ALIVE HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALIVE HOSPICE INC (EIN 62-0983550)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-25
IRS object ID
201302379349300300
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-25T13:00:04-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro RoadAddressLine1
Address Line2Suite 400AddressLine2
CityLouisvilleCity
StateKYState
ZIP Code402411122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620983550EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALIVE HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALIVNameControl
Phone6153271085Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11718 Patterson StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH HAMPEName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-04-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRachel SpurlockName
PTINP00520729PTIN
Phone5023263996Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1ANNA-GENE O'NEALBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11718 Patterson StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts33369153GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALIVEHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionALIVE HOSPICE, INC. PROVIDES LOVING CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES, SUPPORT TO THEIR FAMILIES, AND SERVICE TO THE COMMUNITY IN A SPIRIT OF ENRICHING LIVES. DURING 2012, THE ORGANIZATION INCURRED EXPENSES OF $895,463 FOR FINANCIAL ASSISTANCE TO PATIENTS WHO WERE OTHERWISE UNABLE TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees442TotalNbrEmployees
Total Nbr Volunteers404TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1685806ContributionsGrantsPriorYear
Contributions Grants Current Year1572275ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30169210ProgramServiceRevenuePriorYear
Program Service Revenue CY30755327ProgramServiceRevenueCY
Investment Income Prior Year69589InvestmentIncomePriorYear
Investment Income Current Year109781InvestmentIncomeCurrentYear
Other Revenue Prior Year9857OtherRevenuePriorYear
Other Revenue Current Year30876OtherRevenueCurrentYear
Total Revenue Prior Year31934462TotalRevenuePriorYear
Total Revenue Current Year32468259TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17405420SalariesEtcPriorYear
Salaries Etc Current Year18143360SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year392758TotalFundrsngExpCurrentYear
Other Expense Prior Year13953014OtherExpensePriorYear
Other Expenses Current Year13540124OtherExpensesCurrentYear
Total Expenses Prior Year31358434TotalExpensesPriorYear
Total Expenses Current Year31683484TotalExpensesCurrentYear
Revenues Less Expenses Prior Year576028RevenuesLessExpensesPriorYear
Revenues Less Expenses CY784775RevenuesLessExpensesCY
Total Assets BOY24296160TotalAssetsBOY
Total Assets EOY24303218TotalAssetsEOY
Total Liabilities BOY3298475TotalLiabilitiesBOY
Total Liabilities EOY2396085TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20997685NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21907133NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSION: ALIVE HOSPICE, INC. PROVIDES LOVING CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES, SUPPORT TO THEIR FAMILIES, AND SERVICE TO THE COMMUNITY IN A SPIRIT OF ENRICHING LIVES. (CONTINUED IN SCHEDULE O)MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26223236Expense
Revenue30783698Revenue
DescriptionALIVE HOSPICE SERVES THOSE WHO HAVE A LIMITED LIFE EXPECTANCY (REGARDLESS OF ILLNESS OR AGE) AND LIVE WITHIN THE AGENCY'S 12-COUNTY SERVICE AREA. ALIVE HOSPICE PROVIDED END-OF-LIFE CARE TO 3,399 PATIENTS DURING 2012. ADDITIONALLY, THE AGENCY PROVIDED PALLIATIVE CARE (FOR PATIENTS WHO DESIRE COMFORT CARE AS THEY PURSUE CURATIVE TREATMENTS FOR LIFE-THREATENING ILLNESSES) AND BEREAVEMENT SUPPORT FOR THOSE WHO HAVE EXPERIENCED LOSS. ONLY ALIVE HOSPICE PROVIDES THIS UNPARALLELED SCOPE OF SERVICES: IN-HOME HOSPICE SERVICES ; INPATIENT RESIDENTIAL CARE AT ITS 30-BED ALIVE HOSPICE RESIDENCE NASHVILLE FACILITY; ALIVE HOSPICE UNITS LOCATED WITHIN HOSPITALS; INPATIENT HOSPICE CARE AT OTHER HOSPITALS THROUGHOUT MIDDLE TENNESSEE; FULL-TIME MEDICAL DIRECTORS (PHYSICIANS) ON STAFF; ALIVE GRIEF SUPPORT SERVICES, COUNSELING, AND SUPPORT; INDIVIDUALIZED, INTERDISCIPLINARY CARE TEAMS- 24-HOUR, 7-DAYS-A-WEEK; AND ACCESSIBILITY TO HIGHLY SKILLED CLINICAL STAFF. (CONTINUED IN SCHEDULE O)Description
Total Program Service Expense26223236TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109675NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees442NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledTNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TERESA COSGROVEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6153271085TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11718 PATTERSON STREETAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DEBORAH STORY
