HOSPICE OF THE VALLEY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF THE VALLEY (EIN 86-0338886)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201332259349303058
Schema version
2011v1.5
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)
Timestamp2013-08-13T15:33:12-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TWO NORTH CENTRAL AVENUE STE 2300AddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860338886EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF THE VALLEYBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DEBORAH SHUMWAYInCareOfName
Name ControlHOSPNameControl
Phone6025306900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 EAST FLOWER STREETAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH SHUMWAYName
TitleSENIOR VICE PRESIDENTTitle
Date Signed2013-08-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6023223000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUSAN LEVINENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11510 E FLOWER STAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode
FieldValueIRS element (for citing)
Gross Receipts198010352GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEOFTHEVALLEY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionBRINGING COMFORT AND DIGNITY AS LIFE NEARS ITS END.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees2077TotalNbrEmployees
Total Nbr Volunteers2700TotalNbrVolunteers
Total Gross UBI178858TotalGrossUBI
Net Unrelated Business Txbl Income150570NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7115647ContributionsGrantsPriorYear
Contributions Grants Current Year6693996ContributionsGrantsCurrentYear
Program Service Revenue Prior Year176387373ProgramServiceRevenuePriorYear
Program Service Revenue CY188822477ProgramServiceRevenueCY
Investment Income Prior Year1433191InvestmentIncomePriorYear
Investment Income Current Year791524InvestmentIncomeCurrentYear
Other Revenue Prior Year1713569OtherRevenuePriorYear
Other Revenue Current Year1481644OtherRevenueCurrentYear
Total Revenue Prior Year186649780TotalRevenuePriorYear
Total Revenue Current Year197789641TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year150425GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY381700GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year107687773SalariesEtcPriorYear
Salaries Etc Current Year117805181SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year978451TotalFundrsngExpCurrentYear
Other Expense Prior Year43473064OtherExpensePriorYear
Other Expenses Current Year46234927OtherExpensesCurrentYear
Total Expenses Prior Year151311262TotalExpensesPriorYear
Total Expenses Current Year164421808TotalExpensesCurrentYear
Revenues Less Expenses Prior Year35338518RevenuesLessExpensesPriorYear
Revenues Less Expenses CY33367833RevenuesLessExpensesCY
Total Assets BOY193197842TotalAssetsBOY
Total Assets EOY177828361TotalAssetsEOY
Total Liabilities BOY11199539TotalLiabilitiesBOY
Total Liabilities EOY14262369TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY181998303NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY163565992NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBRINGING COMFORT AND DIGNITY AS LIFE NEARS ITS END.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense109533975Expense
Grants381700Grants
Revenue149769585Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense32452444Expense
Grants0Grants
Revenue37888699Revenue
DescriptionSEE SCHEDULE ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3839514Expense
Grants0Grants
Revenue300425Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1882821TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev2090234TotalOfOtherProgramServiceRev
Total Program Service Expense147708754TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
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 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
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 MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationtruePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096234NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2077NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members25NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDEBORAH SHUMWAYNamePerson
Telephone Number6025306900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11510 EAST FLOWER STREETAddressLine1
CityPhoenixCity
StateAZState
ZIP Code85014ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICK NAIMARK
DIRECTOR/SECRETARY1.0XX000
JOHN JENNINGS
DIRECTOR/PRESIDENT/CHAIR1.0XX000
GERALD SMITHSON
DIRECTOR/TREASURER2.0XX000
KELLI SMITH
Director0.5X000
STEVE FIELDS
Director0.5X000
ELLEN GIDDENS STITELER
DIRECTOR0.5X000
JOHNNY BASHA
Director0.5X000
DIANE ECKSTEIN
Director0.5X000
JOHN FITZGERALD
Director0.5X000
LANNY LAHR
