Alive Hospice
1718 Patterson Street
Nashville TN 37203
alive hospice
Mission Statement
We provide loving care to people with life-threatening illnesses, support to their families, and service to the community in a spirit of enriching lives.
CEO/Executive Director Ms. Anna-Gene O'Neal
Board Chair Mr. Warren McPherson
Board Chair Company Affiliation Compass Executives
History & Background
Year of Incorporation 1975
Organization's type of tax exempt status 501-C3
Financial Summary
Graph: Expense Breakdown Graph - All Years
Projected Expenses $34,496,969.00
Projected Annual Revenue 36053969 (2018)
Mission We provide loving care to people with life-threatening illnesses, support to their families, and service to the community in a spirit of enriching lives.
Alive Hospice, a non-profit, community-based agency, is the oldest hospice in Middle Tennessee. Since 1975, when we were granted a charter as one of the nation’s first providers of hospice care, Alive Hospice has offered physical, psychological, and spiritual comfort and support to adults and children with life-threatening illnesses and their families--regardless of their ability to pay.
Although we have undergone many changes in 40 years, including the opening in 2000 of Alive Hospice Residence Nashville, a 30-bed, home-like, in-patient facility, our commitment to providing quality, compassionate care for the dying and bereaved has remained the same. A team composed of a Board Certified Palliative Care physician, a nurse, a certified nurse technician, a social worker, and a chaplain cares for each Alive Hospice patient. Many of our patients are also served by volunteers.
Alive Hospice also helps patients and their families cope with dying and death. After the patient's death and during the time of bereavement, we continue to support the family through services provided by Alive Grief Support Services. In addition, we provide educational services and training to individuals and groups in the community on the topics of serious illness and grief.
Alive Hospice formally established a dedicated clinical team trained in pediatric care in 2002. In 2005, Alive Hospice acquired Hospice of Murfreesboro. The following year, Alive Hospice and Saint Thomas Hospital cut the ribbon to open Nashville's first inpatient hospice hospital unit - Alive Hospice at Saint Thomas Hospital. In 2007, we opened our second inpatient hospice hospital unit--Alive Hospice at Skyline Madison Campus.  In 2016, we anticipate opening The Residence in Murfreesboro.
Our patient population reflects people from all socioeconomic, ethnic, racial, and religious backgrounds. We currently serve 12 counties in Middle Tennessee: Bedford, Cannon, Cheatham, Coffee, Davidson, DeKalb, Dickson, Robertson, Rutherford, Sumner, Williamson and Wilson. In 2002, Alive Hospice was honored to have been a finalist for the Frist Foundation Award of Achievement in the category of Making a Difference. In 2002 and 2003, Alive Hospice was the recipient of United Way’s Advocate Award. In 2011 Alive was awarded a prestigious $100,000 award from Humana to help create The Gift Initiative: Conversations For End-of-Life Care.
Founded in 1975, Alive Hospice is Middle Tennessee's only provider of non-profit, community-based hospice services. We offer physical, psychological and spiritual support to adults and children with life-threatening illnesses and their families - regardless of ability to pay. Medical directors, nurses, certified nurse technicians, chaplains, social workers and volunteers work as a care team to provide pain management, symptom control, support and comfort during a patient’s terminal illness. Patients are served at home, in skilled nursing facilities, hospitals, Alive Hospice Residence Nashville and Skyline Madison Campus.