PAST CHAIR1.00XX000
JEFF MASTROLEO
TREASURER1.00XX000
LIZ SCHATZLEIN
CHAIR-ELECT1.00XX000
MARY FALLS
CHAIR1.00XX000
WILL WRIGHT
SECRETARY1.00XX000
BETSY WILLS
BOARD MEMBER1.00X000
BRENDA SWIFT
BOARD MEMBER- PARTIAL YEAR1.00X000
BRIAN HEMPHILL MD
BOARD MEMBER1.00X000
DEBORAH FARRINGER
BOARD MEMBER - PARTIAL YEAR1.00X000
DENISE ALPER
BOARD MEMBER1.00X000
DONNA ESKIND
BOARD MEMBER1.00X000
DOUG ARDOIN MD
BOARD MEMBER1.00X000
JAMES CATO MD
BOARD MEMBER1.00X000
LARRY KLOESS
BOARD MEMBER1.00X000
LIBBY PAGE
BOARD MEMBER1.00X000
LISA DAVIS
BOARD MEMBER1.00X000
MARTEE HARRIS
BOARD MEMBER1.00X000
PHIL BARNETT
BOARD MEMBER1.00X000
PHILIP JOHNSTON
BOARD MEMBER1.00X000
PHILIP RANSDELL
BOARD MEMBER - PARTIAL YEAR1.00X000
RHONDA LOWRY
BOARD MEMBER1.00X000
ROY ELAM MD
BOARD MEMBER1.00X000
SCOTT MCWILLIAMS
BOARD MEMBER1.00X000
STEPHEN ROBERTS
BOARD MEMBER1.00X000
VIRGINIA TROTTER BETTS
BOARD MEMBER1.00X000
WARREN MCPHERSON MD
BOARD MEMBER1.00X000
ANNA-GENE O'NEAL
CHIEF EXECUTIVE OFFICER (04/01/12 TO 12/31/12)40.00X18021105033
BARBARA BRENNAN
CHIEF OPERATING OFFICER/CHIEF NURSING OFFICER (06/11/12 TO 12/31/12)40.00X71760012695
BARBARA CANNON
INTERIM CHIEF EXECUTIVE OFFICER PARTIAL YEAR (SEE SCH. O)(01/01/12 TO 03/30/12)40.00X000
CHRISTOPHER MADER
INTERIM CHIEF COMPLIANCE OFFICER - PARTIAL YEAR40.00X9474007785
DR DAVID TRIBBLE
CHIEF MEDICAL OFFICER - PARTIAL YEAR (01/01/12 TO 6/15/12)40.00X11197709212
DR JOHN SHUSTER
CHIEF MEDICAL OFFICER (10/01/12 TO 12/31/12)40.00X7403602864
JOSEPH HAMPE
CHIEF FINANCIAL OFFICER (07/23/12 TO 12/31/12)40.00X6828705830
TERESA COSGROVE
CONTROLLER/INTERIM CFO (01/01/12 TO 07/22/12)40.00X117583023978
DR MARTHA LEONARD
TEAM MEDICAL DIRECTOR40.00182432016013X
DR SHARON GREEN
TEAM MEDICAL DIRECTOR40.0017172402513X
DR SHAZIA FAZILI
TEAM MEDICAL DIRECTOR40.0017026602696X
DR TIFFANY E HINES
TEAM MEDICAL DIRECTOR - PARTIAL YEAR40.0017481701187X
SHEILA KELLY
VICE PRESIDENT OF HUMAN RESOURCES40.0011384009539X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1531673TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation99345TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FAVORITE HEALTHCARE STAFFING
PO BOX 803356KANSAS CITYMO641803356STAFFING AGENCY561619
CONSOLIDATED MEDICAL STAFFING
8 SOUTH EVERGREENMEMPHISTN381043919STAFFING AGENCY288817
FRANTZ BUILDING SERVICES INC
1326 WEST NINTHOWENSBOROKY42301JANITORIAL SERVICES235870
FIRST CALL AMBULANCE SERVICES LLC
PO BOX 17345NASHVILLETN372170345AMBULANCE TRANSPORTATION SERVICES228691
NURSING RESOURCE SOLUTIONS LLC
607 DUE WEST AVENUEMADISONTN37115STAFFING AGENCY158771
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Federated Campaigns299401FederatedCampaigns
All Other Contributions1272874AllOtherContributions
Noncash Contributions12808NoncashContributions
Total Contributions1572275TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6230003073131830731318
COUNSELING REVENUE6241002400924009
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue30755327TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column57694TotalRevenueColumn
Exclusion$57,694ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities653081Securities
Other299900Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities631165Securities
Other269729Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities21916Securities
Other30171Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column52087TotalRevenueColumn
Exclusion$52,087ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DERIVATIVE SETTLEMENT9000992271222712
MEDICAL RECORDS INCOME62330030913091
REBATES/DISCOUNTS62330025682568

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2505TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,505ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue30876TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32468259TotalRevenueColumn
Related Or Exempt Function Income30783698RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$112,286ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total785991Total
Program Services198089ProgramServices
Management And General587902ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14589349Total
Program Services12381103ProgramServices
Management And General1917159ManagementAndGeneral
Fundraising291087Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1562397Total
Program Services1333302ProgramServices
Management And General211390ManagementAndGeneral
Fundraising17705Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1205623Total
Program Services996260ProgramServices
Management And General186627ManagementAndGeneral
Fundraising22736Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71188Total
Management And General71188ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48000Total
Management And General48000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total10761Total
