Form 990 for tax year 2022

Filed by ALIVE HOSPICE INC.

Totals

Total revenue: $43,579,001
Total expenses: $37,883,878
Contributions and grants received: $4,542,484
Grants paid: $0
Program service revenue: $34,926,560
Investment income: $4,044,828
Other revenue: $65,129
Total assets, end of year: $43,227,458
Total liabilities, end of year: $3,592,008
Net assets or fund balances, end of year: $39,635,450
Program services expenses (Part IX): $29,555,132
Management and general expenses: $7,742,099
Fundraising expenses: $586,647
Program service expenses (Part III): $29,555,132

Program services were 78.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

1a · Federated campaigns

$68,328
1e · Government grants (contributions)

$604,970
1f · All other contributions, gifts and grants

$3,869,186
1g · Noncash contributions included above

$2,580
2a · Program service revenue: PATIENT SERVICE REVENUE

total $34,926,560 · related or exempt $34,926,560
3 · Investment income

total $234,913 · excluded $234,913
7a · Gross sales of assets other than inventory

securities $241,530 · other assets $5,680,210
7b · Less cost or other basis and sales expenses

securities $272,429 · other assets $1,839,396
7c · Gain or loss

securities -$30,899 · other assets $3,840,814
7d · Net gain or loss

total $3,809,915 · related or exempt $3,840,814 · excluded -$30,899
11a · Other revenue: MISCELLANEOUS REVENUE

total $65,129 · related or exempt $65,129
11e · Other revenue, total

$65,129

Functional expenses

Part IX, the statement of functional expenses.

5 · Compensation of officers, directors and key employees

total $2,499,175 · program services $1,934,624 · management and general $526,882 · fundraising $37,669
7 · Other salaries and wages

total $19,777,730 · program services $15,416,812 · management and general $4,070,374 · fundraising $290,544
8 · Pension plan contributions

total $84,894 · program services $61,315 · management and general $22,058 · fundraising $1,521
9 · Other employee benefits

total $2,554,380 · program services $1,911,771 · management and general $598,218 · fundraising $44,391
10 · Payroll taxes

total $1,570,126 · program services $1,244,498 · management and general $302,902 · fundraising $22,726
11b · Fees: legal

total $110,496 · management and general $109,735 · fundraising $761
11c · Fees: accounting

total $76,500 · management and general $76,500
11f · Fees: investment management

total $15,593 · program services $11,574 · management and general $4,019
11g · Fees: other

total $538,105 · program services $84,137 · management and general $452,410 · fundraising $1,558
12 · Advertising and promotion

total $224,733 · program services $719 · management and general $222,147 · fundraising $1,867
13 · Office expenses

total $663,792 · program services $360,654 · management and general $183,416 · fundraising $119,722
14 · Information technology

total $794,518 · program services $608,807 · management and general $172,276 · fundraising $13,435
16 · Occupancy

total $1,767,272 · program services $1,387,157 · management and general $377,941 · fundraising $2,174
17 · Travel

total $5,192 · program services $3,145 · management and general $2,038 · fundraising $9
19 · Conferences, conventions and meetings

total $60,266 · program services $43,870 · management and general $11,912 · fundraising $4,484
20 · Interest

total $38,088 · program services $8,803 · management and general $15,654 · fundraising $13,631
22 · Depreciation, depletion and amortization

total $1,088,033 · program services $897,119 · management and general $184,531 · fundraising $6,383
23 · Insurance

total $469,546 · program services $363,940 · management and general $97,966 · fundraising $7,640
24a · Other expenses: DIRECT PATIENT CARE

total $3,799,804 · program services $3,665,407 · management and general $134,397
24b · Other expenses: MEDICAL SUPPLIES

total $609,449 · program services $609,449
24c · Other expenses: FLEET MANAGEMENT

total $493,361 · program services $465,894 · management and general $25,714 · fundraising $1,753
24d · Other expenses: OTHER OPERATING EXPENSE

total $169,852 · program services $123,778 · management and general $46,066 · fundraising $8
24e · All other expenses

total $472,973 · program services $351,659 · management and general $104,943 · fundraising $16,371

Balance sheet

Part X, book values.

