2013-08-25T13:00:04-05:00 2012-12-31 CROWE HORWATH LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2012-01-01 620983550 ALIVE HOSPICE INC ALIV 6153271085 1718 Patterson Street Nashville TN 37203 JOSEPH HAMPE 2013-04-08 true Rachel Spurlock P00520729 5023263996 2012 2016-02-24 21:20:13Z ANNA-GENE O'NEAL 1718 Patterson Street Nashville TN 37203 33369153 false X WWW.ALIVEHOSPICE.ORG X 1975 TN 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. DURING 2012, THE ORGANIZATION INCURRED EXPENSES OF $895,463 FOR FINANCIAL ASSISTANCE TO PATIENTS WHO WERE OTHERWISE UNABLE TO PAY. 23 23 442 404 0 0 1685806 1572275 30169210 30755327 69589 109781 9857 30876 31934462 32468259 0 0 0 0 17405420 18143360 0 0 392758 13953014 13540124 31358434 31683484 576028 784775 24296160 24303218 3298475 2396085 20997685 21907133 X OUR 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) false false 26223236 30783698 ALIVE 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) 26223236 true true false true false false true false true true false false false false true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false true 75 0 true 442 true false false false false false false false false false false X 23 23 true false false false false false false true true false false true true true true true true false false false TN X TERESA COSGROVE 6153271085 1718 PATTERSON STREET Nashville TN 37203 X DEBORAH STORY 1.00 X X 0 0 0 JEFF MASTROLEO 1.00 X X 0 0 0 LIZ SCHATZLEIN 1.00 X X 0 0 0 MARY FALLS 1.00 X X 0 0 0 WILL WRIGHT 1.00 X X 0 0 0 BETSY WILLS 1.00 X 0 0 0 BRENDA SWIFT 1.00 X 0 0 0 BRIAN HEMPHILL MD 1.00 X 0 0 0 DEBORAH FARRINGER 1.00 X 0 0 0 DENISE ALPER 1.00 X 0 0 0 DONNA ESKIND 1.00 X 0 0 0 DOUG ARDOIN MD 1.00 X 0 0 0 JAMES CATO MD 1.00 X 0 0 0 LARRY KLOESS 1.00 X 0 0 0 LIBBY PAGE 1.00 X 0 0 0 LISA DAVIS 1.00 X 0 0 0 MARTEE HARRIS 1.00 X 0 0 0 PHIL BARNETT 1.00 X 0 0 0 PHILIP JOHNSTON 1.00 X 0 0 0 PHILIP RANSDELL 1.00 X 0 0 0 RHONDA LOWRY 1.00 X 0 0 0 ROY ELAM MD 1.00 X 0 0 0 SCOTT MCWILLIAMS 1.00 X 0 0 0 STEPHEN ROBERTS 1.00 X 0 0 0 VIRGINIA TROTTER BETTS 1.00 X 0 0 0 WARREN MCPHERSON MD 1.00 X 0 0 0 ANNA-GENE O'NEAL 40.00 X 180211 0 5033 BARBARA BRENNAN 40.00 X 71760 0 12695 BARBARA CANNON 40.00 X 0 0 0 CHRISTOPHER MADER 40.00 X 94740 0 7785 DR DAVID TRIBBLE 40.00 X 111977 0 9212 DR JOHN SHUSTER 40.00 X 74036 0 2864 JOSEPH HAMPE 40.00 X 68287 0 5830 TERESA COSGROVE 40.00 X 117583 0 23978 DR MARTHA LEONARD 40.00 X 182432 0 16013 DR SHARON GREEN 40.00 X 171724 0 2513 DR SHAZIA FAZILI 40.00 X 170266 0 2696 DR TIFFANY E HINES 40.00 X 174817 0 1187 SHEILA KELLY 40.00 X 113840 0 9539 1531673 0 99345 9 false true false FAVORITE HEALTHCARE STAFFING PO BOX 803356 KANSAS CITY MO 641803356 STAFFING AGENCY 561619 CONSOLIDATED MEDICAL STAFFING 8 SOUTH EVERGREEN MEMPHIS TN 381043919 STAFFING AGENCY 288817 FRANTZ BUILDING SERVICES INC 1326 WEST NINTH OWENSBORO KY 42301 JANITORIAL SERVICES 235870 FIRST CALL AMBULANCE SERVICES LLC PO BOX 17345 NASHVILLE TN 372170345 AMBULANCE TRANSPORTATION SERVICES 228691 NURSING RESOURCE SOLUTIONS LLC 607 DUE WEST AVENUE MADISON TN 37115 STAFFING AGENCY 158771 10 299401 1272874 12808 1572275 PATIENT SERVICE REVENUE 623000 30731318 30731318 COUNSELING REVENUE 624100 24009 24009 0 0 0 0 0 0 0 30755327 57694 57694 0 0 0 0 0 653081 299900 631165 269729 21916 30171 52087 52087 0 0 0 DERIVATIVE SETTLEMENT 900099 22712 22712 MEDICAL RECORDS INCOME 623300 3091 3091 REBATES/DISCOUNTS 623300 2568 2568 2505 0 0 2505 30876 32468259 30783698 0 112286 0 0 0 0 785991 198089 587902 0 14589349 12381103 1917159 291087 0 1562397 1333302 211390 17705 1205623 996260 186627 