DIRECTOR/VICE PRESIDENT1.0XX000
GABRIELLE LAWRENCE
Director0.5X000
JUDY SHANNON
DIRECTOR0.5X000
LARRY MAYHEW
Director0.5X000
SISTER MARGARET MCBRIDE
Director1.0X000
CATHY MCKEE OLESEN
DIRECTOR0.5X000
LINDA MCREYNOLDS
Director0.5X000
DAN MAYASICH
DIRECTOR0.5X000
BOB RAMSEY
Director0.5X000
RITA MEISER
DIRECTOR/IMMEDIATE PAST CHAIR2.0X000
DAN SANTY
Director0.5X000
MIKE SPECTOR
Director0.5X000
JAMES FELTHAM
DIRECTOR0.5X000
KAY THOMPSON
Director0.5X000
DALE WALTERS
Director0.5X000
GARY VOLKENANT
DIRECTOR0.5X000
MICHAEL WITHEY
DIRECTOR0.5X000
KAY SPERDUTI
DIRECTOR0.5X000
SUSAN LEVINE
EXECUTIVE DIRECTOR39.9X36898107870
DEBORAH SHUMWAY
SENIOR VP - BUSINESS39.5X272287019801
GREGORY MAYER MD
SENIOR VP - CLINICAL40.0X25536707960
SABRINA HOFFMAN
VP HUMAN RESOURCES40.0X14506309948
GILLIAN HAMILTON MD
MEDICAL DIRECTOR35.0187718020732X
JUANITA SAPP MD
MEDICAL DIRECTOR40.0205715021318X
DAVID BUTLER MD
MEDICAL DIRECTOR40.02100340610X
FRANC BRODAR MD
MEDICAL DIRECTOR40.0214997018120X
CARLA DENHAM MD
MEDICAL DIRECTOR40.0196080015261X
JEANETTE BOOHENE MD
MEDICAL DIRECTOR40.0201214010651X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2257456TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation132271TotalOtherCompensation
Number Individuals GT100 K45NumberIndividualsGT100K
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
LIZARD ROCK DESIGNS LLC
1640 E RIVER ROAD SUITE 206TUCSONAZ85718ARCHITECT210569
SUKHJIT SINGH
12383 W CAMPBELL AVEAVONDALEAZ85392PHYSICIAN SERVICES141834
DEPENDABLE MEDICAL TRANSPORT
2237 N 36TH STPHOENIXAZ85008TRANSPORTATION SRVC551593
CONSTRUCTION SECURITY SERVICES
6123 E SIERRA NORENOMESAAZ85215SECURITY SERVICES152695
TB CONSULTING
4455 E CAMELBACK RD STE A-240PHOENIXAZ85018TECHNOLOGY SERVICES152407
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Federated Campaigns492879FederatedCampaigns
Fundraising Events355429FundraisingEvents
All Other Contributions5845688AllOtherContributions
Noncash Contributions417882NoncashContributions
Total Contributions6693996TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPICE HOME CARE621610149769585149769585
HOSPICE INPATIENT6216103788869937888699
HOME HEALTH SERVICES621610300425300425
ALL OTHER PROGRAM SVC REVENUE900099863768863768
FieldValueIRS element (for citing)
Total Program Service Revenue188822477TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column689965TotalRevenueColumn
Exclusion$689,965ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column101559TotalRevenueColumn
Exclusion$101,559ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events214971GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events355429CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses220711FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-5740TotalRevenueColumn
Exclusion-$5,740ExclusionAmount

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 (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
OTHER INVESTMENT INCOME812900178858178858
MISCELLANEOUS REVENUE90009913085261226466$82,060
FieldValueIRS element (for citing)
Total Other Revenue1487384TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column197789641TotalRevenueColumn
Related Or Exempt Function Income190048943RelatedOrExemptFunctionIncome
Unrelated Business Revenue178858UnrelatedBusinessRevenue
Exclusion$867,844ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total376700Total
Program Services376700ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices

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)
Total1377486Total
Program Services499213ProgramServices
Management And General878273ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total95124161Total
Program Services86831509ProgramServices
Management And General7729337ManagementAndGeneral
Fundraising563315Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1725068Total
Program Services1568763ProgramServices
Management And General145927ManagementAndGeneral
Fundraising10378Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12570603Total
Program Services11376963ProgramServices
Management And General1142523ManagementAndGeneral
Fundraising51117Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7007863Total
Program Services6382978ProgramServices
Management And General584721ManagementAndGeneral
Fundraising40164Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total274849Total
Program Services86030ProgramServices
Management And General188819ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total111788Total
Management And General81817ManagementAndGeneral
Fundraising29971Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total117871Total
Management And General117871ManagementAndGeneral

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)
Total214068Total
Management And General214068ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2239345Total
