ALIVIA CARE INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ALIVIA CARE INC (EIN 84-4695341)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-14
- IRS object ID
- 202432279349303163
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-14T15:55:38-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS MAZARS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 844695341 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALIVIA CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALIV | BusinessNameControlTxt |
| Phone | 9042685200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM RD | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32257 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUSAN PONDER-STANSEL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9042685200 | PhoneNum |
| Signature | 2024-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2024-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SUSAN PONDER-STANSEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM RD | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32257 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,378,459 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALIVIACARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2019 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE LEADERSHIP TO SUPPORT INNOVATIVE CARE SOLUTIONS THROUGH BEST IN CLASS SERVICES, COLLABORATIVE PARTNERSHIPS, AND STRATEGIC INVESTMENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 162 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,608,522 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,188,142 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,731,886 | PYInvestmentIncomeAmt |
| CY Investment Income | $190,210 | CYInvestmentIncomeAmt |
| PY Other Revenue | $868 | PYOtherRevenueAmt |
| CY Other Revenue | $107 | CYOtherRevenueAmt |
| PY Total Revenue | $6,877,504 | PYTotalRevenueAmt |
| CY Total Revenue | $9,378,459 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,103,764 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,522,138 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,526,117 | PYOtherExpensesAmt |
| CY Other Expenses | $1,655,582 | CYOtherExpensesAmt |
| PY Total Expenses | $13,629,881 | PYTotalExpensesAmt |
| CY Total Expenses | $15,177,720 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,752,377 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,799,261 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,845,036 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,339,216 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,823,922 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,772,538 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,021,114 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $566,678 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE LEADERSHIP TO SUPPORT INNOVATIVE CARE SOLUTIONS THROUGH BEST IN CLASS SERVICES, COLLABORATIVE PARTNERSHIPS, AND STRATEGIC INVESTMENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,011,485 | ExpenseAmt |
| Revenue | $9,188,249 | RevenueAmt |
| Desc | ALIVIA CARE, INC. WAS DEVELOPED TO PROVIDE THE FRAMEWORK AND SUPPORT FOR THE DEVELOPMENT AND OPERATION OF INNOVATIVE CARE SOLUTIONS (HOSPICE CARE, PALLIATIVE CARE, CARE COORDINATION, HOME HEATH, ETC.) THAT HELP THOSE WITH SERIOUS ILLNESS, CHRONIC ILLNESS, END-STAGE ILLNESS OR GERIATRIC FRAILTY LIVE BETTER AND HAVE A BETTER EXPERIENCE WITH THEIR HEALTHCARE NEEDS. ALIVIA CARE HAS SOUGHT TO PURSUE THIS GOAL THROUGH COLLABORATIVE PARTNERSHIPS AND STRATEGIC INVESTMENTS IN PROGRAMS, TECHNOLOGY, AND PARTNERSHIPS THAT CREATE THE CAPACITY TO PROVIDE OR SUPPORT SERVICES AND PROGRAMS FOR OUR PATIENTS, FAMILIES, AND THOSE WHO PROVIDE MEDICAL CARE AND TO THEM. ALIVIA CARE, INC. HAS DONE THIS BY PROVIDING THE STRATEGIC VISION TO GUIDE INVESTMENT AND BY PROVIDING ACCESS TO SHARED SERVICES SUCH AS BUSINESS ANALYTICS, FINANCE/ACCOUNTING, HEALTHCARE/COMMUNITY RELATIONS, HUMAN RESOURCES, INFORMATION TECHNOLOGY, MARKETING AND COMMUNICATIONS AND QUALITY AND COMPLIANCE TO OUR PATIENT-FACING PROGRAMS, WHICH INCLUDE COMMUNITY HOSPICE & PALLIATIVE CARE, COMMUNITY PALLIATIVE CONSULTANTS, ALIVIA CARE OF GEORGIA (HOSPICE OF THE GOLDEN ISLES AND HOSPICE SATILLA), ALIVIA CARE SOLUTIONS (ALIVIA SUPPORTIVE CARE, SECURE CARE HOME HEALTH AND ALLEGIANT HOME CARE) AND PACE PARTNERS OF NORTHEAST FLORIDA. | Desc |
| Total Program Service Expenses | $12,011,485 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 162 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9042685200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM RD | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32257 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FERNANDO ACOSTA-RUA | ||||||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT S CAIRNS | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| JOHN W LOGUE | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||||
