2312 Alexandria Drive
Lexington KY 40504
Contact Information
Address 2312 Alexandria Drive
Lexington, KY 40504
Phone (859) 276-4404
Fax 859 223-0490
Contact Name Laura Klumb
At A Glance
IRS Ruling Year 1980
Former Names
Community Hospice
Hospice of the Bluegrass
Other ways to donate, support, or volunteer

Bluegrass Care Navigators (formerly Hospice of the Bluegrass) depends on the support and generosity of the community to provide expert, compassionate care for seriously ill patients and their families. Since our founding in 1978, we have provided hospice care to thousands of families throughout 32 counties in northern, central and southeastern Kentucky. In addition to hospice care, we offer private nursing, palliative care; integrated therapies, including art, music and animal-assisted therapy; and grief counseling. At Bluegrass Care Navigators, volunteers are a crucial part of the team. Our volunteers do a variety of projects, including delivering flowers to hospice patients, making blankets for veterans in our care, and helping with administrative needs. We welcome your contributions of time, talent and treasure to support our patients and their families. To make a gift online, please visit: or send a check to 2312 Alexandria Drive, Lexington, KY 40504. To learn more about volunteering, please visit:  

Financial Summary
Revenue vs Expenses - All Years
Expense Breakdown - Recent Year
Mission Statement
Our Mission

Providing patient-centered care to the seriously ill and their families with excellence and compassion; engaging in community partnerships, education and counseling; offering opportunities to staff, volunteers and donors to enrich lives through their gifts.

Our Vision

Be the leader in delivering comforting care at the right time to the seriously ill.

Our Core Values

Respect & Dignity

Background Statement

In the late 1970s, health professionals and civic activists across the country began clamoring for a new approach to end-of-life care – one in which terminally ill patients were treated in their own homes, with dignity, and with their family members close. A group in Lexington saw the need for this same approach in Central Kentucky and in 1978 established Community Hospice of Lexington. The first patient – Gladys Dotson – was admitted in March and in that year the program served 12 patients.

As Hospice continued to grow, what began as a volunteer driven organization blossomed into an agency serving eight Central Kentucky Counties. To reflect our expanding service area our name changed to Hospice of the Bluegrass. In 1992, the staff had grown to more than 80 and in that year provided care to over 900 patients.  During its first 15 years, Hospice focused primarily on offering home care for terminally ill adults. Gradually, it became clear that patients and their loved ones had additional needs that Hospice could meet. Over the ensuing decade, Hospice would enhance the grief and loss program by serving anyone in the community who had experienced the loss of a loved one whether a Hospice patient or not. In 1999, Palliative Care of the Bluegrass was established providing symptom-directed, patient-centered, life-affirming care of those living with progressive life-threatening illnesses

As the 21st century approached, Hospice expanded to 23 Central, Southeastern and Northern Kentucky counties. A new Grief and Loss facility was completed and Extra Care, a private duty care service, was established. In 2008, nine more southeastern Kentucky counties were added making the service area 32 counties strong. The Greg and Noreen Wells Hospice Care Center, our first free-standing inpatient facility opened in Hazard. KATS (Kentucky Appalachian Transition Services) was established in 2013 helping those who leave the hospital go home safely.

In 2017, we changed our name from Hospice of the Bluegrass to Bluegrass Care Navigators to better represent all our services. Over the years, we have expanded our services beyond hospice care, providing expert care long before life’s final moments. That growing range of services includes: Bluegrass Extra Care, Bluegrass Transitional Care, Bluegrass Palliative Care, Bluegrass Hospice Care, Bluegrass Home Primary Care, Bluegrass Adult Day Health Care and Bluegrass Grief Care. Today we employ more than 500 staff members and touch the lives of nearly 40,000 people a year.

