2018-03-07T07:39:17-06:00 2016-09-30 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2015-10-01 591940256 COMMUNITY HOSPICE OF NORTHEAST FLORIDA COMM 9042685200 4266 SUNBEAM RD JACKSONVILLE FL 32257 CARLOS BOSQUE CFO 9042685200 2018-03-07 1 AMY BIBBY P00445891 8282542254 2015 2021-01-29 14:40:06Z X CARLOS BOSQUE 4266 SUNBEAM RD JACKSONVILLE FL 32257 108332898 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. 40 40 1042 930 0 0 1773561 1663166 95046506 103221317 1430055 881108 1673638 2163725 99923760 107929316 101320 107079 0 0 52651925 57711466 0 0 0 44218217 48132285 96971462 105950830 2952298 1978486 82845275 88264997 9479825 11361512 73365450 76903485 X TO IMPROVE THE QUALITY OF LIFE FOR PATIENTS AND FAMILIES AND BE THE COMPASSIONATE GUIDE FOR END-OF-LIFE CARE IN OUR COMMUNITY. 1 0 70673368 81319300 HOSPICE HOMECAREESTABLISHED IN 1979, COMMUNITY HOSPICE OF NORTHEAST FLORIDA IS THE FIRST AND ONLY LOCALLY BASED NONPROFIT HOSPICE PROGRAM TO SERVE RESIDENTS OF THE FIRST COAST. EACH DAY, THE ORGANIZATION HELPS APPROXIMATELY 1,250 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 ENSURES PATIENTS' COMFORT BY ADDRESSING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS THROUGH AN INTERDISCIPLINARY TEAM OF 926 CARING PROFESSIONALS AND APPROXIMATELY 1,000 VOLUNTEERS. THE ORGANIZATION ALSO ASSISTS FAMILY CAREGIVERS THROUGH EDUCATION, ACCESS TO COMMUNITY RESOURCES AND BEREAVEMENT SUPPORT AFTER A LOSS.THE COMMUNITY HOSPICE 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 THE PATIENTS' CULTURE, BELIEFS AND VALUES. NO ONE IS EVER DENIED CARE DUE TO AN INABILITY TO PAY.COMMUNITY HOSPICE COMPASSIONATE CARE 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 SERVICES, SPECIALIZED CARE FOR THOSE OF THE JEWISH FAITH, CHILDREN'S PROGRAMS AND ADVANCE CARE PLANNING.A DEDICATED, INTERDISPLINARY TEAM OF PROFESSIONALS WORK WITH PATIENTS TO HELP MANAGE THE PAIN AND SYMPTOMS ASSOCIATED WITH A LIFE-LIMITING ILLNESS, AND PROVIDE PERSONAL, RESPECTFUL CARE AND ASSISTANCE. THE ORGANIZATION HELPS EDUCATE PATIENTS AND THEIR CAREGIVERS ABOUT THE DISEASE AND WHAT TO EXPECT IN FUTURE STAGES, AND ABOUT MEDICINES AND THERAPIES TO HELP MANAGE PATIENT COMFORT. ON-CALL SERVICES ARE AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. IN 2016, OUR HOMECARE TEAMS PROVIDED 416,423 DAYS OF CARE. 15208193 21902017 HOSPICE INPATIENT CAREINPATIENT CARE, IF NEEDED, IS AVAILABLE IN ONE OF OUR SEVEN INPATIENT CENTERS, CALLED CENTERS FOR CARING. THESE FACILITIES ARE AVAILABLE FOR PATIENTS NEEDING 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 LESS THAN THREE TO FIVE DAYS. OUR FACILITIES ARE HOME-LIKE SURROUNDINGS WITH GARDENS AND SERENE SETTINGS. WE HAVE LOCATED THESE FACILITIES THROUGHOUT OUR FIVE-COUNTY SERVICE AREA TO ALLOW FAMILIES TO RECEIVE THIS SERVICE WITHOUT A LONG DRIVE TO BE WITH THEIR LOVED ONES. LAST YEAR OUR INPATIENT CENTER STAFF PROVIDED 24,867 DAYS OF CARE. 3131099 107079 PALLIATIVE CAREESTABLISHED IN 2010, COMMUNITY PALLIATIVE CONSULTANTS 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 CONSULTANTS 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 2016), OUR PALLIATIVE CARE TEAM OF SEVEN PHYSICIANS AND 10 ARNPS SAW MORE THAN 4,254 PATIENTS AND CONDUCTED 15,891 CONSULTS THROUGHOUT THE REGION. 447300 MEDICARE CARE CHOICES MODELIn 2015, Community Hospice 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, 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. 