ALIVE HOSPICE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ALIVE HOSPICE INC (EIN 62-0983550)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-13
IRS object ID
201222579349300742
Schema version
2011v1.2
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)
Timestamp2012-09-13T17:00:07-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro RoadAddressLine1
Address Line2Suite 400AddressLine2
CityLouisvilleCity
StateKYState
ZIP Code402411122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN620983550EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH HAMPEName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2012-09-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRachel SpurlockName
PTINP00520729PTIN
Phone5023263996Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11718 Patterson StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32723926GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALIVEHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionALIVE HOSPICE, INC. PROVIDES LOVING CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES, SUPPORT TO THEIR FAMILIES, AND SERVICE TO THE COMMUNITY IN A SPIRIT OF ENRICHING LIVES. DURING 2011, THE ORGANIZATION INCURRED EXPENSES OF $839,157 FOR FINANCIAL ASSISTANCE TO PATIENTS WHO WERE OTHERWISE UNABLE TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees429TotalNbrEmployees
Total Nbr Volunteers336TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1540534ContributionsGrantsPriorYear
Contributions Grants Current Year1685806ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29678250ProgramServiceRevenuePriorYear
Program Service Revenue CY30169210ProgramServiceRevenueCY
Investment Income Prior Year81360InvestmentIncomePriorYear
Investment Income Current Year69589InvestmentIncomeCurrentYear
Other Revenue Prior Year17624OtherRevenuePriorYear
Other Revenue Current Year9857OtherRevenueCurrentYear
Total Revenue Prior Year31317768TotalRevenuePriorYear
Total Revenue Current Year31934462TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17911209SalariesEtcPriorYear
Salaries Etc Current Year17405420SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year376499TotalFundrsngExpCurrentYear
Other Expense Prior Year13341494OtherExpensePriorYear
Other Expenses Current Year13953014OtherExpensesCurrentYear
Total Expenses Prior Year31252703TotalExpensesPriorYear
Total Expenses Current Year31358434TotalExpensesCurrentYear
Revenues Less Expenses Prior Year65065RevenuesLessExpensesPriorYear
Revenues Less Expenses CY576028RevenuesLessExpensesCY
Total Assets BOY25582909TotalAssetsBOY
Total Assets EOY24296160TotalAssetsEOY
Total Liabilities BOY5077619TotalLiabilitiesBOY
Total Liabilities EOY3298475TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20505290NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20997685NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR MISSION: ALIVE HOSPICE, INC. PROVIDES LOVING CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES, SUPPORT TO THEIR FAMILIES, AND SERVICE TO THE COMMUNITY IN A SPIRIT OF ENRICHING LIVES. (CONTINUED IN SCHEDULE O)MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26149226Expense
Revenue30174602Revenue
DescriptionALIVE HOSPICE SERVES THOSE WHO HAVE A LIMITED LIFE EXPECTANCY (REGARDLESS OF ILLNESS OR AGE) AND LIVE WITHIN THE AGENCY'S 12-COUNTY SERVICE AREA. ALIVE HOSPICE PROVIDED END-OF-LIFE CARE TO 3,407 PATIENTS DURING 2011. ADDITIONALLY, THE AGENCY PROVIDED PALLIATIVE CARE (FOR PATIENTS WHO DESIRE COMFORT CARE AS THEY PURSUE CURATIVE TREATMENTS FOR LIFE-THREATENING ILLNESSES) AND BEREAVEMENT SUPPORT FOR THOSE WHO HAVE EXPERIENCED LOSS. ONLY ALIVE HOSPICE PROVIDES THIS UNPARALLELED SCOPE OF SERVICES: IN-HOME HOSPICE SERVICES ; INPATIENT RESIDENTIAL CARE AT ITS 30-BED ALIVE HOSPICE RESIDENCE NASHVILLE FACILITY; ALIVE HOSPICE UNITS LOCATED WITHIN HOSPITALS; INPATIENT HOSPICE CARE AT OTHER HOSPITALS THROUGHOUT MIDDLE TENNESSEE; FULL-TIME MEDICAL DIRECTORS (PHYSICIANS) ON STAFF; ALIVE GRIEF SUPPORT SERVICES, COUNSELING, AND SUPPORT; INDIVIDUALIZED, INTERDISCIPLINARY CARE TEAMS- 24-HOUR, 7-DAYS-A-WEEK; AND ACCESSIBILITY TO HIGHLY SKILLED CLINICAL STAFF. (CONTINUED IN SCHEDULE O)Description
Total Program Service Expense26149226TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109698NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees429NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
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 CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DEBORAH FARRINGER
SECRETARY1.00XX000
DEBORAH STORY
CHAIR1.00XX000
HARRIET KARRO
PAST CHAIR1.00XX000
JEFF MASTROLEO
TREASURER1.00XX000
