﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2011v1.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-04-10T11:57:36-05:00</Timestamp>
    <TaxPeriodEndDate>2011-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>DINGUS ZARECOR &amp; ASSOCIATES</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>12015 E MAIN STE A</AddressLine1>
        <City>SPOKANE VALLEY</City>
        <State>WA</State>
        <ZIPCode>99206</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>910995069</EIN>
      <Name>
        <BusinessNameLine1>HOSPICE OF SPOKANE</BusinessNameLine1>
      </Name>
      <NameControl>HOSP</NameControl>
      <Phone>5094560438</Phone>
      <USAddress>
        <AddressLine1>PO BOX 2215</AddressLine1>
        <City>SPOKANE</City>
        <State>WA</State>
        <ZIPCode>99210</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>GINA DRUMMOND</Name>
      <Title>CHIEF EXECUTIVE OFFICER</Title>
      <Phone>5094560438</Phone>
      <DateSigned>2012-04-02</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>THOMAS DINGUS</Name>
      <Phone>5092420874</Phone>
      <DatePrepared>2012-04-10</DatePrepared>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc4" referenceDocumentId="RetDoc7">
      <NameOfPrincipalOfficerPerson>GINA DRUMMOND CEO</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>PO BOX 2215</AddressLine1>
        <City>SPOKANE</City>
        <State>WA</State>
        <ZIPCode>99210</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>18428244</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.HOSPICEOFSPOKANE.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1976</YearFormation>
      <StateLegalDomicile>WA</StateLegalDomicile>
      <ActivityOrMissionDescription>HOSPICE OF SPOKANE PROVIDES A HOLISTIC APPROACH TO END-OF-LIFE CARE, ADDRESSING THE MEDICAL, EMOTIONAL, PSYCHOLOGICAL, AND SPIRITUAL NEEDS OF THE TERMINALLY ILL PERSON AND THEIR LOVED ONES.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>11</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>11</NbrIndependentVotingMembers>
      <TotalNbrEmployees>163</TotalNbrEmployees>
      <TotalNbrVolunteers>259</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>796506</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>779220</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>16080059</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>17479129</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>64418</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>137371</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>39090</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>-2065</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>16980073</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>18393655</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>7904580</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>8799340</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>219067</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>7200851</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>7652276</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>15105431</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>16451616</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>1874642</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>1942039</RevenuesLessExpensesCY>
      <TotalAssetsBOY>18588889</TotalAssetsBOY>
      <TotalAssetsEOY>20347994</TotalAssetsEOY>
      <TotalLiabilitiesBOY>1686134</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1641206</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>16902755</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>18706788</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>HOSPICE OF SPOKANE PROVIDES A HOLISTIC APPROACH TO END-OF-LIFE CARE, ADDRESSING THE MEDICAL, EMOTIONAL, PSYCHOLOGICAL, AND SPIRITUAL NEEDS OF THE TERMINALLY ILL PERSON AND THEIR LOVED ONES.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>11979121</Expense>
      <Revenue>15346380</Revenue>
      <Description>HOSPICE OF SPOKANE OFFERS CARE AND SUPPORT FOR THE TERMINALLY ILL AND THEIR LOVED ONES. THROUGH IN-HOME SKILLED NURSING CARE, HOME HEALTH AIDES FOR PERSONAL CARE, SPIRITUAL SUPPORT, GRIEF AND BEREAVEMENT COUNSELING SERVICES, CLIENTS AND THEIR LOVED ONES ARE ASSURED OF THE BEST POSSIBLE QUALITY OF LIFE TO THE END OF LIFE. THE FOCUS OF CARE IS ON COMFORT AND SUPPORTING QUALITY OF LIFE WHEN TREATMENTS AIMED AT CURE OR EXTENDING LIFE ARE NO LONGER DESIRABLE. HOSPICE CARE IS FOR ANYONE, OF ANY AGE, WHO IS NEARING THE END OF LIFE'S JOURNEY. MEDICARE, MEDICAID, AND MOST PRIVATE POLICIES PAY FOR PRESCRIPTION DRUGS RELATED TO THE PATIENT'S TERMINAL ILLNESS, RESPITE CARE, MEDICAL EQUIPMENT, SUPPLIES, MEDICAL CARE, A FULL RANGE OF SOCIAL SERVICES, AND MUCH MORE. HOSPICE SERVED 2,030 UNDUPLICATED CLIENTS IN 2011. HOSPICE PROVIDED 90,483 DAYS OF ROUTINE HOME CARE, 11 DAYS OF CONTINUOUS CARE, 82 DAYS OF RESPITE CARE, AND 3,438 DAYS OF ACUTE INPATIENT CARE FOR THE YEAR ENDED DECEMBER 31, 2011. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 18,133 FOR CHARITY CARE, 4,119 FOR MEDICARE, 42,181 FOR MEDICAID, AND 116,241 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR YEAR ENDED DECEMBER 31, 2011.</Description>
      <Activity2>
        <Expense>2026492</Expense>
        <Revenue>2132749</Revenue>
