Civic Intelligence

The Elizabeth Hospice Inc

EIN 95-3275679 • 501(c)3 • Escondido, CA

Profile

To enhance the quality of life for those nearing the end of life's journey and for those who grieve through responsive medical, emotional, and spiritual support.

Refreshing map…

800 W Valley Pkwy 100Escondido, CA 92025

www.elizabethhospice.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

50th percentile

0.25x

Higher debt load relative to assets than 50% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Liabilities / Revenue

55th percentile

0.41x

Higher debt load relative to revenue than 55% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Net Margin

46th percentile

3.1%

Higher net margin than 46% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Top Officer Pay

53rd percentile

$379,472

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2025

Asset Growth

48th percentile

5.7%

Faster asset growth than 48% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Revenue Growth

55th percentile

9.3%

Faster revenue growth than 55% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2024 to 2025

Assets

Up

$60,930,704

Up $3,301,331 (+5.7%) from 2024

Liabilities

Up

$15,133,118

Up $222,151 (+1.5%) from 2024

Net Assets

Up

$45,797,586

Up $3,079,180 (+7.2%) from 2024

Revenue

Up

$37,055,718

Up $3,145,748 (+9.3%) from 2024

Expenses

Up

$35,898,202

Up $1,656,687 (+4.8%) from 2024

Net Income

Up

$1,157,516

Up $1,489,061 (+449%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$80M$60M$40M$20M$0Assets 2010: $8,479,991Liabilities 2010: $2,419,341Net Assets 2010: $6,060,6502010Assets 2011: $10,263,860Liabilities 2011: $2,650,566Net Assets 2011: $7,613,2942011Assets 2012: $12,371,052Liabilities 2012: $3,244,017Net Assets 2012: $9,127,0352012Assets 2013: $12,240,814Liabilities 2013: $4,005,641Net Assets 2013: $8,235,1732013Assets 2014: $9,670,567Liabilities 2014: $3,765,438Net Assets 2014: $5,905,1292014Assets 2015: $9,416,132Liabilities 2015: $4,272,866Net Assets 2015: $5,143,2662015Assets 2016: $8,260,891Liabilities 2016: $3,500,904Net Assets 2016: $4,759,9872016Assets 2017: $21,568,989Liabilities 2017: $3,428,397Net Assets 2017: $18,140,5922017Assets 2018: $27,614,759Liabilities 2018: $4,317,710Net Assets 2018: $23,297,0492018Assets 2019: $29,196,430Liabilities 2019: $4,940,227Net Assets 2019: $24,256,2032019Assets 2020: $36,554,482Liabilities 2020: $8,930,225Net Assets 2020: $27,624,2572020Assets 2021: $45,799,118Liabilities 2021: $6,470,240Net Assets 2021: $39,328,8782021Assets 2022: $44,445,077Liabilities 2022: $6,140,463Net Assets 2022: $38,304,6142022Assets 2023: $56,397,566Liabilities 2023: $16,870,877Net Assets 2023: $39,526,6892023Assets 2024: $57,629,373Liabilities 2024: $14,910,967Net Assets 2024: $42,718,4062024Assets 2025: $60,930,704Liabilities 2025: $15,133,118Net Assets 2025: $45,797,5862025

Highlighted filing

2025

Assets$60,930,704
Liabilities$15,133,118
Net Assets$45,797,586

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $19,850,1422010Expenses 2011: $24,574,1702011Expenses 2012: $27,529,8932012Expenses 2013: $35,363,3552013Revenue 2014: $33,928,650Expenses 2014: $36,258,694Net Income 2014: -$2,330,0442014Revenue 2015: $34,160,598Expenses 2015: $34,922,461Net Income 2015: -$761,8632015Revenue 2016: $34,341,879Expenses 2016: $34,725,158Net Income 2016: -$383,2792016Revenue 2017: $33,918,640Expenses 2017: $32,526,400Net Income 2017: $1,392,2402017Revenue 2018: $45,117,793Expenses 2018: $40,370,691Net Income 2018: $4,747,1022018Revenue 2019: $40,897,058Expenses 2019: $40,280,685Net Income 2019: $616,3732019Revenue 2020: $41,148,349Expenses 2020: $38,107,547Net Income 2020: $3,040,8022020Revenue 2021: $46,113,207Expenses 2021: $38,394,150Net Income 2021: $7,719,0572021Revenue 2022: $41,153,745Expenses 2022: $38,089,582Net Income 2022: $3,064,1632022Revenue 2023: $34,272,025Expenses 2023: $35,801,884Net Income 2023: -$1,529,8592023Revenue 2024: $33,909,970Expenses 2024: $34,241,515Net Income 2024: -$331,5452024Revenue 2025: $37,055,718Expenses 2025: $35,898,202Net Income 2025: $1,157,5162025

