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      <Desc>HOSPICE OF SPOKANE OFFERS CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR LOVED ONES. THROUGH IN-HOME SKILLED NURSING CARE, HOME HEALTH AIDES FOR PERSONAL CARE, SPIRITUAL SUPPORT, GRIEF AND BEREAVEMENT COUNSELING SERVICES, PATIENTS AND THEIR LOVED ONES ARE ASSURED OF THE BEST POSSIBLE QUALITY OF DAYS TO THE END OF LIFE. THE FOCUS OF CARE IS ON COMFORT AND SUPPORTING QUALITY OF LIFE WHEN TREATMENTS AIMED AT CURE OR EXTENDING LIFE ARE NO LONGER DESIRABLE. HOSPICE CARE IS FOR ANYONE, OF ANY AGE, WHO IS NEARING THE END OF LIFE. HOSPICE OF SPOKANE SERVED 1,805 UNDUPLICATED CLIENTS IN 2023, PROVIDING 98,592 DAYS OF ROUTINE HOME CARE, 1,073 DAYS OF ACUTE INPATIENT CARE, AND 187 DAYS OF RESPITE CARE FOR THE YEAR ENDED DECEMBER 31, 2023. SEE CONTINUATION ON SCHEDULE O.</Desc>
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        <Desc>WHEN HOSPICE PATIENTS ARE NO LONGER ABLE TO MANAGE AT HOME, THEY CAN GO TO ONE OF OUR TWO HOSPICE HOUSES TO RECEIVE HOSPICE CARE IN AN INPATIENT SETTING. BETWEEN THE TWO HOUSES, ONE LOCATED IN NORTH SPOKANE AND ONE LOCATED IN SOUTH SPOKANE, WE HAVE THE CAPACITY TO SERVE A TOTAL OF 24 PATIENTS (12 IN EACH HOME). THE HOSPICE HOUSES PROVIDED A TOTAL OF 3,402 PATIENT DAYS OF CARE FOR THE YEAR ENDED DECEMBER 31, 2023 TO 559 PATIENTS AND THEIR FAMILIES. SEE CONTINUATION ON SCHEDULE O.</Desc>
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        <Desc>HOSPICE OF SPOKANE PROVIDES GRIEF COUNSELING FOR ANYONE IN THE COMMUNITY WHO HAS EXPERIENCED LOSS THROUGH THE DEATH OF SOMEONE CLOSE TO THEM. MASTER'S-LEVEL COUNSELORS SPECIALLY TRAINED IN GRIEF AND LOSS ISSUES HELP THE GRIEVING IDENTIFY AND ATTEND TO THEIR UNIQUE NEEDS. GRIEF SUPPORT GROUPS PROVIDE A SAFE PLACE TO SHARE ONE'S PAIN WITH OTHERS WHO ARE GRIEVING. WITHIN THE GROUPS, EACH PERSON IS ENCOURAGED TO EXPRESS FEELINGS OPENLY AND TO GIVE AND RECEIVE SUPPORT. HOSPICE OF SPOKANE PROVIDED APPROXIMATELY 2,404 BEREAVEMENT ENCOUNTERS TO COMMUNITY MEMBERS OF ALL AGES FOR THE YEAR ENDED DECEMBER 31, 2023.</Desc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS NECESSARY. HOSPICE EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2023 AND 2022, HOSPICE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FundraisingEventInformationGrp>
        <Event1Nm>TASTE OF LIFE</Event1Nm>
        <GrossReceiptsEvent1Amt>129302</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>60596</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>68706</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>27202</RentFacilityCostsEvent1Amt>
        <EntertainmentEvent1Amt>1900</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>14186</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF SCRAMBLE</Event2Nm>
        <GrossReceiptsEvent2Amt>52044</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>27500</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>24544</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>621</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>16749</RentFacilityCostsEvent2Amt>
        <OtherDirectExpensesEvent2Amt>5576</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>181346</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>88096</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>93250</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>621</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>43951</RentFcltyCostsTotalEventsAmt>
