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AVOW HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AVOW HOSPICE INC (EIN 59-2201250)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-01
IRS object ID
201343059349301054
Schema version
2012v2.1
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)
Timestamp2013-11-01T12:26:38-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

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 Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592201250EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AVOW HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAVOWNameControl
Phone2392614404Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11095 Whippoorwill LaneAddressLine1
CityNaplesCity
StateFLState
ZIP Code34105ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAREN ROLLINSName
TitlePRESIDENT & CEOTitle
Date Signed2013-11-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Namenicole bencikName
PTINP00756195PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1KAREN ROLLINSBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11095 Whippoorwill LaneAddressLine1
CityNaplesCity
StateFLState
ZIP Code34105ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26691719GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.AVOWHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A CONTINUATION OF HOME OUTPATIENT AND HOME-LIKE INPATIENT PALLIATIVE AND SUPPORTIVE CARE TO PATIENTS AND FAMILIES OF PATIENTS WITH LIFE-LIMITING ILLNESSES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees293TotalNbrEmployees
Total Nbr Volunteers430TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3004834ContributionsGrantsPriorYear
Contributions Grants Current Year2621489ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17998128ProgramServiceRevenuePriorYear
Program Service Revenue CY19071982ProgramServiceRevenueCY
Investment Income Prior Year389131InvestmentIncomePriorYear
Investment Income Current Year436598InvestmentIncomeCurrentYear
Other Revenue Prior Year502777OtherRevenuePriorYear
Other Revenue Current Year566445OtherRevenueCurrentYear
Total Revenue Prior Year21894870TotalRevenuePriorYear
Total Revenue Current Year22696514TotalRevenueCurrentYear
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 Year12319558SalariesEtcPriorYear
Salaries Etc Current Year13361291SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year468232TotalFundrsngExpCurrentYear
Other Expense Prior Year7249449OtherExpensePriorYear
Other Expenses Current Year7646199OtherExpensesCurrentYear
Total Expenses Prior Year19569007TotalExpensesPriorYear
Total Expenses Current Year21007490TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2325863RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1689024RevenuesLessExpensesCY
Total Assets BOY31214044TotalAssetsBOY
Total Assets EOY33425955TotalAssetsEOY
Total Liabilities BOY2303516TotalLiabilitiesBOY
Total Liabilities EOY2166810TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28910528NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31259145NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A CONTINUATION OF HOME OUTPATIENT AND HOME-LIKE INPATIENT PALLIATIVE AND SUPPORTIVE CARE TO PATIENTS AND FAMILIES OF PATIENTS WITH LIFE-LIMITING ILLNESSES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15327832Expense
Revenue19071982Revenue
DescriptionTHE PALLIATIVE AND SUPPORTIVE CARE SERVICE ENFOLDS OUR PATIENTS AND FAMILIES IN A CARE PLAN THAT INCLUDES MEDICAL SERVICES, COMPLEMENTARY THERAPIES, SPIRITUAL CARE, GRIEF SUPPORT AND SOCIAL SUPPORT WITH RESPECT TO OUR PATIENTS' INDEPENDENCE, FREEDOM OF CHOICE AND RIGHT TO MAKE THEIR OWN DECISIONS ABOUT THEIR END-OF-LIFE CARE. FOR THOSE WITH SPECIAL NEEDS, A COMFORTABLE INPATIENT FACILITY WITH PRIVATE ROOMS IS PROVIDED. THE SERVICES ARE PROVIDED REGARDLESS OF THE ABILITY TO PAY. DURING 2012, THE ORGANIZATION PROVIDED CARE TO 1,963 PATIENTS AND SPENT 4,680 HOURS COUNSELING WITH AVOW PATIENT FAMILIES.Description
Total Program Service Expense15327832TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109695NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees293NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Merrill BooneBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2392614404TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11095 Whippoorwill LaneAddressLine1
CityNaplesCity
StateFLState
ZIP Code34105ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BRAD HAVEMEIER
TREASURER2.000.00XX000
CHARLES HOFFMAN
CHAIR2.000.00XX000
JAY JOHNSTON
SECRETARY - PARTIAL YEAR2.000.00XX000
TED CORBIN
VICE CHAIR2.000.00XX000
ANDREW KRAUSE
DIRECTOR - PARTIAL YEAR2.000.00X000
CAROLEE STEELMAN
DIRECTOR2.000.00X000
DR MARK J MOSKOWITZ
DIRECTOR2.001.00X000
GEORGE M WALTERS JR
DIRECTOR2.000.00X000
JANICE H GAZDIC
DIRECTOR2.000.00X000
JOHN LEACH
DIRECTOR2.000.00X000
JULIANA FULLER
DIRECTOR - PARTIAL YEAR2.000.00X000
MARY BRODEUR
DIRECTOR2.000.00X000
NANCY HOEY
DIRECTOR2.000.00X000
RICHARD BALLO
DIRECTOR2.001.00X000
RICHARD D YOVANOVICH
DIRECTOR2.000.00X000
ROBERT W MORRIS
DIRECTOR2.000.00X000
ROGER LIPITZ
DIRECTOR2.001.00X000
THOMAS J GAZDIC
DIRECTOR2.000.00X000
VIP GROVER
DIRECTOR2.000.00X000
CHRISTINE D'ANGELO
CHIEF OPERATING OFFICER40.000.00X158490014985
KAREN ROLLINS
PRESIDENT & CEO40.001.00X178549017297
MERRILL BOONE
CFO40.001.00X16428304394
PAUL MITCHELL
VP OF PHYSICIAN RELATIONS40.001.002460273725029679X
CYNTHIA NEHRKORN
PHYSICIAN40.000.00195251035743X
KAREN STEVENSON
VP OF ADVANCEMENT40.000.00150154027967X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1092754TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs37250TotalReportableCompFrmRltdOrgs
Total Other Compensation130065TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MARKET INSIGHT INC
1503 BELLINGHAM CTLOUISVILLEKY40245MARKETING230324
DR - SCRIPTS INC
10910 EVENING CREEK DR EAST 26SAN DIEGOCA92128PHARMACIST112000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events99636FundraisingEvents
All Other Contributions2521853AllOtherContributions
Noncash Contributions48009NoncashContributions
Total Contributions2621489TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6230001904988019049880
MUSIC THERAPY9000992210222102
0
0
0