Highlighted filing

2025

Revenue$37,055,718
Expenses$35,898,202
Net Income$1,157,516

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$60.9$15.1$45.8$37.1$35.9$1.16
2024Summary only. Only limited summary data is available for this year.$57.6$14.9$42.7$33.9$34.2$0.33
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$56.4$16.9$39.5$34.3$35.8$1.53
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$44.4$6.14$38.3$41.2$38.1$3.06
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$45.8$6.47$39.3$46.1$38.4$7.72
2020Summary only. Only limited summary data is available for this year.$36.6$8.93$27.6$41.1$38.1$3.04
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.2$4.94$24.3$40.9$40.3$0.62
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$27.6$4.32$23.3$45.1$40.4$4.75
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$21.6$3.43$18.1$33.9$32.5$1.39
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.26$3.50$4.76$34.3$34.7$0.38
2015Detailed filing. Detailed filing data is available for this year.$9.42$4.27$5.14$34.2$34.9$0.76
2014Detailed filing. Detailed filing data is available for this year.$9.67$3.77$5.91$33.9$36.3$2.33
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.2$4.01$8.24$35.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.4$3.24$9.13$27.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.3$2.65$7.61$24.6
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.48$2.42$6.06$19.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Jan 22, 2026
Return Version
2024v5.5
Gross Receipts
$48,932,372
Mission and Program Overview

Mission

To enhance the quality of life for those nearing the end of life's journey and for those who grieve through responsive medical, emotional, and spiritual support.

To enhance the quality of life for those nearing the end of life's journey and for those who grieve through medical, emotional, and spiritual support.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$34,560,395$37,837,019▲ $3,276,624
Land, Buildings, and Equipment, Net$12,120,713$11,927,628▼ $193,085
Accounts Receivable$5,741,142$5,506,687▼ $234,455
Savings and Temporary Cash Investments$2,610,670$3,754,575▲ $1,143,905
Pledges and Grants Receivable$600,000$0▼ $600,000
Prepaid Expenses and Deferred Charges$287,720$239,560▼ $48,160
Total Assets$57,629,373$60,930,704▲ $3,301,331
Other Assets Total$1,708,733$1,665,235▼ $43,498
Liabilities
Other Liabilities$8,937,408$8,651,035▼ $286,373
Accounts Payable and Accrued Expenses$5,951,053$6,456,753▲ $505,700
Deferred Revenue$22,506$25,330▲ $2,824
Total Liabilities$14,910,967$15,133,118▲ $222,151
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$31,560,064$32,673,435▲ $1,113,371
Net Assets With Donor Restrictions$11,158,342$13,124,151▲ $1,965,809
Total Net Assets Fund Balance$42,718,406$45,797,586▲ $3,079,180
Total Liabilities and Net Assets / Fund Balance$57,629,373$60,930,704▲ $3,301,331

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,227,957$1,504,116$7,732,073
Land$5,559,409-$5,559,409
Equipment$140,262$1,871,497$2,011,759

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$28,215,395$2,096,527▲ $3,070,473$369,922$33,012,473
2023$22,996,220$1,930,934▲ $3,658,364$370,123$28,215,395
2022$20,544,012$477,500▲ $2,348,852$374,144$22,996,220
2021$23,130,792$517,432▼ $2,649,651$454,561$20,544,012
2020$18,473,695-▲ $5,026,597$369,500$23,130,792
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Charles Von GuntenCMOFT$374,052$5,420$379,472
Sarah McspaddenPresident/ CEOFT$329,470$30,416$359,886
Deena NelsonCFOFT$286,284$15,901$302,185
Patricia PutzbachCOOFT$222,339$17,469$239,808
MARY KATE O'CONNELLCPOFT$222,254$14,557$236,811
Pam MataRnFT$192,035$15,685$207,720
Jean Loo-russoCPOFT$190,697$15,039$205,736
Carol BosSr. Director of Clinical ServicesFT$189,636$13,436$203,072
Paul MartinezDirector Sales and MarketingFT$160,940$29,262$190,202
Cheryl FarstCAOFT$173,314$14,432$187,746
Robin ShortDirector of AdmissionsFT$156,549$18,542$175,091
Shannon BagnascoNurse PractitionerFT$154,812$14,204$169,016