Alive Grief Support Services offer bereavement counseling to patients and their families coping with dying and death, and to anyone in the community grieving the loss of a loved one. Master's level counselors provide individual counseling sessions and support groups focusing on topics such as general grief, as well as bereaved spouses, children and parents. Alive also provides educational services on the topics of life-threatening illness and grief to the medical community and the community at large. We offer in-services at hospitals and skilled nursing facilities, “Hospice 101” presentations, workplace workshops, two Grief During the Holidays seminars and two day camps for grieving children. Goals include building an inpatient hospice Residence in the Murfreesboro community. Other Goals include: Quality-to exceed benchmark standards in all services; Access -to increase access through new product development of care delivery; Education - to further develop the Alive Institute and Stewardship-to expand capacity in the most efficient manner. To learn more, log on to
Needs As a non-profit agency, we never turn away a hospice patient or a grief client because of an inability to pay for services. Our most pressing funding needs are for unreimbursed patient care and bereavement counseling. Each year we provide more than $1 million in unreimbursed care. Counseling offered to the community at large through Alive Grief Support Sevices receives no insurance reimbursement; instead funding comes from sliding scale fees, grant and private donation dollars.
Service Categories
Primary Organization Category Human Services / Hospice
Areas of Service
Areas Served
TN - Bedford
TN - Cannon
TN - Cheatham
TN - Coffee
TN - Davidson
TN - Dekalb
TN - Dickson
TN - Robertson
TN - Rutherford
TN - Sumner
TN - Williamson
TN - Wilson
One of the unique aspects about Alive Hospice is that in our 12 county service area, we serve very urban areas (metropolitan Nashville and Murfreesboro) and the surrounding very rural areas. 
Board Chair Statement
It was in 1975, just one year after the first U.S. hospice program was incorporated, that our founders, Dr. David Barton and Dr. John Flexner, joined the original grassroots hospice movement.  Since then our agency has seen much growth and many changes, still our commitment and dedication to compassionate care remains the same.  It is reflected in our mission statement: “We provide loving care to people with life-threatening illnesses, support to their families, and service to the community in a spirit of enriching lives.” It is reflected in our strategic goals to exceed industry benchmark standards in all end-of-life services. It is reflected in the dedication of staff and the resources made available by our Board of Directors.
The comprehensive services offered through Alive Hospice go well beyond those required by Medicare. For example, Alive Grief Support Services offer bereavement counseling not only to family members of our patients, but also to anyone in our Middle Tennessee community who is grieving the loss of a loved one. In 2000, Alive Hospice opened Middle Tennessee’s first hospice residence, a 30-bed facility, so that our patients who cannot remain at home can spend their remaining days in a peaceful, homelike environment while receiving 24-hour a day care. In August 2005, Alive Hospice purchased Hospice of Murfreesboro and expanded our service area by four counties. In June 2006, Alive Hospice opened a 16-bed unit in Saint Thomas Hospital and in July 2007 we opened a 16-bed unit in Skyline Madison Campus.
Of course, providing care in patients' homes is our cornerstone; ninety percent of our patients are cared for at home. All of our growth efforts have been undertaken because of one goal: to provide Middle Tennesseans with greater access to hospice care. Donations from generous supporters help provide our community with these much-needed services.
Hospice means—in the hands of our skilled doctors, nurses, certified nurse technicians, social workers, chaplains and volunteers—patients and their families can be more at peace with the unknown aspects of death. Hospice care means life closure with dignity. Hospice care means no one has to die alone.
CEO Statement

As I meet with donors, referrals sources, staff and other stakeholders of Alive Hospice, it's obvious that those involved with this organization care deeply for its important mission. I am excited about being a part of Alive Hospice as it readies itself for this next, exciting phase of organizational development.  Aspects of Alive Hospice that differentiates us from other similar organizations are: our Pediatric team (the only dedicated Pediatric team in the Middle Tennessee area), our extensive Grief Support services that serve our families and others in the community, the Alive Institute (the research and education branch of the company), and our annual teen and children's camps.  We are proud of our history -- and excited about our future! 

Description We provide comprehensive end-of-life care delivered in the patient’s home, in a nursing home, hospital, Alive Hospice Residence Nashville, Alive Hospice at Saint Thomas Hospital and Alive Hospice at Skyline Madison Campus.
