2012-09-13T17:00:07-05:00 2011-12-31 CROWE HORWATH LLP 9600 Brownsboro Road Suite 400 Louisville KY 402411122 990 2011-01-01 620983550 ALIVE HOSPICE INC ALIV 6153271085 1718 Patterson Street Nashville TN 37203 JOSEPH HAMPE 2012-09-13 true Rachel Spurlock P00520729 5023263996 2011 2016-02-24 21:20:13Z ANNA-GENE O'NEAL 1718 Patterson Street Nashville TN 37203 32723926 false X WWW.ALIVEHOSPICE.ORG X 1975 TN ALIVE HOSPICE, INC. PROVIDES LOVING CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES, SUPPORT TO THEIR FAMILIES, AND SERVICE TO THE COMMUNITY IN A SPIRIT OF ENRICHING LIVES. DURING 2011, THE ORGANIZATION INCURRED EXPENSES OF $839,157 FOR FINANCIAL ASSISTANCE TO PATIENTS WHO WERE OTHERWISE UNABLE TO PAY. 25 25 429 336 0 0 1540534 1685806 29678250 30169210 81360 69589 17624 9857 31317768 31934462 0 0 0 0 17911209 17405420 0 0 376499 13341494 13953014 31252703 31358434 65065 576028 25582909 24296160 5077619 3298475 20505290 20997685 X OUR MISSION: ALIVE HOSPICE, INC. PROVIDES LOVING CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES, SUPPORT TO THEIR FAMILIES, AND SERVICE TO THE COMMUNITY IN A SPIRIT OF ENRICHING LIVES. (CONTINUED IN SCHEDULE O) false false 26149226 30174602 ALIVE HOSPICE SERVES THOSE WHO HAVE A LIMITED LIFE EXPECTANCY (REGARDLESS OF ILLNESS OR AGE) AND LIVE WITHIN THE AGENCY'S 12-COUNTY SERVICE AREA. ALIVE HOSPICE PROVIDED END-OF-LIFE CARE TO 3,407 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) 26149226 true true false true false false true false true true false false false false true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false false true 98 0 true 429 true false false false false false false false false false false X 25 25 false false false false false false false true true false false true true true true true true false false false X TERESA COSGROVE 6153271085 1718 PATTERSON STREET Nashville TN 37203 X DEBORAH FARRINGER 1.00 X X 0 0 0 DEBORAH STORY 1.00 X X 0 0 0 HARRIET KARRO 1.00 X X 0 0 0 JEFF MASTROLEO 1.00 X X 0 0 0 MARY FALLS 1.00 X X 0 0 0 BETSY WILLS 1.00 X 0 0 0 BRIAN HEMPHILL 1.00 X 0 0 0 DENISE ALPER 1.00 X 0 0 0 DR JAMES CATO MD 1.00 X 0 0 0 DR KENT SHIH 1.00 X 0 0 0 JAY GALBREATH 1.00 X 0 0 0 KASEY DREAD 1.00 X 0 0 0 LARRY KLOESS 1.00 X 0 0 0 LAURA BETH BROWN MD MSN 1.00 X 0 0 0 LIBBY PAGE 1.00 X 0 0 0 LISA DAVIS 1.00 X 0 0 0 LIZ SCHATZLEIN 1.00 X 0 0 0 MARTEE HARRIS 1.00 X 0 0 0 PHIL BARNETT 1.00 X 0 0 0 PHILIP JOHNSTON 1.00 X 0 0 0 PHILIP RANSDELL 1.00 X 0 0 0 RHONDA LOWRY 1.00 X 0 0 0 ROY ELAM MD 1.00 X 0 0 0 STEPHEN ROBERTS 1.00 X 0 0 0 VIRGINIA TROTTER BETTS 1.00 X 0 0 0 WARREN MCPHERSON MD 1.00 X 0 0 0 WILL WRIGHT 1.00 X 0 0 0 ANNE CHANCE 40.00 X 20865 0 1048 BARBARA CANNON 40.00 X 0 0 0 CHRISTOPHER MADER 40.00 X 104555 0 2326 DR DAVID TRIBBLE 40.00 X 201218 0 8548 JOSEPH GALBATO 40.00 X 118698 0 1110 PAMELA BROWN 40.00 X 114897 0 6661 TERESA COSGROVE 40.00 X 97647 0 12356 DR MARTHA LEONARD 40.00 X 156048 0 8570 DR SHARON GREEN 40.00 X 155135 0 1290 DR TIFFANY E HINES 40.00 X 172634 0 6008 DR WENDY KNOWLTON 40.00 X 164649 0 13356 TAMMY GRINDSTAFF 40.00 X 114708 0 6153 JANET L JONES 0.00 X 198276 0 0 1619330 0 67426 13 true true false FRANTZ BUILDING SERVICES INC 1326 WEST NINTH OWENSBORO KY 42301 JANITORIAL SERVICES 222078 COMPASS EXECUTIVES LLC 2323 21ST AVE SOUTH SUITE 500 NASHVILLE TN 37212 EXECUTIVE PLACEMENT (SEE SCH. O) 210000 BASS BERRY & SIMS PLC 150 THIRD AVENUE SOUTH SUITE 2800 NASHVILLE TN 37201 LEGAL SERVICES 120616 3 280190 1405616 290000 1685806 PATIENT SERVICE REVENUE 623000 30145731 30145731 COUNSELING REVENUE 624100 23479 23479 0 0 0 0 30169210 67346 67346 0 0 0 0 0 791707 0 789464 2243 0 2243 2243 0 0 0 MISCELLANEOUS REVENUE 900099 5392 5392 