MARY FALLS
CHAIR-ELECT1.00XX000
BETSY WILLS
BOARD MEMBER1.00X000
BRIAN HEMPHILL
BOARD MEMBER1.00X000
DENISE ALPER
BOARD MEMBER1.00X000
DR JAMES CATO MD
BOARD MEMBER1.00X000
DR KENT SHIH
BOARD MEMBER-PARTIAL YEAR1.00X000
JAY GALBREATH
BOARD MEMBER-PARTIAL YEAR1.00X000
KASEY DREAD
BOARD MEMBER1.00X000
LARRY KLOESS
BOARD MEMBER1.00X000
LAURA BETH BROWN MD MSN
BOARD MEMBER1.00X000
LIBBY PAGE
BOARD MEMBER1.00X000
LISA DAVIS
BOARD MEMBER1.00X000
LIZ SCHATZLEIN
BOARD MEMBER1.00X000
MARTEE HARRIS
BOARD MEMBER1.00X000
PHIL BARNETT
BOARD MEMBER1.00X000
PHILIP JOHNSTON
BOARD MEMBER1.00X000
PHILIP RANSDELL
BOARD MEMBER1.00X000
RHONDA LOWRY
BOARD MEMBER1.00X000
ROY ELAM MD
BOARD MEMBER1.00X000
STEPHEN ROBERTS
BOARD MEMBER1.00X000
VIRGINIA TROTTER BETTS
BOARD MEMBER1.00X000
WARREN MCPHERSON MD
BOARD MEMBER1.00X000
WILL WRIGHT
BOARD MEMBER1.00X000
ANNE CHANCE
CHIEF OPERATING OFFICER & CHIEF COMPLIANCE OFFICER - PARTIAL YEAR40.00X2086501048
BARBARA CANNON
INTERIM CHIEF EXECUTIVE OFFICER (SEE SCH. O)40.00X000
CHRISTOPHER MADER
INTERIM CHIEF COMPLIANCE OFFICER40.00X10455502326
DR DAVID TRIBBLE
CHIEF MEDICAL OFFICER40.00X20121808548
JOSEPH GALBATO
CHIEF FINANCIAL OFFICER-PARTIAL YEAR40.00X11869801110
PAMELA BROWN
CHIEF DEVELOPMENT OFFICER40.00X11489706661
TERESA COSGROVE
CONTROLLER/INTERIM CHIEF FINANCIAL OFFICER40.00X97647012356
DR MARTHA LEONARD
TEAM MEDICAL DIRECTOR40.0015604808570X
DR SHARON GREEN
TEAM MEDICAL DIRECTOR40.0015513501290X
DR TIFFANY E HINES
TEAM MEDICAL DIRECTOR40.0017263406008X
DR WENDY KNOWLTON
TEAM MEDICAL DIRECTOR40.00164649013356X
TAMMY GRINDSTAFF
RESIDENCE ADMINISTRATOR40.0011470806153X
JANET L JONES
FORMER PRESIDENT & CHIEF EXECUTIVE OFFICER0.0019827600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1619330TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation67426TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FRANTZ BUILDING SERVICES INC
1326 WEST NINTHOWENSBOROKY42301JANITORIAL SERVICES222078
COMPASS EXECUTIVES LLC
2323 21ST AVE SOUTH SUITE 500NASHVILLETN37212EXECUTIVE PLACEMENT (SEE SCH. O)210000
BASS BERRY & SIMS PLC
150 THIRD AVENUE SOUTH SUITE 2800NASHVILLETN37201LEGAL SERVICES120616
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns280190FederatedCampaigns
All Other Contributions1405616AllOtherContributions
Noncash Contributions290000NoncashContributions
Total Contributions1685806TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6230003014573130145731
COUNSELING REVENUE6241002347923479

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue30169210TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column67346TotalRevenueColumn
Exclusion$67,346ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities791707Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities789464Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2243Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2243TotalRevenueColumn
Exclusion$2,243ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS REVENUE90009953925392
REBATES/DISCOUNTS9000992484$2,484
FOOD/VENDING REVENUE9000991981$1,981

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue9857TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31934462TotalRevenueColumn
Related Or Exempt Function Income30174602RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$74,054ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total689929Total
Management And General650711ManagementAndGeneral
Fundraising39218Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13992768Total
Program Services12312855ProgramServices
Management And General1484390ManagementAndGeneral
Fundraising195523Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1596147Total
Program Services1397338ProgramServices
Management And General178260ManagementAndGeneral
Fundraising20549Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1126576Total
Program Services949359ProgramServices
Management And General159322ManagementAndGeneral
Fundraising17895Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total129482Total
Management And General129482ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47500Total
Management And General47500ManagementAndGeneral

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)
Total10558Total
Management And General10558ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total542644Total
Program Services76550ProgramServices
Management And General463511ManagementAndGeneral
Fundraising2583Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total239189Total
Management And General239189ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1124512Total
Program Services536243ProgramServices
Management And General546257ManagementAndGeneral