        <EntertainmentTotalEventsAmt>1900</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>19762</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>66234</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>27016</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc5">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINA DRUMMOND</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>303544</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15177</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10587</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>329308</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN SEPPI</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>279030</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13951</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13401</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>306382</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>APRIL HANSON</PersonNm>
        <TitleTxt>DIRECTOR OF QI</TitleTxt>
        <BaseCompensationFilingOrgAmt>172652</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8633</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15322</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196607</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL HAAKINSON</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>165410</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8270</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10587</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>184267</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COLLEEN CONNORS</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>147643</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7382</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10564</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165589</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYL KADMIRI</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>141957</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6593</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10587</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>159137</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COLLEEN BURNS</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>143779</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1300</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12665</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>157744</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVE OLVERA</PersonNm>
        <TitleTxt>IT DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>135109</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6784</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10587</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>152480</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>GINA DRUMMOND 0 756,976 0 BRIAN SEPPI 0 59,160 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER (CEO) AND CHIEF MEDICAL OFFICER (CMO) PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING 2023. THE CEO AND CMO WERE VESTED 100% AND 60%, RESPECTIVELY, DURING 2023 BUT THEY HAVE NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>IN KEEPING WITH OUR MISSION, HOSPICE OF SPOKANE, DOING BUSINESS AS SPOKANE PALLIATIVE CARE, PROVIDES PALLIATIVE CARE CONSULTATIONS TO PATIENTS. INTRODUCED IN 2012, THE PROGRAM EXPANDED COMMUNITY OFFERINGS PROVIDING NEEDED SERVICES TO INDIVIDUALS WITH LIFE-LIMITING DISEASES SUCH AS CANCER OR ADVANCED HEART, LUNG, HEPATIC, RENAL AND/OR NEUROLOGICAL CONDITIONS, WHO ARE NOT HOSPICE-ELIGIBLE. A PALLIATIVE CARE INTERDISCIPLINARY TEAM CONSISTING OF MD, ARNP, RN, MSW, CHAPLAIN AND BEREAVEMENT COUNSELOR ARE AVAILABLE AT THE REFERRAL OF THE PATIENT'S PRIMARY CARE PROVIDER (PCP). THESE SERVICES ARE AVAILABLE MONDAY-FRIDAY 8A-5P (HOLIDAYS EXCLUDED) AND ARE OVERSEEN BY OUR MEDICAL DIRECTOR. SERVICES ARE DELIVERED IN THE SETTING THE CLIENT CALLS HOME (PRIVATE RESIDENCE, EXTENDED CARE FACILITY, ETC.) AND THROUGH A CONTRACT WITH DEACONESS AND VALLEY