1 · Cash, non-interest-bearing

beginning of year $970,250 · end of year $260,203
2 · Savings and temporary cash investments

beginning of year $9,682,039 · end of year $12,636,242
3 · Pledges and grants receivable

beginning of year $642,517 · end of year $480,189
4 · Accounts receivable

beginning of year $4,387,609 · end of year $4,147,345
8 · Inventories for sale or use

beginning of year $80,540 · end of year $102,282
9 · Prepaid expenses and deferred charges

beginning of year $302,710 · end of year $316,114
10a · Land, buildings and equipment: cost or other basis

$31,231,264
10b · Land, buildings and equipment: accumulated depreciation

$13,665,949
10c · Land, buildings and equipment, net

beginning of year $19,640,007 · end of year $17,565,315
11 · Investments: publicly traded securities

beginning of year $2,460,556 · end of year $6,518,307
12 · Investments: other securities

beginning of year $1,200 · end of year $1,200
14 · Intangible assets

beginning of year $554,293 · end of year $554,293
15 · Other assets

beginning of year $145,838 · end of year $645,968
17 · Accounts payable and accrued expenses

beginning of year $3,325,308 · end of year $3,079,167
23 · Secured mortgages and notes payable

beginning of year $1,177,966 · end of year $0
25 · Other liabilities

beginning of year $21,483 · end of year $512,841
27 · Net assets without donor restrictions

beginning of year $32,067,719 · end of year $37,634,412
28 · Net assets with donor restrictions

beginning of year $2,275,083 · end of year $2,001,038

Mission and programs · 2022

Mission

SEE SCHEDULE O

Activities or mission (Part I)

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 2022, THE ORGANIZATION INCURRED EXPENSES OF $1,361,000 FOR FINANCIAL ASSISTANCE TO PATIENTS WHO WERE OTHERWISE UNABLE TO PAY.

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 4,947 PATIENTS DURING 2022.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; INPATIENT RESIDENTIAL CARE AT ITS 16-BED ALIVE HOSPICE MURFREESBORO FACILITY; INPATIENT HOSPICE CARE AT OTHER HOSPITALS THROUGHOUT MIDDLE TENNESSEE; FULL-TIME MEDICAL DIRECTORS (PHYSICIANS) ON STAFF; ALIVE GRIEF SUPPORT SERVICES, COUNSELING AND SUPPORT FOR THOSE WHO HAVE EXPERIENCED LOSS; INDIVIDUALIZED, INTERDISCIPLINARY CARE TEAMS - 24 HOUR, 7 DAYS-A-WEEK; AND ACCESSIBILITY TO HIGHLY SKILLED CLINICAL STAFF.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, MEDICATION AND CAREGIVER TRAINING. ALIVE HOSPICE SERVED 3,373 PATIENTS IN THEIR HOMES DURING 2022.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.- ALIVE HOSPICE RESIDENCE NASHVILLE (1,581 PATIENTS WERE SERVED IN 2022)- INPATIENT CARE PROVIDED BY ALIVE HOSPICE AT YOUR LOCAL HOSPITALS - ALIVE HOSPICE RESIDENCE MURFREESBORO (345 PATIENTS WERE SERVED IN 2022). THIS UNIT WAS CLOSED FOR 3.5 MONTHS DURING 2022 TO EXPAND FROM 10 BEDS TO 16 BEDS.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 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. A TOTAL OF 24 PEDIATRIC PATIENTS AND THEIR FAMILIES RECEIVED CARE IN 2022.PALLIATIVE CARE:ALIVE HOSPICE PROVIDED HOSPITAL BASED 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. A TOTAL OF 20,784 PALLIATIVE CARE VISITS WERE COMPLETED IN 2022.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 RECENT DEATH OF SOMEONE SIGNIFICANT.ALIVE GRIEF SUPPORT SERVICES UTILIZE 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.DURING 2022, ALIVE GRIEF CENTER SERVED 2,491 UNIQUE PARTICPANTS ACROSS ALL PROGRAMS. WE HOSTED 350 GROUP SESSIONS, 3,732 INDIVIDUAL COUNSELING SESSIONS, 1 CAMP AND 1 FAMILY RETREAT. WE LAUNCHED ALIVE'S SCHOOL BASED PROGRAM SERVING 7 DISTRICTS. WE PROVIDED 72 SCHOOL GROUP SESSIONS; 34 GROUP SESSIONS; AND 17 STAFF TRAININGS SERVING 700 ADULTS AND 34 YOUTH. CHARITY CARE:IN ADDITION, ALIVE HOSPICE HAS A POLICY OF PROVIDING CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY. CHARITY CARE EXPENSES WERE $1,361,000 FOR THE YEAR ENDED DECEMBER 31, 2022.