Management And General10761ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total428154Total
Program Services18148ProgramServices
Management And General410006ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total233078Total
Management And General233078ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1026810Total
Program Services439422ProgramServices
Management And General539117ManagementAndGeneral
Fundraising48271Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total567428Total
Program Services466221ProgramServices
Management And General90464ManagementAndGeneral
Fundraising10743Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1521309Total
Program Services1367229ProgramServices
Management And General154080ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total791124Total
Program Services699476ProgramServices
Management And General89887ManagementAndGeneral
Fundraising1761Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total96723Total
Program Services49111ProgramServices
Management And General44826ManagementAndGeneral
Fundraising2786Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total36768Total
Program Services24869ProgramServices
Management And General11899ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total900750Total
Program Services583539ProgramServices
Management And General314110ManagementAndGeneral
Fundraising3101Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total157372Total
Program Services98598ProgramServices
Management And General58774ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT PATIENT CARE SUPPLIES72409417240941
BAD DEBT EXPENSE168704168704
DUES & SUBSCRIPTIONS8228636134447631389
COMMUNITY EDUCATION INITIATIVE4554245542

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total113186Total
Program Services76548ProgramServices
Management And General43459ManagementAndGeneral
Fundraising-6821Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31683484Total
Program Services26223236ProgramServices
Management And General5067490ManagementAndGeneral
Fundraising392758Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY616BOY
EOY616EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7026129BOY
EOY7922442EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY262238BOY
EOY325739EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2637877BOY
EOY2607925EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY42176BOY
EOY57755EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY387830BOY
EOY336140EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17248340LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6546085LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11725869BOY
EOY10702255EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1641255BOY
EOY1778176EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY554293BOY
EOY554293EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17877BOY
EOY17877EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24296160BOY
EOY24303218EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2778475BOY
EOY2116085EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY520000BOY
EOY280000EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3298475BOY
EOY2396085EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19229729BOY
EOY19785466EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY624389BOY
EOY965560EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1143567BOY
EOY1156107EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20997685BOY
EOY21907133EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24296160BOY
EOY24303218EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses784775ReconcilationRevenueExpenses
Reconciliation Unrealized Invest124673ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1919903CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1766213CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1540534CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1685806CurrentTaxYearMinus1Year
Current Tax Year1572275CurrentTaxYear
Total8484731Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30612655CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30931342CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29678250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30169210CurrentTaxYearMinus1Year
Current Tax Year30755327CurrentTaxYear
Total152146784Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years16444CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3161CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4465CurrentTaxYearMinus1Year
Current Tax Year8164CurrentTaxYear
Total32234Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32532558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32713999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31221945CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31859481CurrentTaxYearMinus1Year