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Optum Hospice Pharmacy ServicePharmacy ServicesPO BOX 847222, Los Angeles, CA 90084$729,148
Aya HealthcareNursing ServicesPO BOX 123519 DEPT 3519, Dallas, TX 75312-3519$405,145
Bonnie DavisPhysician Services6783 ALAMO COURT, La Mesa, CA 91942$245,547
Boggeln Laurence Henry MdPhysician Services45855 CORTE CARMELLO, Temecula, CA 92592$227,279
Point Loma RehabilitationNursing Services3202 DUKE ST, San Diego, CA 92110$155,356
Revenue and Support

Revenue Composition

Contributions and Grants
$5,912,727
Program Service Revenue
$29,246,732
Investment Income
$1,795,673
Other Revenue
$100,586
All Other Contributions
$5,911,681
Change in Net Assets
$1,157,516

Audited Revenue Reconciliation

Revenue per Audited Statements
$36,913,562
Revenue Not Reported on Financial Statements
$142,156
Revenue Not Reported on Form 990
$1,921,664
Total Revenue per Audited Statements
$38,835,226
Total Revenue per Form 990
$37,055,718
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$24,771,295
Other Expenses$11,126,907
Total Fundraising Expense$948,422
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$14,677,437$2,278,223$478,914$17,434,574
Other Employee Benefits$3,176,856$487,775$110,238$3,774,869
Fees for Services Other$1,514,961$1,530,822$101,805$3,147,588
Current Officers, Directors, Trustees, and Key Employees$774,954$1,123,978-$1,898,932
Payroll Taxes$1,190,997$231,347$37,489$1,459,833
Occupancy$1,063,500$118,167$30,826$1,212,493
Travel$768,117$38,449$1,267$807,833
Information Technology$708,502$78,722$20,536$807,760
Interest-$333,409-$333,409
Depreciation Depletion$277,362$30,818$8,040$316,220
Insurance$590$312,847-$313,437
Conferences and Meetings$155,937$83,863$49,495$289,295
Office Expenses$169,312$80,908$9,679$259,899
Fees for Services Legal$25,625$219,336$9,547$254,508
Pension Plan Contributions$181,472$13,445$8,170$203,087
All Other Expenses$127,026$74,001$180$201,207
Other Expenses$184,124-$4,664$188,788
Advertising$8,460$78,567$77,572$164,599
Fees for Service Investment Mgmnt Fees-$142,156-$142,156
Fees for Services Accounting-$98,217-$98,217
Total Functional Expenses$27,594,730$7,355,050$948,422$35,898,202

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$35,898,202
Expenses per Audited Statements$35,756,046
Total Expenses per Audited Statements$35,756,046
Expenses Not Reported on Financial Statements$142,156
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$26,078
Fundraising Gross Income$6,274
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Note Payable$7,683,701
Lease Liability$967,334
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The board of directors as outlined in the bylaws of the corportation has a designated executive committee and delegate to such committee any of the powers and authority of the board in the managment of the business and affairs of the corporation with some exceptions as provided in the organizations bylaws. By majority vote of the directors then in office, the board may at any time revoke or modify any or all of the authority so delegated, increase or decrease but not below two (2) the number of executive committee members, and fill vacancies therein from the members of the board.

Form 990, Part VI, Section A, Line 2

Darlene rutledge, chief clinical officer and jeff parsons, husband and owner of parsons and associates - hr consulting

Form 990, Part VI, Section B, Line 11B

Management at the elizabeth hospice works with an outside tax firm in the preparation and review of the irs form 990. The board of directors has a delegated audit committee who reviews a draft of the irs form 990 with management and the tax firm. Once the audit committee has approved the 990 and prior to the tax firm filing the 990 the approved draft is sent to the board of directors for review.

Form 990, Part VI, Section B, Line 12C

Board members and officers are provided the conflict of interest statement and disclosure forms annually. They are to report any activity or relationship that could be seen as a conflict of interest to the board of directors. The conflict of interest disclosures are reviewed and tracked by the secretary and reported to the governance committee. Any actual or potential conflicts are reported to the board of directors by the governance committee and the identified individual is to abstain from voting on any issues related to the potential conflict. Employees sign a conflict of interest statement upon employment. Disclosure of a potential employee conflict and the executive director's/administrators decision regarding the actions taken will be maintained by the human resources department in the employee file.

Form 990, Part VI, Section B, Line 15

The executive committee receives comparability data and compensation surveys from human resources for the ceo every two to three years. Annually, the executive committee conducts a written evaluation of the ceo and determines any adjustments to salary. The recommendations are presented to the full board in a closed session. Evidence of the closed session is documented in the board minutes. Last completed in 2024. The ceo receives comparability data and compensation surveys from human resources for other key employees and top management every two to three years. Annually, the ceo conducts an evaluation and makes recommendations to hr on salary adjustments. Based on the results, review of each position and taking into account the level of experience for each individual adjustments are made, if warranted, and provided to the employee in writing. The process described here was last completed in 2024.

