Hope Lodge Iowa City

From the outside looking in, with its lush landscaping and towering brick chimney, the Russell and Ann Gerdin American Cancer Society Hope Lodge in Iowa City gives an immediate impression that it’s a home. Which is what the facility does indeed become for the cancer patients receiving lifesaving treatments.

Hope Away from Home

Doors to the Hope Lodge opened in September 2008 following a $4 million donation from the Lodge’s namesakes, Russell and Ann Gerdin. (University of Iowa provided the land for the construction.) It was the first of its kind in Iowa and the 28th facility of its kind in the U.S. The Hope Lodge offers amazing service in the form of 28 private guest rooms free of cost to cancer patients (and their adult caregivers) undergoing active outpatient cancer treatment at area medical facilities: The Veterans Administration Medical Center, Mercy of Iowa City, or University of Iowa Hospitals and Clinics. The guest rooms each have a private bathroom and two beds, but the bedrooms are just the start when it comes to the other welcoming, inviting spaces.

Hope Lodge; Hope Sweet Hope

Quinn Hackert, assistant manager of the Hope Lodge, said that the facility has a Midwestern “lodge-y” feel to it and has plenty of community spaces to encourage people to get out their rooms and “really get to know each other.” Guests can enjoy a community dining area, sit in two screened-in porches, computer room, laundry, library, exercise room, and cook meals in two complete kitchens. Musical groups and weekly potluck dinners are another community-building opportunity to take advantage of.

The level of service the Hope Lodge is able to offer is truly amazing with a small staff of 12 (most are part-time employees), they were able to offer 13,355 nights of free lodging in 2016. Hackert said the Hope Lodge is typically full; if that’s the case and a patient needs/qualifies for accommodations, the American Cancer Society hotel partner program is utilized until a Hope Lodge room opens up. The hotel partner program means hotels in the area can offer a room for free or a significant discount. “The average length of stay is 22 days, however that’s a little skewed since our radiation patients often stay for six to eight weeks,” Hackert said.

American Cancer Society - Hope Lodge

In order to stay at the Hope Lodge patients must meet some eligibility requirements, such as the patient must live at least 40 miles away from the treatment center, have an end date to their current plan, and be cleared by a physician of infectious diseases, among others. According to the Hope Lodge’s website, prospective guests need their physician or a member of their cancer health care team to fill out a Hope Lodge referral form.

Another major benefit for patients staying at the Hope Lodge is the breadth of cancer-related services and programs including support groups for general cancer support, breast cancer, head and neck cancer, as well as a group specific for female patients.

Get Involved

American Cancer Society’s 2017 Hope Lodge “10th Anniversary Dancing for the Stars” Gala

Hackert reiterated that the Hope Lodge is supported and funded entirely through donated funds and times. The nonprofit’s highly anticipated annual fundraiser—10th Anniversary Dancing for the Stars—is coming up on November 11, 2017 at the Coralville Marriott Hotel & Conference Center. The black tie event features delicious food, enticing auction, and the main entertainment: local celebrities dancing in routines choreographed by professional dancers. Interested in attending? Tickets are $100/person and $1,000/10 person table. Hackert also indicated they’re still searching for additional sponsors.

Hope Lodge donations

On the general donations front, Hackert said, “We’re always in need of paper products like office paper, toilet paper, paper towels.” He added that those interested in donating time should contact Lynn Johnson at Lynn.Johnson@cancer.org or by phone at 319-248-5400. “We always need general volunteers and drivers that drive patients to the hospital in a Prius donated by Toyota,” Hackert said. “We have volunteers at guest services—the front desk and people can make and bring in meals for the guests.” Hackert added that the volunteers just need to go through a short orientation.


Note: GoFisch is happy to feature Iowa nonprofits and the great work they do in our community. A feature does not indicate any client relationship. If you’re interested in having your nonprofit featured, please don’t hesitate to contact Gordon.

Gordon works with nonprofits and the donors who support them in a number of different ways, including coordinating complex gifts. If you’re a donor or donee looking to maximize the benefits of your charitable gift, contact Gordon at any time by email, Gordon@gordonfisherlawfirm.com, or by phone at 515-371-6077.

senior citizen guardianship

Recently a friend sent me an article from The New Yorker, “How the Elderly Lose Their Rights.” (While a long read, it’s worthwhile.) The piece focused on the tragic case of a Nevada couple—Rudy and Rennie North—who fell victim to a court appointed guardian who failed (terribly) to put the senior victims’ best interests first and asserted the little known situation where “Guardians can sell the assets and control the lives of senior citizens without their consent—and reap a profit from it.” At first this situation is a bit confusing. How can a couple, with grown adult children, be assigned as wards of a state-appointed conservator/guardian who is then in charge of making health, financial, and social decisions for the individuals?

