceable

Karuna Craft ladies.

Dave Rimmer is one of Karuna’s longest serving volunteers. He first came into contact with Karuna in 1997 when his wife of 29 years became seriously ill. Upon her passing Dave wanted to give back and in 2001 he started to help Karuna.

Dave plays a big role in the Karuna family. He visits most Fridays and helps restock the nursing kits to take to client homes, maintains stock control in the storeroom, reports on stock requirements for ordering and picks up orders from the hospital. He is reliable, humble and always brings good cheer and a twinkle into the office. He is a complete gem!

For his work David was recently recognized with an Australian Government National Volunteer Recognition Certificate. Congratulations, Dave! It’s

through the help of individuals like Dave that Karuna is able to operate so effectively and for this we are incredibly grateful.

Thank you all.

Dave RimmerKaruna Volunteer

I declare that, to the best of my knowledge and belief, during the year ended 30 June 2009 there have been

i. No contraventions of the auditor independence requirements as set out in the Corporations Act 2001 in relation to the audit; and

ii. No contraventions of any applicable code of professional conduct in relation to the audit.

Iseppi & Co

Darryl Iseppi

29 September 2009

Suite 3/609 Robinson Road, Aspley, Qld, 4034

Karuna Hospice Services Financial Report

AUDITOR’S INDEPENDENCE DECLARATION UNDER S307C OF THE CORPORATIONS ACT 2001 TO THE DIRECTORS OF KARUNA HOSPICE SERVICE LTD

INCOME STATEMENT FOR THE YEAR ENDED 30 JUNE 2009

STATEMENT OF RECOGNISED INCOME AND EXPENDITURE FOR THE YEAR ENDED 30 JUNE 2009

BALANCE SHEET AS AT 30 JUNE 2009

Note 2009 2008

$ $

Revenue 2 1,358,564 1,366,781

Other income 2 839,439 1,088,097

Employee benefits expense 3 -1,502,281 -1,563,839

Depreciation 3 -58,173 -69,631

Finance costs 3 -5,002 -7,713

Bad debts 3 -307 0

Repairs, maintenance and vehicle running expense -45,294 -97,668

Fuel, light and power expense -18,434 -19,650

Rental expense -21,822 0

Training expense -3,623 -300

Audit, legal and consultancy expense -15,350 -11,201

Fundraising expense -1,011 -22,309

Other expenses -418,834 -641,905

Profit before income tax 3 107,872 20,662

Income tax expense 0 0

Profit after income tax 107,872 20,662

AASB 101.97(b)

AASB 101.97(c)

Retained Earnings

Asset Revaluation Reserve Total

$ $ $

Balance at 1 July 2007 1,175,362 0 1,175,362

Profit attributable to entity 20,662 0 20,662

Balance at 30 June 2008 1,196,024 0 1,196,024

Profit attributable to entity 107,872 0 107,872

Revaluation decrement - investment 0 -17,184 -17,184

Balance at 30 June 2009 1,303,897 -17,184 1,286,713

Note 2009 2008

$ $

ASSETS

Current Assets

Cash and cash equivalents 4 986,375 881,090

Trade and other receivables 5 152,478 105,570

Inventories 6 195,779 172,334

Total Current Assets 1,334,632 1,158,994

Non-Current Assets

Property, plant & equipment 7 290,854 374,374

Total Non-Current Assets 290,854 374,374

TOTAL ASSETS 1,625,485 1,533,368

LIABILITIES

Current Liabilities

Trade and other payables 8 83,001 71,167

Revenue received in advance 9 5,598 47,500

Total Current Liabilities 88,599 118,667

Non-Current Liabilities

Long-term provisions 9 250,174 218,676

Total Non-Current Liabilities 250,174 218,676

TOTAL LIABILITIES 338,773 337,344

NET ASSETS 1,286,713 1,196,024

EQUITY

Retained Earnings 1,303,897 1,196,024

Reserves -17,184 0

TOTAL EQUITY 1,286,713 1,196,024

CASH FLOW STATEMENT FOR THE YEAR ENDED 30 JUNE 2009

Note 2009 2008

$ $

Cash flow from Operating Activities

Receipt of grants 5,598 6,500

Other receipts 226,374 209,060

Payments to suppliers and employees -167,869 -62,156

Net cash generated from operating activities 12b 64,103 153,404

Cash flow from Investing Activities

Proceeds from sale of property, plant and equipment 68,603 29,591

Payment for property, plant and equipment -7,079 -71,377

Net cash used in investing activities 61,523 -41,786

Cash flow from Financing Activities

Prior Year’s Surplus -3,157 23,192

Asset Revaluation Reserve -17,184 0

Net cash used in financing activities -20,341 23,192

Net Increase in Cash Held 105,285 134,810

Cash at beginning of financial year 881,090 746,280

Cash at end of financial year 4 986,375 881,090

The directors of the entity declare that:

1. The financial statements and notes, as set out above, are in accordance with the Corporations Act 2001: (a) Comply with Australian Accounting Standards (b) Give a true and fair view of the financial position as at 30 June 2009 and of the performance for the year ended

on that date of the entity.

