2018-02-13T15:20:09-06:00 2017-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-10-01 591940256 COMMUNITY HOSPICE OF NORTHEAST FLORIDA COMM 9042685200 4266 SUNBEAM RD JACKSONVILLE FL 32257 CARLOS BOSQUE CFO 9042685200 2018-02-13 1 AMY BIBBY P00445891 8282542254 12.25.12.224 2018-02-13 15:18:25 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01 2016 2021-01-29 14:40:06Z SEE SCH O DISCLOSURE CARLOS BOSQUE 4266 SUNBEAM RD JACKSONVILLE FL 32257 113237636 0 X WWW.COMMUNITYHOSPICE.COM X 1984 FL TO IMPROVE QUALITY OF LIFE AND BE THE COMPASSIONATE GUIDE FOR PATIENTS WITH ADVANCED ILLNESS, THEIR FAMILIES AND OUR COMMUNITY. 41 41 1119 976 0 0 1663166 1981277 103221317 107483304 881108 1411606 2163725 2021677 107929316 112897864 107079 100719 0 0 57711466 60521220 0 0 0 48132285 50873694 105950830 111495633 1978486 1402231 88264997 92491822 11361512 12568770 76903485 79923052 X TO IMPROVE THE QUALITY OF LIFE FOR PATIENTS AND FAMILIES AND BE THE COMPASSIONATE GUIDE FOR END-OF-LIFE CARE IN OUR COMMUNITY. 0 0 71363864 85625591 HOSPICE HOMECAREEstablished in 1979, Community Hospice & Palliative Care is an innovative national leader in palliative and hospice care, providing programs and services to meet the diverse needs of the communities it serves. During its 38-year history, the Jacksonville, Florida-based nonprofit organization has served nearly 200,000 adults and children in Baker, Clay, Duval, Nassau and St. Johns counties, and recently expanded its service area to include 11 counties in north-central Florida. During fiscal year 2017, the organization helped an average of 1,394 patients and their families live better with advanced illness through hospice care and support programs. Most of this care is provided in the home setting, including private residences, nursing homes and assisted living communities. Community Hospice & Palliative Care ensures patients' comfort by addressing their physical, emotional and spiritual needs through interdisciplinary clinical care teams, whose members make up more than half of the organization's 900-plus employees, along with the services of approximately 1,000 volunteers. The organization also assists family caregivers through education, access to community resources and bereavement support for up to 13 months after a loss.The Community Hospice & Palliative Care mission is to improve the quality of life for patients and their families and to be the compassionate guide for end-of-life care in our community. Our goal is to provide comfort and address symptoms from life-limiting conditions, as well as provide supportive care to family members and other loved ones. The organization focuses on enhancing quality of life while respecting patients' cultural beliefs and values. No one is ever denied care due to an inability to pay.Community Hospice & Palliative Care support includes: in-home nursing; physician services; psychosocial services; spiritual support; certified nursing assistant (CNA) and home health aide services; medical equipment (such as wheelchairs, beds and walkers); medical supplies (such as bandages and catheters); drugs for symptom management and/or pain relief; bereavement counseling and support; physical and occupational therapy; speech, music, massage and/or pet therapy; and dietary counseling. The organization also offers inpatient care, short-term respite