Impact Statement

Hospice of the Bluegrass has cared for thousands of families in local communities since 1978.  Over the years, we have grown and expanded our services beyond hospice care. In 2017, we changed our name to Bluegrass Care Navigators to better represent all of our services. Hospice will always be the cornerstone of our program but we offer several other services for the seriously ill and their families, including Bluegrass Extra Care, Bluegrass Transitional Care, Bluegrass Palliative Care, Bluegrass Home Primary Care, Bluegrass Adult Day Health Care and Bluegrass Grief Care. 

In 2019, we launched two exciting new programs to provide even more comprehensive care for our patients. Bright Path, a pediatric palliative care program that offers specialized medical care for infants, children, adolescents, and young adults who are living with a serious illness, was launched in June. This program is currently serving patients in 17 Kentucky counties. In August we announced the launch of the Integrative Medicine program, which will coordinate conventional and complementary therapies, such as art, music and animal-assisted therapies, to emphasize a holistic, patient-focused approach to health and wellness.

In 2018, we cared fro 5,584 hospice patients, including more than 2,200 in central Kentucky and more than 1,100 in eastern Kentucky. Adding all services together, Bluegrass Care Navigators cared for 14,638 people across the Commonwealth in 2018.

Bluegrass Care Navigators is nationally recognized for innovation in expanding or evolving services to provide care to more people, in more ways, at earlier stages of illness and in meeting the care needs of those in its communities. Among awards received are: 2019 HEALTHCAREfirst Hospice Honors, placing the organization among the top in the nation’s highest-ranked hospice providers for patient experience scores; 2018 Hospice Honors Elite, naming us among the best hospice programs in the nation; and 2017 Circle of Life Award™ from the American Hospital Association “for innovation in palliative care and for improving the care of patients near the end of life.

Needs Statement

The primary concerns for Bluegrass Care Navigators (formerly Hospice of the Bluegrass) are obtaining resources to support unfunded programs such as bereavement (for adults and children); to support pediatric palliative and hospice care; to bolster care for all regardless of life’s circumstances and to maintain a sustainable source of funding for unreimbursed care. Those donating to our organization are invited to specify gifts for these worthwhile and necessary programs. For example, a six week bereavement group for eight participants is $1,500. A day of pediatric care is $200 and a weekend at a grief camp for a child is $175. The Care for All Fund covers emergencies patients and families face when an extended illness has caused financial hardship. These emergencies include, but are not limited to, paying for rent and/or utility bills, food, providing safety items such as smoke alarms and bedding. The necessity for unreimbursed care has increased during the past two years and it is a hallmark of our mission to serve every patient with the right care at the right time, regardless of the ability to pay.


CEO/Executive Director Statement

As I reflect on my first three years at Hospice of the Bluegrass, now Bluegrass Care Navigators, I am inspired by the tremendous support we receive from our community. For many years, I had heard about this program – providing great care, offering innovative services and winning awards. Now that I have had the opportunity to work side by side with our amazing staff, board of directors and volunteers, as well as get to know the communities we serve, I know why.

Bluegrass Hospice Care offers comprehensive services for the seriously ill in 32 Kentucky counties. The hospice program provides specialized care for patients in the last phase of life. Care is delivered by a team of highly trained medical professionals who support the patient and family.

Bluegrass Palliative Care is designed to complement life-prolonging and curative treatments in the hospital by providing pain and symptom control, family support and coordination among doctors. KATS (Kentucky Appalachian Transition Services), helps patients manage their health needs after a stay in the hospital with a goal to help those at risk of re-hospitalization. That program has grown into Bluegrass Transitional Care.

I am proud of the role the agency has in end-of-life education. Not only in the community, but also in universities where we train medical fellows, residents, students, future nurses, social workers, chaplains and other professionals.

Our many donors and volunteers are incredible. Their support ensures patients not only receive excellent care, but special needs are met that fall outside government and private insurance funding. The unfunded programs of hospice – bereavement, pediatric care and the patient expense fund, which provides everyday essentials to enhance quality of life – rely on donor support to serve our communities. Likewise, our dedicated volunteers add greatly to the lives of patients and families. Did you know over 9 percent of staff time is contributed by volunteers? That is incredible generosity from our community.