| RAY MATUZA | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||||
| DR ROBERT C NUSS | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| KEVIN ROBBINS | ||||||||||
| EX OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||||
| ALLISON ALI KORMAN SHELTON | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| MORRIE ZIMMERMAN | ||||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| SUSAN PONDER-STANSEL | ||||||||||
| PRESIDENT & CEO ALIVIA CARE, INC., VICE CHAIR | 20.00 | Yes (X) | $541,122 | $0 | $45,853 | 20.00 | ||||
| PHILLIP C WARD | ||||||||||
| PRESIDENT & CEO COMMUNITY HOSPICE OF NORTHEAST FLO | 20.00 | Yes (X) | $420,018 | $0 | $37,179 | 20.00 | ||||
| KENNETH MCCOSH | ||||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $0 | $0 | $0 | |||||
| WILDRICK STEVENSON KENNY | ||||||||||
| CHIEF OPERATING OFFICER | 40.00 | $279,495 | $0 | $26,284 | Yes (X) | |||||
| ANDREA FRITZ | ||||||||||
| SENIOR VICE PRESIDENT OF FINANCE | 40.00 | $233,627 | $0 | $37,112 | Yes (X) | |||||
| BRANDON CULP | ||||||||||
| VICE PRESIDENT OF BUSINESS DEVELOPMENT | 40.00 | $187,790 | $0 | $35,388 | Yes (X) | |||||
| JENNIFER EDWARDS | ||||||||||
| VICE PRESIDENT, MEDICAL SERVICES | 40.00 | $172,713 | $0 | $2,317 | Yes (X) | |||||
| DAVID FANCHER | ||||||||||
| VICE PRESIDENT/CORPORATE CONTROLLER | 40.00 | $143,806 | $0 | $5,854 | Yes (X) | |||||
| MICHELE EDENFIELD | ||||||||||
| DIRECTOR OF BUSINESS INTEGRATION | 40.00 | $143,248 | $0 | $26,462 | Yes (X) | |||||
| ERIC BROWN | ||||||||||
| DIRECTOR OF HUMAN RESOURCES | 40.00 | $143,048 | $0 | $4,968 | Yes (X) | |||||
| CHARLENE MILLER | ||||||||||
| DIRECTOR OF MARKETING AND COMMUNICATIONS | 40.00 | $139,605 | $0 | $5,184 | Yes (X) | |||||
| JANE BEALS | ||||||||||
| DIRECTOR OF REVENUE CYCLE MANAGEMENT | 40.00 | $119,232 | $0 | $18,632 | Yes (X) | |||||
| GREGORY DIXON | ||||||||||
| CFO (THROUGH 04/22/22) -FORMER | 20.00 | $329,722 | $0 | $18,213 | 20.00 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,853,426 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $263,446 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SIMITREE HEALTHCARE CONSULTING | |||||
| 4130 WHITNEY AVE | HAMDEN | CT | 06518 | CONSULTING | $414,425 |
| HUEMAN PEOPLE SOLUTIONS LLC | |||||
| 320 1ST ST N | JACKSONVILLE BEACH | FL | 32250 | STAFFING | $376,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT SERVICE REV | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $9,188,142 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,188,142 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,188,142 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,575 | TotalRevenueColumnAmt |
| Exclusion | $100,575 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $89,635 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $89,635 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,635 | TotalRevenueColumnAmt |
| Exclusion | $89,635 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $107 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $107 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,378,459 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,188,249 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $190,210 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,076,041 | TotalAmt |
| Management And General | $2,076,041 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,936,964 | TotalAmt |
| Program Services | $8,236,591 | ProgramServicesAmt |
| Management And General | $700,373 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,429 | TotalAmt |
| Program Services | $317,605 | ProgramServicesAmt |
| Management And General | $13,824 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,484,743 | TotalAmt |
| Program Services | $1,354,378 | ProgramServicesAmt |
| Management And General | $130,365 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $692,961 | TotalAmt |
| Program Services | $668,002 | ProgramServicesAmt |
| Management And General | $24,959 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,322 | TotalAmt |
| Management And General | $22,322 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,256 | TotalAmt |
| Program Services | $99,256 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,481 | TotalAmt |
| Program Services | $103,481 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,408 | TotalAmt |
| Program Services | $90,408 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,584 | TotalAmt |
| Program Services | $64,129 | ProgramServicesAmt |
| Management And General | $83,455 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,411 | TotalAmt |
| Program Services | $1,411 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,655 | TotalAmt |
| Program Services | $355,325 | ProgramServicesAmt |