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 Revenue19071982TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column313771TotalRevenueColumn
Exclusion$313,771ExclusionAmount

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)
Securities3684184Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3561357Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities122827Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column122827TotalRevenueColumn
Exclusion$122,827ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events349017GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events99636CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses77190FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column271827TotalRevenueColumn
Exclusion$271,827ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory631910GrossSalesOfInventory
Cost Of Goods Sold356657CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column275252TotalRevenueColumn
Exclusion$275,252ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS REVENUE90009919366$19,366
0
0

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 Revenue19366TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22696514TotalRevenueColumn
Related Or Exempt Function Income19071982RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,003,043ExclusionAmount

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)
Total813704Total
Program Services350475ProgramServices
Management And General384608ManagementAndGeneral
Fundraising78621Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total164623Total
Management And General164623ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10026038Total
Program Services8108277ProgramServices
Management And General1770496ManagementAndGeneral
Fundraising147265Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total190853Total
Program Services149054ProgramServices
Management And General37778ManagementAndGeneral
Fundraising4021Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1278188Total
Program Services1002594ProgramServices
Management And General249955ManagementAndGeneral
Fundraising25639Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total887885Total
Program Services714073ProgramServices
Management And General150162ManagementAndGeneral
Fundraising23650Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total85712Total
Management And General83812ManagementAndGeneral
Fundraising1900Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total92063Total
Management And General92063ManagementAndGeneral