I am grateful to lead a mission-driven, legacy hospice – supported by a superior and compassionate team of physicians, nurses, social workers, chaplains and aides, more than 500 volunteers, a committed board and an engaged community. Together, we are meeting current community needs while also preparing for future end-of-life and health care needs. Thank you for taking the time to learn about Bluegrass Care Navigators. I encourage you to share your knowledge with others, especially those who are seriously ill. We want to help.


Board Chair Statement

As board chair of Hospice of the Bluegrass, now known as Bluegrass Care Navigators, I am awed by the exceptional care provided every day to the more than 700 seriously ill patients and their families throughout central, southeastern and northern Kentucky. The staff and volunteers do an amazing job providing this much-needed service to more than 5,000 people throughout the year.

Bluegrass Care Navigators’ patients and their families receive a variety of services specific to their individual needs with pain and symptom management as a key component. We recently received a letter from a grateful family and I wanted to share their kind words.

“The staff was so kind and caring, not only for my mother but also for our family. I will always be grateful for the support you gave us during this difficult time. Thank you for being there when we needed it most.”

I am privileged to be involved with this organization. Providing superior care to the seriously ill, terminally ill, their families and the bereaved is always in the forefront. The support received in the form of donations and volunteers are essential as Bluegrass Care Navigators continues its important work. Thank you for taking the time to read about our business. I hope you will tell others as we frequently are told by our patients and their families, "I wish I had called you sooner."


Service Categories
Secondary Organization Category Human Services / Hospice
Tertiary Organization Category Mental Health & Crisis Intervention / Counseling
Geographic Areas Served
Anderson County
Bell County
Boone County
Bourbon County
Breathitt County
Campbell County
Carroll County
Clay County
Fayette County
Floyd County
Franklin County
Gallatin County
Grant County
Harlan County
Harrison County
Jessamine County
Kenton County
Knott County
Knox County
Laurel County
Leslie County
Letcher County
Magoffin County
Morgan County
Nicholas County
Owen County
Perry County
Pike County
Scott County
Whitley County
Wolfe County
Woodford County
Bluegrass Care Navigators has offices in the following cities - Lexington, Frankfort, Cynthiana, Hazard, Barbourville and Florence.  The following counties are served by the office staffs - Fayette, Jessamine, Anderson, Franklin, Owen, Woodford, Bourbon, Harrison, Nicholas, Scott, Breathitt, Knott, Leslie, Letcher, Morgan, Perry, Wolfe, Clay, Knox, Laurel, Whitley, Harlan, Bell, Boone, Campbell, Carroll, Gallatin, Grant, Kenton, Floyd, Magoffin and Pike.
Impact Questions
GoalsHelpWhat is the organization aiming to accomplish? This is the organization's ultimate goal for intended impact.

Bluegrass Care Navigators (formerly Hospice of the Bluegrass) aims to be a leader in the delivery of expert medical care to the seriously ill. Our continuum has expanded to not only providing end-of-life care, but also care to the seriously chronically ill and patients needing care in their home following a hospitalization. The Bluegrass Care Navigators mission statement defines the work the board, staff and volunteers aim to accomplish, specifically providing patient centered medical care to the seriously ill and their families in the communities served by the organization. Long term success for our organization is measured by increasing the percentage of patients and families receiving our care each year (community penetration rate) and continuing to receive National awards for high quality care. Success is also measured on an ongoing basis through our partnerships with healthcare providers and community organizations as we assess if we are meeting the care needs of the seriously ill and end-of-life patients in our community. 

In addition to providing expert medical care to patients, our organization provides community services, including education on topics such as care of the seriously ill, end-of-life care, bereavement needs and caregiver needs to professionals, patients and families, institutions of higher learning and community groups. Counseling is offered to bereaved and others in crisis. Since Bluegrass Care Navigators strives to involve the community in our efforts to meet our mission, volunteer and donor opportunities are available to assist the agency.