Fundraising42012Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total469524Total
Program Services395344ProgramServices
Management And General66668ManagementAndGeneral
Fundraising7512Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1390607Total
Program Services1257286ProgramServices
Management And General133321ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total870124Total
Program Services749317ProgramServices
Management And General120492ManagementAndGeneral
Fundraising315Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total91076Total
Program Services27387ProgramServices
Management And General61768ManagementAndGeneral
Fundraising1921Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total73325Total
Program Services22940ProgramServices
Management And General50385ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1089304Total
Program Services732481ProgramServices
Management And General353580ManagementAndGeneral
Fundraising3243Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total186515Total
Program Services120621ProgramServices
Management And General65894ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT PATIENT CARE SUPPLIES71977967197796
DUES & SUBSCRIPTIONS6949326957413031233
BAD DEBT EXPENSE28437127237112000
DISPOSAL OF FIXED ASSETS59475947

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total131047Total
Program Services74381ProgramServices
Management And General24171ManagementAndGeneral
Fundraising32495Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31358434Total
Program Services26149226ProgramServices
Management And General4832709ManagementAndGeneral
Fundraising376499Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY616BOY
EOY616EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7531474BOY
EOY7026129EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY161134BOY
EOY262238EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3272563BOY
EOY2637877EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY40667BOY
EOY42176EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY268771BOY
EOY387830EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17359334LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5633465LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12116677BOY
EOY11725869EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1618837BOY
EOY1641255EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY554293BOY
EOY554293EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17877BOY
EOY17877EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25582909BOY
EOY24296160EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3070671BOY
EOY2778475EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY760000BOY
EOY520000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1246948BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5077619BOY
EOY3298475EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18956893BOY
EOY19229729EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY419757BOY
EOY624389EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1128640BOY
EOY1143567EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20505290BOY
EOY20997685EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25582909BOY
EOY24296160EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses576028ReconcilationRevenueExpenses
Reconcilation Other Changes-83633ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2590423CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1919903CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1766213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1540534CurrentTaxYearMinus1Year
Current Tax Year1685806CurrentTaxYear
Total9502879Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28904090CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30612655CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30931342CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29678250CurrentTaxYearMinus1Year
Current Tax Year30169210CurrentTaxYear
Total150295547Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years16444CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3161CurrentTaxYearMinus1Year
Current Tax Year4465CurrentTaxYear
Total24070Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31494513CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32532558CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32713999CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31221945CurrentTaxYearMinus1Year
Current Tax Year31859481CurrentTaxYear
Total159822496Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years24491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57030CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37520CurrentTaxYearMinus1Year