Given the current and growing population of elderly in the U.S. the issue of court-appointed guardianship it’s an important subject. According to the Census Bureau, “residents age 65 and over grew from 35.0 million in 2000, to 49.2 million in 2016, accounting for 12.4 percent and 15.2 percent of the total population, respectively.” And, between 2000 to 2016, 95.2 percent of all U.S. counties experienced increases in median age.

senior couple at table

What is a Guardian / Conservator?

To be able to protect yourself against such a situation, let’s establish what a guardian and/or conservator actually does and what are the causes for a conservator to be appointed. One person may be both the guardian and conservator and can be combined into a single court action. (Note: these definitions are applicable in the State of Iowa. In some states the words have different definitions and a “guardianship” in Iowa may be considered a “conservatorship” under the verbiage of a different state.)

Iowa Legal Aid offers a clear definition of the two terms:

“In a conservatorship:

  • The court appoints a person (the conservator) to control the property (or estate) of a ward.
  • A conservatorship deals with the person’s financial decisions.

In a guardianship:

  • The court appoints a person (the guardian) to control the person of the ward.
  • A guardianship deals with non-financial decisions such as where the ward lives and what type of medical care the ward gets.”

For simplicity’s sake, for the rest of the article we’ll just say guardian/guardianship, but know that could also include a conservator/conservatorship.

How does a Guardian get Appointed?

A guardian may be appointed if a court finds an individual incapacitated, which can be due to varied conditions like mental disorder, physical or mental disability, chronic abuse of drugs and/or alcohol, or physical illness. Basically if the court is convinced that a person lacks sufficient ability or understanding to communicate or make decisions in their best interest they could appoint a guardian for the continued supervision and care of the individual.

The process is such that a petition is filed in the prospective ward’s state with information regarding the proposed guardian, the guardian and ward’s relationship (if any), and other info on heirs. Any person deemed “competent” can be appointed as a guardian, so that could include an adult child/parent, spouse, or friend. It could also be a professional guardian entirely unrelated to the ward.

two senior citizen women

The legal standing for guardianship immigrated over to the U.S. colonies from England and is based on an English statute that’s survived for over 800 years. The state holds the power of parens patriae, “a duty to act as a parent for those considered too vulnerable to care for themselves.” Because this power is of the states and not federally regulated, there are disparate record keeping standards, sealed court records, and no databases of collective figures at the local, state, nor federal levels.

Potential Dangers of Guardianship

Guardianship in the U.S. straddles a fine line between protection and exploitation.

One of the major tenants of the concept of guardianship is “trust.” And, it’s true that there are great guardians who certainly work in the best interests of their charges. Most people assume the role of a guardian for good reason (like caring for a parent), but there are also substantiated cases where victims (largely senior citizens) were subjected to physical abuse, financial theft, and neglect. In a 2010 report, “Guardianships: Cases of Financial Exploitation, Neglect, and Abuse of Seniors,” the Government Accountability Office identified over 150 reported victims who had suffered a total of $5.4 million in stolen funds.

Guardianship has large potential for issues and consequences given the large quantities of people involved. Currently there over 1.5 million adults who live under the care of a guardian who is either a family member or unrelated professional. These guardians control an immense amount of assets to the tune of $273 billion. It’s also true that in the majority of states there are no qualifications to attain the status of guardian other than taking a course, having not declared bankruptcy recent, and not be convicted felon.

two seniors speaking on sidewalk

The American Bar Association published the statement that “an unknown number of adults languish under guardianship” even if they no longer have the need for someone to make decisions for them (or never did).

Another danger is that while guardianship could be terminated through a court hearing if it can be proved the need no longer exists, the ABA study also asserted the guardianship situation is typically permanent, leaving few ways out for the adults under care. Those who do try to fight against a court-appointed guardian often end up paying excessive amounts of money in attorney and court fees—some even going bankrupt in the process.

Additionally, the aging population of America places increased pressure on court resources which, in turn, can make it difficult for court appointmented guardians to have the optimal high level of oversight necessary. Thus, shady guardians can more easily slip through the cracks and continue to abuse the system and their wards’ assets.