Population Served Other Named Groups, ,
Description We provide individual counseling and support groups for families of Alive Hospice patients, as well as to anyone else in the community wishing to access this service. Our hospice patient families are offered services free of charge. Our community clients are assessed on a sliding scale fee basis. As with our patient care services, no client is ever turned away because of an inability to pay for services.
Population Served , ,
Description Staff members and volunteers speak to local worship communities, businesses, and civic groups.
Population Served , ,
Description Alive Monarchs is the Alive Hospice children's program.  Every day, we care for terminally ill children and their families.  We have the only dedicated pediatrics team in the Middle Tennessee area.
Population Served , ,
Description From the beginning in 1975, the founders of Alive Hospice believed that education and research should play a major role in the work of the agency.  In 2012, this belief became a reality with the establishment of the Alive Institute -- the educational and research branch of the agency.  The Institute is responsible for all internal and external education.  This education can be for our employees, community healthcare or spiritual care providers, and for the community at large.
Category Health Care, General/Other Hospice Care
Population Served General/Unspecified, ,
CEO Comments Hospice workers often speak of “a good death.” To those who do not work or volunteer in hospice, that term may appear to be an oxymoron. How can death ever be “good?” The hospice model of care characterizes a good death this way: that a patient living his or her final months, weeks, or days does so in a manner that is consistent with his or her wishes. Most of our patients opt for comfort care rather than curative care. Many choose to remain at home, surrounded by the people and things they love. Others wish to die somewhere other than home. For some, becoming at peace with spiritual questions characterizes a good death. For others, the opportunity to make amends or to accept amends creates meaningful life closure. In short, a good death means different things to different people. Alive Hospice partners with each patient and his or her family to create for that person his or her “good death.” You have read elsewhere in this section the specifics about our programs. Everything we do is patient and family centered, and we are honored that thousands of Middle Tennesseans trust us at such a very tender time in life.
Board Chair
Board Chair Mr. Warren McPherson
Company Affiliation Compass Executives
Term Jan 2017 to Dec 2018
Board Members
Mr. Clark Baker DaxkoVoting
Mr. Roger T. Briggs Canaccord GenuityVoting
Ms. Susan Anderson Brownie
Therese Brumfield Voting
Kim Cannon Bass, Berry & SimsVoting
Mr. Joe Dorko CHSVoting
Ms. Vicki Estrin c3/ConsultingVoting
Ms. Sara Finley Community VolunteerVoting
Robyn Fulwider HealthwysVoting
Mr. Ryan Gallagher InfoWorksVoting
Sam Hatcher Voting
Mr. David Hawkins
Dr. Stephen Heyman Saint Thomas HealthVoting
Veronica Marable Johnson community volunteerVoting
Ms. Lynn Lien
Mr. Brian Marger Tristar CentennialVoting
Dr. Warren McPherson Compass ExecutivesVoting
Mr. Matt Miller Merrill LynchVoting
Rev Kelly Miller Smith Voting
Mr. Frank Morgan
Ms. Angie Mulder Capella HealthcareVoting
Ms. Linda Norman Vanderbilt UniversityVoting
Ms. Anna-Gene O'Neal Alive HospiceExofficio
Mr. Philip Ransdell Cracker BarrellVoting
Cathryn Rolfe HCA Physician ServicesVoting
Jane Siegel MDTennessee Orthopedic AllianceVoting
Dr. Robert Taylor Nephrology AssociatesVoting
Molly Vice NonVoting
Ms. Beth Workman DSI RenalVoting
Ms. Gina Zylstra Dialysis ClinicVoting
Board Demographics - Ethnicity
African American/Black 2
Asian American/Pacific Islander 0
Caucasian 22
Hispanic/Latino 0
Native American/American Indian 0
Other 0
Board Demographics - Gender
Male 12
Female 12
Unspecified 0
Board Term Lengths 2
Board Term Limits 3
Board Meeting Attendance % 82%
Does the organization have written Board Selection Criteria? No
Does the organization have a written Conflict of Interest Policy? Yes
Percentage of Board Members making Monetary Contributions 100%
Percentage of Board Members making In-Kind Contributions 0%