Current Tax Year35491CurrentTaxYear
Total154532Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57030CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37520CurrentTaxYearMinus1Year
Current Tax Year35491CurrentTaxYear
Total154532Total
FieldValueIRS element (for citing)
Public Support Total509159667964PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48382CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86260CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69928CurrentTaxYearMinus1Year
Current Tax Year67346CurrentTaxYear
Total383659Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111743CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48382CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86260CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year69928CurrentTaxYearMinus1Year
Current Tax Year67346CurrentTaxYear
Total383659Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29239CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26972CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14463CurrentTaxYearMinus1Year
Current Tax Year5392CurrentTaxYear
Total94450Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31635495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32607912CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32818643CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31306336CurrentTaxYearMinus1Year
Current Tax Year31932219CurrentTaxYear
Total160300605Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99610PublicSupportPercentage509
Prior Year Support Percentage0.99310PriorYearSupportPercentage
Investment Income Percentage0.00240InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00270PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 29239, COLUMN B - 26972, COLUMN C - 18384, COLUMN D - 14463, COLUMN E - 5392, COLUMN F - 96995;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$189OtherActivitiesAmount
Total Lobbying Expenditures IIB189TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THROUGH ITS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) FOR CALENDAR YEAR 2011.Explanation

Schedule D IRS990ScheduleD

Collection Used For Other CollectionUsedForOther

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1174268BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-278069InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance896199EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.84040PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.15960TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3587001OtherCostOrOtherBasis
Book Value3587001BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis290000InvestmentCostOrOtherBasis
Other Cost Or Other Basis8187244OtherCostOrOtherBasis
Depreciation2854921Depreciation
Book Value5622323BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2426820OtherCostOrOtherBasis
Depreciation1115637Depreciation
Book Value1311183BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2868269OtherCostOrOtherBasis
Depreciation1662907Depreciation
Book Value1205362BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11725869TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue31934462TotalRevenue
Total Expenses31358434TotalExpenses
Excess Or Deficit For Year576028ExcessOrDeficitForYear
Net Unrealized GL On Investments-83633NetUnrealizedGLOnInvestments
Other$0OtherAmount
Total Adjustments-83633TotalAdjustments
Excess Or Deficit Per FS492395ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31834324TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-83633NetUnrealizedGainsInvestments
Other Revenues0OtherRevenues
Revenue Not Rptd F990-83633RevenueNotRptdF990
Revenue Subtotal31917957RevenueSubtotal
Investment Expenses Not Included10558InvestmentExpensesNotIncluded
Other Revenues Not Included5947OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt16505RevenueNotRptdOnFinStmt
Total Revenue Per Form99031934462TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt31341929TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal31341929ExpensesSubtotal
Investment Expenses Not Included210558InvestmentExpensesNotIncluded2
Other Expenses Not Included5947OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt16505ExpensesNotRptdOnFinStmt
Total Expenses Per Form99031358434TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Collections of art - description of collectionsSchedule D, Part III, Line 4THE ORGANIZATION MAINTAINS A COLLECTION OF ART THAT IS DISPLAYED IN THE HOSPICE PATIENTS' ROOMS AND ON THE ORGANIZATION'S PROPERTY TO ADD A PEACEFUL NATURE TO THE ENVIRONMENT.
