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      <RevenueNotRptdF990>-605296</RevenueNotRptdF990>
      <RevenueSubtotal>22349324</RevenueSubtotal>
      <OtherRevenuesNotIncluded>-454454</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-454454</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>21894870</TotalRevenuePerForm990>
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      <ExpensesNotRptdOnFinStmt>-454454</ExpensesNotRptdOnFinStmt>
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        <Identifier>Intended uses of endowment funds</Identifier>
        <ReturnReference>Schedule D, Part V, Line 4</ReturnReference>
        <Explanation>ENDOWMENT FUNDS CAN BE USED TO SUPPORT THE GENERAL OPERATIONS AND PROGRAM SERVICES OF AVOW HOSPICE.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 (ASC 740) footnote</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF 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, 2011 AND 2010.</Explanation>
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        <CharitableContributionsEvent1>66298</CharitableContributionsEvent1>
        <GrossRevenueEvent1>145790</GrossRevenueEvent1>
        <FoodAndBeverageEvent1>26620</FoodAndBeverageEvent1>
        <EntertainmentEvent1>2500</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>5282</OtherDirectExpensesEvent1>
        <NameOfEvent2>BUTTERFLY RELEASE</NameOfEvent2>
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        <GrossRevenueEvent2>22459</GrossRevenueEvent2>
        <OtherDirectExpensesEvent2>11522</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>20</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>232949</GrossReceiptsOtherEvents>
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        <GrossRevenueOtherEvents>199946</GrossRevenueOtherEvents>
        <OtherDirectExpensesOtherEvents>24091</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>467496</GrossReceiptsTotal>
        <CharitableContributionsTotal>99301</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>368195</GrossRevenueTotalEvents>
        <CashPrizesTotalEvents>0</CashPrizesTotalEvents>
        <NonCashPrizesTotalEvents>0</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>0</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>26620</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>2500</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>40895</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>70015</DirectExpenseSummaryEvents>
        <NetIncomeSummary>298180</NetIncomeSummary>
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      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN ROLLINS</NamePerson>
        <BaseCompensationFilingOrg>172847</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>CHRISTINE D'ANGELO</NamePerson>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6148</DeferredCompFilingOrg>
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        <NamePerson>PAUL MITCHELL</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>CYNTHIA NEHRKORN</NamePerson>
        <BaseCompensationFilingOrg>168678</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>254</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Tax indemnification and gross-up payments</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>MERRILL BOONE RECEIVED A TAX GROSS-UP PAYMENT OF $300 DURING 2011. THIS WAS TREATED AS TAXABLE COMPENSATION TO HIM.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="11000230" softwareVersion="v2011.1.0">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>GULFSHORE INSURANCE INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BRAD HAVEMEIER, BOARD MEMBER OF AVOW, OWNS GULF SHORE INSURANCE</Relationship>
        <AmountOfTransaction>157155</AmountOfTransaction>
        <DescriptionOfTransaction>INSURANCE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="11000230" softwareVersion="v2011.1.0">
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>559968</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>SELLING COST</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>7</NumberOfContributions>
        <NoncashContribsRptdF990>24705</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>MARKET VALUE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 9</ReturnReference>
      </Form990ScheduleMPartII>
      <Form990ScheduleMPartII>
        <Identifier>Number of contributions or items contributed.</Identifier>
        <ReturnReference>Schedule M, part I, column (b), Line 5</ReturnReference>
      </Form990ScheduleMPartII>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000230" softwareVersion="v2011.1.0">
      <GeneralExplanation>
        <Identifier>Material differences in voting rights</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 1a</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>THE 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 ORGANIZATION'S 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION OF TOP MANAGEMENT OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS COMPENSATION OF THE PRESIDENT &amp; 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 &amp; CEO. THE PROCESS IS DOCUMENTED IN THE BOARD AND EXECUTIVE COMMITTEE MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15B</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>RICHARD BALLO, MERRILL BOONE, ROGER LIPITZ, PAUL MITCHELL, MARK J. MOSKOWITZ, AND KAREN ROLLINS EACH DEVOTE APPROXIMATELY 1 HOUR/WEEK TO AVOW CARE SERVICES, A RELATED ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -456695; TRANSFER TO AFFILIATE - -445000; CHANGE IN ASSETS HELD UNDER SPLIT-INTEREST AGREEMENTS - -148601;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>AVOW CARE SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1205 WHIPPOORWILL LANE</AddressLine1>
          <City>NAPLES</City>
          <State>FL</State>
          <ZIPCode>34105</ZIPCode>
        </AddressUS>
        <EIN>274127864</EIN>
        <PrimaryActivities>PALLIATIVE CARE</PrimaryActivities>
        <LegalDomicileState>FL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AVOW HOSPICE INC</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>IRREVOCABLE TRUST</BusinessNameLine1>
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        <PrimaryActivity>TRUST</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityName>
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        <TypeOfEntity>TRUST</TypeOfEntity>
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      <SharingOfFacilities>true</SharingOfFacilities>
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