Does the Board include Client Representation? Yes
Number of Full Board Meetings Annually 4
Standing Committees
Development / Fund Raising
Human Resources / Personnel
Board Governance
Audit, Compliance and Controls
Strategic Planning / Strategic Direction
Risk Management Provisions
Boiler & Machinery
Commercial General Liability
Computer Equipment & Software
Directors & Officers Policy
Disability Insurance
Exhibit Liability
Fine Arts & Collectibles
General Property Coverage
Improper Sexual Conduct/Sexual Abuse
Inland Marine & Mobile Equipment
Life Insurance
Medical Health Insurance
Medical Malpractice
Professional Liability
Special Event Liability
Umbrella or Excess Insurance
Workers Compensation & Employers' Liability
CEO Comments

As I review comments on Alive’s Family Satisfaction Surveys, I read again and again, “We wish we had begun receiving your care sooner.” Why? I believe we live in a society that is death-avoidant. I would like to see a shift in the way conversations about hospice are initiated. All too often, the topic is broached by physicians. I envision a time when families bring it up first. I want to try and help initiate that while I’m here as Interim CEO. If the patient or family initiate the hospice conversation, it would be so much easier for the physician and/or nursing staff to have that discussion. It’s a difficult conversation to initiate. That dialog is key.

Foundation Staff Comments Alive Hospice also has a Quality Council Committee. There was no designation for this committee under additional committees in management and governance.
Executive Director/CEO
Executive Director Ms. Anna-Gene O'Neal
Term Start Apr 2012

Former CEOs
Barbara Cannon Nov 2010 - Mar 2012
Janet Jones B.S.N.Apr 1997 - Nov 2010
Full Time Staff 342
Part Time Staff 8
Volunteers 325
Contractors 66
Retention Rate 87%
Plans & Policies
Does the organization have a documented Fundraising Plan? Yes
Does the organization have an approved Strategic Plan? Yes
Number of years Strategic Plan Considers 3
When was Strategic Plan adopted? Jan 2011
In case of a change in leadership, is a Management Succession plan in place? Under Development
Does the organization have a Policies and Procedures Plan? Yes
Does the organization have a Nondiscrimination Policy? Yes
National Hospice and Palliative Care Organization1991
External Assessments and Accreditations
External Assessments and Accreditations
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Home Care Accreditation2014
Outstanding Nonprofit AwardUnited Way of Rutherford County2006
Advocate AwardUnited Way2003
Advocate AwardUnited Way2002
Sage AwardCouncil on Ageing2018
Health Care AwardsNashville Business Journal2018
Senior Staff
Title Chief Financial Officer
Title CMO
Title CNO
CEO Comments Alive Hospice is fortunate to have an active, astute Board of Directors. Our Board is made up of physicians, registered nurses, lawyers, financial planners, development professionals, and business owners. Board members bring to the agency a depth and breadth of expertise in their respective fields, and the agency has benefited tremendously from their guidance and leadership. While our full Board meets quarterly, much is accomplished in our Board committees. These committees include: Development, Ethics, Finance, Quality Council and Governance, as well as the Executive Committee. I feel that I, and the Executive Leadership Team, have received priceless professional mentoring by these talented Board members. It is rewarding to know that these professionals volunteer their time, talents and resources because they each have a fundamental belief in our mission and a desire to continue to improve end-of-life care in Middle Tennessee.
Fiscal Year
Fiscal Year Start Jan 01 2018
Fiscal Year End Dec 31 2018
Projected Revenue $36,053,969.00
Projected Expenses $34,496,969.00
Endowment Spending Policy Income Only
Endowment Spending Percentage (if selected) 0%
Detailed Financials
Revenue and ExpensesHelpFinancial data for prior years is entered by foundation staff based on the documents submitted by nonprofit organizations.Foundation staff members enter this information to assure consistency in the presentation of financial data across all organizations.
