Alive Hospice

What it reported doing in 2024

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 4,831 patients during 2024.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 2,829 patients in their homes during 2024.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 (1,741 patients were served in 2024)- inpatient care provided by alive hospice at your local hospitals - alive hospice residence murfreesboro (704 patients were served in 2024). 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 31 pediatric patients and their families received care in 2024.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 25,715 palliative care visits were completed in 2024.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 2024, alive grief center served 3,212 unique particpants across all programs. We hosted 229 group sessions, 2,381 individual counseling sessions, 1 camp, 1 family retreat and 9 memorial services . We grew alive's school based program serving 6 districts. We provided 129 school group sessions; and 6 staff trainings serving 649 participants. Charity care: in addition, alive hospice has a policy of providing charity care to patients who are unable to pay. Charity care expenses were $1,729,000 for the year ended december 31, 2024.

Financial Efficiency

• Mission deployment rate: 79.3%; rating input score 79
• Program expense ratio: 79.4%; rating input score 79
• Fundraising efficiency: $4.51 raised per $1 spent on fundraising; rating input score 18; 18th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -1.4%; rating input score 25; 25th percentile among comparable filings
• Total-asset coverage ratio: 1; rating input score 36; 36th percentile among comparable filings
• Liabilities to assets ratio: 0.08; rating input score 77; 77th percentile among comparable filings
• Officer compensation ratio: 6.1%; rating input score 42; 42nd percentile among comparable filings

Growth

• Program expense growth: 3.1% per year; rating input score 100; 27th percentile among comparable filings
• Revenue growth: 2.2% per year; rating input score 100; 19th percentile among comparable filings
• Asset growth: 4.6% per year; rating input score 100; 33rd percentile among comparable filings