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total765420Total
Program Services257267ProgramServices
Management And General477746ManagementAndGeneral
Fundraising30407Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total489520Total
Program Services39998ProgramServices
Management And General367183ManagementAndGeneral
Fundraising82339Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1168946Total
Program Services496383ProgramServices
Management And General601349ManagementAndGeneral
Fundraising71214Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total447633Total
Program Services175041ProgramServices
Management And General272592ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total423273Total
Program Services383107ProgramServices
Management And General38220ManagementAndGeneral
Fundraising1946Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total9263Total
Management And General9263ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total440745Total
Program Services159437ProgramServices
Management And General281308ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES15196871519687
ROOM & BOARD11163641116364
BAD DEBT EXPENSE680946680946
TRAINING & DEVELOPMENT9456593089145620

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total312062Total
Program Services82040ProgramServices
Management And General228812ManagementAndGeneral
Fundraising1210Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21007490Total
Program Services15327832ProgramServices
Management And General5211426ManagementAndGeneral
Fundraising468232Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY600BOY
EOY600EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3194478BOY
EOY2836313EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2404402BOY
EOY2783680EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1550834BOY
EOY2129548EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY124511BOY
EOY206356EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13701022LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3831176LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10106718BOY
EOY9869846EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8397072BOY
EOY10225532EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5435429BOY
EOY5374080EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31214044BOY
EOY33425955EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1898029BOY
EOY2137784EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY405487BOY
EOY29026EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2303516BOY
EOY2166810EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19469558BOY
EOY22018404EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7739216BOY
EOY7657634EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1701754BOY
EOY1583107EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28910528BOY
EOY31259145EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31214044BOY
EOY33425955EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1689024ReconcilationRevenueExpenses
Reconciliation Unrealized Invest692787ReconciliationUnrealizedInvest
Reconcilation Other Changes-33194ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
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 Years4565433CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2470536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6225155CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3004834CurrentTaxYearMinus1Year
Current Tax Year2621489CurrentTaxYear
Total18887447Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13254247CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12198920CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16227385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18026151CurrentTaxYearMinus1Year
Current Tax Year19071982CurrentTaxYear
Total78778685Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years514892CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years500243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years520426CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year559968CurrentTaxYearMinus1Year
Current Tax Year631910CurrentTaxYear
Total2727439Total