Intended uses of endowment fundsSchedule D, Part V, Line 4PATIENT CARE, STAFF TRAINING, GRIEF SUPPORT SERVICES, FACILITY MAINTENANCE AND IMPROVEMENT, AND GENERAL OPERATING EXPENSES ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF TENNESSEE FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2011 AND 2010.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
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 (6 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
JANET L JONES
198276000000000198276000
DR WENDY KNOWLTON
1615570309200000133560178005000
DR DAVID TRIBBLE
195360039460191200085480209766000
DR TIFFANY E HINES
169401032330000060080178642000
DR MARTHA LEONARD
152911031370000085700164618000
DR SHARON GREEN
152261028740000012900156425000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSeverance or change-of-control paymentIdentifier
Return ReferenceSchedule J, Part I, Line 4aReturnReference
ExplanationIN OCTOBER 2010 JANET JONES RESIGNED HER POSITION AS PRESIDENT AND CEO EFFECTIVE NOVEMBER 12, 2010. BASED ON HER EMPLOYMENT CONTRACT (AS AMENDED) JANET WAS ELIGIBLE TO RECEIVE HER BASE SALARY COMPENSATION UNTIL NOVEMBER 12, 2011, SUBJECT TO CERTAIN OFFSET PROVISIONS IN THE EVENT JANET IS EMPLOYED OR ENGAGED BY A THIRD PARTY DURING SUCH PERIOD. JANET RECEIVED THIS SEVERANCE PAYMENT BI-WEEKLY UNTIL NOVEMBER 12, 2011, SUBJECT TO CERTAIN OFFSET PROVISIONS. GROSS WAGES RELATING TO THE SEVERANCE PAID DURING 2011 WERE $198,276.Explanation

Schedule M IRS990ScheduleM

Real Estate Residential RealEstateResidential

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990290000NoncashContribsRptdF990
Method Of Determining RevenuesAPPRAISALMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNumber of contributions or items contributed.Identifier
Return ReferenceSchedule M, part I, column (b), Line 15ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1(CONTINUED FROM PART III) OUR VISION: - TO BE RECOGNIZED AS EXPERT PROVIDERS OF HOSPICE CARE, PALLIATIVE CARE, MANAGEMENT OF ADVANCED DISEASE, AND GRIEF SUPPORT, AND TO BE THE AGENCY OF CHOICE FOR THE PROVISION OF THESE SERVICES. - TO BE RECOGNIZED AS INNOVATORS AND LEADERS IN ALL ASPECTS OF END-OF-LIFE RESOURCES. - TO INFLUENCE THE PERCEPTIONS WITHIN THE COMMUNITY AND AMONG MEDICAL PROFESSIONALS SO THAT THE END OF LIFE IS ACCEPTED AS A MEANINGFUL COMPONENT OF THE HUMAN EXPERIENCE. OUR VALUES: - WE BELIEVE DEATH TO BE A NATURAL PART OF LIFE'S JOURNEY. - WE BELIEVE IN HONESTY AND INTEGRITY IN ALL WE SAY AND DO. - WE BELIEVE IN COMPASSION TO THOSE WE SERVE AND TO EACH OTHER. - WE BELIEVE IN RESPECT AND DIGNITY FOR ALL. - WE VALUE COMPETENT, KNOWLEDGEABLE STAFF MOTIVATED TO ACHIEVE PERSONAL AND PROFESSIONAL GROWTH. - WE BELIEVE IN ACCOUNTABILITY TO SOCIETY, OUR COMMUNITY, AND EACH OTHER. - WE BELIEVE IN RESPONSIBLE STEWARDSHIP OF THE RESOURCES WITH WHICH WE HAVE BEEN ENTRUSTED. - WE BELIEVE IN THE CONTINUOUS PURSUIT OF ORGANIZATIONAL EXCELLENCE. - WE BELIEVE IN TEAMWORK TO ACHIEVE OUR VISION, MISSION, AND TO SUPPORT OUR VALUES.