Program Services1911543ProgramServices
Management And General326002ManagementAndGeneral
Fundraising1800Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1202606Total
Program Services26273ProgramServices
Management And General1176315ManagementAndGeneral
Fundraising18Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4066283Total
Program Services3324880ProgramServices
Management And General686672ManagementAndGeneral
Fundraising54731Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total981124Total
Program Services459138ProgramServices
Management And General491977ManagementAndGeneral
Fundraising30009Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6154950Total
Program Services5414001ProgramServices
Management And General720065ManagementAndGeneral
Fundraising20884Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3532249Total
Program Services3369761ProgramServices
Management And General161191ManagementAndGeneral
Fundraising1297Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total243323Total
Program Services73566ProgramServices
Management And General169064ManagementAndGeneral
Fundraising693Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3073298Total
Program Services2397789ProgramServices
Management And General602943ManagementAndGeneral
Fundraising72566Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total272201Total
Program Services88509ProgramServices
Management And General163282ManagementAndGeneral
Fundraising20410Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DRUGS/BIOLOGICALS72336547233654
DURABLE MEDICAL EQUIPMENT63543316354331
PATIENT TRANSPORTATION16548651654865
OTHER PATIENT EXPENSES71444127144412

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1363710Total
Program Services651720ProgramServices
Management And General630892ManagementAndGeneral
Fundraising81098Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total164421808Total
Program Services147231598ProgramServices
Management And General16211759ManagementAndGeneral
Fundraising978451Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7035BOY
EOY7284EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY57240821BOY
EOY50382783EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY197025BOY
EOY10000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18541580BOY
EOY18871231EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY500167EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY202488BOY
EOY188455EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY834531BOY
EOY858762EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis68405097LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13842389LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY47667440BOY
EOY54562708EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY62946352BOY
EOY46537884EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4739318BOY
EOY4863578EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY821252BOY
EOY1045509EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY193197842BOY
EOY177828361EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11199539BOY
EOY14262369EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11199539BOY
EOY14262369EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY180980481BOY
EOY163071026EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1007822BOY
EOY484966EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY181998303BOY
EOY163565992EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY193197842BOY
EOY177828361EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses33367833ReconcilationRevenueExpenses
Reconcilation Other Changes-51800144ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8025787CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6694693CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5419209CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7115647CurrentTaxYearMinus1Year
Current Tax Year6693996CurrentTaxYear
Total33949332Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8025787CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6694693CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5419209CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7115647CurrentTaxYearMinus1Year
Current Tax Year6693996CurrentTaxYear
Total33949332Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2711783AmountsSubstContributorsTotal
Public Support Total17031237549PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2338850CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1162365CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years573154CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year956241CurrentTaxYearMinus1Year
Current Tax Year689965CurrentTaxYear