care, veteran- and caregiver-focused services, specialized care for those of the Jewish faith, children's programs and advance care planning.A dedicated, interdisciplinary team of professionals works with patients to help manage the pain and symptoms associated with a life-limiting illness, and provides personal, respectful care and assistance. The organization helps educate patients and their caregivers about the illness they have and what to expect as the illness progresses, and about medicines and therapies to help manage patient comfort. On-call services are available 24 hours a day, seven days a week. In 2017, our homecare teams provided 426,546 routine days of care. 14828855 21857713 HOSPICE INPATIENT CAREInpatient care, if needed, is available in one of our eight inpatient centers, called Centers for Caring. These facilities are available for patients who need pain and symptom management at an acute level unavailable in a homecare setting. The patient stays until his/her condition and symptoms are stabilized, typically three to five days or less. Our facilities offer homelike surroundings with gardens and serene settings. Last year, our staff provided 26,140 days of General Inpatient Care (GIP). 3707214 100719 PALLIATIVE CAREEstablished in 2010, Community Palliative Care provides palliative consultative services through seven local hospitals. At the request of the patient's attending physician, specially trained physicians and advanced registered nurse practitioners (ARNPs) take the time to understand each individual situation and then recommend options to meet the patient's personal goals of care. Community Palliative Care also provides education and training of hospital/facility staff. Palliative care provides an extra layer of support for patients and their families through a multidisciplinary team focused on providing relief from the symptoms, pain and stress associated with a serious illness or complex chronic condition. Last year (FY 2017), our palliative care team saw 5,950 patients. 2780410 Medicare Care Choices ModelIn 2015, Community Hospice & Palliative Care joined a select group of palliative and hospice providers nationwide as participants in a Centers for Medicare & Medicaid Services (CMS) five-year research effort: the Medicare Care Choices Model (MCCM). Launched in January 2016, Community Care Choices is based on the MCCM model to help people with advanced illness find greater access to comfort care and support. The model provides select hospice supportive services, including case management and care coordination, in a homecare setting to patients who meet eligibility criteria for hospice care and additional CMS criteria. In fiscal year 2017, the program admitted 52 patients.Specialized Care for ChildrenSince 2000, Community Hospice & Palliative Care has provided palliative and hospice care and support for children living with life-limiting and life-threatening conditions through Community PedsCare, an award-winning pediatric care program in collaboration with Wolfson Children's Hospital, Nemours Children's Specialty Care and the University of Florida-Jacksonville. The program, one of only a few community pediatric programs in the United States offering both palliative and hospice care, provides clinical, social service, spiritual, child life, medical and volunteer support to improve