2011-08-29T09:13:08-05:00 2010-12-31 LARSONALLEN LLP 4099 TAMIAMI TRAIL N STE 300 NAPLES FL 34103 990 2010-01-01 592201250 AVOW HOSPICE INC AVOW 2394303472 1095 WHIPPOORWILL LANE NAPLES FL 34105 KAREN ROLLINS 2394303472 2011-08-26 1 AMELIA COOPER CPA 2392628686 2011-08-24 2010 2016-02-24 21:20:13Z KAREN ROLLINS 1095 WHIPPOORWILL LANE NAPLES FL 34105 23298474 0 X WWW.AVOWHOSPICE.ORG X 1982 FL TO PROVIDE A CONTINUATION OF HOME OUTPATIENT AND HOME-LIKE INPATIENT PALLIATIVE AND SUPPORTIVE CARE TO PATIENTS AND FAMILIES OF PATIENTS WITH LIFE-LIMITING ILLNESSESS. 23 18 190 300 0 0 2470536 6225155 12198920 16227385 -2189380 293559 513732 475020 12993808 23221119 0 0 0 0 8839230 10082054 0 0 436515 5629093 6389008 14468323 16471062 -1474515 6750057 20335371 28413528 2378658 1496200 17956713 26917328 TO PROVIDE A CONTINUATION OF HOME OUTPATIENT AND HOME-LIKE INPATIENT PALLIATIVE AND SUPPORTIVE CARE TO PATIENTS AND FAMILIES OF PATIENTS WITH LIFE-LIMITING ILLNESSES. 0 0 11244474 16778655 THE PALLIATIVE AND SUPPORTIVE CARE SERVICE ENFOLDS OUR PATIENTS AND FAMILIES IN A PLAN CARE 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. 17000 THE CHARITY CARE PROGRAM SERVICE PROVIDES SERVICES OF HOME PATIENT AND HOME LIKE PATIENT PALLIATIVE AND SUPPORTIVE CARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THESE UNCOLLECTIBLE AMOUNTS ACCOUNT FOR OUR CHARITY CARE. 11261474 1 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 79 0 190 1 0 0 0 0 0 0 0 0 0 0 X 23 18 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X X ROBERT BEISEIGEL 2396496382 1095 WHIPPPOORWILL LANE NAPLES FL 34105 BALLO RICHARD 2.00 X 0 0 0 BIONDO MICHAEL 2.00 X X 0 0 0 D'ANGELO CHRISTINE 40.00 X X 145711 0 0 CORBIN TED 2.00 X 0 0 0 GAZDIC JANICE H 2.00 X 0 0 0 GAZDIC THOMAS J 2.00 X 0 0 0 HAVEMEIER BRAD 2.00 X X 0 0 0 HAYHOE GLENNA 2.00 X 0 0 0 HOFFMAN CHARLES 2.00 X 0 0 0 JOHNSTON JAY 2.00 X X 0 0 0 KRAUSE ANDREW 2.00 X 0 0 0 LEACH JOHN 2.00 X 0 0 0 MITCHELL MD PAUL 40.00 X X 205823 0 0 MORRIS ROBERT W 2.00 X 0 0 0 ROLLINS KAREN 40.00 X X 154474 0 0 WALTERS JRGEORGE M 2.00 X 0 0 0 FULLER JULIANA 2.00 X 0 0 0 GROVER VIP 2.00 X 0 0 0 HOEY NANCY 2.00 X 0 0 0 LIPITZ ROGER 2.00 X 0 0 0 MOSKOWITZ DR MARK 2.00 X 0 0 0 STEVENSON KAREN 2.00 X 0 0 0 YOVANOVICH RICHARD 2.00 X 0 0 0 NEHRKORN CYNTHIA 40.00 X 155384 0 0 661392 0 0 4 0 1 0 0 452756 5772399 37220 6225155 MEDICARE/MEDICAID PAYM 623000 15556272 15556272 PRIVATE MEDICAL CARE R 623000 671113 671113 16227385 201689 201689 92975 1105 92975 -1105 91870 91870 0 452756 76250 -76250 -76250 520426 520426 520426 MISCELLANEOUS REVENUE 453000 30844 30844 30844 23221119 16778655 0 217309 661392 52911 582025 26456 7630966 5604931 1733965 292070 103680 69361 30330 3989 1034633 692428 303147 39058 651383 455138 196245 83891 89 81127 2675 24850 24500 350 422731 187140 231070 4521 296771 216 296495 60 633695 188147 394521 51027 405578 120236 285342 11937 1277 10660 412887 148984 263903 162698 102991 59202 505 MEDICAL SUPPLIES AND SE 1800480 1800480 NURSING HOME ROOM & BOA 1572584 1572584 PERSONNEL COSTS 544209 249141 289924 5144 BAD DEBT 16697 16697 16471062 11261474 4773073 436515 850 600 4464405 1587261 1234732 7132575 1678627 1647016 245902 116617 13460763 3263764 7901628 10196999 4790878 7709387 18349 23073 20335371 28413528 1718260 683678 660398 812522 2378658 1496200 X 15638291 18665380 1084718 7016244 1233704 1235704 17956713 26917328 20335371 28413528 X 