Total5720575Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years467102CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68443CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years187117CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year186819CurrentTaxYearMinus1Year
Current Tax Year145830CurrentTaxYear
Total1055311Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years141098CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years213508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years198170CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year306346CurrentTaxYearMinus1Year
Current Tax Year82060CurrentTaxYear
Total941182Total
FieldValueIRS element (for citing)
Total Support41666400TotalSupport
Gross Receipts From Admissions Etc858085599GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.74971PublicSupportPertcentage170
Public Support Pertcent Prior Year0.58850PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
Investment Earnings Or Losses24InvestmentEarningsOrLosses
Administrative Expenses24AdministrativeExpenses
End Of Year Balance10000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
Investment Earnings Or Losses33InvestmentEarningsOrLosses
Administrative Expenses33AdministrativeExpenses
End Of Year Balance10000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
Investment Earnings Or Losses37InvestmentEarningsOrLosses
Administrative Expenses37AdministrativeExpenses
End Of Year Balance10000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000BeginningOfYearBalance
Investment Earnings Or Losses58InvestmentEarningsOrLosses
Administrative Expenses58AdministrativeExpenses
End Of Year Balance10000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8193370OtherCostOrOtherBasis
Book Value8193370BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis42227427OtherCostOrOtherBasis
Depreciation4525568Depreciation
Book Value37701859BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3020505OtherCostOrOtherBasis
Depreciation1969958Depreciation
Book Value1050547BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7095843OtherCostOrOtherBasis
Depreciation5072844Depreciation
Book Value2022999BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7867952OtherCostOrOtherBasis
Depreciation2274019Depreciation
Book Value5593933BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings54562708TotalOfBookValueLandBuildings

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USE OF ENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PART V, LINE 4ReturnReference
ExplanationSCHOLARSHIP FUND FOR EMPLOYEESExplanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Specific Services ProvidedN/ASpecificServicesProvided
Total Expenditures3324236TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent3324236SubtotalAmountSpent
Total Amount Spent3324236TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WINE AUCTIONNameOfEvent1
Gross Receipts Event1215915GrossReceiptsEvent1
Charitable Contributions Event1137246CharitableContributionsEvent1
Gross Revenue Event178669GrossRevenueEvent1
Rent Facility Costs Event1446RentFacilityCostsEvent1
Food And Beverage Event171683FoodAndBeverageEvent1
Other Direct Expenses Event19047OtherDirectExpensesEvent1
Name Of Event2ART AUCTIONNameOfEvent2
Gross Receipts Event2300485GrossReceiptsEvent2
Charitable Contributions Event2178983CharitableContributionsEvent2
Gross Revenue Event2121502GrossRevenueEvent2
Rent Facility Costs Event26318RentFacilityCostsEvent2
Food And Beverage Event269861FoodAndBeverageEvent2
Other Direct Expenses Event233128OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events54000GrossReceiptsOtherEvents
Charitable Contrib Other Events39200CharitableContribOtherEvents
Gross Revenue Other Events14800GrossRevenueOtherEvents
Non Cash Prizes Other Events5000NonCashPrizesOtherEvents
Rent Facility Costs Other Events17402RentFacilityCostsOtherEvents
Food And Beverage Other Events5800FoodAndBeverageOtherEvents
Other Direct Expenses Other Events2026OtherDirectExpensesOtherEvents
Gross Receipts Total570400GrossReceiptsTotal
Charitable Contributions Total355429CharitableContributionsTotal
Gross Revenue Total Events214971GrossRevenueTotalEvents
Non Cash Prizes Total Events5000NonCashPrizesTotalEvents
Rent Facility Costs Total Events24166RentFacilityCostsTotalEvents
Food And Beverage Total Events147344FoodAndBeverageTotalEvents
Other Direct Expenses Total Events44201OtherDirectExpensesTotalEvents
Direct Expense Summary Events220711DirectExpenseSummaryEvents
Net Income Summary-5740NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1HARVARD MEDICAL SCHOOLBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1401 PARK DRIVE STE 22 WESTAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02215ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient042103580EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant350000AmountOfCashGrant