quality of life for children from prenatal to age 21. To date, the program has served more than 1,500 patients with a current daily census of more than 155 patients.Advance Care PlanningHonoring Choices Florida is a community collaborative advance care planning initiative of Community Hospice & Palliative Care. The program launched in 2014 and is based on a model from Respecting Choices, a pioneering ACP program based in La Crosse, Wisconsin. Honoring Choices Florida is designed to sustain an integrated, community-wide system to ensure patients' future health care preferences are discussed, documented and honored. The program engages individuals through health care facilities and other community-based venues through a specialized advance care planning document, and offers trained facilitatorsmore than 340 to dateto guide individuals and families through the process of discussing and documenting their health care wishes. During fiscal year 2017, facilitators participated in 9,034 conversations with area residents and shepherded the completion of 1,328 ACP documents.Bereavement and Community Grief SupportCommunity Hospice & Palliative Care offers a variety of grief and loss services for those who have experienced the death of a loved one and who may need support or guidance in dealing with their sorrow. Services are available not only to survivors of patients in our hospice care program but to anyone in the community who requests them. Services include individual and family counseling (including children and teens), therapeutic grief support groups, Understanding Grief (a program for the newly bereaved), annual candlelight service of remembrance, grief camp for kids (Camp Healing Powers) and a program to cope with grief during the holiday season (November and December). Nearly 4,800 individuals took advantage of one or more of these programs during fiscal year 2017.Outreach to Family Caregivers and Military/Veteran Communities The Community Hospice & Palliative Care Community Programs department manages outreach efforts to two large stakeholder groups in our community. Department staff lead the Caregiver Coalition of Northeast Florida, an alliance of community-based nonprofit organizations that support strong family caregivers in our community. Together, Coalition members coordinate programming and education to family caregivers and their loved ones through conferences, an annual expo, newsletter and website. In 2017, staff engaged more than 7,000 community caregivers. Community Programs also leads outreach to active-duty and retired military members, educating them about issues related to advanced illness and support resources available to them. The Community Hospice Veterans Partnership (CHVP) supports veteran-centric initiatives throughout the year, including a caregiver conference specialized to the needs of military caregivers, special appreciation programs for veterans admitted into hospice care, the First Coast chapter of the Veterans History Project (VHP), and other educational outreach opportunities. Altogether during fiscal year 2017, our outreach programs reached more than 1,500 veterans, and we recorded VHP stories from 101 veterans. 