We are one of the Nation’s legacy hospice programs and are respected nationally as a leading provider of end-of-life care. For the past 13 years, we have served as a national training site for palliative care. Most recently, we continue our tradition of national leadership through three demonstration project awards from the Center for Medicare and Medicaid Innovation Center, testing new models of care.

StrategiesHelpWhat are the organization's strategies for its stated long-term goals?

Bluegrass Care Navigators (formerly Hospice of the Bluegrass) offers a variety of services to the seriously ill in Central, Southeastern and Northern Kentucky. Hospice care is the largest of the services offered and is very comprehensive. Nurses, physicians, social workers, chaplains, bereavement counselors, certified nursing aides, and volunteers provide supportive care to dying patients and education and support to their families. Pharmacy and home medical equipment is supplied. Services are available 24/7/365 in the home, nursing facility, hospice care centers and contracted hospitals.

We are continuing to expand our services beyond hospice care providing expert connected care long before life’s final moments. Bluegrass Extra Care offers a private pay, personalized care service for clients in their own home. Bluegrass Palliative Care provides specialized medical care focused on symptom relief and stresses of a serious illness. Bluegrass Transitional Care makes the move from hospital to home easier and safer. Bluegrass Grief Care offers unique counseling support and guidance through anticipatory grief and bereavement.

A hallmark of our success is the strength of the partnerships in the communities that we serve. Through collaboration with hospitals, nursing facilities, physicians, other healthcare providers and community groups, we increase the access to hospice patients and the other services we offer to the chronically and seriously ill.

Our strategic approach includes:

1) Delivering high quality medical and hospice care;

2) Partnering with healthcare providers and community organizations;

3) Operating an efficient and financially sustainable business;

4) Employing and retaining highly skilled employees who are committed to our mission;

5) Providing new and innovative services to meet the healthcare needs of the residents of the communities that we serve.

CapabilitiesHelpWhat are the organization’s capabilities for doing this? What resources, capacities, and connections support its progress towards long-term goals?

Bluegrass Care Navigators (formerly Hospice of the Bluegrass) has been providing quality care for the seriously ill and their loved ones in these communities for almost 40 years. An expert staff, including board certified physicians; nurses, social workers and aides certified in hospice and palliative care; senior leaders who serve in national advisory roles; a core of over 500 volunteers and an involved Board of Directors committed to the sustainability of the organization are our key strengths. Ethical and mission driven business practices ensure our financial stability. Strong community partnerships throughout the service area assist us with meeting the health, social and spiritual needs of our patients and families. Successful fundraising and stewardship of donor contributions to further our mission assure the organization’s sustainability and ability to care for patients regardless of their health insurance status or ability to pay for services. An administrative structure including finance, philanthropy, human resources, quality, compliance and information technology support the clinical and educational work outlined in the mission. Additionally, each year the organization participates in an external audit and industry benchmarking to assure exemplary business practices.

IndicatorsHelpHow will the organization know if it is making progress? What are the key qualitative and quantitative indicators against which the organization assesses its progress toward its intended impact?

The organization has a variety of ways to track progress such as measuring the numbers of patients referred and admitted to each of the services, the number of volunteers and the amount of time they contribute, and the ratio of hospice patients to deaths measured in each county. Most importantly, patient/family satisfaction is measured and benchmarked against similar organizations. For organizational quality improvement, clinical factors including measuring the ability to resolve symptoms (such as pain and shortness of breath) quickly, as well as adverse events for various parts of the program (i.e. falls, infections etc.) are monitored. Philanthropy measures statistics around donors and dollars. Progress is also measured by retaining key partnerships and adding new partners in caring for this vulnerable population.

Bluegrass Care Navigators has a robust QAPI (Quality Assessment Performance Improvement) program that includes participation from the Board of Directors. Each year, performance indicators as described above are established to monitor performance. When indicators require improvement, a performance improvement project is initiated utilizing the PDSA (Plan, Do, Study, Act) methodology for improvement.

ProgressHelpWhat has and hasn’t been accomplished so far?