        <Description>WHEN HOSPICE PATIENTS ARE NO LONGER ABLE TO MANAGE AT HOME, THEY CAN GO TO THE HOSPICE HOUSE WHERE THEY RECEIVE HOSPICE CARE IN AN IN-PATIENT SETTING. RESIDENTS OF THE HOSPICE HOUSE HAVE PRIVATE ROOMS WITH MANY OF THE COMFORTS OF HOME AND SPACE FOR VISITING FAMILY AND FRIENDS. RESIDENTS ALSO HAVE ALL OF THE MEDICAL, EMOTIONAL, AND SPIRITUAL CARE SERVICES HOSPICE OF SPOKANE OFFERS. PHYSICIANS, NURSES, NURSE AIDES, SOCIAL WORKERS, GRIEF COUNSELORS, AND CHAPLAINS ALL HELP IN THEIR OWN WAYS RIGHT AT THE HOSPICE HOUSE. BEING IN THE HOSPICE HOUSE MEANS PATIENTS CAN GET THE SAME LEVEL OF HOSPICE CARE THEY WOULD RECEIVE IN A HOSPITAL OR NURSING HOME; HOSPICE HOUSE IS SIMPLY ANOTHER OPTION. HOSPICE HOUSE PROVIDED 3,892 PATIENT DAYS FOR THE YEAR ENDED DECEMBER 31, 2011.</Description>
      </Activity2>
      <Activity3>
        <Expense>409801</Expense>
        <Description>HOSPICE OF SPOKANE PROVIDES INDIVIDUAL GRIEF COUNSELING FOR ANYONE IN THE COMMUNITY WHO HAS EXPERIENCED LOSS THROUGH THE DEATH OF SOMEONE CLOSE TO THEM. PROFESSIONAL COUNSELORS SPECIALLY TRAINED IN GRIEF AND LOSS ISSUES HELP THE GRIEVING IDENTIFY AND ATTEND TO THEIR UNIQUE GRIEVING NEEDS. THE GROUPS PROVIDE A SAFE PLACE TO SHARE ONE'S PAIN WITH OTHERS WHO ARE GRIEVING. WITHIN THE GROUPS, EACH PERSON IS ENCOURAGED TO EXPRESS FEELINGS OPENLY AND TO GIVE AND RECEIVE SUPPORT. HOSPICE OF SPOKANE MADE 3,936 CLIENT VISITS RELATED TO BEREAVEMENT FOR THE YEAR ENDED DECEMBER 31, 2011.</Description>
      </Activity3>
      <TotalProgramServiceExpense>14415414</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc2">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc3">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc3">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc3">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc3">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc3">true</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc3">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc3">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc3">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc3">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc3">false</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc3">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc3">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising referenceDocumentId="RetDoc5">false</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="RetDoc5">true</FundraisingActivities>
      <Gaming referenceDocumentId="RetDoc5">false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc6">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>144</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>163</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>11</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>11</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>false</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>WA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>SHERRIE SYKES</NamePerson>
        <TelephoneNumber>5094560438</TelephoneNumber>
        <AddressUS>
          <AddressLine1>PO BOX 2215</AddressLine1>
          <City>SPOKANE</City>
          <State>WA</State>
          <ZIPCode>99210</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>HELENE PAROFF</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA THOMPSON</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVE COTE CLUCFS</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN BJORKMAN CPA AEP</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAM DECOUNTER MA</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID HEATH</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JIM BINGHAM MD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARY LAWTON</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>AL RUBENS</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVE BRISBOIS MD</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NATHAN DIKES</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL WARD</NamePerson>
        <Title>VICE CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GINA DRUMMOND</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>180514</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8519</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT BRAY</NamePerson>
        <Title>MEDICAL DIRE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>214475</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8519</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>394989</TotalReportableCompFromOrg>
      <TotalOtherCompensation>17038</TotalOtherCompensation>
      <NumberIndividualsGT100K>2</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <FederatedCampaigns>68452</FederatedCampaigns>
      <FundraisingEvents>47717</FundraisingEvents>
      <AllOtherContributions>663051</AllOtherContributions>
      <TotalContributions>779220</TotalContributions>
      <ProgramServiceRevenue>
        <Description>HOSPICE CARE SERVICES, NET</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>17479129</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>17479129</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>17479129</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>137409</TotalRevenueColumn>
        <ExclusionAmount>137409</ExclusionAmount>
      </InvestmentIncome>
      <LessCostOthBasisSalesExpenses>
        <Other>38</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-38</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-38</TotalRevenueColumn>