| Management And General | $85,330 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,780 | TotalAmt |
| Program Services | $356,780 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,778 | TotalAmt |
| Program Services | $91,778 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,739 | TotalAmt |
| Program Services | $20,739 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,529 | TotalAmt |
| Program Services | $79,963 | ProgramServicesAmt |
| Management And General | $29,566 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,048 | TotalAmt |
| Program Services | $82,048 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,056 | TotalAmt |
| Program Services | $56,056 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OVERHEAD ALLOCATION | Desc |
| Total | $33,535 | TotalAmt |
| Program Services | $33,535 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,177,720 | TotalAmt |
| Program Services | $12,011,485 | ProgramServicesAmt |
| Management And General | $3,166,235 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,969 | BOYAmt |
| EOY | $324,821 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,759 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,851,823 | BOYAmt |
| EOY | $694,747 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,233 | BOYAmt |
| EOY | $148,604 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $492,996 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $237,493 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,810 | BOYAmt |
| EOY | $255,503 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,575,300 | BOYAmt |
| EOY | $1 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,677,142 | BOYAmt |
| EOY | $1,915,540 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,845,036 | BOYAmt |
| EOY | $3,339,216 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,640,315 | BOYAmt |
| EOY | $2,645,608 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,183,607 | BOYAmt |
| EOY | $126,930 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,823,922 | BOYAmt |
| EOY | $2,772,538 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,021,114 | BOYAmt |
| EOY | $566,678 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,021,114 | BOYAmt |
| EOY | $566,678 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,845,036 | BOYAmt |
| EOY | $3,339,216 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$5,799,261 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $337,468 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $7,357 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $9,343,696 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,609,390 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,188,142 | CurrentTaxYearAmt |
| Total | $27,141,228 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $9,343,696 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,609,390 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,188,142 | CurrentTaxYearAmt |
| Total | $27,141,228 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $27,141,228 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $42,951 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $212,262 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $144,237 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $190,210 | CurrentTaxYearAmt |
| Total | $589,660 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $42,951 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $212,262 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $144,237 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $190,210 | CurrentTaxYearAmt |
| Total | $589,660 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $42,951 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,555,958 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,753,627 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,378,352 | CurrentTaxYearAmt |
| Total | $27,730,888 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $90,408 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $90,408 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION INCURRED EXPENSES BY LOBBYING PRIMARILY FOR FUNDING NEW SLOTS FOR PACE AND HEADING OFF ANY EFFORTS TO DELETE CON FOR HOSPICE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $492,996 | OtherCostOrOtherBasisAmt |
| Depreciation | $237,493 | DepreciationAmt |
| Book Value | $255,503 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $255,503 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATES | Desc |
| Book Value | $1,915,540 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,915,540 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITIES | Desc |
| Amt | $126,930 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $126,930 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN PONDER-STANSEL | ||||||||||||||
