ALIVE HOSPICE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ALIVE HOSPICE INC (EIN 62-0983550)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-26
IRS object ID
201112699349300301
Schema version
2010v3.2
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)
Timestamp2011-09-26T08:00:06-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 GALBATOName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2011-09-21DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1BARBARA CANNONBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11718 Patterson StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31795045GrossReceipts
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 2010, THE ORGANIZATION PROVIDED $990,075 OF FINANCIAL ASSISTANCE TO PATIENTS WHO WERE OTHERWISE UNABLE TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees417TotalNbrEmployees
Total Nbr Volunteers280TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1766213ContributionsGrantsPriorYear
Contributions Grants Current Year1540534ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30931342ProgramServiceRevenuePriorYear
Program Service Revenue CY29678250ProgramServiceRevenueCY
Investment Income Prior Year34698InvestmentIncomePriorYear
Investment Income Current Year81360InvestmentIncomeCurrentYear
Other Revenue Prior Year34828OtherRevenuePriorYear
Other Revenue Current Year17624OtherRevenueCurrentYear
Total Revenue Prior Year32767081TotalRevenuePriorYear
Total Revenue Current Year31317768TotalRevenueCurrentYear
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 Year19176452SalariesEtcPriorYear
Salaries Etc Current Year17911209SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year259576TotalFundrsngExpCurrentYear
Other Expense Prior Year14164039OtherExpensePriorYear
Other Expenses Current Year13341494OtherExpensesCurrentYear
Total Expenses Prior Year33340491TotalExpensesPriorYear
Total Expenses Current Year31252703TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-573410RevenuesLessExpensesPriorYear
Revenues Less Expenses CY65065RevenuesLessExpensesCY
Total Assets BOY27199277TotalAssetsBOY
Total Assets EOY25582909TotalAssetsEOY
Total Liabilities BOY6899558TotalLiabilitiesBOY
Total Liabilities EOY5077619TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20299719NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20505290NetAssetsOrFundBalancesEOY
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. (CONTINUTED IN SCHEDULE O)MissionDescription
Significant ChangefalseSignificantChange
Expense23990926Expense
Revenue29689128Revenue
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 3,452 PATIENTS DURING 2010. 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 Expense23990926TotalProgramServiceExpense
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 LiabilitiestrueReportOtherLiabilities
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 ContributionsfalseDeductibleNonCashContributions
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 With1096106NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees417NumberOfEmployees
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 Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process 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 (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployee
BARBARA CANNON
INTERIM CHIEF EXECUTIVE OFFICER40X000
JANET L JONES
PRESIDENT & CHIEF EXECUTIVE OFFICER - PARTIAL YEAR40X24387509436
MARY HUNTER
BOARD MEMBER1000X
LIBBY PAGE
BOARD MEMBER1000X
HARRIET KARRO
CHAIR1X000X
LARRY CHURCHILL
BOARD MEMBER1000X
DEBORAH STORY
CHAIR-ELECT1X000X
NELLIE COLE
BOARD MEMBER1000X
BILL BLEVINS
BOARD MEMBER1000X
DR WENDY KNOWLTON
TEAM MEDICAL DIRECTOR40142576012722X
KASEY DREAD
BOARD MEMBER1000X
PAMELA BROWN
CHIEF DEVELOPMENT OFFICER40X10949506730
MARY FALLS
SECRETARY1X000X
LAURA BETH BROWN
BOARD MEMBER1000X
LARRY KLOESS
BOARD MEMBER1000X
DR JAMES CATO
BOARD MEMBER1000X
JUDY FISHER
BOARD MEMBER1000X
JAY GALBREATH
TREASURER1X000X
JAMES BLUMSTEIN
BOARD MEMBER1000X
ANNE J CHANCE
CHIEF OPERATING OFFICER & CHIEF COMPLIANCE OFFICER40X153327012729
PHIL BARNETT
BOARD MEMBER1000X
DENISE ALPER
BOARD MEMBER1000X
NAOMI TUTU
BOARD MEMBER1000X
DR DAVID TRIBBLE
CHIEF MEDICAL OFFICER40X19499308647
VIRGINIA TROTTER BETTS
BOARD MEMBER1000X
RHONDA LOWRY
BOARD MEMBER1000X
PHILIP RANSDELL
BOARD MEMBER1000X
STEPHEN ROBERTS
BOARD MEMBER1000X
DR KENT SHIH
BOARD MEMBER1000X
JOSEPH GALBATO
CHIEF FINANCIAL OFFICER40X296150333
DR TIFFANY E HINES
TEAM MEDICAL DIRECTOR40149081012690X
DR MARTHA LEONARD
TEAM MEDICAL DIRECTOR40150270012630X
TERESA COSGROVE
CONTROLLER40101094012228X
DR SHARON GREEN
TEAM MEDICAL DIRECTOR4014533801395X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1419664TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation89540TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BASS BERRY & SIMS PLCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 THIRD AVENUE SOUTH SUITE 2800AddressLine1
CityNASHVILLECity
StateTNState
ZIP Code37201ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLEGAL SERVICESDescriptionOfServices
Compensation195989Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns300879FederatedCampaigns
All Other Contributions1239655AllOtherContributions
Total Contributions1540534TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE2965339529653395
COUNSELING REVENUE2485524855