Form 990, Part VI, Section C, Line 19

Consolidated audited fiancials, irs form 990 and impact report are available for viewing on our website. Governing documents are available for viewing upon request at 800 west valley pkwy, escondido, ca 92025

Filing and Contact Details

Filer

Filer Name
The Elizabeth Hospice Inc
EIN
95-3275679
Phone
7607372050
Address
800 W VALLEY PKWY 100, ESCONDIDO, CA 92025

Signing Officer

Name
Sarah Mcspadden
Title
President & CEO
Phone
7607372050
Signed
2026-01-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sarah Mcspadden
Formed
1978
Legal Domicile
CA
Voting Board Members
10
Independent Board Members
9
Employees
294
Volunteers
477

Preparer

Firm
Cliftonlarsonallen Llp
Address
2875 MICHELLE DRIVE 300, IRVINE, CA 92606
Preparer
Lisa N Ryssel CPA
Phone
7149781300
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The process for oversight and selection of an independent accountant has not changed from the prior year.

Financial Statement Notes

PART V, LINE 4:

There are separate endowments that are established and restricted to charity care, education, hospice and palliative care as well as a board directed fund.

PART X, LINE 2:

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 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 on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The organization's form 990 has not been subject to examination by the internal revenue service or the state of california 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 amount accrued for interest and penalties at june 30, 2025 and 2024.

Raw XML AppendixShowing 400 of 906 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
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IRS990/AccountsReceivableGrp/EOYAmt05506687
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO ENHANCE THE QUALITY OF LIFE FOR THOSE NEARING THE END OF LIFE'S JOURNEY AND FOR THOSE WHO GRIEVE THROUGH MEDICAL, EMOTIONAL, AND SPIRITUAL SUPPORT.
IRS990/AdvertisingGrp/FundraisingAmt077572
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IRS990/BooksInCareOfDetail/USAddress/CityNm0ESCONDIDO
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0LOS ANGELES
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm3TEMECULA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm4SAN DIEGO
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd1TX
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd2CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd3CA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd4CA
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd291942
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd492110
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0OPTUM HOSPICE PHARMACY SERVICE
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1AYA HEALTHCARE
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2BONNIE DAVIS
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3BOGGELN LAURENCE HENRY MD
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4POINT LOMA REHABILITATION
IRS990/ContractorCompensationGrp/ServicesDesc0PHARMACY SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc1NURSING SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc2PHYSICIAN SERVICES
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IRS990/ContractorCompensationGrp/ServicesDesc4NURSING SERVICES
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IRS990/Desc0FOR MORE THAN 48 YEARS, THE ELIZABETH HOSPICE, HAS BEEN RECOGNIZED AS A PIONEER IN THE HOSPICE INDUSTRY. WE ARE AN EXPERIENCED COMMUNITY RESOURCE PROVIDING HIGH-QUALITY CARE AND SUPPORT TO PEOPLE FACING THE CHALLENGES BROUGHT ON BY ADVANCED SERIOUS ILLNESSES. OUR SERVICES FOR CHILDREN AND ADULTS INCLUDE HOSPICE CARE FOR THOSE WITH A PROGNOSIS OF SIX MONTHS OR LESS; PALLIATIVE CARE FOR THOSE LIVING WITH A CHRONIC ADVANCED SERIOUS ILLNESS WHO ARE NOT HOSPICE ELIGIBLE; AND, COMPREHENSIVE GRIEF SUPPORT FOR PATIENTS, FAMILY AND THE GENERAL COMMUNITY. SINCE 1978, WE HAVE TOUCHED THE LIVES OF MORE THAN 150,000 PEOPLE IN SAN DIEGO COUNTY AND SOUTHWEST RIVERSIDE COUNTY. THE ELIZABETH HOSPICE IS AN INDEPENDENT, NONPROFIT ORGANIZATION THAT RELIES ON CHARITABLE CONTRIBUTIONS TO ENSURE THAT SERVICES ARE AVAILABLE TO ALL WHO NEED THEM, REGARDLESS OF INSURANCE COVERAGE OR THEIR ABILITY TO PAY. ALL DONATIONS SUPPORT OUR LOCAL PROGRAMS INCLUDING THE GRIEF SUPPORT PROGRAMS OPEN TO ALL IN THE COMMUNITY AND DO NOT REQUIRE A HOSPICE AFFILIATION.
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IRS990/Form990PartVIISectionAGrp/TitleTxt16RN
IRS990/Form990PartVIISectionAGrp/TitleTxt17SR. DIRECTOR OF CLINICAL SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR SALES AND MARKETING
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR OF ADMISSIONS
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