Current Tax Year32335766CurrentTaxYear
Total160663749Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57030CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37520CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35491CurrentTaxYearMinus1Year
Current Tax Year28777CurrentTaxYear
Total183309Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24491CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57030CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37520CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35491CurrentTaxYearMinus1Year
Current Tax Year28777CurrentTaxYear
Total183309Total
FieldValueIRS element (for citing)
Public Support Total509160480440PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86260CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years69928CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67346CurrentTaxYearMinus1Year
Current Tax Year57694CurrentTaxYear
Total329610Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86260CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years69928CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year67346CurrentTaxYearMinus1Year
Current Tax Year57694CurrentTaxYear
Total329610Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26972CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18384CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14463CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5392CurrentTaxYearMinus1Year
Current Tax Year22712CurrentTaxYear
Total87923Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32607912CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32818643CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31306336CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31932219CurrentTaxYearMinus1Year
Current Tax Year32416172CurrentTaxYear
Total161081282Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99620PublicSupportPercentage509
Prior Year Support Percentage0.99610PriorYearSupportPercentage
Investment Income Percentage0.00200InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00240PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 26972, COLUMN B - 18384, COLUMN C - 14463, COLUMN D - 5392, COLUMN E - 22712, COLUMN F - 87923;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$2,042OtherActivitiesAmount
Total Lobbying Expenditures IIB2042TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THROUGH ITS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) FOR CALENDAR YEAR 2012.Explanation

Schedule D IRS990ScheduleD

Collection Used For Other CollectionUsedForOther

FieldValueIRS element (for citing)
Collection Used For Other PurposesXCollectionUsedForOtherPurposes
Description Of Other PurposesDISPLAY ON PREMISESDescriptionOfOtherPurposes
FieldValueIRS element (for citing)
Solicited Assets For SalefalseSolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1360723BeginningOfYearBalance
Contributions12540Contributions
Investment Earnings Or Losses152041InvestmentEarningsOrLosses
End Of Year Balance1525304EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1369691BeginningOfYearBalance
Contributions14927Contributions
Investment Earnings Or Losses-23895InvestmentEarningsOrLosses
End Of Year Balance1360723EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1188580BeginningOfYearBalance
Contributions46482Contributions
Investment Earnings Or Losses134629InvestmentEarningsOrLosses
End Of Year Balance1369691EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance896199BeginningOfYearBalance
Contributions82158Contributions
Investment Earnings Or Losses210223InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance1188580EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1174268BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-278069InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance896199EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.75800PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.24200TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3592836OtherCostOrOtherBasis
Book Value3592836BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8214869OtherCostOrOtherBasis
Depreciation3120105Depreciation
Book Value5094764BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2471853OtherCostOrOtherBasis
Depreciation1284656Depreciation
Book Value1187197BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2968782OtherCostOrOtherBasis
Depreciation2141324Depreciation
Book Value827458BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10702255TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Collections of art - description of collectionsSchedule D, Part III, Line 4THE ORGANIZATION MAINTAINS A COLLECTION OF ART THAT IS DISPLAYED IN THE HOSPICE PATIENTS' ROOMS AND ON THE ORGANIZATION'S PROPERTY TO ADD A PEACEFUL NATURE TO THE ENVIRONMENT.