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 Revenue29678250TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column69928TotalRevenueColumn
Exclusion$69,928ExclusionAmount

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)
Securities488709Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities477277Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities11432Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column11432TotalRevenueColumn
Exclusion$11,432ExclusionAmount

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)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS REVENUE1087810878
REBATES/DISCOUNTS3585$3,585
FOOD/VENDING REVENUE3161$3,161

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 Revenue17624TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31317768TotalRevenueColumn
Related Or Exempt Function Income29689128RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$88,106ExclusionAmount

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)
Total769180Total
Management And General725457ManagementAndGeneral
Fundraising43723Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14226973Total
Program Services11540527ProgramServices
Management And General2546415ManagementAndGeneral
Fundraising140031Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1774014Total
Program Services1416442ProgramServices
Management And General351629ManagementAndGeneral
Fundraising5943Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1141042Total
Program Services899648ProgramServices
Management And General227633ManagementAndGeneral
Fundraising13761Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total195016Total
Management And General195016ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46746Total
Management And General46746ManagementAndGeneral

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)
Total9309Total
Management And General9309ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total390297Total
Program Services12962ProgramServices
Management And General377335ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total224934Total
Management And General224934ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1884736Total
Program Services977518ProgramServices
Management And General864383ManagementAndGeneral
Fundraising42835Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total142145Total
Program Services1002ProgramServices
Management And General141143ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1560837Total
Program Services1293629ProgramServices
Management And General267208ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total807738Total
Program Services700404ProgramServices
Management And General106978ManagementAndGeneral
Fundraising356Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total99612Total
Program Services23375ProgramServices
Management And General72890ManagementAndGeneral
Fundraising3347Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total114280Total
Management And General114280ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1208961Total
Program Services670073ProgramServices
Management And General530320ManagementAndGeneral
Fundraising8568Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total185162Total
Program Services126624ProgramServices
Management And General58538ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT PATIENT CARE EXPENSES61157046115704
DIETARY EXPENSES137159137159
DUES & SUBSCRIPTIONS89772698781823962
BAD DEBT EXPENSE6427364273
DISPOSAL OF FIXED ASSETS61696169

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total58644Total
Program Services4599ProgramServices
Management And General53995ManagementAndGeneral
Fundraising50Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31252703Total
Program Services23990926ProgramServices
Management And General7002201ManagementAndGeneral
Fundraising259576Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY679BOY
EOY616EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6716199BOY
EOY7531474EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY238686BOY
EOY161134EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5200073BOY
EOY3272563EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY54500BOY
EOY40667EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY297220BOY
EOY268771EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18799837LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6683160LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12654518BOY
EOY12116677EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1378762BOY
EOY1618837EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY554293BOY
EOY554293EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY104347BOY
EOY17877EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27199277BOY
EOY25582909EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4372738BOY
EOY3070671EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1240000BOY
EOY760000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1274194BOY
EOY1246948EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12626BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6899558BOY
EOY5077619EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18887705BOY
EOY18956893EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY329856BOY
EOY419757EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1082158BOY
EOY1128640EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20299719BOY
EOY20505290EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27199277BOY
EOY25582909EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses65065ReconcilationRevenueExpenses
Reconcilation Other Changes140506ReconcilationOtherChanges
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 Years2439191CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2590423CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1919903CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1766213CurrentTaxYearMinus1Year
Current Tax Year1540534CurrentTaxYear
Total10256264Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25649416CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28904090CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30612655CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30931342CurrentTaxYearMinus1Year
Current Tax Year29678250CurrentTaxYear
Total145775753Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year16444CurrentTaxYearMinus1Year
Current Tax Year3161CurrentTaxYear
Total19605Total