Expenses $29,555,132 · Revenue $38,832,503

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Beth WorkmanBETH WORKMAN

CHAIR

Total calculated

$0

Hours/week

1
Clark BakerCLARK BAKER

PAST BOARD CHAIR

Total calculated

$0

Hours/week

1
George Huddleston JrGEORGE HUDDLESTON JR

BOARD MEMBER

Total calculated

$0

Hours/week

1
Jane Siegel MDJANE SIEGEL MD

BOARD MEMBER

Total calculated

$0

Hours/week

1
Jeff Landman MDJEFF LANDMAN MD

BOARD MEMBER

Total calculated

$0

Hours/week

1
Kimberly CannonKIMBERLY CANNON

BOARD MEMBER

Total calculated

$0

Hours/week

1
Mary FlipseMARY FLIPSE

BOARD MEMBER

Total calculated

$0

Hours/week

1
Michael PayneMICHAEL PAYNE

TREASURER

Total calculated

$0

Hours/week

1
Mike Edgeworth MDMIKE EDGEWORTH MD

BOARD MEMBER

Total calculated

$0

Hours/week

1
Rev Kelly Miller SmithREV KELLY MILLER SMITH

BOARD MEMBER

Total calculated

$0

Hours/week

1
Robert Taylor MDROBERT TAYLOR MD

BOARD MEMBER

Total calculated

$0

Hours/week

1
Robyn FulwiderROBYN FULWIDER

BOARD MEMBER

Total calculated

$0

Hours/week

1
Veronica Marable JohnsonVERONICA MARABLE JOHNSON

BOARD MEMBER

Total calculated

$0

Hours/week

1
Vicki EstrinVICKI ESTRIN

SECRETARY & CHAIR ELECT

Total calculated

$0

Hours/week

1
Rob JackROB JACK

BOARD MEMBER

Total calculated

$0

Hours/week

1
Jordan KendigJORDAN KENDIG

BOARD MEMBER

Total calculated

$0

Hours/week

1
Keri McInnisKERI MCINNIS

BOARD MEMBER

Total calculated

$0

Hours/week

1
Nick BirrenNICK BIRREN

BOARD MEMBER

Total calculated

$0

Hours/week

1
Edward JacksonEDWARD JACKSON

BOARD MEMBER

Total calculated

$0

Hours/week

1
Ct StevensCT STEVENS

BOARD MEMBER

Total calculated

$0

Hours/week

1
Carolyn SchneiderCAROLYN SCHNEIDER

BOARD MEMBER

Total calculated

$0

Hours/week

1
David McRayDAVID MCRAY

CHIEF MEDICAL OFFICER

Total calculated

$340,102

From this org

$294,456

From related orgs

$0

Other

$45,646

Hours/week

40

Schedule J breakdown matched by us

Base

$265,587

Bonus

$28,869

Other

$0

Deferred

$16,831

Nontaxable benefits

$28,815

Filer's total

$340,102
Fran DoehringFRAN DOEHRING

CHIEF NURSING OFFICER

Total calculated

$257,815

From this org

$230,381

From related orgs

$0

Other

$27,434

Hours/week

40

Schedule J breakdown matched by us

Base

$211,078

Bonus

$19,303

Other

$0

Deferred

$16,699

Nontaxable benefits

$10,735

Filer's total

$257,815
Joseph HampeJOSEPH HAMPE

CHIEF OPERATING OFFICER

Total calculated

$330,927

From this org

$296,995

From related orgs

$0

Other

$33,932

Hours/week

40

Schedule J breakdown matched by us

Base

$268,878

Bonus

$28,117

Other

$0

Deferred

$17,561

Nontaxable benefits

$16,371

Filer's total

$330,927
Kimberly GoesseleKIMBERLY GOESSELE

PRESIDENT/CEO

Total calculated