        <ExclusionAmount>-38</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>22077</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>47717</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>34551</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-12474</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>OTHER</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>10409</TotalRevenueColumn>
        <ExclusionAmount>10409</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>10409</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>18393655</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>17479129</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>147780</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>189033</Total>
        <ManagementAndGeneral>189033</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>6865699</Total>
        <ProgramServices>6026433</ProgramServices>
        <ManagementAndGeneral>763584</ManagementAndGeneral>
        <Fundraising>75682</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>131063</Total>
        <ProgramServices>112712</ProgramServices>
        <ManagementAndGeneral>16906</ManagementAndGeneral>
        <Fundraising>1445</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>921044</Total>
        <ProgramServices>785542</ProgramServices>
        <ManagementAndGeneral>123743</ManagementAndGeneral>
        <Fundraising>11759</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>692501</Total>
        <ProgramServices>615399</ProgramServices>
        <ManagementAndGeneral>70742</ManagementAndGeneral>
        <Fundraising>6360</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>70982</Total>
        <ManagementAndGeneral>70982</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>31000</Total>
        <ManagementAndGeneral>31000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>13075</Total>
        <ManagementAndGeneral>13075</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>2236107</Total>
        <ProgramServices>2166732</ProgramServices>
        <ManagementAndGeneral>65541</ManagementAndGeneral>
        <Fundraising>3834</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>51255</Total>
        <ManagementAndGeneral>51255</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>3632650</Total>
        <ProgramServices>3589357</ProgramServices>
        <ManagementAndGeneral>31928</ManagementAndGeneral>
        <Fundraising>11365</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>107478</Total>
        <ProgramServices>97685</ProgramServices>
        <ManagementAndGeneral>3508</ManagementAndGeneral>
        <Fundraising>6285</Fundraising>
      </InformationTechnology>
      <Occupancy>
        <Total>286548</Total>
        <ProgramServices>185163</ProgramServices>
        <ManagementAndGeneral>65387</ManagementAndGeneral>
        <Fundraising>35998</Fundraising>
      </Occupancy>
      <Travel>
        <Total>436365</Total>
        <ProgramServices>417471</ProgramServices>
        <ManagementAndGeneral>16646</ManagementAndGeneral>
        <Fundraising>2248</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>38764</Total>
        <ProgramServices>28944</ProgramServices>
        <ManagementAndGeneral>9001</ManagementAndGeneral>
        <Fundraising>819</Fundraising>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>321177</Total>
        <ProgramServices>272158</ProgramServices>
        <ManagementAndGeneral>31614</ManagementAndGeneral>
        <Fundraising>17405</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>71023</Total>
        <ProgramServices>40897</ProgramServices>
        <ManagementAndGeneral>30126</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>COMMUNITY RELATIONS</Description>
        <Total>225634</Total>
        <ProgramServices>37308</ProgramServices>
        <ManagementAndGeneral>180408</ManagementAndGeneral>
        <Fundraising>7918</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER EXPENSE</Description>
        <Total>67111</Total>
        <ProgramServices>16332</ProgramServices>
        <ManagementAndGeneral>14056</ManagementAndGeneral>
        <Fundraising>36723</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND SUBSCRIPTIONS</Description>
        <Total>45032</Total>
        <ProgramServices>5206</ProgramServices>
        <ManagementAndGeneral>38600</ManagementAndGeneral>
        <Fundraising>1226</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>18075</Total>
        <ProgramServices>18075</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>16451616</Total>
        <ProgramServices>14415414</ProgramServices>
        <ManagementAndGeneral>1817135</ManagementAndGeneral>
        <Fundraising>219067</Fundraising>
      </TotalFunctionalExpenses>
      <JointCosts>X</JointCosts>
      <TotalJointCosts>
        <Total>29758</Total>
        <ProgramServices>26624</ProgramServices>
        <Fundraising>3134</Fundraising>
      </TotalJointCosts>
      <CashNonInterestBearing>
        <BOY>200</BOY>
        <EOY>200</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>6867913</BOY>
        <EOY>11215522</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>23085</BOY>
        <EOY>12719</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2073067</BOY>
        <EOY>1737605</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>148116</BOY>
        <EOY>69566</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>7354662</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1948873</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>5627214</BOY>
        <EOY>5405789</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>3450372</BOY>