2780410 92680343 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 157 0 1 1119 1 0 0 0 0 0 0 0 0 0 1 0 X 41 41 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X CARLOS BOSQUE CFO 9042685200 4266 SUNBEAM ROAD jacksonville FL 32257 FERNANDO ACOSTA-RUA CHAIR 2.00 1.00 X X 0 0 0 JOSEPH M MITRICK 1ST VICE CHAIR 1.00 X X 0 0 0 KEVIN ROBBINS 2ND VICE CHAIR 1.00 X X 0 0 0 JOHN W LOGUE TREASURER 2.00 1.00 X X 0 0 0 DR ROBERT NUSS ASSISTANT TREASURER 2.00 X X 0 0 0 CHRISTOPHER EMANS SECRETARY 1.00 X X 0 0 0 MORRIE ZIMMERMAN BOARD MEMBER 1.00 X 0 0 0 GERARDO COLON-OTERO MD BOARD MEMBER 1.00 X 0 0 0 CAROLE GARDNER BOARD MEMBER 1.00 X 0 0 0 JOE GORDY BOARD MEMBER 1.00 X 0 0 0 DR ANN HARWOOD-NUSS BOARD MEMBER 1.00 X 0 0 0 HON MARCIA M HOWARD BOARD MEMBER 1.00 X 0 0 0 PATRICE JONES BOARD MEMBER 1.00 X 0 0 0 JOY KORMAN BOARD MEMBER 1.00 X 0 0 0 MICHAEL MAYO BOARD MEMBER 1.00 X 0 0 0 RAY MATUZA BOARD MEMBER 1.00 X 0 0 0 AMBASSADOR MARILYN MCAFEE BOARD MEMBER 1.00 X 0 0 0 JOSH MCGRAW BOARD MEMBER 1.00 1.00 X 0 0 0 GREG MILLER BOARD MEMBER 1.00 X 0 0 0 MARCIA MORALES BOARD MEMBER 1.00 1.00 X 0 0 0 SCOTT S CAIRNS BOARD MEMBER 1.00 X 0 0 0 LARRY WAGONER PhD LMFT BOARD MEMBER 1.00 X 0 0 0 SENATOR AUDREY GIBSON BOARD MEMBER 1.00 X 0 0 0 RICHARD HAWTHORNE BOARD MEMBER 1.00 X 0 0 0 MARSHA OLIVER MBA BOARD MEMBER 1.00 X 0 0 0 KYLE SANDERS FACHE BOARD MEMBER 1.00 X 0 0 0 ALLISON KORMAN SHELTON BOARD MEMBER 1.00 X 0 0 0 DAVID MEYER BOARD MEMBER 1.00 X 0 0 0 LARRY WILF MD BOARD MEMBER 1.00 X 0 0 0 TRACY ARTHUR BOARD MEMBER 1.00 X 0 0 0 KATHERINE BATENHORST BOARD MEMBER 1.00 X 0 0 0 NANCY M DAWSON MD BOARD MEMBER 1.00 X 0 0 0 COLONEL BILL DUDLEY RET BOARD MEMBER 1.00 X 0 0 0 MARIE GNAGE PHD BOARD MEMBER 1.00 X 0 0 0 REV MARSHA HOLMES BOARD MEMBER 1.00 X 0 0 0 T FITCH KING III BOARD MEMBER 1.00 X 0 0 0 DR SUE LEGER-KRALL ARNP PhD BOARD MEMBER 1.00 X 0 0 0 JOHN D LOGUE CFP BOARD MEMBER 1.00 X 0 0 0 HON KRISTINA MOBLEY BOARD MEMBER 1.00 X 0 0 0 RAY DRIVER BOARD MEMBER (EX-OFFICIO) 1.00 X 0 0 0 PATRICIA MCELROY BOARD MEMBER 1.00 X 0 0 0 KEITH STEIN ROTATED OFF 617 BOARD MEMBER 1.00 X 0 0 0 SUSAN PONDER-STANSEL PRESIDENT/CEO 35.00 5.00 X 507658 0 80886 CARLOS BOSQUE CFO 28.00 2.00 X 242542 0 32634 PHILLIP WARD COO 40.00 X 317714 0 59659 JOHN MCILVAINE VP BUS. DEVELOPMENT 40.00 X 222694 0 40269 ANDREA FRITZ DEPUTY CFO 40.00 X 210698 0 51522 MARY MCELROY SENIOR VP OF HOSPICE SRVCS 40.00 X 233352 0 24386 JOHN ERSTLING SENIOR VP, COMMUNITY ENGAG 40.00 X 0 197379 28019 JOHN LYERLY SENIOR VP, STRATEGY 40.00 X 197301 0 26416 KENNY STEVENSON CCO/ VP of COMPLIANCE AND 40.00 X 158877 0 9079 ELIZABETH PEREZ VP OF HUMAN RESOURCES, AS OF 12/16 40.00 X 163500 0 6150 CHERYL MCDONALD PHYSICIAN 40.00 X 200784 0 8241 ANDREW DAIGLE PHYSICIAN 40.00 X 218730 0 24399 JENNIFER CONTIN PHYSICIAN 40.00 X 199570 0 23643 REUBEN SMITH PHYSICIAN 40.00 X 193831 0 17724 ANA SANCHEZ MEDICAL DIRECTOR 40.00 X 256938 0 8562 WILLIAM BICKFORD CIO, RTD 8/2016 40.00 X 206291 0 3497 3530480 197379 445086 42 1 1 0 JACKSONVILLE HOSPITALISTS PA 8773 PERIMETER PARK CT JACKSONVILLE FL 32216 PHYSICIAN VISITS 1325261 LAKESIDE NURSING & REHAB CENTER 11411 ARMSDALE ROAD JACKSONVILLE FL 32218 NURSING HOME ROOM & BOARD 1089167 WOODLAND GROVE HEALTH & REHAB 4325 SOUTHPOINT BLVD JACKSONVILLE FL 32216 NURSING HOME ROOM & BOARD 1076587 PALM GARDEN OF JACKSONVILLE 5725 SPRING PARK RD JACKSONVILLE FL 32216 NURSING HOME ROOM & BOARD 1042414 TAYLOR CARE CENTER 6535 CHESTER AVENUE JACKSONVILLE FL 33217 NURSING HOME ROOM & BOARD 968498 61 1981277 1981277 