How to Protect Against the Potential

It’s pretty safe to say that no one in their right mind would want a court-appointed guardian (particularly a stranger) to have control over your life. Especially in a way that they could legally:

  • Change your permanent residence to a more restrictive location.
  • Consent to withdraw life-sustain medical procedures.
  • Place restrictions on communications, visit, or interactions with another person.
  • Make decisions contrary to your wishes regarding general life in areas like recreational activities, clothing, and food choices.

As an example of the prospective consequences of these powers is how a guardian placing restrictions on whom their ward can interact with can result in isolating the ward from their family members. According to Elaine Renoire, a director of the National Association to Stop Guardian Abuse, a victims’ rights group, the top complaint she hears about guardians is how they can legally prohibit their wards from seeing or speaking to their loved ones.

senior citizen on bench

The following legal and estate planning tools are proactive measures you can take today to avoid the potential of being subject to court appointed guardianship.

Health Care Power of Attorney

Health care power of attorney is one of the six main documents all Iowans should have as a part of their estate plan. It allows you to choose a designated representative to make medical decisions on your behalf if you are to become incapacitated either temporarily (such as under anesthesia) or permanently. If you cannot express your medical treatment wishes clearly and coherently, your agent could then make such wishes be known on your behalf. The designated agent also retains the right to receive your medical record information that would otherwise be inaccessible as it is protected under HIPAA laws.

Financial Power of Attorney

Similar to the health care power of attorney, financial power of attorney is a legal document that designates someone to handle your financial decisions and take actions like pay bills, settle debts, and sell property on your behalf if you become incapacitated and unable to do this yourself.

Trust

The number of different types of trusts are practically limitless and a trust could be a valuable estate planning protection tool in some situations. A successor trustee could be named and the document could be used as a safeguard for financial protection.

woman walking down street with flowers

Proactivity is Key

By being proactive, you can be certain that someone you love and trust will be responsible with their guardianship powers and big/small life decisions, not the courts. Have these documents crafted by an experienced estate planner (not a DIY website) and keep them up-to-date as circumstances change. Luckily there are smart people in Iowa working toward policy change, such as the National Health Law and Policy (NHLP) Resource Center at the University of Iowa College of Law and their recent task force report citing 232 policy recommendations. But, the road toward substantial policy change is long and it’s best to have your own legal safeguards in place just in case.

Want to discuss guardianship further or get started on your powers of attorney documents? Contact me at any time.

Kazuo Ishiguro author

The Nobel Prize in Literature for 2017 was awarded to Kazuo Ishiguro, “who, in novels of great emotional force, has uncovered the abyss beneath our illusory sense of connection with the world.” Ishiguro has written several novels, and is best known for two: The Remains of the Day, and Never Let Me Go.

Never Let Me Go

Published in 2005, Never Let Me Go is a unique creation, a dystopian romantic drama set in a British boarding school; it’s part Kafka, part Austen, with a dashes of soft science fiction, and even slave narratives thrown in. Still, despite its uniqueness (or, because of it), the novel reveals four themes useful when planning your estate.

If you’ve read Never Let Me Go, you know it’s so hard to discuss this book without spoilers. Still, no spoilers below.

Lesson # 1. You need direct, unvarnished, and unbiased advice

Never Let Me Go is told in first person narrative by the character Kathy H.

Kathy H. is what your English lit professor called an “unreliable narrator.” There are reasons to question if what she relates is the entire truth. She’s limited even as to what she is truly and able to see and reflect upon.

But, don’t we all have our own blind spots? A good estate planning lawyer, along with professional expertise, offers a clear view and objectivity. By working with a lawyer, you’re going to bring that extra voice of reason to bear on current and future estate planning needs. Is it a good idea to leave your entire estate to your cat Tiger? Should you instead consider a pet trust? Is your 18-year-old kid truly mature enough to responsibly handle your million-dollar life insurance policy payout in one lump sum? A lawyer can give you direct, unvarnished, and unbiased advice.

Lesson # 2. YOU decide the terms of your own estate plan

Many who’ve read Never Let Me Go come to vastly different conclusions as to what the novel “means.” No one interpretation is “right,” nor are any interpretations “wrong.”

When you talk to your beneficiaries about estate planning—whether it’s loved ones, charities, or hopefully both—be aware they have their own point-of-view. That’s not meant as criticism. It’s just that reasonable folks can, and often do, differ on resolving issues.

It’s YOUR estate plan. Except for the most extreme cases, there is no right or wrong. Your estate plan is whatever you decide it is.