HOSPITALS FOR ON-SITE CONSULTATION. SERVICES INCLUDE ASSISTING THE PATIENT'S PCP WITH ACHIEVING IMPROVED ADHERENCE TO TREATMENT PLANS, ASSISTING IN OPTIMAL SYMPTOM CONTROL AND IMPROVING QUALITY OF LIFE. WE WORK CLOSELY WITH THE PALLIATIVE CARE TEAM AT SACRED HEART AND HOLY FAMILY HOSPITALS AS WELL. THE SERVICES ARE CONSULTATIVE UPON THE PCP'S ORDER FOR COLLABORATION, CO-MANAGEMENT OR INITIATION OF THERAPEUTIC INTERVENTIONS. SERVICES DO NOT INCLUDE CHRONIC DISEASE MANAGEMENT OR CHRONIC PAIN MANAGEMENT FOR PATIENTS WITHOUT A LIFE-LIMITING ILLNESS. FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED): THE HOSPICE BENEFIT THROUGH MEDICARE, MEDICAID AND MOST PRIVATE INSURANCE POLICIES PAYS FOR MEDICAL CARE, PRESCRIPTION DRUGS RELATED TO THE PATIENT'S TERMINAL ILLNESS, RESPITE CARE, MEDICAL EQUIPMENT, SUPPLIES, AND A FULL RANGE OF SOCIAL SERVICES. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE (DBA SPOKANE PALLIATIVE CARE) CONTINUES OFFERING PALLIATIVE CARE CONSULTATION TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES. A TOTAL OF 7 ADULT PATIENTS WERE SERVED BY THE PALLIATIVE CARE INTERDISCIPLINARY TEAM, ACHIEVING IMPROVED ADHERENCE TO TREATMENT PLANS, ASSISTING IN OPTIMAL SYMPTOM CONTROL AND IMPROVING QUALITY OF LIFE DESPITE LIFE-LIMITING ILLNESS. THERE WERE 33 CHILDREN UNDER THE AGE OF 21 AND THEIR FAMILIES WHO RECEIVED CONCURRENT PEDIATRIC PALLIATIVE CARE. FORM 990, PART III, LINE 4B - SECOND ACCOMPLISHMENT (CONTINUED): RESIDENTS OF A HOSPICE HOUSE HAVE PRIVATE ROOMS WITH MANY OF THE COMFORTS OF HOME AND SPACE FOR VISITING FAMILY AND FRIENDS. RESIDENTS CONTINUE TO RECEIVE ALL OF THE MEDICAL, EMOTIONAL, AND SPIRITUAL CARE SERVICES THAT HOSPICE OF SPOKANE OFFERS. PHYSICIANS, NURSES, NURSE AIDS, SOCIAL WORKERS, GRIEF COUNSELORS AND CHAPLAINS ALL PROVIDE SERVICES TO PATIENTS IN THE HOUSE. BEING IN A HOSPICE HOUSE MEANS PATIENTS CAN GET THE SAME LEVEL OF HOSPICE CARE THEY WOULD RECEIVE IN A HOSPITAL OR NURSING HOME. HOSPICE HOUSE IS ANOTHER OPTION FOR THAT SAME LEVEL OF CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE CEO AND THE FINANCE DIRECTOR, WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS WITH THE HOSPICE OF SPOKANE BOARD'S FINANCE COMMITTEE. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. THE CEO SIGNS OFF ON THE FORM 8879-TE BEFORE THE RETURN IS E-FILED BY THE PREPARER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW EMPLOYEES, VOLUNTEERS, AND TRUSTEES RECEIVE, REVIEW, AND SIGN THE CONFLICT OF INTEREST POLICY DURING ORIENTATION. THE POLICY IS INCLUDED IN THE EMPLOYEE HANDBOOK RECEIVED BY ALL STAFF. ONGOING ENFORCEMENT OCCURS VIA ROUTINE EDUCATION AND DISCUSSION AT VARIOUS TEAM MEETINGS AND AT ALL STAFF MEETINGS. CHART AUDITS, QUALITY ASSURANCE PERFORMANCE IMPROVEMENT QUARTERLY REVIEWS, SUPERVISORY VISITS, CARE CONFERENCES, AND SELF REPORTING ALLOW FOR CONTINUED MONITORING. IF AN ISSUE ARISES, THE SITUATION IS INVESTIGATED AND DISCIPLINARY PROCESSES ARE IMPLEMENTED ACCORDING TO THE POLICY, IF NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, THROUGH PARTICIPATION IN AN INDUSTRY SURVEY, AND OTHER SIMILAR ORGANIZATIONS' IRS FORM 990. THE EXECUTIVE COMMITTEE (MADE UP OF THE OFFICERS OF THE BOARD OF TRUSTEES) REVIEWS THE COMPENSATION DATA AND MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR THE CEO COMPENSATION. THE BOARD OF TRUSTEES MUST THEN APPROVE AND DOCUMENT THE COMPENSATION AND NOTIFY HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, THROUGH PARTICIPATION IN AN INDUSTRY SURVEY, AND OTHER SIMILAR ORGANIZATIONS' IRS FORM 990. THE CEO USES THE COMPENSATION DATA OBTAINED TO MAKE COMPENSATION DECISIONS FOR OTHER OFFICERS AND EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE OF SPOKANE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>