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4A(CONTINUED FROM PART III) HOME CARE SERVICES: THE MAJORITY OF ALIVE HOSPICE'S PATIENTS ARE SERVED IN THEIR HOMES. HOME HOSPICE CARE SERVICES ARE DESIGNED TO EASE PAIN, ALLEVIATE SYMPTOMS, AND PROVIDE SUPPORT TO THE PATIENTS AND THEIR CAREGIVERS. IN ADDITION TO THESE SERVICES PROVIDED BY OUR SKILLED TEAM, WE PROVIDE MEDICAL EQUIPMENT AND SUPPLIES, MEDICATIONS AND CAREGIVER TRAINING. INPATIENT HOSPICE CARE: OUR INPATIENT FACILITIES ALLOW CARE TO BE PROVIDED FOR PATIENTS WHO ARE UNABLE TO BE CARED FOR AT HOME OR MAY BE EXPERIENCING A MEDICAL CRISIS. CARE OPTIONS INCLUDE: - ALIVE HOSPICE RESIDENCE NASHVILLE (774 PATIENTS WERE SERVED IN 2011) - ALIVE HOSPICE AT SAINT THOMAS HOSPITAL (632 PATIENTS WERE SERVED IN 2011) - ALIVE HOSPICE AT SKYLINE MADISON CAMPUS (487 PATIENTS WERE SERVED IN 2011) - INPATIENT CARE PROVIDED BY ALIVE HOSPICE AT YOUR LOCAL HOSPITALS ALIVE MONARCHS: ALIVE HOSPICE HAS A LONG TRADITION OF SERVING PATIENTS OF ALL AGES WHO FACE LIFE-THREATENING ILLNESSES. ALIVE MONARCHS IS ONE OF THE FEW PALLIATIVE AND HOSPICE CARE PROVIDERS FOR PERINATAL AND PEDIATRIC PATIENTS IN THE NATION. THE BEAUTIFUL MONARCH BUTTERFLY INSPIRED THE NAME OF ALIVE HOSPICE'S PEDIATRIC PROGRAM. BUTTERFLIES, WHICH ARE CLOSELY ASSOCIATED WITH HOSPICE CARE, SIGNIFY HOPE, THE BEAUTY OF LIFE AND THE CELEBRATION OF THOSE WE LOVE. VARIOUS LEVELS OF PEDIATRIC PROGRAM SERVICES INCLUDE: - PERINATAL CARE (2 PATIENTS WERE SERVED IN 2011) - PEDIATRIC PALLIATIVE CARE (2 PATIENTS WERE SERVED IN 2011) - PEDIATRIC HOSPICE CARE (33 PATIENTS WERE SERVED IN 2011) PALLIATIVE CARE: ALIVE HOSPICE OFFERS ITS ALIVE PALLIATIVE CARE SERVICES FOR THOSE WHO ARE NOT IN NEED OF HOSPICE CARE, BUT WHO DO HAVE INCURABLE AND PROGRESSIVE DISEASES. PALLIATIVE CARE ADDRESSES THE SYMPTOMS OF A DISEASE REGARDLESS OF LIFE EXPECTANCY, WHILE HOSPICE CARE ADDRESSES THOSE SYMPTOMS WHEN THE PATIENT'S LIFE EXPECTANCY CAN BE THOUGHT OF IN MONTHS RATHER THAN YEARS. WHILE PAIN AND SYMPTOM MANAGEMENT CONSTITUTE THE CORNERSTONE OF PALLIATIVE CARE, CURATIVE TREATMENTS MAY BE PROVIDED ALONG WITH PALLIATIVE TREATMENTS. SOME PEOPLE REFER TO PALLIATIVE CARE AS "COMFORT CARE" BECAUSE OF ITS ATTENTION TO IMPROVING QUALITY OF LIFE AND CONTROLLING SYMPTOMS. ALIVE PALLIATIVE CARE STRIVES TO GIVE INDIVIDUALS THE OPPORTUNITY TO LIVE THEIR LIVES AS ACTIVELY AS POSSIBLE. ALIVE PALLIATIVE CARE PROVIDED SERVICES FOR 214 PATIENTS IN 2011. ALIVE GRIEF SUPPORT SERVICES: GRIEF IS A NATURAL PROCESS AND ALIVE GRIEF SUPPORT SERVICES IS A COMPREHENSIVE PROGRAM THAT ADDRESSES THE NEEDS THAT ARISE FOLLOWING THE DEATH OF A LOVED ONE. ALIVE GRIEF SUPPORT SERVICES PROVIDES BEREAVEMENT CARE FOR PATIENTS' FAMILY MEMBERS AND THE COMMUNITY AT LARGE. OUR SERVICES ARE DESIGNED TO MEET THE BEREAVEMENT NEEDS OF CHILDREN AND ADULTS WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE IN THE PAST TWO YEARS. ALIVE GRIEF