Fiscal Year201720162015
Total Revenue$31,746,144$37,139,834$30,424,812
Total Expenses$31,274,692$30,150,960$28,225,475
Revenue Less Expenses$471,452$6,988,874$2,199,337
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201720162015
Foundation and
Corporation Contributions
Government Contributions$0$0$0
Individual Contributions$2,327,051$7,522,354$2,112,630
Investment Income, Net of Losses$100,925$87,021$100,062
Membership Dues$0$0$0
Special Events$0$0$0
Revenue In-Kind$9,059$0$13,000
Expense Allocation
Fiscal Year201720162015
Program Expense$24,337,727$23,476,803$21,987,238
Administration Expense$6,287,206$6,020,661$5,756,643
Fundraising Expense$649,759$653,496$481,594
Payments to Affiliates----$0
Total Revenue/Total Expenses1.021.231.08
Program Expense/Total Expenses78%78%78%
Fundraising Expense/Contributed Revenue27%9%22%
Assets and Liabilities
Fiscal Year201720162015
Total Assets$37,512,328$32,400,350$24,531,789
Current Assets$12,290,430$15,435,512$11,347,056
Long-Term Liabilities$4,670,853$0$0
Current Liabilities$2,400,552$2,675,421$1,923,036
Total Net Assets$30,440,923$29,724,929$22,608,753
Short Term Solvency
Fiscal Year201720162015
Current Ratio: Current Assets/Current Liabilities5.125.775.90
Long Term Solvency
Fiscal Year201720162015
Long-Term Liabilities/Total Assets12%0%0%
Top Funding Sources
Fiscal Year201720162015
Top Funding Source & Dollar AmountProgram Revenue $29,133,387Program Revenue $29,370,170Patient Service Revenue $28,026,195
Second Highest Funding Source & Dollar AmountContributions, Gifts, and Grants $2,327,051Contributions, Gifts, and Grants $7,522,354Contributions, Gifts & Grants $2,112,630
Third Highest Funding Source & Dollar AmountInvestment Income $100,925Federated Campaigns $113,373Federated Campaigns $124,436
IRS Letter of Exemption
Capital Campaign
Is the organization currently conducting a Capital Campaign for an endowment or the purchase of a major asset? No
Capital Campaign Anticipated in Next 5 Years? No
State Charitable Solicitations Permit
TN Charitable Solicitations Registration Yes - Expires Nov 2018
Registration No
Organization Comments Our current financial cash reserves provide us with approximately 90 days of operating reserves in the unlikely event of an interruption of reimbursement from 3rd party payors, such as Medicare and TennCare. Further, we maintain approximately 45 days outstanding with our accounts receivable. The clinical care we provide our patients is reimbursed by Medicare, TennCare, and most private insurance companies. We work very hard to “live within our means.” In other words, services required by Medicare and other licensing bodies are paid for by these reimbursements. We are very good stewards of the reimbursement dollars. Still not everyone we serve has adequate insurance to cover our costs. Each year Alive provides more than $1 million in unreimbursed care. In addition, Alive Grief Support Services is funded almost exclusively (95% of cost) by donations and grant dollars. We are grateful to the many donors who believe in our mission and partner with us to make Alive Hospice the community treasure that it is. Financial Comments
Financial figures taken from 990.
Any foundation and corporate contributions are included in Individual Contributions sum, as figures are not separated in 990 or audit documents.
Donor information removed to protect donor privacy.
Financials prepared by LBMC, PC.
Comment provided by Paige Dempsey 11/15/18.
Nonprofit Alive Hospice
Address 1718 Patterson Street
Nashville, TN 37203
Primary Phone (615) 327-1085
Contact Email
CEO/Executive Director Ms. Anna-Gene O'Neal
Board Chair Mr. Warren McPherson
Board Chair Company Affiliation Compass Executives
Year of Incorporation 1975

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