Never let me go quote

Lesson # 3. Read and reread (and reread again) very carefully

Never Let Me Go, at first glance, is a coming-of-age story, with twists. Upon rereading, many readers report they view the novel much differently—as a deep allegory; a meditation on memory and forgetting; the meaning of love and what it means to be loved; the definition of being human; and most especially, what should we each do with our own life, lives that are all too short.

Even though you’ve hired a professional estate planner, who’s put a lot of time and thought into drafting an estate plan perfect for your needs, you must read the estate planning so carefully. And reread it. Upon rereading(s) you might, say, change your mind on overall goals; think of a new issue to address; realize what sounded good during a conversation may not look as appealing when written down on paper; remember another nonprofit you want to aid, and so on.

Read, read carefully, and reread carefully.

Lesson #4. Leave a Legacy

Forgive me for posting this horrible hypothetical, but suppose you suddenly suffer from major organ failure. What will your legacy be? What do you want your legacy to be?

Estate planning is largely a part of leaving a lasting legacy. No matter what happens, through estate planning you ensure your legacy will continue.


Have you read Never Let Me Go? I’d love to hear your thoughts on the book as well as any questions you may have about your estate plan. If you don’t have an estate plan, now is a great time to get started. Fill out my Estate Plan Questionnaire or contact me by phone (515-371-6077) or email.

October GoFisch

The October edition of GoFisch is out! Give GoFisch a read to learn more about National Estate Planning Awareness Week, meet the newest addition to the Gordon Fischer Law Firm team, read news applicable to philanthropy and nonprofits, and click to Halloween-related blog posts on estate planning.

Like what you read? Don’t forget to subscribe.

 

Two people reading The Iowa Lawyer on tablet and phone

Hot off the press is Volume 77 Number 9 October 2017 edition of The Iowa Lawyer, published by the Iowa State Bar Association. Inside the cover (featuring a great piece on the Iowa Court of Appeals) is my second article in a series of four regarding Iowa Court Rule 39.18. The Rule involves succession planning for solo and private legal practitioners. However, while targeted to lawyers, the eight simple steps for a successful business succession are also applicable to business owners and entrepreneurs in other industries as well.

Click here or on the image below and scroll to page 14 to give it a read.

The Iowa Lawyer October 2017

Any questions after reading? Feel the urge to get started on your much needed business succession plan? Feel free to contact me any time to discuss. I offer a one-hour free consultation, without any obligation. I can be reached any time at my email, gordon@gordonfischerlawfirm.com, or by phone at 515-371-6077.

nonprofit board members discussing duties

In wise words attributed to Voltaire (and the Spider-Man comic book), “With great power, comes great responsibility.” Never have these words been more true than when it comes to serving on a nonprofit’s board of directors. Being asked or elected to serve on a board can be a huge honor, but it also comes with great legal and fiscal responsibilities.

Legal Duties

Let’s start with three of the major legal duties:

  • Duty of care: This means that board members are expected to actively participate in making decisions, resolving issues, and participate in planning.
  • Duty of loyalty: Board members must put the interests of the nonprofit ahead of their own personal and professional interests. This means that even merely potential conflicts of interest must be studiously avoided. (Your nonprofit MUST have a Conflict of Interest Policy that each board member signs.)
  • Duty of obedience: Compliance with all local, state, and federal regulations and laws applicable to the nonprofit is an essential responsibility for board members.

Additionally, these three major legal duties ensure the organization is committed and stays true to its stated mission.

 

nonprofit board room

Financial Duties

Board members must act as fiduciaries by closely overseeing the nonprofit’s finances. Board members are tasked with reviewing financial reports (i.e. donations received and expenses), evaluating policies (such as a cash handling policy or a gift acceptance policy), and approving budgets. They must also take into account the resource needs of the organization, in addition to accountability to donors, parties served, and the general public.

Whether you’re donating your time and serving on a nonprofit board, or running a nonprofit and are training the board (sometimes called “managing up,” and not an easy thing to do), it’s important the aforementioned duties are fully explained and understood by all parties.

Let me suggest two good and very practical ideas. First, consider providing a board orientation, once a year, where the entire meeting is devoted to an outsider explaining and discussing with the board the full extent of its legal and fiscal duties. Second, consider drafting and distributing a “job description,” not only for your employees, but also for your board members. Put in writing what you expect of the board, including the legal protection they must offer.


Working with nonprofit leaders is one of my passions and a critical part of my main mission to promote and maximize charitable giving in Iowa. If you’re on the board of, or work for a nonprofit that is facing challenges, or if you simply want to be prepared to avoid challenges, don’t hesitate to reach out. 

I can be contacted at anytime by phone (515-371-6077) or email to schedule a free consultation.