2024-08-14T15:55:38-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 844695341 ALIVIA CARE INC ALIV 9042685200 4266 SUNBEAM RD JACKSONVILLE FL 32257 SUSAN PONDER-STANSEL CEO 9042685200 2024-08-14 1 0 AMY BIBBY P00445891 8282542254 2024-08-14 2022 2024-08-08 14:25:15Z SUSAN PONDER-STANSEL 4266 SUNBEAM RD JACKSONVILLE FL 32257 9378459 0 X WWW.ALIVIACARE.COM X 2019 FL PROVIDE LEADERSHIP TO SUPPORT INNOVATIVE CARE SOLUTIONS THROUGH BEST IN CLASS SERVICES, COLLABORATIVE PARTNERSHIPS, AND STRATEGIC INVESTMENTS. 8 8 162 20 0 0 0 0 8608522 9188142 -1731886 190210 868 107 6877504 9378459 0 0 0 0 12103764 13522138 0 0 0 1526117 1655582 13629881 15177720 -6752377 -5799261 9845036 3339216 3823922 2772538 6021114 566678 X PROVIDE LEADERSHIP TO SUPPORT INNOVATIVE CARE SOLUTIONS THROUGH BEST IN CLASS SERVICES, COLLABORATIVE PARTNERSHIPS, AND STRATEGIC INVESTMENTS. 0 0 12011485 9188249 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. 12011485 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 18 0 1 162 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X THE ORGANIZATION 9042685200 4266 SUNBEAM RD JACKSONVILLE FL 32257 FERNANDO ACOSTA-RUA CHAIR 2.00 X X 0 0 0 SCOTT S CAIRNS DIRECTOR 1.00 X 0 0 0 JOHN W LOGUE DIRECTOR 1.00 1.00 X 0 0 0 RAY MATUZA DIRECTOR 1.00 1.00 X 0 0 0 DR ROBERT C NUSS DIRECTOR 1.00 X 0 0 0 KEVIN ROBBINS EX OFFICIO 1.00 1.00 X 0 0 0 ALLISON ALI KORMAN SHELTON DIRECTOR 1.00 X 0 0 0 MORRIE ZIMMERMAN DIRECTOR 1.00 X 0 0 0 SUSAN PONDER-STANSEL PRESIDENT & CEO ALIVIA CARE, INC., VICE CHAIR 20.00 20.00 X 541122 0 45853 PHILLIP C WARD PRESIDENT & CEO COMMUNITY HOSPICE OF NORTHEAST FLO 20.00 20.00 X 420018 0 37179 KENNETH MCCOSH CHIEF FINANCIAL OFFICER 40.00 X 0 0 0 WILDRICK STEVENSON KENNY CHIEF OPERATING OFFICER 40.00 X 279495 0 26284 ANDREA FRITZ SENIOR VICE PRESIDENT OF FINANCE 40.00 X 233627 0 37112 BRANDON CULP VICE PRESIDENT OF BUSINESS DEVELOPMENT 40.00 X 187790 0 35388 JENNIFER EDWARDS VICE PRESIDENT, MEDICAL SERVICES 40.00 X 172713 0 2317 DAVID FANCHER VICE PRESIDENT/CORPORATE CONTROLLER 40.00 X 143806 0 5854 MICHELE EDENFIELD DIRECTOR OF BUSINESS INTEGRATION 40.00 X 143248 0 26462 ERIC BROWN DIRECTOR OF HUMAN RESOURCES 40.00 X 143048 0 4968 CHARLENE MILLER DIRECTOR OF MARKETING AND COMMUNICATIONS 40.00 X 139605 0 5184 JANE BEALS DIRECTOR OF REVENUE CYCLE MANAGEMENT 40.00 X 119232 0 18632 GREGORY DIXON CFO (THROUGH 04/22/22) -FORMER 20.00 20.00 X 329722 0 18213 2853426 0 263446 19 1 1 0 SIMITREE HEALTHCARE CONSULTING 4130 WHITNEY AVE HAMDEN CT 06518 CONSULTING 414425 HUEMAN PEOPLE SOLUTIONS LLC 320 1ST ST N JACKSONVILLE BEACH FL 32250 STAFFING 376075 2 MANAGEMENT SERVICE REV 621400 9188142 9188142 9188142 100575 100575 89635 0 89635 89635 89635 MISCELLANEOUS REVENUE 900099 107 107 107 9378459 9188249 0 190210 2076041 2076041 8936964 8236591 700373 331429 317605 13824 1484743 1354378 130365 692961 668002 24959 22322 22322 99256 99256 103481 103481 90408 90408 147584 64129 83455 1411 1411 440655 355325 