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 Years28088607CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31494513CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32532558CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32713999CurrentTaxYearMinus1Year
Current Tax Year31221945CurrentTaxYear
Total156051622Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years390900CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years24491CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57030CurrentTaxYearMinus1Year
Current Tax Year37520CurrentTaxYear
Total509941Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years390900CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24491CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57030CurrentTaxYearMinus1Year
Current Tax Year37520CurrentTaxYear
Total509941Total
FieldValueIRS element (for citing)
Public Support Total509155541681PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years113421CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years111743CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48382CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86260CurrentTaxYearMinus1Year
Current Tax Year69928CurrentTaxYear
Total429734Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years113421CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years111743CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48382CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86260CurrentTaxYearMinus1Year
Current Tax Year69928CurrentTaxYear
Total429734Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49410CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26972CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18384CurrentTaxYearMinus1Year
Current Tax Year14463CurrentTaxYear
Total138468Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28251438CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31635495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32607912CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32818643CurrentTaxYearMinus1Year
Current Tax Year31306336CurrentTaxYear
Total156619824Total
FieldValueIRS element (for citing)
Public Support Percentage5090.9931PublicSupportPercentage509
Prior Year Support Percentage0.98966PriorYearSupportPercentage
Investment Income Percentage0.0027InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00307PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, FORM 990, SCHEDULE A, PART III, SECTION B, LINE 12, MISCELLANEOUS INCOME RECEIVED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE: 2006 - $49,410 2007 - $29,239 2008 - $26,972 2009 - $18,384 2010 - $14,463,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)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$1,000OtherActivitiesAmount
Total Lobbying Expenditures IIB1000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of other lobbying activitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
ExplanationTHE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THROUGH ITS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO) FOR CALENDAR YEAR 2010.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 Balance1188580BeginningOfYearBalance
Contributions46482Contributions
Investment Earnings Or Losses134629InvestmentEarningsOrLosses
End Of Year Balance1369691EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Balance0.000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.000PermanentEndowmentEOYBalance
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)
Other Cost Or Other Basis8187244OtherCostOrOtherBasis
Depreciation2615375Depreciation
Book Value5571869BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2827431OtherCostOrOtherBasis
Depreciation1307094Depreciation
Book Value1520337BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4198161OtherCostOrOtherBasis
Depreciation2760691Depreciation
Book Value1437470BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12116677TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue31317768TotalRevenue
Total Expenses31252703TotalExpenses
Excess Or Deficit For Year65065ExcessOrDeficitForYear
Net Unrealized GL On Investments127880NetUnrealizedGLOnInvestments
Other$12,626OtherAmount
Total Adjustments140506TotalAdjustments
Excess Or Deficit Per FS205571ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31442796TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments127880NetUnrealizedGainsInvestments
Other Revenues12626OtherRevenues
Revenue Not Rptd F990140506RevenueNotRptdF990
Revenue Subtotal31302290RevenueSubtotal
Investment Expenses Not Included9309InvestmentExpensesNotIncluded
Other Revenues Not Included6169OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt15478RevenueNotRptdOnFinStmt
Total Revenue Per Form99031317768TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt31237225TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal31237225ExpensesSubtotal
Other Expenses Not Included15478OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt15478ExpensesNotRptdOnFinStmt
Total Expenses Per Form99031252703TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 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, 2010 AND 2009.
Other changes in net assetsSchedule D, Part XI, Line 8UNREALIZED GAIN ON INTEREST RATE SWAP - 12626;
Other revenues in audited financial statements not in form 990Schedule D, Part XII, Line 2dUNREALIZED GAIN ON INTEREST RATE SWAP - 12626;
Other revenues in form 990 not in audited financial statementsSchedule D, Part XII, Line 4bDISPOSAL OF FIXED ASSETS - 6169;
Other expenses in form 990 not in audited financial statementsSchedule D, Part XIII, Line 4bINVESTMENT FEES - 9309; DISPOSAL OF FIXED ASSETS - 6169;