2. In the directors’ opinion there are reasonable grounds to believe that the entity will be able to pay its debts as and when they become due and payable.

This declaration is made in accordance with a resolution of the Board of Directors

Marie Obst (Director)

Dated this 6th day of October 2009

DIRECTOR’S DECLARATION

Art donorsJewellery donorsKaruna’s craft groupDr Kit-Ken LokeDr Mark MusgraveDr Mary HughesDr Michael ForbesDr Robyn HuttenmeisterDr Rodney LumerDr Ross Forgan-SmithDr Zula NittimEstate of Ms Lesley PurvisJustice Jeffery SpenderMs Katzinka TschierschkyMs Kim SchoenbergerLady WatsonMr Abramo PappMr Reuben and Mrs Lyn ClarkMr Brian RoebigMr Cliff BessMr Colin GalleyMr David BrownMr David DunMr Don and Mrs Lyn JacksonMr Doug and Mrs Elva McIntyreMr Errol DyerMr Gary and Mrs Leanne WestMr Graham LoweMr Guy LoaneMr Ian FranklandMr James LewisMr Jan and Mrs Ineke MastenbroekMr Jim and Mrs Tina CreaghMr Jim MarshallMr John and Mrs Jean DeaconMr John RansleyMr Jon PickersgillMr Louis and Mrs Robyn FerrarinMr Malcolm and Mrs Christine RobertsMr Malcolm NewmanMr Paul WhiteMr Perry LangdonMr Phil and Mrs Susan BlakeMr Ross and Mrs Lyn JeffersMr Russ BowkettMr Russell and Mrs Julie KempnichMr Wayne Berry

Estate of Mr Ron Willis Mrs Elaine BodenMrs Frances RihaMrs Grace BuglarMrs Helen GowMrs Jeanette WakleyMrs Joyce BennettMrs Joyce CarkeekMrs Karen MercerMrs Laurel BrightMrs Madge FitchMrs Marcia HumphriesMrs Margaret ArcherMrs Margaret McDonaldMrs Pam MurrayMrs Prue SkinnerMrs Shirley-Ann MackellarMrs Sonia HudsonMrs Tanya McMinnMrs Winifred HamsonThe Estate of Beatrice RibushMs Anette JackMs Barrie SpringMs Bridget SackMs Bronwyn FaddenMs Carmel DyerMs Evelyn SaragossiMs Michael HoganMr Desmond BuchhornMs Joanne EdgarMs Jocelyn ClarksonMs Joy FarleyMs Juliet AllenMs Karen NevilleMs Kim WestMs Marie-Louise TheileMs Mary EdwardsMs Rebecca WardMs Sally DudgeonMs Susan DaviesThe Jameson FamilyThe Booth FamilyMs Jenny KeysMr Jonathon Pickersgill Ms Meshel LaurieMs Evelyn SaragossiMr Tony KochMr Bruce Heiser

ABN AMRO MorgansAllan Watson Associates Pty LtdAnton Brown FuneralsAustralia ZooBarbara Heath JewelleryBossy HairBlake DawsonBreakfast Creek Cricket Club IncRSL Bribie Island Women’s AuxiliaryChelle Corporation Pty LtdChermside Meals on Wheels IncCM & JA Whitehouse FoundationHot RocksIseppi + CoLOOT HomewaresMartin GalleriesMaurbru Pty LtdMy Own Jeweller DirectPanda Pearls AustraliaPublicis MojoRay White AuctionsRed Hill Gallery Rotary Club of WindsorRod Groves JewelleryRotary Club of StaffordRSL Club of Kedron Wavell Sub BranchRSL Kedron Wavell Sub Branch Women’s AuxiliarySchonSealy of AustraliaSmallprintsSue Sensi DesignTed Pevy Jewellery The Bernborough Club IncThe Good Guys LutwycheWallace BishopWestpac BankBunnings Building Supplies Pty Ltd, Morayfield

Thank You

Karuna Hospice Services would like to thank the following individuals, companies, organisations and benefactors for their generous support during 2009.

Individual Companies

Kindness, compassion and courage when life is in transition

The Karuna Hospice Service LtdABN 28 055 211 473PO Box 2020 Windsor Queensland 403027 Cartwright Street Windsor Queensland 4030

Phone: (07) 3632 8300Fax: (07) 3857 8040Email: karuna@karuna.org.auWeb: www.karuna.org.au