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 Years18334572CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15169699CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22972966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21590953CurrentTaxYearMinus1Year
Current Tax Year22325381CurrentTaxYear
Total100393571Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year37090CurrentTaxYear
Total37090Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year37090CurrentTaxYear
Total37090Total
FieldValueIRS element (for citing)
Public Support Total509100356481PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years241736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years161643CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years201689CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year253791CurrentTaxYearMinus1Year
Current Tax Year313771CurrentTaxYear
Total1172630Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years241736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years161643CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years201689CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year253791CurrentTaxYearMinus1Year
Current Tax Year313771CurrentTaxYear
Total1172630Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years213189CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30844CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year369229CurrentTaxYearMinus1Year
Current Tax Year368383CurrentTaxYear
Total981645Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18576308CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15544531CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23205499CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22213973CurrentTaxYearMinus1Year
Current Tax Year23007535CurrentTaxYear
Total102547846Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97860PublicSupportPercentage509
Prior Year Support Percentage0.98030PriorYearSupportPercentage
Investment Income Percentage0.01140InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01340PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 0, COLUMN B - 199700, COLUMN C - 0, COLUMN D - 368195, COLUMN E - 349017, COLUMN F - 916912; DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - , COLUMN B - 13489, COLUMN C - 30844, COLUMN D - 1034, COLUMN E - 19366, COLUMN F - 64733;,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$1,102OtherActivitiesAmount
Total Lobbying Expenditures IIB1102TotalLobbyingExpendituresIIB
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 PAYS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1679003BeginningOfYearBalance
Contributions4515Contributions
Investment Earnings Or Losses80540InvestmentEarningsOrLosses
Other Expenditures132748OtherExpenditures
End Of Year Balance1631310EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1235704BeginningOfYearBalance
Contributions466050Contributions
Investment Earnings Or Losses-22751InvestmentEarningsOrLosses
End Of Year Balance1679003EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1233704BeginningOfYearBalance
Contributions2000Contributions
Investment Earnings Or Losses62937InvestmentEarningsOrLosses
Other Expenditures62937OtherExpenditures
End Of Year Balance1235704EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1092534BeginningOfYearBalance
Contributions180928Contributions
Investment Earnings Or Losses-39758InvestmentEarningsOrLosses
End Of Year Balance1233704EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance886908BeginningOfYearBalance
Contributions37242Contributions
Investment Earnings Or Losses168384InvestmentEarningsOrLosses
End Of Year Balance1092534EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.97050PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02950TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1441245OtherCostOrOtherBasis
Book Value1441245BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9990903OtherCostOrOtherBasis
Depreciation2507684Depreciation
Book Value7483219BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis93213OtherCostOrOtherBasis
Depreciation44012Depreciation
Book Value49201BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2114819OtherCostOrOtherBasis
Depreciation1279480Depreciation
Book Value835339BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis60842OtherCostOrOtherBasis
Book Value60842BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9869846TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS14438
DUE FROM AFFILIATE11493
ASSETS HELD UNDER SPLIT-INTEREST AGREEMENTS5329667
OTHER ASSETS18482
FieldValueIRS element (for citing)
Total Book Value Other Assets5374080TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionGIFT ANNUITY PAYABLEDescription
Amount$29,026Amount
FieldValueIRS element (for citing)
Total Of Amounts29026TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4ENDOWMENT FUNDS CAN BE USED TO SUPPORT THE GENERAL OPERATIONS AND PROGRAM SERVICES OF AVOW HOSPICE.
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 FLORIDA 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, 2012 AND 2011.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BUTTERFLY BALLNameOfEvent1
Gross Receipts Event1189629GrossReceiptsEvent1
Charitable Contributions Event166298CharitableContributionsEvent1
Gross Revenue Event1123331GrossRevenueEvent1
Food And Beverage Event126620FoodAndBeverageEvent1
Entertainment Event12500EntertainmentEvent1
Other Direct Expenses Event15282OtherDirectExpensesEvent1
Name Of Event2BUTTERFLY RELEASENameOfEvent2
Gross Receipts Event222459GrossReceiptsEvent2
Gross Revenue Event222459GrossRevenueEvent2
Other Direct Expenses Event211522OtherDirectExpensesEvent2
Total Number Of Other Events23TotalNumberOfOtherEvents
Gross Receipts Other Events236565GrossReceiptsOtherEvents
Charitable Contrib Other Events33338CharitableContribOtherEvents
Gross Revenue Other Events203227GrossRevenueOtherEvents
Other Direct Expenses Other Events31266OtherDirectExpensesOtherEvents
Gross Receipts Total448653GrossReceiptsTotal
Charitable Contributions Total99636CharitableContributionsTotal
Gross Revenue Total Events349017GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events26620FoodAndBeverageTotalEvents
Entertainment Total Events2500EntertainmentTotalEvents
Other Direct Expenses Total Events48070OtherDirectExpensesTotalEvents
Direct Expense Summary Events77190DirectExpenseSummaryEvents
Net Income Summary271827NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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)

TitleTitleBase 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
KAREN ROLLINS
PRESIDENT & CEO177764000785072650100320195846000
CHRISTINE D'ANGELO
CHIEF OPERATING OFFICER15769300079706281087040173475000
PAUL MITCHELL
VP OF PHYSICIAN RELATIONS236749372500092780806702161202757063725000
KAREN STEVENSON
VP OF ADVANCEMENT1488350001319062790216880178121000
CYNTHIA NEHRKORN
PHYSICIAN1903570004894066920290510230994000
MERRILL BOONE
CFO1642450003800043940168677000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GULFSHORE INSURANCE INCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipBRAD HAVEMEIER, BOARD MEMBER OF AVOW, OWNS GULF SHORE INSURANCERelationship
Amount Of Transaction164623AmountOfTransaction
Description Of TransactionINSURANCEDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990631910NoncashContribsRptdF990
Method Of Determining RevenuesSELLING COSTMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F99048009NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received1NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanations of reporting method for number of contributionsSchedule M, Part ISECURITIES - PUBLICLY TRADED: THE ORGANIZATION IS REPORTING A COUNT OF THE NUMBER OF STOCK SECURITIES RECEIVED.
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9THE ORGANIZATION IS REPORTING A COUNT OF THE NUMBER OF STOCK SECURITIES RECEIVED.
Number of contributions or items contributed.Schedule M, part I, column (b), Line 5