REBATES/DISCOUNTS 900099 2484 2484 FOOD/VENDING REVENUE 900099 1981 1981 0 0 0 0 9857 31934462 30174602 0 74054 0 0 0 0 689929 650711 39218 0 13992768 12312855 1484390 195523 0 1596147 1397338 178260 20549 1126576 949359 159322 17895 0 129482 129482 47500 47500 0 0 10558 10558 542644 76550 463511 2583 239189 239189 1124512 536243 546257 42012 469524 395344 66668 7512 0 1390607 1257286 133321 870124 749317 120492 315 0 91076 27387 61768 1921 73325 22940 50385 0 1089304 732481 353580 3243 186515 120621 65894 DIRECT PATIENT CARE SUPPLIES 7197796 7197796 DUES & SUBSCRIPTIONS 69493 26957 41303 1233 BAD DEBT EXPENSE 284371 272371 12000 DISPOSAL OF FIXED ASSETS 5947 5947 131047 74381 24171 32495 31358434 26149226 4832709 376499 0 616 616 7531474 7026129 161134 262238 3272563 2637877 40667 42176 268771 387830 17359334 5633465 12116677 11725869 1618837 1641255 0 0 0 0 554293 554293 17877 17877 25582909 24296160 3070671 2778475 760000 520000 1246948 0 0 0 5077619 3298475 X 18956893 19229729 419757 624389 1128640 1143567 20505290 20997685 25582909 24296160 X 576028 -83633 X false true true X false X 2590423 1919903 1766213 1540534 1685806 9502879 28904090 30612655 30931342 29678250 30169210 150295547 16444 3161 4465 24070 0 0 31494513 32532558 32713999 31221945 31859481 159822496 24491 57030 37520 35491 154532 0 0 24491 57030 37520 35491 154532 159667964 111743 48382 86260 69928 67346 383659 0 111743 48382 86260 69928 67346 383659 0 29239 26972 18384 14463 5392 94450 31635495 32607912 32818643 31306336 31932219 160300605 0.99610 0.99310 0.00240 0.00270 X OTHER 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;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 189 189 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THROUGH ITS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) FOR CALENDAR YEAR 2011. X DISPLAY ON PREMISES false 1369691 14927 -23895 1360723 1188580 46482 134629 1369691 896199 82158 210223 0 0 0 1188580 1174268 0 -278069 0 0 0 896199 0.00000 0.84040 0.15960 false false 3587001 3587001 290000 8187244 2854921 5622323 2426820 1115637 1311183 2868269 1662907 1205362 0 11725869 0 0 31934462 31358434 576028 -83633 0 -83633 492395 31834324 -83633 0 -83633 31917957 10558 5947 16505 31934462 31341929 0 0 31341929 10558 5947 16505 31358434 Collections of art - description of collections Schedule D, Part III, Line 4 THE ORGANIZATION MAINTAINS A COLLECTION OF ART THAT IS DISPLAYED IN THE HOSPICE PATIENTS' ROOMS AND ON THE ORGANIZATION'S PROPERTY TO ADD A PEACEFUL NATURE TO THE ENVIRONMENT. Intended uses of endowment funds Schedule D, Part V, Line 4 PATIENT CARE, STAFF TRAINING, GRIEF SUPPORT SERVICES, FACILITY MAINTENANCE AND IMPROVEMENT, AND GENERAL OPERATING EXPENSES ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF TENNESSEE FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2011 AND 2010. X X X X X true false false false false false false false false JANET L JONES 198276 0 0 0 0 0 0 0 0 0 198276 0 0 0 DR WENDY KNOWLTON 161557 0 3092 0 0 0 0 0 13356 0 178005 0 0 0 DR DAVID TRIBBLE 195360 0 3946 0 1912 0 0 0 8548 0 209766 0 0 0 DR TIFFANY E HINES 169401 0 3233 0 0 0 0 0 6008 0 178642 0 0 0 DR MARTHA LEONARD 152911 0 3137 0 0 0 0 0 8570 0 164618 0 0 0 DR SHARON GREEN 152261 0 2874 0 0 0 0 0 1290 0 156425 0 0 0 Severance or change-of-control payment Schedule J, Part I, Line 4a IN 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. X 1 290000 APPRAISAL 0 false false false Number of contributions or items contributed. Schedule M, part I, column (b), Line 15 ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 (CONTINUED FROM PART III) OUR VISION: - TO BE RECOGNIZED AS EXPERT PROVIDERS OF HOSPICE CARE, PALLIATIVE CARE, MANAGEMENT OF ADVANCED DISEASE, AND GRIEF SUPPORT, AND TO BE THE AGENCY OF CHOICE FOR THE PROVISION OF THESE SERVICES. - TO BE RECOGNIZED AS INNOVATORS AND LEADERS IN ALL ASPECTS OF END-OF-LIFE RESOURCES. - TO INFLUENCE THE PERCEPTIONS WITHIN THE COMMUNITY AND AMONG MEDICAL PROFESSIONALS SO THAT THE END OF LIFE IS ACCEPTED AS A MEANINGFUL COMPONENT OF THE HUMAN EXPERIENCE. OUR VALUES: - WE BELIEVE DEATH TO BE A NATURAL PART OF LIFE'S JOURNEY. - WE BELIEVE IN HONESTY AND INTEGRITY IN ALL WE SAY AND DO. - WE BELIEVE IN COMPASSION TO THOSE WE SERVE AND TO EACH OTHER. - WE BELIEVE IN RESPECT AND DIGNITY FOR ALL. - WE VALUE COMPETENT, KNOWLEDGEABLE STAFF MOTIVATED TO ACHIEVE PERSONAL AND PROFESSIONAL GROWTH. - WE BELIEVE IN ACCOUNTABILITY TO SOCIETY, OUR COMMUNITY, AND EACH OTHER. - WE BELIEVE IN RESPONSIBLE STEWARDSHIP OF THE RESOURCES WITH WHICH WE HAVE BEEN ENTRUSTED. - WE BELIEVE IN THE CONTINUOUS PURSUIT OF ORGANIZATIONAL EXCELLENCE. - WE BELIEVE IN TEAMWORK TO ACHIEVE OUR VISION, MISSION, AND TO SUPPORT OUR VALUES. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A (CONTINUED FROM PART III) HOME CARE SERVICES: THE MAJORITY OF ALIVE HOSPICE'S PATIENTS ARE SERVED IN THEIR HOMES. HOME HOSPICE CARE SERVICES ARE DESIGNED TO EASE PAIN, ALLEVIATE SYMPTOMS, AND PROVIDE SUPPORT TO THE PATIENTS AND THEIR CAREGIVERS. IN ADDITION TO THESE SERVICES PROVIDED BY OUR SKILLED TEAM, WE PROVIDE MEDICAL EQUIPMENT AND SUPPLIES, MEDICATIONS AND CAREGIVER TRAINING. INPATIENT HOSPICE CARE: OUR INPATIENT FACILITIES ALLOW CARE TO BE PROVIDED FOR PATIENTS WHO ARE UNABLE TO BE CARED FOR AT HOME OR MAY BE EXPERIENCING A MEDICAL CRISIS. CARE OPTIONS INCLUDE: - ALIVE HOSPICE RESIDENCE NASHVILLE (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 committee Form 990, Part VI, Section A, Line 1a THE CORPORATION SHALL HAVE AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE CORPORATION AND SUCH MEMBERS AS RECOMMENDED BY THE CHAIR AND VOTED UPON BY THE BOARD. AS PER CORPORATE BY-LAWS, THE EXECUTIVE COMMITTEE SHALL MEET AT ANY TIME WHEN THE DIRECTORS ARE NOT IN SESSION AND SHALL HAVE THE FULL AUTHORITY OF THE BOARD OF DIRECTORS TO MANAGE THE AFFAIRS OF THE CORPORATION PROVIDED THAT NO ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE IN CONFLICT WITH ANY ACTION TAKEN BY THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE MAY NOT TAKE ANY ACTION PROHIBITED BY TENNESSEE CODE ANNOTATED SECTION 48-58-206. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE EXECUTIVE COMMITTEE OF THE BOARD DELEGATED AUTHORITY TO THE FINANCE COMMITTEE OF THE BOARD TO REVIEW THE FORM 990. THE FINANCE COMMITTEE OF THE BOARD MET ON AUGUST 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 policy Form 990, Part VI, Section B, Line 12c FOR 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 OFFICIALS FORM 990, PART VI, LINE 15A THE 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 EMPLOYEES FORM 990, PART VI, LINE 15B THE ORGANIZATION'S CEO COMPLETES AN ANNUAL PERFORMANCE REVIEW FOR OTHER OFFICERS. THE ORGANIZATION'S CEO AND HUMAN RESOURCES COMMITTEE REVIEW AN INDEPENDENT CONSULTANT SURVEY 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 public Form 990, Part VI, Section C, Line 19 THE 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 A ALIVE HOSPICE'S CEO RESIGNED IN NOVEMBER 2010. FOR THE REMAINDER OF 2010 AND THROUGH MARCH 30, 2012, BARBARA CANNON PERFORMED SERVICES TO ALIVE HOSPICE IN THE POSITION OF INTERIM CHIEF EXECUTIVE OFFICER THROUGH A CONTRACT AGREEMENT WITH COMPASS EXECUTIVES, AN INDEPENDENT MANAGEMENT AND CONSULTING FIRM. COMPASS EXECUTIVES WAS PAID A TOTAL OF $210,000 FOR HER SERVICES DURING 2011. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -83633;