Bluegrass Care Navigators (formerly Hospice of the Bluegrass) has accomplished the development and implementation of an array of services for the seriously ill in our diverse service area. All services touched the lives of nearly 40,000 families in a service area that extends from the Ohio River to the heart of Appalachia. Yet to be accomplished is making sure that all the mountain communities can benefit from the same services as the urban and suburban areas. The organization is also challenged to meet patient needs as the health care system changes with new systems and potential partners emerging, declining reimbursement and increasing regulatory requirements. While the organization uses much more technology than at any other time in our history, determining how to better include technological solutions to assist in our work remains a seemingly ever changing goal.

Board Chair
Board Chair Ms. Shannon Arvin Esq.
Company Affiliation Stoll Kennon Ogeden
Term Jan 2018 to Dec 2019
Board Members
Ms. Shannon Arvin Esq.Stoll Kennon OgedenVoting
Mr. Jim BlancetStoreitoffsite, INCVoting
Ms. Anne E. BoltonMorgan StanleyVoting
Mr. David Brennen EsqUniversity of KY College of LawVoting
Ms. Jenna CanningCommunity VolunteerVoting
Mr. Bo CofieldCommunity MemberVoting
Ms. Laura FeltnerState FarmVoting
Mr. David FoggRetiredVoting
Ms. Elizabeth Durst Fowler President/CEOHospice of the BluegrassVoting
Mr. Steve FrymanToyota Motor Manufacturing KentuckyVoting
Ms. Amanda HensonBaptist Health LexingtonVoting
Mr. Richard HopgoodValvolineVoting
Ms. Katie LaMonicaDarley AmericaVoting
Ms. Rhonda LoveCommunity MemberVoting
Ms. Nana MensahCommunity VolunteerVoting
Dr. J.D. Miller MDARH SystemVoting
Ms. Ellen Miller JDLaw Office of Ellen MillerVoting
Mr. Greg MilwardPowell, Walton, MilwardVoting
Mr. Zachary MooreFarmers Bank and Trust CompanyVoting
Mr. Zachary MurrayQX.NETVoting
Mr. Mark NabityGrayhawkVoting
Mr. Jeff RainesRaines, Buechel, Conley and Dusing, PLLCVoting
Mr. Ron RingRing Financial ServicesVoting
Mr. Robert J. RosensteinRosenstein Development LLCVoting
Mr. George WallaceBB&TVoting
Board Demographics - Ethnicity. Add number
Asian American/Pacific Islander 0
Caucasian 21
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 16
Female 9
Unspecified 0
Board Term Lengths 3
Board Term Limits 3
Board Meeting Attendance % 69%
Written Board Selection Criteria? Under Development
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100%
Percentage Making In-Kind Contributions 0%
Constituency Includes Client Representation Yes
Number of Full Board Meetings Annually 10
Standing Committees
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Human Resources / Personnel
CEO/Executive Director
Executive Director Ms. Elizabeth D Fowler
Term Start Sept 2014


Elizabeth (Liz) Fowler is the President and CEO of Bluegrass Care Navigators (formerly Hospice of the Bluegrass). Fowler has more than 30 years’ experience in health care and non-profit administration within acute care and community based organizations. Her primary expertise includes hospice, palliative care, PACE, home health, private duty nursing and geriatric case management. Liz is a recognized leader in hospice care at the national and state level. She is an active member of the National Hospice and Palliative Care Organization’s public policy committee and on the board of directors for the Kentucky Association of Hospice and Palliative Care and a member of the community advisory committee for Foundation for a Healthy Kentucky. Fowler received her Master of Public Health degree from the UCLA and a bachelor of science degree and a Certificate in Gerontology from Syracuse University.