| PRESIDENT & CEO ALIVIA CARE, INC., V | $500,000 | $0 | $28,030 | $0 | $13,092 | $0 | $16,470 | $0 | $29,383 | $0 | $586,975 | $0 | $0 | $0 |
| PHILLIP C WARD | ||||||||||||||
| PRESIDENT & CEO COMMUNITY HOSPICE OF | $385,445 | $0 | $13,138 | $0 | $21,435 | $0 | $16,470 | $0 | $20,709 | $0 | $457,197 | $0 | $0 | $0 |
| GREGORY DIXON | ||||||||||||||
| CFO (THROUGH 04/22/22) -FORMER | $332,715 | $0 | $0 | $0 | -$2,993 | $0 | $4,062 | $0 | $14,151 | $0 | $347,935 | $0 | $0 | $0 |
| WILDRICK STEVENSON KENNY | ||||||||||||||
| CHIEF OPERATING OFFICER | $250,000 | $0 | $9,000 | $0 | $20,495 | $0 | $13,986 | $0 | $12,298 | $0 | $305,779 | $0 | $0 | $0 |
| ANDREA FRITZ | ||||||||||||||
| SENIOR VICE PRESIDENT OF FINANCE | $215,442 | $0 | $7,000 | $0 | $11,185 | $0 | $12,012 | $0 | $25,100 | $0 | $270,739 | $0 | $0 | $0 |
| BRANDON CULP | ||||||||||||||
| VICE PRESIDENT OF BUSINESS DEVELOPME | $185,000 | $0 | $5,000 | $0 | -$2,210 | $0 | $5,700 | $0 | $29,688 | $0 | $223,178 | $0 | $0 | $0 |
| JENNIFER EDWARDS | ||||||||||||||
| VICE PRESIDENT, MEDICAL SERVICES | $165,000 | $0 | $7,000 | $0 | $713 | $0 | $1,162 | $0 | $1,155 | $0 | $175,030 | $0 | $0 | $0 |
| MICHELE EDENFIELD | ||||||||||||||
| DIRECTOR OF BUSINESS INTEGRATION | $149,453 | $0 | $4,000 | $0 | -$10,205 | $0 | $4,604 | $0 | $21,858 | $0 | $169,710 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | GREGORY DIXON RECEIVED A SEVERANCE PAYMENT DURING THE FISCAL YEAR OF $131,154. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED IN ITS ENTIRETY BY THE AUDIT FINANCE COMMITTEE OF THE BOARD, FOLLOWED BY A PRESENTATION TO THE FULL BOARD FOR APPROVAL. FOLLOWING APPROVAL, THE RETURN WAS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED ANNUALLY TO COMPLETE AND SIGN A CONFLICT OF INTEREST POLICY IDENTIFYING RELATIONSHIPS THAT MAY GIVE RISE TO CONFLICT. ANY PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTE RELATED TO THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED ANNUALLY TO COMPLETE AND SIGN A CONFLICT OF INTEREST POLICY IDENTIFYING RELATIONSHIPS THAT MAY GIVE RISE TO CONFLICT. ANY PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTE RELATED TO THE CONFLICT. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL PROVIDE ANY GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS UPON REQUEST. THIS CAN BE DONE IN PERSON, BY PHONE, VIA OUR WEBSITE OR ON WWW.GUIDESTAR.COM. THE ORGANIZATION PUBLISHES A COMMUNITY REPORT IN THE LOCAL SUNDAY NEWSPAPER THAT PROVIDES SUMMARY INFORMATION OF THE PREVIOUS YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA | ||||||||||
| 4266 SUNBEAM RD | JACKSONVILLE | FL | 32257 | 591940256 | HOSPICE & PALLIATIVE CARE | FL | 501(C)(3) | LINE 11 | ALIVIA CARE INC | Yes (1) |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING | ||||||||||
| 4266 SUNBEAM RD | JACKSONVILLE | FL | 32257 | 593583920 | FUNDRAISING FOR COMMUNITY HOSPICE OF NORTHEAST FLORIDA | FL | 501(C)(3) | LINE 12B, II | COMMUNITY HOSPICE OF NORTHEAST FLORIDA | 0 |
| HOSPICE OF GOLDEN ISLES INC | ||||||||||
| 1692 GLYNCO PKWY | BRUNSWICK | GA | 31525 | 581428562 | HOSPICE & PALLIATIVE CARE | GA | 501(C)(3) | LINE 7 | ALIVIA CARE OF GEORGIA INC | 0 |
| HOSPICE SATILLA | ||||||||||
| 808 EVERGREEN WAY | WAYCROSS | GA | 31501 | 581741612 | HOSPICE & PALLIATIVE CARE | GA | 501(C)(3) | LINE 3 | ALIVIA CARE OF GEORGIA INC | 0 |
| ALIVIA CARE OF GEORGIA INC | ||||||||||
| 4266 SUNBEAM RD | JACKSONVILLE | FL | 32257 | 850842222 | LEADERSHIP SUPPORT FOR HOSPICE & PALLIATIVE CARE | FL | 501(C)(3) | LINE 10 | ALIVIA CARE INC | Yes (1) |
| ALIVIA CARE SOLUTIONS INC | ||||||||||
| 4266 SUNBEAM RD | JACKSONVILLE | FL | 32257 | 852777461 | HOSPICE & PALLIATIVE CARE | FL | 501(C)(3) | LINE 10 | ALIVIA CARE INC | Yes (1) |
| PACE PARNTERS FOR NORTHEAST FLORIDA INC | ||||||||||
| 4266 SUNBEAM RD | JACKSONVILLE | FL | 32257 | 364861283 | PROGRAM FOR NURSING HOME PATIENTS | FL | 501(C)(3) | LINE 12A, I | COMMUNITY HOSPICE OF NORTHEAST FLORIDA | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ALIVIA CARE SOLUTIONS INC | ||
| D | $3,019,563 | FMV |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA | ||
| E | $3,586,260 | FMV |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA | ||
| K | $91,778 | FMV |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA | ||
| Q | $9,337,201 | FMV |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING | ||
| Q | $407,425 | FMV |
| PACE PARTNERS OF NORTHEAST FLORIDA INC | ||
| Q | $200,000 | FMV |
| HOSPICE OF THE GOLDEN ISLES INC | ||
| Q | $462,271 | FMV |
| ALIVIA CARE OF GEORGIA | ||
| Q | $541,245 | FMV |
| ALIVIA CARE SOLUTIONS INC | ||
| Q | $917,817 | FMV |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA | ||
| S | $6,947,004 | FMV |
| ALIVIA CARE SOLUTIONS INC | ||
| S | $228,536 | FMV |
| HOSPICE OF THE GOLDEN ISLES INC | ||
| S | $432,696 | FMV |
| HOSPICE SATILLA INC | ||
| S | $309,969 | FMV |
Comments