447300 89459960 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 1 168 0 1 1042 1 0 0 0 0 0 0 0 0 0 1 0 X 40 40 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 JOE MITRICK 1ST VICE CHAIR 2.00 X X 0 0 0 MORRIE ZIMMERMAN BOARD MEMBER 1.00 X 0 0 0 JOHN W LOGUE TREASURER 2.00 1.00 X X 0 0 0 DR ROBERT NUSS ASSISTANT TREASURER 1.00 X X 0 0 0 GERARDO COLON-OTERO MD BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER EMANS SECRETARY 1.00 X 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 RABBI JOSHUA LIEF BOARD MEMBER; RETIRED 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 KEVIN ROBBINS 2ND VICE CHAIR 1.00 X 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 KEITH STEIN MD 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 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 DAVID MEYER 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 SUSAN PONDER-STANSEL PRESIDENT/CEO 35.00 5.00 X 453054 0 38291 CARLOS BOSQUE CFO 28.00 2.00 X 228749 0 20511 PHILLIP WARD CHIEF OF BUS. OPER. 40.00 X 299208 0 28001 JOHN MCILVAINE VP BUS. DEVELOPMENT 40.00 X 232445 0 28407 ANDREA FRITZ DEPUTY CFO 40.00 X 202950 0 36687 MARY MCELROY SENIOR VP OF HOSPICE SRVCS 40.00 X 224027 0 20533 JOHN ERSTLING SENIOR VP, COMMUNITY ENGAGEMENT 40.00 X 0 155008 19960 WILLIAM BICKFORD CIO, RTD 8/2016 40.00 X 165244 0 22388 KENNY STEVENSON CCO/ VP of COMPLIANCE AND QUALITY 40.00 X 156150 0 9505 ANA SANCHEZ PHYSICIAN 40.00 X 235899 0 7889 KENNETH GOLDSTEIN ASSOCIATE MEDICAL DIRECTOR 40.00 X 194126 0 16686 ANDREW DAIGLE PHYSICIAN 40.00 X 206286 0 22910 JENNIFER CONTIN PHYSICIAN 40.00 X 205960 0 23154 REUBEN SMITH PHYSICIAN 40.00 X 186435 0 18158 2990533 155008 313080 35 0 1 0 WOODLAND GROVE HEALTH & REHAB 4325 SOUTHPOINT BLVD JACKSONVILLE FL 32216 NURSING HOME ROOM & BOARD 1111161 INPATIENT CONSULTANTS OF FL 3030 W BEARSS AVE TAMPA FL 33618 INPATIENT CONSULTANTS 800302 LAKESIDE NURSING & REHAB CENTER 11411 ARMSDALE ROAD JACKSONVILLE FL 32218 NURSING HOME ROOM & BOARD 780903 PALM GARDEN OF JACKSONVILLE 5725 SPRING PARK RD JACKSONVILLE FL 32216 NURSING HOME ROOM & BOARD 737351 TAYLOR CARE CENTER 6535 CHESTER AVENUE JACKSONVILLE FL 33217 NURSING HOME ROOM & BOARD 671579 56 1663166 14500 1663166 PATIENT SERVICE REVENU 623000 81319300 81319300 NURSING HOME SUPPORT 623000 21902017 21902017 103221317 873271 873271 17688 0 9851 17688 -9851 7837 7837 1383277 393731 989546 989546 MISCELLANOUS REVENUE 623000 1108259 1108259 CAFE REVENUE 722210 65920 65920 1174179 107929316 103221317 0 3044833 107079 107079 1769049 606810 1162239 44827075 35251873 9575202 1292367 960140 332227 6488188 5434074 1054114 3334787 2714350 620437 157120 157120 316125 316125 46825 46825 72894 72894 25386 25386 3909490 2656963 1252527 618329 59521 558808 3393253 2430679 962574 437845 437845 2034916 2034916 1007427 853021 154406 251644 136576 115068 65 65 2861127 2861127 157812 157812 ROOM AND BOARD 23243421 23243421 MEDICAL SUPPLIES EXPENS 7245837 7245837 CHARITY CARE EXPENSES 953551 953551 MISCELLANEOUS 656350 656350 742868 742868 105950830 89459960 16490870 0 3830 3980 17067906 21989867 8508746 4626687 561168 575729 2999610 3406811 57637566 21344486 34975795 36293080 18418801 20579785 88664 105394 220755 683664 82845275 88264997 8013653 9659346 3731 0 1462441 1702166 9479825 11361512 X 73365450 76903485 73365450 76903485 82845275 88264997 1978486 1559549 0 X 0 1 X 1 0 X 1568604 1808531 1560561 1711247 1550845 8199788 93920661 95223451 