Intended uses of endowment fundsSchedule D, Part V, Line 4PATIENT CARE, STAFF TRAINING, GRIEF SUPPORT SERVICES, FACILITY MAINTENANCE AND IMPROVEMENT, AND GENERAL OPERATING EXPENSES ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF TENNESSEE FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2012 AND 2011.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR TIFFANY E HINES
TEAM MEDICAL DIRECTOR - PARTIAL YEAR168699047890132900011870176004000
DR MARTHA LEONARD
TEAM MEDICAL DIRECTOR1762670439501770000160130198445000
DR SHARON GREEN
TEAM MEDICAL DIRECTOR167504042200000025130174237000
DR SHAZIA FAZILI
TEAM MEDICAL DIRECTOR167262030040000026960172962000
ANNA-GENE O'NEAL
CHIEF EXECUTIVE OFFICER (04/01/12 TO 12/31/12)175211050000000050330185244000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1(CONTINUED FROM PART III) OUR VISION: - TO BE RECOGNIZED AS EXPERT PROVIDERS OF HOSPICE CARE, PALLIATIVE CARE, MANAGEMENT OF ADVANCED DISEASE, AND GRIEF SUPPORT, AND TO BE THE AGENCY OF CHOICE FOR THE PROVISION OF THESE SERVICES. - TO BE RECOGNIZED AS INNOVATORS AND LEADERS IN ALL ASPECTS OF END-OF-LIFE RESOURCES. - TO INFLUENCE THE PERCEPTIONS WITHIN THE COMMUNITY AND AMONG MEDICAL PROFESSIONALS SO THAT THE END OF LIFE IS ACCEPTED AS A MEANINGFUL COMPONENT OF THE HUMAN EXPERIENCE. OUR VALUES: - WE BELIEVE DEATH TO BE A NATURAL PART OF LIFE'S JOURNEY. - WE BELIEVE IN HONESTY AND INTEGRITY IN ALL WE SAY AND DO. - WE BELIEVE IN COMPASSION TO THOSE WE SERVE AND TO EACH OTHER. - WE BELIEVE IN RESPECT AND DIGNITY FOR ALL. - WE VALUE COMPETENT, KNOWLEDGEABLE STAFF MOTIVATED TO ACHIEVE PERSONAL AND PROFESSIONAL GROWTH. - WE BELIEVE IN ACCOUNTABILITY TO SOCIETY, OUR COMMUNITY, AND EACH OTHER. - WE BELIEVE IN RESPONSIBLE STEWARDSHIP OF THE RESOURCES WITH WHICH WE HAVE BEEN ENTRUSTED. - WE BELIEVE IN THE CONTINUOUS PURSUIT OF ORGANIZATIONAL EXCELLENCE. - WE BELIEVE IN TEAMWORK TO ACHIEVE OUR VISION, MISSION, AND TO SUPPORT OUR VALUES.