Purpose Of GrantIMPROVE HLTH CAREPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationHOSPICE OF THE VALLEY SUPPORTS THE NEEDS OF THE COMMUNITY BY PROVIDING ASSISTANCE TO REPUTABLE ORGANIZATIONS. FUNDS PROVIDED ARE ASSISTANCE, NOT GRANTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (10 entries)

Base 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
SUSAN LEVINE
3650000381036000735005200376851000
DEBORAH SHUMWAY
2681970409000073500124510292088000
GREGORY MAYER MD
25204403323000735006100263327000
JUANITA SAPP MD
1965340918100065400147780227033000
SABRINA HOFFMAN
142617024460004393055550155011000
GILLIAN HAMILTON MD
1863230139500058940148380208450000
DAVID BUTLER MD
20651603518000006100210644000
FRANC BRODAR MD
20281101218600032820148380233117000
CARLA DENHAM MD
195902017800030200122410211341000
JEANETTE BOOHENE MD
2011380760005545051060211865000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL COMPENSATION INFORMATIONIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1AReturnReference
ExplanationCLUB DUES HAVE BEEN PAID BY THE ORGANIZATION FOR USE BY THE EXECUTIVE DIRECTOR FOR DONOR APPRECIATION AND BUSINESS PURPOSES. NO AMOUNTS HAVE BEEN INCLUDED AS REPORTABLE INCOME AS EXPENSES RELATED TO PERSONAL USAGE ARE PAID BY THE EXECUTIVE DIRECTOR, AND BUSINESS USE IS SUPPORTED AS REQUIRED UNDER AN ACCOUNTABLE PLAN.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LIFESTAR AMBULETTE COMTRANS
BOB RAMSEY/DIRECTOR184358PATIENT TRANSPORTfalse
LDR-NWC WADDELL LITCHFIELD
SPOUSE OF LEVINE/EXEC DIR191044LEASE & DESIGN SVCSfalse
LIFESTAR AMBULETTE INC
BOB RAMSEY/DIRECTOR209411PATIENT TRANSPORTfalse

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions29NumberOfContributions
Noncash Contribs Rptd F99069650NoncashContribsRptdF990
Method Of Determining RevenuesRE-SALE VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990913NoncashContribsRptdF990
Method Of Determining RevenuesRE-SALE VALUEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990159211NoncashContribsRptdF990
Method Of Determining RevenuesRE-SALE VALUEMethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions29NumberOfContributions
Noncash Contribs Rptd F99032090NoncashContribsRptdF990
Method Of Determining RevenuesRE-SALE VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionVARIOUSDescription
Number Of Contributions143NumberOfContributions
Noncash Contribs Rptd F990156018NoncashContribsRptdF990
Method Of Determining RevenuesRE-SALE VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONSCHEDULE M, PART I, LINE 32AHOSPICE OF THE VALLEY (HOV) USES THE FOR-PROFIT ORGANIZATION, TOTAL RESOURCE AUCTIONS (TRA), AS A THIRD PARTY TO ASSIST WITH VEHICLE DONATIONS. THE DONOR NOTIFIES HOV THAT THEY PLAN TO DONATE A VEHICLE, AND HOV REQUESTS TRA TO CONTACT THE DONOR TO ARRANGE A TIME FOR PICK UP. TRA TOWS, AUCTIONS, AND ASSISTS WITH TITLE TRANSFERS FROM THE DONOR TO HOV. ONCE THE VEHICLE IS SOLD AND PROCEEDS ARE RECEIVED, HOV PREPARES A LETTER OF THANKS TO THE DONOR IF THE VEHICLE SELLS FOR UNDER $500. IF THE VEHICLE SELLS FOR MORE THAN $500, FORM 1098-C IS COMPLETED AND THE APPROPRIATE COPIES ARE MAILED WITH THE THANK YOU LETTER TO THE DONOR. TRA CHARGES HOV A TOWING FEE OF $60 FOR AN AVERAGE PASSENGER VEHICLE, ADDITIONAL FEES ARE ASSESSED BASED ON SIZE. ALSO A $60 POOL FEE IS CHARGED FOR TITLING AND PAPERWORK. TRA ALSO PASSES ALONG ANY MVD FEES FOR UNUSUAL TITLE TRANSFER FORMS.
SCHEDULE M, PART I, COLUMN BTHE AMOUNTS IN THIS COLUMN REPRESENT THE NUMBER OF ITEMS CONTRIBUTED.

Schedule N IRS990ScheduleN

FieldValueIRS element (for citing)
Liquidation TableLiquidationTable

Disposition Table DispositionTable (5 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
HOSPICE ENDOWMENT TRUST FUND OF PHX
CASH TRANSFER2011-12-2020000000CASH BASIS9428567011510 EAST FLOWER STREETPHOENIXAZ85014501(C)(3)
HOSPICE ENDOWMENT TRUST FUND OF PHX
CASH TRANSFER2012-06-255000000CASH BASIS9428567011510 EAST FLOWER STREETPHOENIXAZ85014501(C)(3)
HOSPICE ENDOWMENT TRUST FUND OF PHX
CASH TRANSFER2012-09-0720000000CASH BASIS9428567011510 EAST FLOWER STREETPHOENIXAZ85014501(C)(3)
HOSPICE ENDOWMENT TRUST FUND OF PHX
CASH TRANSFER2012-09-1010000000CASH BASIS9428567011510 EAST FLOWER STREETPHOENIXAZ85014501(c)(3)
HOSPICE ENDOWMENT TRUST FUND OF PHX
STOCK TRANSFER2011-12-31500FMV9428567011510 EAST FLOWER STREETPHOENIXAZ85014501(C)(3)
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2
Employee Of Successor2falseEmployeeOfSuccessor2
Owner Of Successor2falseOwnerOfSuccessor2
Receive Compensation2falseReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
VOLUNTEERSFORM 990, PART I, LINE 62,700 VOLUNTEERS CONTRIBUTED OVER 183,000 HOURS TO MORE THAN 17,000 PATIENTS AND THEIR FAMILIES. VOLUNTEER HOURS ARE ALSO USED TO EDUCATE THE PUBLIC AND HELP WITH FUNDRAISING ACTIVITIES.
