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Karuna Hospice Services 2009 Annual Report

Kindness, compassion and courage when life is in transition

The year in review 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.

“Be kind as much as possible: it is always possible” His Holiness the Dalai Lama

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

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

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 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 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 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’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

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“

Several critical issues are confronting the future of hospicepalliative 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.

His Holiness the Dalai Lama

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.

From its inception into modern health systems, hospicepalliative 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.

I remember distinctly the last night of my

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 hospicepalliative 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.

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

Spiritual Patron – His Holiness the Dalai Lama 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.

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.

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

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 Karuna’s philosophy of care is an holistic approach to attending the unique needs of clients and promoting wellbeing 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.

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 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 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 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.

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.

Camille Doyle Karuna Nurse

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.

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

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.

Dulcie, fir st granddaug great hter Ella a nd Noel

Education Client referrals

Counselling and spiritual care

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.

Karuna supports individuals and families through the lifetransitions 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.

“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

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.

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.

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’.

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.

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 Clementi Karuna Counsellor

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

Valuing our volunteers “The moment you dedicate yourself to others you have space in your heart and mind.“ Lama Thubten Yeshe 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.

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.

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

Fundraising Karuna’s a n jewellery nual art and market.

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

joyed a people en Over 80 playing bridge. rning lovely mo

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.

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 Rimmer Karuna Volunteer

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.

A festive C h was enjoye ristmas market d by all.

ceable Our irrepla dies. la ft ra C a n Karu

Karuna Hospice Services Financial Report







ASSETS Cash and cash equivalents




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

Trade and other receivables
















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

Current Assets

Total Current Assets Non-Current Assets

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

Property, plant & equipment


Total Non-Current Assets Iseppi & Co


Darryl Iseppi

LIABILITIES Current Liabilities

29 September 2009

Trade and other payables




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

Revenue received in advance








Total Non-Current Liabilities














Total Current Liabilities Non-Current Liabilities Long-term provisions










Other income




Employee benefits expense








Finance costs




Bad debts




Repairs, maintenance and vehicle running expense



Fuel, light and power expense



Rental expense

















Training expense Audit, legal and consultancy expense Fundraising expense Other expenses Profit before income tax Income tax expense Profit after income tax





AASB 101.97(c)

Retained Earnings

Asset Revaluation Reserve








Profit attributable to entity




Balance at 30 June 2008




Profit attributable to entity










Balance at 1 July 2007

Revaluation decrement - investment Balance at 30 June 2009








Other receipts



Payments to suppliers and employees





Cash flow from Operating Activities Receipt of grants

Net cash generated from operating activities


Proceeds from sale of property, plant and equipment



Payment for property, plant and equipment



Net cash used in investing activities





Cash flow from Financing Activities Prior Year’s Surplus Asset Revaluation Reserve



Net cash used in financing activities



Net Increase in Cash Held



Cash at beginning of financial year






DIRECTOR’S DECLARATION 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

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

Cash flow from Investing Activities

Cash at end of financial year

Thank You

Art donors Jewellery donors Karuna’s craft group Dr Kit-Ken Loke Dr Mark Musgrave Dr Mary Hughes Dr Michael Forbes Dr Robyn Huttenmeister Dr Rodney Lumer Dr Ross Forgan-Smith Dr Zula Nittim Estate of Ms Lesley Purvis Justice Jeffery Spender Ms Katzinka Tschierschky Ms Kim Schoenberger Lady Watson Mr Abramo Papp Mr Reuben and Mrs Lyn Clark Mr Brian Roebig Mr Cliff Bess Mr Colin Galley Mr David Brown Mr David Dun Mr Don and Mrs Lyn Jackson Mr Doug and Mrs Elva McIntyre Mr Errol Dyer Mr Gary and Mrs Leanne West Mr Graham Lowe Mr Guy Loane Mr Ian Frankland Mr James Lewis Mr Jan and Mrs Ineke Mastenbroek Mr Jim and Mrs Tina Creagh Mr Jim Marshall Mr John and Mrs Jean Deacon Mr John Ransley Mr Jon Pickersgill Mr Louis and Mrs Robyn Ferrarin Mr Malcolm and Mrs Christine Roberts Mr Malcolm Newman Mr Paul White Mr Perry Langdon Mr Phil and Mrs Susan Blake Mr Ross and Mrs Lyn Jeffers Mr Russ Bowkett Mr Russell and Mrs Julie Kempnich Mr Wayne Berry

Companies Estate of Mr Ron Willis Mrs Elaine Boden Mrs Frances Riha Mrs Grace Buglar Mrs Helen Gow Mrs Jeanette Wakley Mrs Joyce Bennett Mrs Joyce Carkeek Mrs Karen Mercer Mrs Laurel Bright Mrs Madge Fitch Mrs Marcia Humphries Mrs Margaret Archer Mrs Margaret McDonald Mrs Pam Murray Mrs Prue Skinner Mrs Shirley-Ann Mackellar Mrs Sonia Hudson Mrs Tanya McMinn Mrs Winifred Hamson The Estate of Beatrice Ribush Ms Anette Jack Ms Barrie Spring Ms Bridget Sack Ms Bronwyn Fadden Ms Carmel Dyer Ms Evelyn Saragossi Ms Michael Hogan Mr Desmond Buchhorn Ms Joanne Edgar Ms Jocelyn Clarkson Ms Joy Farley Ms Juliet Allen Ms Karen Neville Ms Kim West Ms Marie-Louise Theile Ms Mary Edwards Ms Rebecca Ward Ms Sally Dudgeon Ms Susan Davies The Jameson Family The Booth Family Ms Jenny Keys Mr Jonathon Pickersgill Ms Meshel Laurie Ms Evelyn Saragossi Mr Tony Koch Mr Bruce Heiser

ABN AMRO Morgans Allan Watson Associates Pty Ltd Anton Brown Funerals Australia Zoo Barbara Heath Jewellery Bossy Hair Blake Dawson Breakfast Creek Cricket Club Inc RSL Bribie Island Women’s Auxiliary Chelle Corporation Pty Ltd Chermside Meals on Wheels Inc CM & JA Whitehouse Foundation Hot Rocks Iseppi + Co LOOT Homewares Martin Galleries Maurbru Pty Ltd My Own Jeweller Direct Panda Pearls Australia Publicis Mojo Ray White Auctions Red Hill Gallery Rotary Club of Windsor Rod Groves Jewellery Rotary Club of Stafford RSL Club of Kedron Wavell Sub Branch RSL Kedron Wavell Sub Branch Women’s Auxiliary Schon Sealy of Australia Smallprints Sue Sensi Design Ted Pevy Jewellery The Bernborough Club Inc The Good Guys Lutwyche Wallace Bishop Westpac Bank Bunnings Building Supplies Pty Ltd, Morayfield

The Karuna Hospice Service Ltd

Phone: (07) 3632 8300

ABN 28 055 211 473

Fax: (07) 3857 8040

PO Box 2020 Windsor Queensland 4030


27 Cartwright Street Windsor Queensland 4030


Kindness, compassion and courage when life is in transition

Karuna Annual Report 2009  

The Annual Report for Karuna.