        <EOY>1526570</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>398922</BOY>
        <EOY>380023</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>18588889</BOY>
        <EOY>20347994</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1686134</BOY>
        <EOY>1641206</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>1686134</BOY>
        <EOY>1641206</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>16291918</BOY>
        <EOY>18119492</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>416283</BOY>
        <EOY>392742</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>194554</BOY>
        <EOY>194554</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>16902755</BOY>
        <EOY>18706788</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>18588889</BOY>
        <EOY>20347994</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1942039</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-138006</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc2">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>1532007</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>859295</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>873837</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>796506</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>779220</CurrentTaxYear>
        <Total>4840865</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>1532007</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>859295</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>873837</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>796506</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>779220</CurrentTaxYear>
        <Total>4840865</Total>
      </Total170>
      <AmountsSubstContributorsTotal>9233</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>4831632</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>273789</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>129311</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>52181</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>64418</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>137409</CurrentTaxYear>
        <Total>657108</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>48056</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>30754</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>24590</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>39090</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>-2065</CurrentTaxYear>
        <Total>140425</Total>
      </OtherIncome170>
      <TotalSupport>5638398</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>77958894</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.85690</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.82060</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>302511</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-15304</InvestmentEarningsOrLosses>
        <OtherExpenditures>359</OtherExpenditures>
        <EndOfYearBalance>287566</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>270971</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>34038</InvestmentEarningsOrLosses>
        <OtherExpenditures>2498</OtherExpenditures>
        <EndOfYearBalance>302511</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>194554</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>15590</InvestmentEarningsOrLosses>
        <OtherExpenditures>60827</OtherExpenditures>
        <EndOfYearBalance>270971</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.32000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.68000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>1558121</OtherCostOrOtherBasis>
        <BookValue>1558121</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>4071409</OtherCostOrOtherBasis>
        <Depreciation>678389</Depreciation>
        <BookValue>3393020</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>234767</OtherCostOrOtherBasis>
        <Depreciation>152648</Depreciation>
        <BookValue>82119</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1442253</OtherCostOrOtherBasis>
        <Depreciation>1117836</Depreciation>
        <BookValue>324417</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>48112</OtherCostOrOtherBasis>
        <BookValue>48112</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>5405789</TotalOfBookValueLandBuildings>
      <TotalRevenue>18393655</TotalRevenue>
      <TotalExpenses>16451616</TotalExpenses>
      <ExcessOrDeficitForYear>1942039</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-124831</NetUnrealizedGLOnInvestments>
      <OtherAmount>-13175</OtherAmount>
      <TotalAdjustments>-138006</TotalAdjustments>
      <ExcessOrDeficitPerFS>1804033</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>18255649</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-124831</NetUnrealizedGainsInvestments>
      <OtherRevenues>-13175</OtherRevenues>
      <RevenueNotRptdF990>-138006</RevenueNotRptdF990>
      <RevenueSubtotal>18393655</RevenueSubtotal>
      <TotalRevenuePerForm990>18393655</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>16451616</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>16451616</ExpensesSubtotal>
      <TotalExpensesPerForm990>16451616</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>INTENDED USES FOR ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 2, PART V, LINE 4</ReturnReference>