PATIENT SERVICE REVENU 623000 85625591 85625591 NURSING HOME SUPPORT 623000 21857713 21857713 107483304 1019812 1019812 394240 0 2446 394240 -2446 391794 391794 1164851 337326 827525 827525 MISCELLANOUS REVENUE 623000 1126482 1126482 CAFE REVENUE 722210 67670 67670 1194152 112897864 107483304 0 3433283 100719 100719 2026990 1013495 1013495 47022355 36494942 10527413 1327211 1014929 312282 6634017 5073087 1560930 3510647 2684621 826026 163864 163864 1629722 1629722 33655 33655 63890 63890 29063 29063 3555902 2506444 1049458 352121 32578 319543 3994536 3023230 971306 549041 549041 2079658 2079658 1022735 935127 87608 240911 115482 125429 48 48 3019033 3019033 165496 165496 ROOM AND BOARD 23251523 23251523 MEDICAL SUPPLIES EXPENS 8014110 8014110 CHARITY CARE EXPENSES 1035472 1035472 BAD DEBT EXPENSE 746106 746106 926808 926808 111495633 92680343 18815290 0 3980 4220 21989867 17268777 4626687 9216706 575729 620576 3406811 3374143 59890144 23006118 36293080 36884026 20579785 23680234 1200000 105394 683664 243140 88264997 92491822 9659346 9900841 1702166 2667929 11361512 12568770 X 76903485 79923052 76903485 79923052 88264997 92491822 1402231 1617336 0 X X 0 1 X 1 0 X 1808531 1560561 1711247 1550845 1904774 8535958 95223451 90590457 95054495 103225000 107483304 491576707 1164851 1164851 97031982 92151018 96765742 104775845 110552929 501277516 0 0 0 501277516 724645 690000 578072 873271 1019812 3885800 724645 690000 578072 873271 1019812 3885800 120962 187502 777616 1282817 1270655 3639552 97877589 93028520 98121430 106931933 112843396 508802868 0.98520 0.98820 0.00760 0.00690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 72968 0 1 3625 76593 0 Part II-B, Line 1: THE ORGANIZATION INCURRED EXPENSES BY CALLING ON MEMBERS OF NORTH FLORIDA DELEGATION REGARDING PACE LEGISLATION, FUNDING FOR "MONEY FOLLOWS THE PERSON" GRANT FOR FLORIDA, PARTNERS IN CARE-MEDICAID, MEDICAID MANAGED CARE CONCERNS, CERTIFICATE OF NEED SUPPORT FOR HOSPICE THE ORGANIZATION WAS A MEMEBER OF THE FOLLOWING ORGANIZATIONS THAT ENGAGED IN LOBBYING ON BEHALF OF ITS MEMBERS: NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE FLORIDA HOSPICE & PALLIATIVE CARE, INC. NHPCO 4208118 4208118 34224574 12107651 22116923 5961940 1621160 4340780 14981052 9277307 5703745 514460 514460 36884026 DEFERRED COMPENSATION 2125136 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 542793 2667929 X 113841888 1617336 337326 1954662 111887226 1010638 1010638 112897864 110822321 337326 337326 110484995 1010638 1010638 111495633 Part X, Line 2: Community Hospice of Northeast Florida and its affiliates are not-for-profit corporations and have been recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. The Hospice follows the FASB's authoritative guidance on accounting for uncertainty in income taxes. The guidance clarifies the accounting for the recognition and measurement of the benefits of individual tax positions in the consolidated financial statements. Tax positions must meet a recognition threshold of more-likely-than-not in order for the benefit of those tax positions to be recognized in the Hospice's consolidated financial statements. The Hospice has determined that it does not have any material unrecognized tax benefits or obligations as of September 30, 2017. Part XI, Line 2d - Other Adjustments: THRIFT STORE EXPENSES INCLUDED ON FORM 990, PART VIII, LINE 10B 337,326. Part XI, Line 4b - Other Adjustments: CHARITY CARE INCLUDED IN REVENUES 1,010,638. Part XII, Line 2d - Other Adjustments: THRIFT STORE EXPENSES INCLUDED ON FORM 990, PART VIII, LINE 10B 337,326. Part XII, Line 4b - Other Adjustments: CHARITY CARE INCLUDED IN REVENUES 1,010,638. 