SUPPORT SERVICES HAVE PROFESSIONAL GRIEF COUNSELORS AND TRAINED VOLUNTEERS TO GUIDE INDIVIDUALS THROUGH THE PROCESS OF MOURNING. THIS ASSISTANCE IS AVAILABLE IN BOTH INDIVIDUAL COUNSELING SESSIONS AND GROUP SETTINGS FOR ANY BEREAVED PERSON, REGARDLESS OF THE NATURE OF THE DEATH. GRIEF COUNSELING HELPS ADULTS, CHILDREN, AND FAMILIES COPE WITH DEATH AND GRIEF AS THEY FACE THE LOSS OF LOVED ONES. GRIEF SUPPORT PROGRAMS INCLUDE: - INDIVIDUAL COUNSELING (481 CLIENTS RECEIVED 2,736 INDIVIDUAL COUNSELING SESSIONS DURING 2011) - SUPPORT GROUPS FOR LOSS OF SPOUSES, PARENTS, CHILDREN, SIBLINGS, AND OTHER LOVED ONES (156 CLIENTS WERE SERVED BY SUPPORT GROUPS DURING 2011) - CAMP EVERGREEN, CAMP FORGET-ME-NOT AND ALIVE TEEN RETREAT, CAMPS FOR BEREAVED CHILDREN AND ADOLESCENTS (114 CHILDREN AND ADOLESCENTS ATTENDED THE CAMPS IN 2011) - HOLIDAY GRIEF SEMINARS (96 PEOPLE ATTENDED THESE SEMINARS IN 2011) CHARITY CARE: IN ADDITION, ALIVE HOSPICE HAS A POLICY OF PROVIDING CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. CHARITY CARE EXPENSES WERE $839,157 FOR THE YEAR ENDED DECEMBER 31, 2011.
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE CORPORATION SHALL HAVE AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE CORPORATION AND SUCH MEMBERS AS RECOMMENDED BY THE CHAIR AND VOTED UPON BY THE BOARD. AS PER CORPORATE BY-LAWS, THE EXECUTIVE COMMITTEE SHALL MEET AT ANY TIME WHEN THE DIRECTORS ARE NOT IN SESSION AND SHALL HAVE THE FULL AUTHORITY OF THE BOARD OF DIRECTORS TO MANAGE THE AFFAIRS OF THE CORPORATION PROVIDED THAT NO ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE IN CONFLICT WITH ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE MAY NOT TAKE ANY ACTION PROHIBITED BY TENNESSEE CODE ANNOTATED SECTION 48-58-206.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE EXECUTIVE COMMITTEE OF THE BOARD DELEGATED AUTHORITY TO THE FINANCE COMMITTEE OF THE BOARD TO REVIEW THE FORM 990. THE FINANCE COMMITTEE OF THE BOARD MET ON AUGUST 20, 2012, WITH OUR TAX ADVISORS TO REVIEW THE ENTIRE FORM 990. ONCE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD AND ANY QUESTIONS HAVE BEEN ANSWERED, A COPY OF THE FULL FORM 990 WAS PROVIDED TO EVERY BOARD MEMBER FOR REVIEW PRIOR TO FILING WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cFOR THE DECEMBER 31, 2011 YEAR-END, THE BOARD MEMBERS SIGNED THE CONFLICT OF INTEREST POLICY STATING THAT THEY HAVE READ AND UNDERSTOOD THE POLICY. EACH QUESTIONNAIRE IS REVIEWED BY THE EXECUTIVE OFFICER MANAGER FOR COMPLETION AND TO DETERMINE IF ANY POTENTIAL CONFLICTS OF INTEREST EXIST. IF A POTENTIAL CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CEO AND BOARD CHAIR ARE NOTIFIED, AND IT IS THEN REPORTED TO THE EXECUTIVE COMMITTEE. IF A CONFLICT EXISTS WITH A VOTING BOARD MEMBER, THAT BOARD MEMBER MUST RECUSE THEMSELVES FROM VOTING ON THAT BUSINESS TRANSACTION. IN ADDITION, DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES COMPLETED AN AUTOMATED CONFLICT OF INTEREST QUESTIONNAIRE.
PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALSFORM 990, PART VI, LINE 15ATHE CHAIRMAN OF THE BOARD COMPLETES THE CEO'S PERFORMANCE EVALUATION IN DECEMBER OF EACH YEAR TO BE EFFECTIVE FOR THE FOLLOWING JANUARY. THE EXECUTIVE COMMITTEE OF THE BOARD MAKES RECOMMENDATIONS ON THE AMOUNT OF ANY PERCENTAGE INCREASE TO THE CEO'S SALARY. AN INDEPENDENT CONSULTANT SURVEY PREPARED BY GALLAGHER BENEFIT SERVICES, INC. IS REVIEWED WHEN COMPENSATION IS DETERMINED. GALLAGHER'S SURVEY USES THE DEPARTMENT OF LABOR STATISTICS OF OTHER HOSPICE ORGANIZATIONS OF LIKE-SIZE, BOTH REGIONALLY AND NATIONALLY, TO PROVIDE COMPARABLE INFORMATION ON CEO SALARIES; THIS SURVEY WAS LAST COMPLETED IN OCTOBER OF 2010. THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES THE FINAL COMPENSATION PACKAGE. THIS REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES. IN ADDITION, THE CEO'S COMPENSATION CONTRACT IS AMENDED ANNUALLY TO STATE THAT THE COMPENSATION AMOUNT IS BASED ON THE ACTION OF THE BOARD. ANY WAGE INCREASES ARE APPROVED BY THE BOARD OF DIRECTORS WHEN THE ORGANIZATION'S ANNUAL BUDGET IS APPROVED. ALIVE HOSPICE'S CEO RETIRED IN NOVEMBER 2010. DURING ALL OF 2011, THE INTERIM CEO WAS A CONTRACT EMPLOYEE OF COMPASS EXECUTIVES. THE BOARD CHAIRMAN NEGOTIATED AND APPROVED THE CONTRACTED SALARY AMOUNT PAID TO COMPASS EXECUTIVES FOR THE INTERIM CEO'S SERVICES.
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEESFORM 990, PART VI, LINE 15BTHE ORGANIZATION'S CEO COMPLETES AN ANNUAL PERFORMANCE REVIEW FOR OTHER OFFICERS. THE ORGANIZATION'S CEO AND HUMAN RESOURCES COMMITTEE REVIEW AN INDEPENDENT CONSULTANT SURVEY PREPARED BY GALLAGHER BENEFIT SERVICES, INC. EVERY 24 MONTHS TO DETERMINE THE AMOUNT OF CURRENT SALARIES AND BENEFITS FOR OTHER OFFICERS. GALLAGHER'S SURVEY USES THE DEPARTMENT OF LABOR STATISTICS OF OTHER HOSPICE ORGANIZATIONS OF LIKE-SIZE, BOTH REGIONALLY AND NATIONALLY, TO PROVIDE COMPARABLE INFORMATION ON SALARIES FOR VARIOUS POSITIONS; THIS SURVEY WAS LAST COMPLETED IN OCTOBER OF 2010. ANY SALARY INCREASES ARE BASED ON THE OUTCOME OF PERFORMANCE REVIEWS AND COMPARISON TO THE SURVEY. FOR ALL OF 2011, THERE WAS A 2% WAGE INCREASE FOR ALL ALIVE HOSPICE EMPLOYEES, INCLUDING OTHER OFFICERS. THIS WAGE INCREASE WAS APPROVED BY THE BOARD OF DIRECTORS WHEN THE ORGANIZATION'S ANNUAL BUDGET WAS APPROVED.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE 2011 REPORT TO THE COMMUNITY, WHICH INCLUDES THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, IS AVAILABLE ON ALIVE HOSPICE'S WEBSITE. GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, ETC.FORM 990, PART VII, SECTION AALIVE HOSPICE'S CEO RESIGNED IN NOVEMBER 2010. FOR THE REMAINDER OF 2010 AND THROUGH MARCH 30, 2012, BARBARA CANNON PERFORMED SERVICES TO ALIVE HOSPICE IN THE POSITION OF INTERIM CHIEF EXECUTIVE OFFICER THROUGH A CONTRACT AGREEMENT WITH COMPASS EXECUTIVES, AN INDEPENDENT MANAGEMENT AND CONSULTING FIRM. COMPASS EXECUTIVES WAS PAID A TOTAL OF $210,000 FOR HER SERVICES DURING 2011.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -83633;

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