Full Time Staff 448
Part Time Staff 176
Volunteers 650
Contractors 6
Retention Rate 85%
Management Reports to Board? Yes
Staff Demographics - Ethnicity
African American/Black 29
Asian American/Pacific Islander 1
Caucasian 563
Hispanic/Latino 1
Native American/American Indian 0
Other 0 2 or more races - 4
Staff Demographics - Gender
Male 72
Female 552
Unspecified 0
Former CEOs
Mrs Gretchen Brown-
Senior Staff
Title Vice President of Human Resources
Title Chief Financial Officer
Title Chief Medical Officer
Title Vice President of Quality and Compliance
Title Vice President of Administration
Title Vice President of Philanthropy
Title Chief Information Officer
Title Vice President of Marketing and Business Development
Title Vice President and Chief Hospice Officer
Title Assistant Vice President of Health Policy and Director of Palliative Care Leadership Center
Title Vice President of Marketing and Business Development
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
NonManagement Formal Evaluation Yes
Non Management Formal Evaluation Frequency Annually

Bluegrass Care Navigators provides counseling, palliative and supportive care to the seriously ill and their families through the following programs: - Bluegrass Hospice Care – Bluegrass Extra Care – Bluegrass Transitional Care – Bluegrass Palliative Care Bluegrass Home Primary Care – Bluegrass Adult Day Health Care – Bluegrass Grief Care. 

Budget 68098417.00
Category Health Care, General/Other Hospice Care
Population Served People/Families of People with Health Conditions
Program Long term Success

Plans & Policies
Organization has a Fundraising Plan? Under Development
Organization has a Strategic Plan? Yes
Years Strategic Plan Considers 3
Date Strategic Plan Adopted Aug 2016
Management Succession Plan? Yes
Organization Policy and Procedures Yes
Nondiscrimination Policy Yes
Whistleblower Policy Yes
Document Destruction Policy Yes
Hospice HonorsHEALTHCAREfirst2019
Hospice Honors EliteDeyta Analytics2018
Circle of LifeAmerican Hospital Association2017
Best Places to WorkModern Healthcare2017
Government Licenses
Is your organization licensed by the Government? Yes
Revenue vs Expenses - All Years
Expense Breakdown - Recent Year
Fiscal Year
Fiscal Year Start Jan 01, 2019
Fiscal Year End Dec 31, 2019
Projected Revenue $74,329,703.00
Projected Expenses $72,580,749.00
Endowment Value $1,625,313.00
Spending Policy N/A
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$57,988,079$56,137,251$50,565,574
Total Expenses$56,464,663$52,367,011$48,189,663
Revenue Less Expenses$1,523,416$3,770,240$2,375,911
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available). Revenue from foundations and corporations may be included in individual contributions when not itemized separately.
Fiscal Year201720162015
Foundation and
Corporation Contributions
Government Contributions$32,942$17,640$13,885
Individual Contributions$1,218,871$1,312,158$1,801,882
Investment Income, Net of Losses$1,949,855$1,369,194$1,229,242
Membership Dues$0$0--
Special Events$157,861$134,548$180,436
Revenue In-Kind$133,508$128,670--
Expense Allocation
Fiscal Year201720162015
Program Expense$48,250,742$42,059,311$39,208,990
Administration Expense$7,627,801$9,906,289$8,578,884
Fundraising Expense$586,120$401,411$401,789
Payments to Affiliates------
Total Revenue/Total Expenses1.031.071.05
Program Expense/Total Expenses85%80%81%
Fundraising Expense/Contributed Revenue------
Assets and Liabilities
Fiscal Year201720162015
Total Assets$96,248,287$90,439,771$87,131,477
Current Assets$15,242,650$25,233,394$18,560,442
Long-Term Liabilities$3,725,781$4,197,601$142,453
Current Liabilities$8,009,392$7,807,553$4,629,057
Total Net Assets$84,513,114$78,434,617$74,918,921
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? No
State Registration Yes
Address 2312 Alexandria Drive
Lexington, KY 40504
Primary Phone 859 276-4404
Contact Email
CEO/Executive Director Ms. Elizabeth D Fowler
Board Chair Ms. Shannon Arvin Esq.
Board Chair Company Affiliation Stoll Kennon Ogeden