85330 356780 356780 91778 91778 20739 20739 109529 79963 29566 82048 82048 56056 56056 OVERHEAD ALLOCATION 33535 33535 15177720 12011485 3166235 0 171969 324821 87759 0 1851823 694747 172233 148604 492996 237493 308810 255503 3575300 1 3677142 1915540 9845036 3339216 1640315 2645608 2183607 126930 3823922 2772538 X 6021114 566678 6021114 566678 9845036 3339216 -5799261 337468 7357 0 X 0 0 0 X 9343696 8609390 9188142 27141228 9343696 8609390 9188142 27141228 0 0 0 27141228 42951 212262 144237 190210 589660 42951 212262 144237 190210 589660 42951 9555958 8753627 9378352 27730888 X 0 0 0 0 0 0 1 90408 0 0 90408 0 PART II-B, LINE 1: THE ORGANIZATION INCURRED EXPENSES BY LOBBYING PRIMARILY FOR FUNDING NEW SLOTS FOR PACE AND HEADING OFF ANY EFFORTS TO DELETE CON FOR HOSPICE. 492996 237493 255503 255503 DUE FROM AFFILIATES 1915540 1915540 OTHER LIABILITIES 126930 126930 X X X X X 1 0 0 0 0 0 0 0 0 SUSAN PONDER-STANSEL PRESIDENT & CEO ALIVIA CARE, INC., V 500000 0 28030 0 13092 0 16470 0 29383 0 586975 0 0 0 PHILLIP C WARD PRESIDENT & CEO COMMUNITY HOSPICE OF 385445 0 13138 0 21435 0 16470 0 20709 0 457197 0 0 0 GREGORY DIXON CFO (THROUGH 04/22/22) -FORMER 332715 0 0 0 -2993 0 4062 0 14151 0 347935 0 0 0 WILDRICK STEVENSON KENNY CHIEF OPERATING OFFICER 250000 0 9000 0 20495 0 13986 0 12298 0 305779 0 0 0 ANDREA FRITZ SENIOR VICE PRESIDENT OF FINANCE 215442 0 7000 0 11185 0 12012 0 25100 0 270739 0 0 0 BRANDON CULP VICE PRESIDENT OF BUSINESS DEVELOPME 185000 0 5000 0 -2210 0 5700 0 29688 0 223178 0 0 0 JENNIFER EDWARDS VICE PRESIDENT, MEDICAL SERVICES 165000 0 7000 0 713 0 1162 0 1155 0 175030 0 0 0 MICHELE EDENFIELD DIRECTOR OF BUSINESS INTEGRATION 149453 0 4000 0 -10205 0 4604 0 21858 0 169710 0 0 0 PART I, LINE 4A GREGORY DIXON RECEIVED A SEVERANCE PAYMENT DURING THE FISCAL YEAR OF $131,154. 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. COMMUNITY HOSPICE OF NORTHEAST FLORIDA 4266 SUNBEAM RD JACKSONVILLE FL 32257 591940256 HOSPICE & PALLIATIVE CARE FL 501(C)(3) LINE 11 ALIVIA CARE INC 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 1 ALIVIA CARE SOLUTIONS INC 4266 SUNBEAM RD JACKSONVILLE FL 32257 852777461 HOSPICE & PALLIATIVE CARE FL 501(C)(3) LINE 10 ALIVIA CARE INC 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 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 1 1 0 1 ALIVIA CARE SOLUTIONS INC D 3019563 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA E 3586260 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA K 91778 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA Q 9337201 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING Q 407425 FMV PACE PARTNERS OF NORTHEAST FLORIDA INC Q 200000 FMV HOSPICE OF THE GOLDEN ISLES INC Q 462271 FMV ALIVIA CARE OF GEORGIA Q 541245 FMV ALIVIA CARE SOLUTIONS INC Q 917817 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA S 6947004 FMV ALIVIA CARE SOLUTIONS INC S 228536 FMV HOSPICE OF THE GOLDEN ISLES INC S 432696 FMV HOSPICE SATILLA INC S 309969 FMV