6750057 2210558 X X 0 1 1 X 0 X 3666519 3362304 4565433 2470536 6225155 20289947 17017175 16708104 13254247 12198920 16227385 75405831 455999 569801 514892 500243 520426 2561361 21139693 20640209 18334572 15169699 22972966 98257139 0 0 0 98257139 283702 485233 241736 161643 201689 1374003 283702 485233 241736 161643 201689 1374003 13489 30844 44333 21423395 21125442 18576308 15344831 23205499 99675475 0.98580 0.95980 0.01380 0.01370 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1233704 2000 62937 -62397 1361038 1092534 180928 -39758 1233704 886908 37242 168384 1092534 0 0 1444625 1444625 9734077 1822487 7911590 110295 14387 95908 2171766 1426890 744876 10196999 ACCRUED PAYROLL AND BENEFITS 777412 GIFT ANNUITY 35110 812522 23221119 16471062 6750057 378012 1832546 2210558 8960615 23717431 378012 42050 420062 23297369 -76250 -76250 23221119 16589362 42050 76250 118300 16471062 0 16471062 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE INCOME FROM ENDOWMENT IS TO BE USED TO SUPPORT CHARITY AND PATIENT CARE. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE ORGANIZATION AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME EARNED IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. AS A RESULT, THESE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THIS GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATIONS 2007, 2008 AND 2009 TAX RETURNS ARE OPEN FOR INSPECTION BY FEDERAL AND STATE TAXING AUTHORITIES. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -76,250. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 76,250. VINEYARDS GOLF/TENNIS/SOCIAL 98738 98738 163 3950 6369 500 4452 AVOW "LET US BE THE MUSIC" CONCERT 82152 82152 1800 2084 4741 6 271866 271866 472 1045 21368 575 28731 452756 452756 635 6795 29821 1075 37924 76250 -76250 X X X 1 0 0 0 0 0 0 0 0 MITCHELL MD PAUL 199692 0 0 0 6131 0 0 0 0 0 205823 0 0 0 ROLLINS KAREN 146282 0 0 0 8192 0 0 0 0 0 154474 0 0 0 NEHRKORN CYNTHIA 139605 0 0 0 15779 0 0 0 0 0 155384 0 0 0 PART I, LINE 4A MICHAEL POHL RECEIVED $5,856.00 OF SEVERANCE COMPENSATION DURING 2010. X 1 5000 FMV X ORGAN 1 9000 FMV X GIFT PACKAGES 2 8820 FMV X OFFICE EQUIPMENT 1 6500 FMV X LANDSCAPING PLANTS 1 7900 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 JANICE AND THOMAS GAZDIC ARE DIRECTORS OF THE ORGANIZATION AND ARE HUSBAND AND WIFE. FORM 990, PART VI, SECTION B, LINE 11 AN AUDIT BY AN OUTSIDE CPA FIRM IS PERFORMED AND ITS FINDINGS ARE SUBMITTED TO THE FINANCE COMMITTEE. THE FORM 990 IS THEN COMPLETED, SUBMITTED FOR REVIEW BY THE BOARD WHICH ENCOMPASSES ANALYZING VARIANCES AGAINST ACTUAL YEAR TO DATE DOLLAR AMOUNTS FROM COMPANY GENERATED FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION B, LINE 12C ALL TRANSACTIONS PRIOR TO APPROVAL ARE REVIEWED BY THE PRESIDENT/CEO FOR CONFLICTS OF INTEREST AND WHEN DISCOVERED ARE DISCUSSED WITH THE BOARD TO DETERMINE IF THE TRANSACTION WILL BE ALLOWED TO OCCUR. ALL EMPLOYEES ARE COVERED BY A NO CONFLICT POLICY AND RESTRICTIONS CAN INCLUDE DISMISSAL. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE THAT RELATES RECOMMENDATIONS TO THE BOARD FOR VOTE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE AND UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 378,012. PRIOR PERIOD ADJUSTMENTS: 1,832,546. TOTAL TO FORM 990, PART XI, LINE 5: 2,210,558. FORM 990, PART XI, LINE 2C: THE PROCESS OF ASSUMING RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.