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4A(CONTINUED FROM PART III) HOME CARE SERVICES: THE MAJORITY OF ALIVE HOSPICE'S PATIENTS ARE SERVED IN THEIR HOMES. HOME HOSPICE CARE SERVICES ARE DESIGNED TO EASE PAIN, ALLEVIATE SYMPTOMS, AND PROVIDE SUPPORT TO THE PATIENTS AND THEIR CAREGIVERS. IN ADDITION TO THESE SERVICES PROVIDED BY OUR SKILLED TEAM, WE PROVIDE MEDICAL EQUIPMENT AND SUPPLIES, MEDICATIONS AND CAREGIVER TRAINING. INPATIENT HOSPICE CARE: OUR INPATIENT FACILITIES ALLOW CARE TO BE PROVIDED FOR PATIENTS WHO ARE UNABLE TO BE CARED FOR AT HOME OR MAY BE EXPERIENCING A MEDICAL CRISIS. CARE OPTIONS INCLUDE: - ALIVE HOSPICE RESIDENCE NASHVILLE (758 PATIENTS WERE SERVED IN 2012) - ALIVE HOSPICE AT SAINT THOMAS HOSPITAL (616 PATIENTS WERE SERVED IN 2012) - ALIVE HOSPICE AT SKYLINE MADISON CAMPUS (512 PATIENTS WERE SERVED IN 2012) - INPATIENT CARE PROVIDED BY ALIVE HOSPICE AT YOUR LOCAL HOSPITALS ALIVE MONARCHS: ALIVE HOSPICE HAS A LONG TRADITION OF SERVING PATIENTS OF ALL AGES WHO FACE LIFE-THREATENING ILLNESSES. ALIVE MONARCHS IS ONE OF THE FEW PALLIATIVE AND HOSPICE CARE PROVIDERS FOR PERINATAL AND PEDIATRIC PATIENTS IN THE NATION. THE BEAUTIFUL MONARCH BUTTERFLY INSPIRED THE NAME OF ALIVE HOSPICE'S PEDIATRIC PROGRAM. BUTTERFLIES, WHICH ARE CLOSELY ASSOCIATED WITH HOSPICE CARE, SIGNIFY HOPE, THE BEAUTY OF LIFE AND THE CELEBRATION OF THOSE WE LOVE. VARIOUS LEVELS OF PEDIATRIC PROGRAM SERVICES INCLUDE: - PERINATAL CARE (2 PATIENTS WERE SERVED IN 2012) - PEDIATRIC HOSPICE CARE (35 PATIENTS WERE SERVED IN 2012) PALLIATIVE CARE: ALIVE HOSPICE OFFERS ITS ALIVE PALLIATIVE CARE SERVICES FOR THOSE WHO ARE NOT IN NEED OF HOSPICE CARE, BUT WHO DO HAVE INCURABLE AND PROGRESSIVE DISEASES. PALLIATIVE CARE ADDRESSES THE SYMPTOMS OF A DISEASE REGARDLESS OF LIFE EXPECTANCY, WHILE HOSPICE CARE ADDRESSES THOSE SYMPTOMS WHEN THE PATIENT'S LIFE EXPECTANCY CAN BE THOUGHT OF IN MONTHS RATHER THAN YEARS. WHILE PAIN AND SYMPTOM MANAGEMENT CONSTITUTE THE CORNERSTONE OF PALLIATIVE CARE, CURATIVE TREATMENTS MAY BE PROVIDED ALONG WITH PALLIATIVE TREATMENTS. SOME PEOPLE REFER TO PALLIATIVE CARE AS "COMFORT CARE" BECAUSE OF ITS ATTENTION TO IMPROVING QUALITY OF LIFE AND CONTROLLING SYMPTOMS. ALIVE PALLIATIVE CARE STRIVES TO GIVE INDIVIDUALS THE OPPORTUNITY TO LIVE THEIR LIVES AS ACTIVELY AS POSSIBLE. ALIVE PALLIATIVE CARE PROVIDED SERVICES FOR 483 PATIENTS IN 2012. ALIVE GRIEF SUPPORT SERVICES: GRIEF IS A NATURAL PROCESS AND ALIVE GRIEF SUPPORT SERVICES IS A COMPREHENSIVE PROGRAM THAT ADDRESSES THE NEEDS THAT ARISE FOLLOWING THE DEATH OF A LOVED ONE. ALIVE GRIEF SUPPORT SERVICES PROVIDES BEREAVEMENT CARE FOR PATIENTS' FAMILY MEMBERS AND THE COMMUNITY AT LARGE. OUR SERVICES ARE DESIGNED TO MEET THE BEREAVEMENT NEEDS OF CHILDREN AND ADULTS WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE IN THE PAST TWO YEARS. ALIVE GRIEF SUPPORT SERVICES HAVE PROFESSIONAL GRIEF COUNSELORS AND TRAINED VOLUNTEERS TO GUIDE INDIVIDUALS THROUGH THE PROCESS OF MOURNING. THIS ASSISTANCE IS AVAILABLE IN BOTH INDIVIDUAL COUNSELING SESSIONS AND GROUP SETTINGS FOR ANY BEREAVED PERSON, REGARDLESS OF THE NATURE OF THE DEATH. GRIEF COUNSELING HELPS ADULTS, CHILDREN, AND FAMILIES COPE WITH DEATH AND GRIEF AS THEY FACE THE LOSS OF LOVED ONES. GRIEF SUPPORT PROGRAMS INCLUDE: - INDIVIDUAL COUNSELING (658 CLIENTS RECEIVED 3,228 INDIVIDUAL COUNSELING SESSIONS DURING 2012) - SUPPORT GROUPS FOR LOSS OF SPOUSES, PARENTS, CHILDREN, SIBLINGS, AND OTHER LOVED ONES (172 CLIENTS WERE SERVED BY SUPPORT GROUPS DURING 2012) - CAMP EVERGREEN, CAMP FORGET-ME-NOT AND ALIVE TEEN RETREAT, CAMPS FOR BEREAVED CHILDREN AND ADOLESCENTS (97 CHILDREN AND ADOLESCENTS ATTENDED THE CAMPS IN 2012) - HOLIDAY GRIEF SEMINARS (109 PEOPLE ATTENDED THESE SEMINARS IN 2012) CHARITY CARE: IN ADDITION, ALIVE HOSPICE HAS A POLICY OF PROVIDING CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. CHARITY CARE EXPENSES WERE $895,463 FOR THE YEAR ENDED DECEMBER 31, 2012.
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE CORPORATION SHALL HAVE AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE CORPORATION AND SUCH MEMBERS AS RECOMMENDED BY THE CHAIR AND VOTED UPON BY THE BOARD. AS PER CORPORATE BY-LAWS, THE EXECUTIVE COMMITTEE SHALL MEET AT ANY TIME WHEN THE DIRECTORS ARE NOT IN SESSION AND SHALL HAVE THE FULL AUTHORITY OF THE BOARD OF DIRECTORS TO MANAGE THE AFFAIRS OF THE CORPORATION PROVIDED THAT NO ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE IN CONFLICT WITH ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE MAY NOT TAKE ANY ACTION PROHIBITED BY TENNESSEE CODE ANNOTATED SECTION 48-58-206.
Family/business relationships amongst interested personsForm 990, Part VI, Section A, Line 2DEBORAH STORY AND MARY FALLS - BUSINESS RELATIONSHIP, DEBORAH STORY AND LISA DAVIS - BUSINESS RELATIONSHIP
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE EXECUTIVE COMMITTEE OF THE BOARD DELEGATED AUTHORITY TO THE FINANCE COMMITTEE OF THE BOARD TO REVIEW THE FORM 990. THE FINANCE COMMITTEE OF THE BOARD MET ON AUGUST 12, 2013, WITH OUR TAX ADVISORS TO REVIEW THE ENTIRE FORM 990. ONCE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD AND ANY QUESTIONS HAVE BEEN ANSWERED, A COPY OF THE FULL FORM 990 WAS PROVIDED TO EVERY BOARD MEMBER FOR REVIEW PRIOR TO FILING WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cFOR THE DECEMBER 31, 2012 YEAR-END, THE BOARD MEMBERS SIGNED THE CONFLICT OF INTEREST POLICY STATING THAT THEY HAVE READ AND UNDERSTOOD THE POLICY. EACH FORM IS REVIEWED BY THE EXECUTIVE OFFICER MANAGER FOR COMPLETION AND TO DETERMINE IF ANY POTENTIAL CONFLICTS OF INTEREST EXIST. IF A POTENTIAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CEO AND BOARD CHAIR ARE NOTIFIED, AND IT IS THEN REPORTED TO THE EXECUTIVE COMMITTEE. IF A CONFLICT EXISTS WITH A VOTING BOARD MEMBER, THAT BOARD MEMBER MUST RECUSE THEMSELVES FROM VOTING ON THAT BUSINESS TRANSACTION. ALSO, THERE IS AN AGENDA ITEM AT EVERY BOARD MEETING ON DECLARATIONS OF CONFLICT OF INTEREST. THE BOARD CHAIR WOULD ASK BOARD MEMBERS PRESENT IF THERE IS A POTENTIAL CONFLICT OF INTEREST, AND THIS IS DOCUMENTED IN THE BOARD MINUTES. IN ADDITION, DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES COMPLETED AN AUTOMATED CONFLICT OF INTEREST QUESTIONNAIRE.
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEESFORM 990, PART VI, LINE 15BTHE ORGANIZATION'S CEO COMPLETES AN ANNUAL PERFORMANCE REVIEW FOR OTHER OFFICERS. THE ORGANIZATION'S CEO AND HUMAN RESOURCES COMMITTEE REVIEW AN INDEPENDENT CONSULTANT SURVEY LAST PREPARED BY HR SOLUTIONS BY DESIGN, LLC. THIS SURVEY IS COMPLETED EVERY 24 MONTHS TO DETERMINE THE AMOUNT OF CURRENT SALARIES AND BENEFITS FOR OTHER OFFICERS. HR SOLUTIONS BY DESIGN'S SURVEY USES THE DEPARTMENT OF LABOR STATISTICS OF OTHER HOSPICE ORGANIZATIONS OF LIKE-SIZE, BOTH REGIONALLY AND NATIONALLY, TO PROVIDE COMPARABLE INFORMATION ON SALARIES FOR VARIOUS POSITIONS; THIS SURVEY WAS LAST COMPLETED IN DECEMBER 2012. ANY SALARY INCREASES ARE BASED ON THE OUTCOME OF PERFORMANCE REVIEWS AND COMPARISON TO THE SURVEY. FOR ALL OF 2012, THERE WAS A 2% WAGE INCREASE FOR ALL ALIVE HOSPICE EMPLOYEES, INCLUDING OTHER OFFICERS. THIS WAGE INCREASE WAS APPROVED BY THE BOARD OF DIRECTORS WHEN THE ORGANIZATION'S ANNUAL BUDGET WAS APPROVED.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE 2012 ANNUAL REPORT, WHICH INCLUDES THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, IS AVAILABLE ON ALIVE HOSPICE'S WEBSITE. THE ORGANIZATION'S GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC AND ARE NOT REQUIRED TO BE MADE AVAILABLE PURSUANT TO IRC ยง 6104.
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, ETC.FORM 990, PART VII, SECTION AALIVE HOSPICE'S CEO RESIGNED IN NOVEMBER 2010. FOR THE REMAINDER OF 2010 AND THROUGH MARCH 30, 2012, BARBARA CANNON PERFORMED SERVICES TO ALIVE HOSPICE IN THE POSITION OF INTERIM CHIEF EXECUTIVE OFFICER THROUGH A CONTRACT AGREEMENT WITH COMPASS EXECUTIVES, AN INDEPENDENT MANAGEMENT AND CONSULTING FIRM. COMPASS EXECUTIVES WAS PAID A TOTAL OF $66,000 FOR HER SERVICES DURING 2012.

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