        <Explanation>EARNINGS FROM ENDOWMENT FUNDS ARE DESIGNATED FOR THE SUPPORT OF CURRENT OPERATIONAL EXPENSES OF HOSPICE OF SPOKANE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS NECESSARY. HOSPICE EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2011 AND 2010, HOSPICE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF CHANGES - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XI, LINE 8</ReturnReference>
        <Explanation>CHANGE IN BENEFICIAL INTEREST IN TRUSTS -13,175</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XII, LINE 2D</ReturnReference>
        <Explanation>CHANGE IN BENEFICIAL INTEREST IN TRUSTS -13,175</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc5">
      <EventsInformation>
        <NameOfEvent1>TASTE OF LIFE</NameOfEvent1>
        <GrossReceiptsEvent1>40655</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>30918</CharitableContributionsEvent1>
        <GrossRevenueEvent1>9737</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>23047</OtherDirectExpensesEvent1>
        <NameOfEvent2>GOLF SCRAMBLE</NameOfEvent2>
        <GrossReceiptsEvent2>29139</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>16799</CharitableContributionsEvent2>
        <GrossRevenueEvent2>12340</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>11504</OtherDirectExpensesEvent2>
        <GrossReceiptsTotal>69794</GrossReceiptsTotal>
        <CharitableContributionsTotal>47717</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>22077</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>34551</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>34551</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-12474</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc6">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>GINA DRUMMOND</NamePerson>
        <BaseCompensationFilingOrg>160514</BaseCompensationFilingOrg>
        <BonusFilingOrg>20000</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>8519</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>189033</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT BRAY</NamePerson>
        <BaseCompensationFilingOrg>209475</BaseCompensationFilingOrg>
        <BonusFilingOrg>5000</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>8519</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>222994</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>GINA DRUMMOND 0 24,000 0 ROBERT BRAY 0 10,545 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS PROVIDED</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 7</ReturnReference>
        <Explanation>THE CHIEF EXECUTIVE OFFICER RECEIVED A BONUS PER RECOMMENDATION OF THE EXECUTIVE COMPENSATION COMMITTEE OF THE HOSPICE BOARD OF TRUSTEES; AMOUNT DETERMINED BY INDUSTRY CONSULTANT AND MARKET STUDY. THE MEDICAL DIRECTOR RECEIVED A BONUS PER APPROVAL OF THE HOSPICE BOARD OF TRUSTEES AS BUDGETED BY POSITION BASED ON CORPORATE-WIDE ACCOMPLISHMENT OF GOALS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>THE CHIEF EXECUTIVE OFFICER AND FINANCE DIRECTOR PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING 2011, BUT WERE NOT VESTED IN THE PLAN DURING THE YEAR AND HAVE NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <GeneralExplanation>
        <Identifier>FIRST ACCOMPLISHMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4A</ReturnReference>
        <Explanation>HOSPICE SERVED 2,030 UNDUPLICATED CLIENTS IN 2011. HOSPICE PROVIDED 90,483 DAYS OF ROUTINE HOME CARE, 11 DAYS OF CONTINUOUS CARE, 82 DAYS OF RESPITE CARE, AND 3,438 DAYS OF ACUTE INPATIENT CARE FOR THE YEAR ENDED DECEMBER 31, 2011. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 18,133 FOR CHARITY CARE, 4,119 FOR MEDICARE, 42,181 FOR MEDICAID, AND 116,241 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR YEAR ENDED DECEMBER 31, 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>A COPY OF THE 990 IS PROVIDED TO THE DIRECTOR OF FINANCE, WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. THE BOARD FINANCE COMMITTEE IS ALSO PART OF THE REVIEW PROCESS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS OFF ON THE FORM 8879-EO BEFORE THE RETURN IS E-FILED BY THE PREPARER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>NEW EMPLOYEES, VOLUNTEERS, AND TRUSTEES RECEIVE, REVIEW, AND SIGN THE CONFLICT OF INTEREST POLICY DURING ORIENTATION. THE POLICY IS INCLUDED IN THE EMPLOYEE HANDBOOK RECEIVED BY ALL STAFF. ONGOING ENFORCEMENT OCCURS VIA ROUTINE EDUCATION AND DISCUSSION AT VARIOUS TEAM MEETINGS AND AT ALL STAFF MEETINGS. CHART AUDITS, QUALITY ASSURANCE PERFORMANCE IMPROVEMENT QUARTERLY REVIEWS, SUPERVISORY VISITS, CARE CONFERENCES, AND SELF REPORTING ALLOW FOR CONTINUED MONITORING. IF AN ISSUE ARISES, THE SITUATION IS INVESTIGATED AND DISCIPLINARY PROCESSES ARE IMPLEMENTED ACCORDING TO THE POLICY, IF NECESSARY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, AND THROUGH PARTICIPATION IN AN INDUSTRY SURVEY. THE EXECUTIVE COMMITTEE (MADE UP OF THE OFFICERS OF THE BOARD OF TRUSTEES) REVIEWS THE COMPENSATION DATA AND MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR THE CEO COMPENSATION. THE BOARD OF TRUSTEES MUST THEN APPROVE AND DOCUMENT THE COMPENSATION AND NOTIFY HUMAN RESOURCES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, AND THROUGH PARTICIPATION IN AN INDUSTRY SURVEY. THE CEO USES THE COMPENSATION DATA OBTAINED TO MAKE COMPENSATION DECISIONS FOR OTHER OFFICERS AND EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>HOSPICE OF SPOKANE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>CHANGE IN BENEFICIAL INTEREST IN TRUSTS 13,175 UNREALIZED LOSS ON INVESTMENTS 124,831 ========= 138,006</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>