EXEMPT PURPOSE ACHIEVEMENTFORM 990, PART III, LINE 4LINE 4A - HOSPICE HOME CARE IS PROVIDED TO PATIENTS AND FAMILIES FACING A TERMINAL ILLNESS. PUBLIC SUPPORT IS USED TO COVER THE COST OF OUR SERVICE WHEN THERE IS NO REIMBURSEMENT. HOSPICE SERVICES INCLUDE SKILLED NURSING VISITS, HOME HEALTH AIDE VISITS AND SOCIAL WORKER AND COUNSELOR VISITS TO MORE THAN 17,000 TERMINALLY ILL PATIENTS AND THEIR FAMILIES FOR MANAGEMENT OF PAIN CONTROL, PERSONAL CARE AND SUPPORT SERVICES. THE PRIMARY MISSION OF HOSPICE OF THE VALLEY IS TO BRING COMFORT AND DIGNITY AS LIFE NEARS ITS END. LINE 4B - HOSPICE OF THE VALLEY OPERATED SIXTEEN INPATIENT FACILITIES PROVIDING SERVICES TO TERMINALLY ILL PATIENTS WHOSE NEEDS, OR THE NEEDS OF THEIR FAMILIES, ARE BETTER MET IN AN INPATIENT SETTING. THIS IS A TRANSITIONAL TIME TO CONTROL AND MANAGE PATIENTS' SYMPTOMS UNTIL THEY CAN RETURN TO THEIR OWN HOMES OR TO LESS MEDICALLY ACUTE SETTINGS. INPATIENT HOSPICE TEAMS PROVIDE ROUND-THE-CLOCK, COMPASSIONATE COMFORT CARE FOR PATIENTS AND SUPPORT FOR FAMILIES. DOCTORS, NURSES, SOCIAL WORKERS, CHAPLAINS AND NURSES' AIDES ADDRESS PATIENTS' MEDICAL, EMOTIONAL, AND SPIRITUAL NEEDS IN PEACEFUL, HOMELIKE ENVIRONMENTS. LINE 4C - DURING 1988, HOSPICE BEGAN THE OUTREACH PROGRAM WHICH PROVIDES SERVICES TO PATIENTS AND THE FAMILIES OF PATIENTS WITH POTENTIALLY LIFE THREATENING DISEASES WHO ARE NOT YET RECEIVING HOSPICE SERVICES. THIS PROGRAM, NOW KNOWN AS ARIZONA PALLIATIVE HOME CARE (AZPHC), HAS EVOLVED FROM A PSYCHO-SOCIAL MODEL TO ONE THAT INCLUDES MEDICAL MANAGEMENT. AZPHC OFFERS COORDINATION OF CARE TO LATE-STAGE CHRONICALLY ILL PATIENTS STRUGGLING WITH DAILY LIVING AND DISEASE MANAGEMENT. THE ARIZONA PALLIATIVE HOME CARE TEAM IS COMPRISED OF PHYSICIANS, NURSES, SOCIAL WORKERS AND HOME CARE AIDES WHO PROVIDE HOME VISITS AND WHO WORK IN COORDINATION WITH PATIENTS' COMMUNITY PHYSICIANS. ADDITIONAL SERVICES INCLUDE DISEASE, MEDICATION AND CAREGIVER EDUCATION, HOSPITAL TO HOME TRANSITION SUPPORT, SYMPTOM MANAGEMENT CONSULTATION AND 24/7 PHONE SUPPORT. LINE 4D - HOSPICE OF THE VALLEY OFFERS A HOME HEALTH PROGRAM THAT PROVIDES CARE TO HOMEBOUND PATIENTS AS DEFINED BY MEDICARE. HOSPICE OF THE VALLEY ALSO OFFERS A PRIVATE DUTY PROGRAM THAT PROVIDES HOSPICE SERVICES BEYOND THE PRESCRIBED PLAN OF CARE. PATIENTS OR FAMILIES MAY REQUEST ADDITIONAL HOURS OF CLINICAL CARE. HOSPICE OF THE VALLEY PROVIDES ADMINISTRATIVE SERVICES TO RYAN HOUSE, A NOT-FOR-PROFIT IN PHOENIX, ARIZONA, AND RECEIVES A FEE FOR SUCH SERVICES.