90590457 95054495 103225000 478014064 95489265 97031982 92151018 96765742 104775845 486213852 0 0 0 486213852 550386 724645 690000 578072 873271 3416374 550386 724645 690000 578072 873271 3416374 120962 187502 777616 1282817 2368897 96039651 97877589 93028520 98121430 106931933 491999123 0.98820 0.99160 0.00690 0.00610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 72894 0 1 3616 76510 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 32912431 11076233 21836198 4672227 1324466 3347761 13531075 8943787 4587288 2313715 2313715 36293080 DEFERRED COMPENSATION 1702166 1702166 X 109882596 1559549 393731 1953280 107929316 0 107929316 106344561 393731 393731 105950830 0 105950830 Part X, Line 2: INCOME TAXES- COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. AND ITS AFFILIATE 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 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, 2016. Part XI, Line 2d - Other Adjustments: THRIFT STORE EXPENSES INCLUDED ON FORM 990, PART VIII, LINE 10B 393,731. Part XII, Line 2d - Other Adjustments: THRIFT STORE EXPENSES INCLUDED ON FORM 990, PART VIII, LINE 10B 393,731. 0 UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC 653 WEST 8TH STREET JACKSONVILLE FL 32209 591867557 501(C)(3) 106151 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 0 0 0 0 0 0 0 0 0 SUSAN PONDER-STANSEL PRESIDENT/CEO 337597 0 97457 0 18000 0 11518 0 26773 0 491345 0 0 0 CARLOS BOSQUE CFO 178451 0 34141 0 16157 0 3082 0 17429 0 249260 0 0 0 PHILLIP WARD CHIEF OF BUS. OPER. 246593 0 34615 0 18000 0 9713 0 18288 0 327209 0 0 0 JOHN MCILVAINE VP BUS. DEVELOPMENT 183430 0 32188 0 16827 0 10895 0 17512 0 260852 0 0 0 ANDREA FRITZ DEPUTY CFO 172788 0 15368 0 14794 0 10532 0 26155 0 239637 0 0 0 MARY MCELROY SENIOR VP OF HOSPICE SRVCS 186394 0 21634 0 15999 0 11045 0 9488 0 244560 0 0 0 JOHN ERSTLING SENIOR VP, COMMUNITY ENGAGEMENT 0 155008 0 0 0 0 0 3609 0 16351 0 174968 0 0 WILLIAM BICKFORD CIO, RTD 8/2016 151744 0 13500 0 0 0 5099 0 17289 0 187632 0 0 0 KENNY STEVENSON CCO/ VP of COMPLIANCE AND QUALITY 133728 0 11363 0 11059 0 7857 0 1648 0 165655 0 0 0 ANA SANCHEZ PHYSICIAN 233899 0 2000 0 0 0 7077 0 812 0 243788 0 0 0 KENNETH GOLDSTEIN ASSOCIATE MEDICAL DIRECTOR 194126 0 0 0 0 0 687 0 15999 0 210812 0 0 0 ANDREW DAIGLE PHYSICIAN 206286 0 0 0 0 0 7177 0 15733 0 229196 0 0 0 JENNIFER CONTIN PHYSICIAN 205960 0 0 0 0 0 6432 0 16722 0 229114 0 0 0 REUBEN SMITH PHYSICIAN 186435 0 0 0 0 0 6349 0 11809 0 204593 0 0 0 FORM 990, HEADER, SECTION B: STATEMENT REGARDING AMENDED TAX FORM: FORM 990 PART VII, SECTION B, INDEPENDENT CONTRACTORS IS AMENDED TO CORRECT NAMES, TRANSACTION DESCRIPTIONS, AND AMOUNTS OF COMPENSATION FOR SOME OF THE TOP FIVE HIGHEST PAID INDEPENDENT CONTRACTORS. Form 990, Part III, line 2 IN 2015, COMMUNITY HOSPICE 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, 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. 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 11 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. 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 121651 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION C 1663167 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION O 159822 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, 2016, COMMUNITY MANAGEMENT COMPANY OF NORTHEAST FLORIDA, INC. HAD NOT ENGAGED IN ANY FINANCIAL TRANSACTIONS AND THEIR APPLICATION FOR EXEMPTION WAS STILL IN THE PROCESS.