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
235563000831200094360253311000
DR WENDY KNOWLTON
142363000213000127220155298000
ANNE J CHANCE
152972000355000127290166056000
DR DAVID TRIBBLE
193432000156100086470203640000
DR TIFFANY E HINES
148844000237000126900161771000
DR MARTHA LEONARD
150057000213000126300162900000

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 IS 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 HAS BEEN RECEIVING THIS SEVERANCE PAYMENT BI-WEEKLY AND WILL CONTINUE TO DO SO UNTIL NOVEMBER 12, 2011, SUBJECT TO CERTAIN OFFSET PROVISIONS. GROSS WAGES RELATING TO THE SEVERANCE PAID DURING 2010 WERE $24,960.Explanation

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 (767 PATIENTS WERE SERVED IN 2010) - ALIVE HOSPICE AT SAINT THOMAS HOSPITAL (685 PATIENTS WERE SERVED IN 2010) - ALIVE HOSPICE AT SKYLINE MADISON CAMPUS (488 PATIENTS WERE SERVED IN 2010) - 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 (10 PATIENTS WERE SERVED IN 2010) - PEDIATRIC PALLIATIVE CARE (46 PATIENTS WERE SERVED IN 2010) - PEDIATRIC HOSPICE CARE (29 PATIENTS WERE SERVED IN 2010) 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 PERFORMED 95 CONSULTS IN 2010. 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 HAS 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 (498 CLIENTS RECEIVED 2,831 INDIVIDUAL COUNSELING SESSIONS DURING 2010) - SUPPORT GROUPS FOR LOSS OF SPOUSES, PARENTS, CHILDREN, SIBLINGS, AND OTHER LOVED ONES (232 ADULT CLIENTS AND 17 CHILDREN WERE SERVED BY SUPPORT GROUPS DURING 2010) - CAMP EVERGREEN, CAMP FORGET-ME-NOT AND ALIVE TEEN RETREAT, CAMPS FOR BEREAVED CHILDREN AND ADOLESCENTS (96 CHILDREN AND ADOLESCENTS ATTENDED THE CAMPS IN 2010) - HOLIDAY GRIEF SEMINARS (122 PEOPLE ATTENDED THESE SEMINARS IN 2010) CHARITY CARE: IN ADDITION, ALIVE HOSPICE HAS A POLICY OF PROVIDING CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. CHARITY CARE CHARGES, AT RATES SIMILAR TO THOSE CHARGED TO PATIENTS AND THIRD PARTIES, WERE $990,075 FOR THE YEAR ENDED DECEMBER 31, 2010.
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 18, 2011, 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, 2010 YEAR-END, THE BOARD MEMBERS SIGNED THE CONFLICT OF INTEREST POLICY STATING THAT THEY HAVE READ AND UNDERSTOOD THE POLICY. IN ADDITION, DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES COMPLETED AN AUTOMATED CONFLICT OF INTEREST QUESTIONNAIRE. 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.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, 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. THE INTERIM CEO IS 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.
Public DisclosureForm 990, Part VI, Section C, Line 19THE 2010 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.
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEESFORM 990, PART VI, SECTION B, 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. EFFECTIVE AUGUST 1, 2010, 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.
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEESFORM 990, PART VII, SECTION AALIVE HOSPICE'S CEO RESIGNED IN NOVEMBER 2010. FOR THE REMAINDER OF 2010, 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 $40,000 FOR HER SERVICES DURING 2010.
RECLASSIFICATIONSFORM 990, PARTS I AND XCERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO PRESENT LAST YEAR'S BALANCES ON A BASIS COMPARABLE TO THE CURRENT YEAR'S BALANCES. THESE RECLASSIFICATIONS HAD NO EFFECT ON TOTAL NET ASSETS OR THE CHANGE IN NET ASSETS.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 127880; UNREALIZED GAIN ON INTEREST RATE SWAP AGREEMENT - 12626;

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