PROCESS USED TO REVIEW FORM 990FORM 990, PART VI, LINE 11BHOSPICE OF THE VALLEY RETAINS AN INDEPENDENT TAX ADVISOR TO ASSIST MANAGEMENT IN THE PREPARATION AND REVIEW OF ITS IRS FORM 990. PRIOR TO FILING THE RETURN, MANAGEMENT REVIEWS THE RETURN AND ALL REQUIRED SCHEDULES WITH REPRESENTATIVES OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THESE FINANCE COMMITTEE MEMBERS ARE PROVIDED THE FORM 990 FOR CLOSER REVIEW AND ALLOWED A PERIOD FOR COMMENTS. COPIES OF THE FORM 990 ARE MAILED TO THE MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
ENFORCEMENT OF CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12CANNUALLY, EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE IS PROVIDED THE CONFLICT OF INTEREST POLICY. THEY, IN TURN, REPORT ANY ACTIVITY OR RELATIONSHIP THAT COULD GIVE RISE TO ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THE EXECUTIVE DIRECTOR AND SENIOR VICE PRESIDENT REVIEW THE CONFLICT OF INTEREST FORMS TO DETERMINE IF THERE ARE ANY ACTUAL OR POTENTIAL CONFLICTS. IF ANY ARE IDENTIFIED, THAT INFORMATION IS SHARED WITH THE BOARD PRESIDENT AND THE RESPECTIVE INDIVIDUAL IS EXCLUDED FROM VOTING ON ANY ISSUES RELATED TO THEIR CONFLICT.
PROCESS USED TO DETERMINE COMPENSATIONFORM 990, PART VI, LINE 15A & 15BTHE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS RECEIVES INDUSTRY COMPENSATION DATA FROM HOSPICE OF THE VALLEY'S HUMAN RESOURCE DEPARTMENT BASED ON SALARY SURVEYS CONDUCTED BY OUTSIDE ORGANIZATIONS. IN ADDITION, THEY ARE PROVIDED WITH COMPARATIVE HOSPICE SALARY DATA FROM THE RESPECTIVE 990S. BASED ON THEIR REVIEW, THE EXECUTIVE COMMITTEE DETERMINES THE SALARY FOR THE EXECUTIVE DIRECTOR. THIS PROCESS WAS LAST COMPLETED IN 2012. THE PROCESS FOR THE DETERMINATION OF COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES INCLUDES THE REVIEW OF COMPARABLE DATA FROM OUTSIDE ORGANIZATIONS AND THE SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE DIRECTOR COMMUNICATES COMPENSATION DECISIONS FOR OTHER OFFICERS AND KEY EMPLOYEES TO THE PRESIDENT OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FINALIZATION. THIS IS AN ONGOING PROCESS AS OFFICER AND KEY EMPLOYEE REVIEW DATES VARY.
AVAILABILITY OF CERTAIN DOCUMENTS TO THE GENERAL PUBLICFORM 990, PART VI, LINE 19THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE FILED WITH AND ARE VIEWABLE BY THE PUBLIC AT THE OFFICIAL WEBSITE OF THE ARIZONA CORPORATION COMMISSION. BYLAWS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. THE ORGANIZATION IS REQUIRED TO FILE ITS CONSOLIDATED AUDITED FINANCIALS WITH ITS ANNUAL MEDICARE COST REPORT AND WITH THE UNIFORM ACCOUNTING REPORT TO THE STATE OF ARIZONA. THIS INFORMATION IS SUBJECT TO A PUBLIC RECORDS REQUEST. DIRECT REQUESTS FOR FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST.