22736 0 71188 71188 48000 48000 0 0 10761 10761 428154 18148 410006 0 233078 233078 1026810 439422 539117 48271 567428 466221 90464 10743 0 1521309 1367229 154080 0 791124 699476 89887 1761 0 96723 49111 44826 2786 36768 24869 11899 0 900750 583539 314110 3101 157372 98598 58774 0 DIRECT PATIENT CARE SUPPLIES 7240941 7240941 BAD DEBT EXPENSE 168704 168704 DUES & SUBSCRIPTIONS 82286 36134 44763 1389 COMMUNITY EDUCATION INITIATIVE 45542 45542 113186 76548 43459 -6821 31683484 26223236 5067490 392758 0 616 616 7026129 7922442 262238 325739 2637877 2607925 0 0 42176 57755 387830 336140 17248340 6546085 11725869 10702255 1641255 1778176 0 0 0 0 554293 554293 17877 17877 24296160 24303218 2778475 2116085 520000 280000 0 0 0 0 3298475 2396085 X 19229729 19785466 624389 965560 1143567 1156107 20997685 21907133 24296160 24303218 784775 124673 X false true X true false X 1919903 1766213 1540534 1685806 1572275 8484731 30612655 30931342 29678250 30169210 30755327 152146784 16444 3161 4465 8164 32234 0 0 32532558 32713999 31221945 31859481 32335766 160663749 24491 57030 37520 35491 28777 183309 0 0 0 0 0 0 24491 57030 37520 35491 28777 183309 160480440 48382 86260 69928 67346 57694 329610 0 48382 86260 69928 67346 57694 329610 0 26972 18384 14463 5392 22712 87923 32607912 32818643 31306336 31932219 32416172 161081282 0.99620 0.99610 0.00200 0.00240 X OTHER 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;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2042 2042 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THROUGH ITS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) FOR CALENDAR YEAR 2012. X DISPLAY ON PREMISES false 1360723 12540 152041 1525304 1369691 14927 -23895 1360723 1188580 46482 134629 1369691 896199 82158 210223 0 0 0 1188580 1174268 0 -278069 0 0 0 896199 0.00000 0.75800 0.24200 false false 3592836 3592836 8214869 3120105 5094764 2471853 1284656 1187197 2968782 2141324 827458 0 10702255 0 0 X Collections of art - description of collections Schedule D, Part III, Line 4 THE 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 funds Schedule D, Part V, Line 4 PATIENT 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) footnote Schedule D, Part X, Line 2 THE 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. X X X false false false false false false false false false DR TIFFANY E HINES 168699 0 4789 0 1329 0 0 0 1187 0 176004 0 0 0 DR MARTHA LEONARD 176267 0 4395 0 1770 0 0 0 16013 0 198445 0 0 0 DR SHARON GREEN 167504 0 4220 0 0 0 0 0 2513 0 174237 0 0 0 DR SHAZIA FAZILI 167262 0 3004 0 0 0 0 0 2696 0 172962 0 0 0 ANNA-GENE O'NEAL 175211 0 5000 0 0 0 0 0 5033 0 185244 0 0 0 ORGANIZATION'S MISSION FORM 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 ACCOMPLISHMENTS FORM 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 committee Form 990, Part VI, Section A, Line 1a THE 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 persons Form 990, Part VI, Section A, Line 2 DEBORAH STORY AND MARY FALLS - BUSINESS RELATIONSHIP, DEBORAH STORY AND LISA DAVIS - BUSINESS RELATIONSHIP Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE 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 policy Form 990, Part VI, Section B, Line 12c FOR 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 EMPLOYEES FORM 990, PART VI, LINE 15B THE 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 public Form 990, Part VI, Section C, Line 19 THE 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 § 6104. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, ETC. FORM 990, PART VII, SECTION A ALIVE 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.