0 UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC 653 WEST 8TH STREET JACKSONVILLE FL 32209 591867557 501(C)(3) 98908 PALLIATIVE CARE FELLOWSHIP 1 0 SCHEDULE I, PART II, LINE 1H THE PALLIATIVE CARE FELLOWSHIP IS FOR THE SUPPORT AND ENHANCEMENT OF THE CLINICAL, EDUCATIONAL, AND RESEARCH PROGRAMS OF THE UNIVERSITY, PROVIDES A SETTING IN WHICH COLLEGE'S PHYSICIAN FELLOWS MAY PARTICIPATE IN EDUCATION, RESEARCH, PATIENT CARE, AND ADMINISTRATIVE RESPONSIBILITIES THROUGH COOPERATIVE EFFORTS WITH THE UNIVERSITY. X X X X 1 0 0 0 0 0 0 0 0 SUSAN PONDER-STANSEL PRESIDENT/CEO 370956 0 118702 0 18000 0 54244 0 26642 0 588544 0 0 0 CARLOS BOSQUE CFO 175677 0 49723 0 17142 0 18636 0 13998 0 275176 0 0 0 PHILLIP WARD COO 247835 0 51879 0 18000 0 41003 0 18656 0 377373 0 0 0 JOHN MCILVAINE VP BUS. DEVELOPMENT 175559 0 30936 0 16199 0 21965 0 18304 0 262963 0 0 0 ANDREA FRITZ DEPUTY CFO 172492 0 22844 0 15362 0 25280 0 26242 0 262220 0 0 0 MARY MCELROY SENIOR VP OF HOSPICE SRVCS 184850 0 31833 0 16669 0 14831 0 9555 0 257738 0 0 0 JOHN ERSTLING SENIOR VP, COMMUNITY ENGAG 0 151666 0 45713 0 0 0 5603 0 22416 0 225398 0 0 JOHN LYERLY SENIOR VP, STRATEGY 167586 0 29715 0 0 0 0 0 26416 0 223717 0 0 0 KENNY STEVENSON CCO/ VP of COMPLIANCE AND 130882 0 16744 0 11251 0 8062 0 1017 0 167956 0 0 0 ELIZABETH PEREZ VP OF HUMAN RESOURCES, AS OF 12/16 139718 0 23782 0 0 0 4736 0 1414 0 169650 0 0 0 CHERYL MCDONALD PHYSICIAN 175232 0 25552 0 0 0 0 0 8241 0 209025 0 0 0 ANDREW DAIGLE PHYSICIAN 218730 0 0 0 0 0 6991 0 17408 0 243129 0 0 0 JENNIFER CONTIN PHYSICIAN 199570 0 0 0 0 0 6268 0 17375 0 223213 0 0 0 REUBEN SMITH PHYSICIAN 193831 0 0 0 0 0 6157 0 11567 0 211555 0 0 0 ANA SANCHEZ MEDICAL DIRECTOR 256938 0 0 0 0 0 7704 0 858 0 265500 0 0 0 WILLIAM BICKFORD CIO, RTD 8/2016 179040 0 27251 0 0 0 3497 0 0 0 209788 0 0 0 Part I, Line 4a SEVERANCE PAYMENTS: WILLIAM BICKFORD RECEIVED SEVERANCE PAYMENTS FOR THE TAX YEAR 2016 OF $59,963 Form 990, Part VI, Section A, line 1 THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS AND THE IMMEDIATE PAST CHAIR, IF HE OR SHE CONTINUES TO SERVE ON THE BOARD, AND THE CHAIRS OF THE STRATEGIC PLANNING COMMITTEE, THE COMPLIANCE/QUALITY OVERSIGHT COMMITTEE AND THE NOMINATING AND BOARD DEVELOPMENT COMMITTEE. THE CHAIR OF THE COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING, INC. SHALL BE AN EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE WITHOUT VOTE. THE EXECUTIVE COMMITTEE SHALL MEET AT THE CALL OF THE CHAIR, OR, IN THE ABSENCE OF THE CHAIR, AT THE CALL OF THE FIRST VICE-CHAIR. THE EXECUTIVE COMMITTEE SHALL HAVE SUCH POWERS AS MAY BE DELEGATED BY THE BOARD OF DIRECTORS FROM TIME TO TIME. THE EXECUTIVE COMMITTEE SHALL ACT UPON INTERIM BUSINESS ARISING BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS AND SHALL REPORT ITS ACTION AT THE NEXT MEETING OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL PERIODICALLY REVIEW THE PERFORMANCE OF THE PRESIDENT/CEO, AND SHALL REVIEW, FROM TIME TO TIME, PERSONNEL POLICIES, INCLUDING CONDITIONS OF EMPLOYMENT, AND SHALL MEET