$428,203

From this org

$376,438

From related orgs

$0

Other

$51,765

Hours/week

40

Schedule J breakdown matched by us

Base

$323,584

Bonus

$52,854

Other

$0

Deferred

$17,322

Nontaxable benefits

$34,443

Filer's total

$428,203
Anh MeadowsANH MEADOWS

TEAM MEDICAL DIRECTOR

Total calculated

$284,828

From this org

$255,572

From related orgs

$0

Other

$29,256

Hours/week

40

Schedule J breakdown matched by us

Base

$254,580

Bonus

$992

Other

$0

Deferred

$3,976

Nontaxable benefits

$25,280

Filer's total

$284,828
Laura TharpeLAURA THARPE

TEAM MEDICAL DIRECTOR

Total calculated

$267,509

From this org

$250,108

From related orgs

$0

Other

$17,401

Hours/week

40

Schedule J breakdown matched by us

Base

$249,116

Bonus

$992

Other

$0

Deferred

$3,640

Nontaxable benefits

$13,761

Filer's total

$267,509
Teresa CosgroveTERESA COSGROVE

VICE PRESIDENT OF FINANCE

Total calculated

$214,713

From this org

$158,748

From related orgs

$0

Other

$55,965

Hours/week

40

Schedule J breakdown matched by us

Base

$145,342

Bonus

$13,406

Other

$0

Deferred

$15,871

Nontaxable benefits

$40,094

Filer's total

$214,713
Devin SmithDEVIN SMITH

VICE PRESIDENT INFORMATION

Total calculated

$191,625

From this org

$152,629

From related orgs

$0

Other

$38,996

Hours/week

40

Schedule J breakdown matched by us

Base

$140,447

Bonus

$12,182

Other

$0

Deferred

$15,055

Nontaxable benefits

$23,941

Filer's total

$191,625
Alysia JonesALYSIA JONES

VICE PRESIDENT OF HUMAN RESOURCES

Total calculated

$183,453

From this org

$152,945

From related orgs

$0

Other

$30,508

Hours/week

40

Schedule J breakdown matched by us

Base

$141,458

Bonus

$11,487

Other

$0

Deferred

$15,673

Nontaxable benefits

$14,835

Filer's total

$183,453

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

3 · Form 990 of other organizations
3 · Written employment contract
3 · Compensation survey or study
3 · Approval by the board or compensation committee

Answered no

4a · Severance or change-of-control payment
4b · Supplemental nonqualified retirement plan
4c · Equity-based compensation arrangement
5a · Pay contingent on this organization's revenues
5b · Pay contingent on a related organization's revenues
6a · Pay contingent on this organization's net earnings
6b · Pay contingent on a related organization's net earnings
7 · Other non-fixed payments
8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

ALIVE PCM HOLDINGS LLC

C · PALLIATIVE CARE SERVICES · TN · 100% owned · share of income -$2,482

Directly controlled by ALIVE HOSPICE INC

Provenance

Return type: form_990
Tax year: 2022
Filed: 30 October 2023
IRS schema version: 2022v5.0
Source object: 202323049349301127

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