DESCRIPTION OF HOURS WORKED FOR RELATED ORGANIZATIONFORM 990, PART VII, SECTION A, COLUMN BSUSAN LEVINE, THE EXECUTIVE DIRECTOR OF HOSPICE OF THE VALLEY, SPENDS .10 HOURS PER WEEK CONDUCTING BUSINESS RELATED TO HOSPICE ENDOWMENT TRUST FUND OF PHOENIX AND 39.9 HOURS PER WEEK CONDUCTING BUSINESS FOR HOSPICE OF THE VALLEY. DEBORAH SHUMWAY, THE SENIOR VICE PRESIDENT OF BUSINESS OF HOSPICE OF THE VALLEY, SPENDS .50 HOURS PER WEEK CONDUCTING BUSINESS RELATED TO HOSPICE ENDOWMENT TRUST FUND OF PHOENIX AND 39.5 HOURS PER WEEK CONDUCTING BUSINESS FOR HOSPICE OF THE VALLEY. GERALD SMITHSON, DIRECTOR OF THE HOSPICE OF THE VALLEY, SPENDS .10 HOURS PER WEEK CONDUCTING BUSINESS RELATED TO HOSPICE ENDOWMENT TRUST FUND OF PHOENIX AND 2.0 HOURS PER WEEK CONDUCTING BUSINESS FOR HOSPICE OF THE VALLEY. JOHN JENNINGS, LANNY LAHR, AND RICK NAIMARK, DIRECTORS OF THE HOSPICE OF THE VALLEY, SPEND .10 HOURS PER WEEK CONDUCTING BUSINESS RELATED TO HOSPICE ENDOWMENT TRUST FUND OF PHOENIX AND 1.0 HOUR PER WEEK CONDUCTING BUSINESS FOR HOSPICE OF THE VALLEY. JAMES FELTHAM, STEVE FIELDS, KELLI SMITH, AND GARY VOLKENANT, DIRECTORS OF THE HOSPICE OF THE VALLEY, SPEND .10 HOURS PER WEEK CONDUCTING BUSINESS RELATED TO HOSPICE ENDOWMENT TRUST FUND OF PHOENIX AND .50 HOURS PER WEEK CONDUCTING BUSINESS FOR HOSPICE OF THE VALLEY.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5THE OTHER CHANGES IN NET ASSETS OF ($51,800,144) IS COMPRISED OF THE FOLLOWING: (A) ($55,000,500) - TRANSFER OF ASSETS TO RELATED ORGANIZATION, HOSPICE ENDOWMENT TRUST FUND OF PHOENIX; (B) $3,202,965 - UNREALIZED GAIN ON INVESTMENTS; AND (C) ($2,609) - BOOK/TAX DIFFERENCE FROM S-CORP INVESTMENTS.
EXECUTIVE COMMITTEEFORM 990, PART IV, LINE 1APURSUANT TO THE BYLAWS, THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL BOARD, MAY DESIGNATE AN EXECUTIVE COMMITTEE CONSISTING OF THE CORPORATION'S IMMEDIATE PAST PRESIDENT, PRESIDENT, VICE PRESIDENT, AND SUCH OTHER DIRECTORS DEIGNATED BY THE BOARD OF DIRECTORS. ONE OF THE MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE DESIGNATED AS CHAIRMAN OF THE EXECUTIVE COMMITTEE. TO THE EXTENT PROVIDED IN SUCH RESOLUTION, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL THE AUTHORITY OF THE BOARD OF DIRECTORS WITH SOME EXCEPTIONS AS PROVIDED IN THE ORGANIZATION'S BYLAWS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ARIZONA PALLIATIVE HOME CAREBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11510 E FLOWER STAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode
FieldValueIRS element (for citing)
EIN452667492EIN
Primary ActivitiesPALIATIVECAREPrimaryActivities
Legal Domicile StateAZLegalDomicileState
Total Income327125TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOVBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ENDOWMENT TRUST FUND OF PHOENIXBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11510 E FLOWER STAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode
FieldValueIRS element (for citing)
EIN942856701EIN
Primary ActivitiesENDOWMENTPrimaryActivities
Legal Domicile StateAZLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOVBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PHOENIX HOSPICE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11510 EAST FLOWER STREETAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85014ZIPCode
FieldValueIRS element (for citing)
EIN203737064EIN
Primary ActivityINACTIVE-HOSPPrimaryActivity
Legal Domicile StateAZLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOVBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityS CORPTypeOfEntity
Share Of Total Income-11952ShareOfTotalIncome
Share Of EOY Assets262954ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1HOSPICE ENDOWMENT TRUST FUND OF PHOENIXBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionType
Amount Involved55000500AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.