PERIODICALLY WITH THE PRESIDENT/CEO TO ASSESS PERSONNEL POLICIES AND WORKING CONDITIONS. THE COMMITTEE WILL REVIEW THE SALARY PLAN AND RECOMMEND CHANGES WHEN INDICATED. THE COMMITTEE SHALL OVERSEE THE ADMINISTRATION OF ANY AFFIRMATIVE ACTION PLAN. ACTIONS OF THE EXECUTIVE COMMITTEE PURSUANT TO THIS PARAGRAPH SHALL HAVE THE SAME EFFECT AS ACTIONS OF THE FULL BOARD OF DIRECTORS. Form 990, Part VI, Section A, line 2 THE HONORABLE MARCIA MORALES HOWARD AND MARCIA MORALES ARE BOTH BOARD MEMBERS AND ARE MOTHER AND DAUGHTER. DR ROBERT NUSS AND DR. ANN HARWOOD-NUSS ARE BOTH BOARD MEMBERS AND ARE HUSBAND AND WIFE. JOHN W. LOGUE AND JOHN D. LOGUE ARE BOTH BOARD MEMBERS AND ARE FATHER AND SON. 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 BUDGET 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. OFFICERS AND KEY MANAGEMENT PERSONNEL ALSO COMPLETE A SURVEY REGARDING POTENTIAL BUSINESS RELATIONSHIPS WITH OTHER OFFICERS, DIRECTORS, AND KEY PERSONNEL.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 EXECUTIVE COMMITTEE OF THE BOARD REVIEWS AND MAKES DECISIONS ANNUALLY REGARDING COMPENSATION FOR EXECUTIVE STAFF. THE EXECUTIVE COMMITTEE RETAINED AN INDEPENDENT CONSULTANT TO CONDUCT A COMPREHENSIVE REVIEW OF THE COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION AND BENEFITS PROVIDED TO THE FOLLOWING POSITIONS: CEO, COO, CFO, SVP OF BUSINESS INTEGRATION, SVP HOSPICE SERVICES, DEPUTY CHIEF FINANCIAL OFFICER,VP COMPLIANCE AND QUALITY, VP CHIEF INFORMATION OFFICER, VP HUMAN RESOURCES, SVP OF STRATEGY, AND SVP OF COMMUNITY ENGAGEMENT. A REVIEW OF COMPETITIVENESS AND REASONABLENESS FOR LIKE ORGANIZATIONS TO INCLUDE NOT-FOR-PROFIT POST ACUTE CARE PROVIDERS AND HOSPITALS OF COMPARABLE SIZE, REGARDLESS OF GEOGRAPHY WAS CONDUCTED. TARGET MARKET AT MEDIAN. 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. Form 990, Part XII, Line 2c: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, SECTION B: THE ORGANIZATION IS DOING BUSINESS AS COMMUNITY HOSPICE AND PALLIATIVE CARE. PART V, LINE 7H: THE ORGANIZATION ISSUED THE FORM 1098-C FOR A RELATED ORGANIZATION (COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION, INC.) WHO RECEIVED CAR CONTRIBUTIONS. COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING 4266 SUNBEAM ROAD JACKSONVILLE FL 32257 593583920 FUNDRAISING FOR COMMUNITY HOSPICE OF NORTHEAST FLORIDA FL 501(C)(3) 13, TYPE I COMMUNITY HOSPICE OF NORTHEAST FLORIDA 1 COMMUNITY MANAGEMENT COMPANY OF NORTHEAST FLORIDA INC 4266 SUNBEAM ROAD jacKSONVILLE FL 32257 EDUCATION AND CARING FOR THE ELDERLY FL COMMUNITY HOSPICE OF NORTHEAST FLORIDA C 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 0 COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION A 111723 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION C 1981277 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION O 160688 FMV SCHEDULE R, PART VII THE COMMUNITY MANAGEMENT COMPANY OF NORTHEAST FLORIDA, INC. WAS ESTABLISHED IN DECEMBER 2012 AND IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES, INCLUDING THE PROVISION OF PALLIATIVE CARE SERVICES AND OTHER HEALTH SERVICES TO IMPROVE THE HEALTH SERVICES OF THE PEOPLE IN THE COMMUNITY IT SERVES. AS OF SEPTEMBER 30, 2017, COMMUNITY MANAGEMENT COMPANY OF NORTHEAST FLORIDA, INC. HAD NOT ENGAGED IN ANY FINANCIAL TRANSACTIONS AND THEIR APPLICATION FOR EXEMPTION WAS STILL IN THE PROCESS.