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD OFFICERS AND ANY OTHER DIRECTORS APPOINTED BY THE CHAIRMAN OF THE BOARD. THE EXECUTIVE COMMITTEE MONITORS ALL, AND MAY INTERVENE IN ANY, MATTERS PERTAINING TO THE MANAGEMENT OF AVOW. IN THE EVENT OF A CATASTROPHIC EVENT, OR IN THE CASE OF AN OPERATIONAL EMERGENCY REQUIRING IMMEDIATE BOARD ACTION TO PROTECT THE INTERESTS OF AVOW, AND IN THE ABSENCE OF THE ABILITY TO COMMUNICATE WITH OR GATHER A QUORUM OF THE BOARD, THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT ON THE BOARD'S BEHALF.
Family/business relationships amongst interested personsForm 990, Part VI, Section A, Line 2JANICE GAZDIC & THOMAS GAZDIC - FAMILY RELATIONSHIP
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER IN DETAIL. A COPY OF THE FORM 990 IS PROVIDED TO EVERY MEMBER OF THE GOVERNING BODY PRIOR TO FILING
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE OFFICERS, DIRECTORS, AND KEY EMPLOYEES OF THE ORGANIZATION SIGN A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE QUESTIONNAIRE AND RESPONSES ARE REVIEWED BY THE ORGANIZATIONS PRESIDENT/CEO. ANY DISCLOSURES ARE DISCUSSED WITH THE BOARD CHAIR. IF AN INDIVIDUAL HAS ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THE INDIVIDUAL WITH THE CONFLICT IS EXCUSED FROM PARTICIPATING IN DISCUSSIONS OR VOTING ON MATTERS RELATED TO THE CONFLICT.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS COMPENSATION OF THE PRESIDENT & CEO TO ENSURE COMPENSATION IS REASONABLE AND THEN RECOMMENDS ANY CHANGES IN COMPENSATION TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE USES COMPARABILITY DATA IN THEIR DETERMINATION. THE FULL BOARD THEN APPROVES THE COMPENSATION OF THE PRESIDENT & CEO. THE PROCESS IS DOCUMENTED IN THE BOARD AND EXECUTIVE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN DURING 2012.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES TO ENSURE COMPENSATION IS REASONABLE AND THEN RECOMMENDS ANY CHANGES IN COMPENSATION TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE USES COMPARABILITY DATA IN THEIR DETERMINATION. THE FULL BOARD THEN APPROVES THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES. THE PROCESS IS DOCUMENTED IN THE BOARD AND EXECUTIVE COMMITTEE MINUTES. THIS PROCESS WAS LAST UNDERTAKEN DURING 2012.
COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEESFORM 990, PART VI, LINE 15BTHE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES TO ENSURE COMPENSATION IS REASONABLE AND THEN RECOMMENDS ANY CHANGES IN COMPENSATION TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE USES COMPARABILITY DATA IN THEIR DETERMINATION. THE FULL BOARD THEN APPROVES THE COMPENSATION. THE PROCESS IS DOCUMENTED IN THE BOARD AND EXECUTIVE COMMITTEE MINUTES.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9CHANGE IN ASSETS HELD UNDER SPLIT-INTEREST AGREEMENTS - -29194; LOSSES ON UNCOLLECTIBLE PLEDGES - -4000;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AVOW CARE SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11205 WHIPPOORWILL LANEAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34105ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesPALLIATIVE CAREPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AVOW HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1IRREVOCABLE TRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11205 WHIPPOORWILL LANEAddressLine1
CityNAPLESCity
StateFLState
ZIP Code34105ZIPCode
FieldValueIRS element (for citing)
Primary ActivityTRUSTPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AVOW HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityTRUSTTypeOfEntity
Percentage Ownership0PercentageOwnership
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg