COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC (EIN 59-1940256)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-02-15
- IRS object ID
- 201700469349301290
- Schema version
- 2015v3.0
- Note
- A later return for the same period supersedes this one.
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-02-15T10:18:41-06:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN 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 | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591940256 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE OF NORTHEAST FLORIDA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | 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 | CARLOS BOSQUE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9042685200 | PhoneNum |
| Signature | 2017-02-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CARLOS BOSQUE | 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 | $108,332,898 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COMMUNITYHOSPICE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE QUALITY OF LIFE AND BE THE COMPASSIONATE GUIDE FOR PATIENTS WITH ADVANCED ILLNESS, THEIR FAMILIES AND OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 40 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 40 | VotingMembersIndependentCnt |
| Total Employee | 1042 | TotalEmployeeCnt |
| Total Volunteers | 930 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,773,561 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,663,166 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $95,046,506 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $103,221,317 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,430,055 | PYInvestmentIncomeAmt |
| CY Investment Income | $881,108 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,673,638 | PYOtherRevenueAmt |
| CY Other Revenue | $2,163,725 | CYOtherRevenueAmt |
| PY Total Revenue | $99,923,760 | PYTotalRevenueAmt |
| CY Total Revenue | $107,929,316 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $101,320 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $107,079 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $52,651,925 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,711,466 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,218,217 | PYOtherExpensesAmt |
| CY Other Expenses | $48,132,285 | CYOtherExpensesAmt |
| PY Total Expenses | $96,971,462 | PYTotalExpensesAmt |
| CY Total Expenses | $105,950,830 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,952,298 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,978,486 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $82,845,275 | TotalAssetsBOYAmt |
| Total Assets EOY | $88,264,997 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,479,825 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,361,512 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $73,365,450 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $76,903,485 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE QUALITY OF LIFE FOR PATIENTS AND FAMILIES AND BE THE COMPASSIONATE GUIDE FOR END-OF-LIFE CARE IN OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $70,673,368 | ExpenseAmt |
| Revenue | $81,319,300 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,208,193 | ExpenseAmt |
| Revenue | $21,902,017 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,131,099 | ExpenseAmt |
| Grant | $107,079 | GrantAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $447,300 | ExpenseAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $447,300 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $89,459,960 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 168 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1042 | 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 |
| Form1098 C Filed | Yes (1) | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 40 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 40 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | CARLOS BOSQUE CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9042685200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM ROAD | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32257 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (55 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| FERNANDO ACOSTA-RUA | |||||||||
| CHAIR | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOE MITRICK | |||||||||
| 1ST VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MORRIE ZIMMERMAN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN W LOGUE | |||||||||
| TREASURER | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR ROBERT NUSS | |||||||||
| ASSISTANT TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GERARDO COLON-OTERO MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTOPHER EMANS | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CAROLE GARDNER | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOE GORDY | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR ANN HARWOOD-NUSS | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HON MARCIA M HOWARD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICE JONES | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOY KORMAN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RABBI JOSHUA LIEF | |||||||||
| BOARD MEMBER; RETIRED | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RAY MATUZA | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| AMBASSADOR MARILYN MCAFEE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSH MCGRAW | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GREG MILLER | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARCIA MORALES | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT S CAIRNS | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY WAGONER PHD LMFT | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SENATOR AUDREY GIBSON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD HAWTHORNE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARSHA OLIVER MBA | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN ROBBINS | |||||||||
| 2ND VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KYLE SANDERS FACHE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALLISON KORMAN SHELTON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KEITH STEIN MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY WILF MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TRACY ARTHUR | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHERINE BATENHORST | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| NANCY M DAWSON MD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| COLONEL BILL DUDLEY RET | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARIE GNAGE | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| REV MARSHA HOLMES | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| T FITCH KING III | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR SUE LEGER-KRALL ARNP PHD | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN D LOGUE CFP | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID MEYER | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HON KRISTINA MOBLEY | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RAY DRIVER | |||||||||
| BOARD MEMBER (EX-OFFICIO) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SUSAN PONDER-STANSEL | |||||||||
| PRESIDENT/CEO | 35.00 | 5.00 | Yes (X) | $453,054 | $0 | $38,291 | |||
| CARLOS BOSQUE | |||||||||
| CFO | 28.00 | 2.00 | Yes (X) | $228,749 | $0 | $20,511 | |||
| PHILLIP WARD | |||||||||
| CHIEF OF BUS. OPER. | 40.00 | Yes (X) | $299,208 | $0 | $28,001 | ||||
| JOHN MCILVAINE | |||||||||
| VP BUS. DEVELOPMENT | 40.00 | $232,445 | $0 | $28,407 | Yes (X) | ||||
| ANDREA FRITZ | |||||||||
| DEPUTY CFO | 40.00 | $202,950 | $0 | $36,687 | Yes (X) | ||||
| MARY MCELROY | |||||||||
| SENIOR VP OF HOSPICE SRVCS | 40.00 | $224,027 | $0 | $20,533 | Yes (X) | ||||
| JOHN ERSTLING | |||||||||
| SENIOR VP, COMMUNITY ENGAGEMENT | 40.00 | $0 | $155,008 | $19,960 | Yes (X) | ||||
| WILLIAM BICKFORD | |||||||||
| CIO, RTD 8/2016 | 40.00 | $165,244 | $0 | $22,388 | Yes (X) | ||||
| KENNY STEVENSON | |||||||||
| CCO/ VP OF COMPLIANCE AND QUALITY | 40.00 | $156,150 | $0 | $9,505 | Yes (X) | ||||
| ANA SANCHEZ | |||||||||
| PHYSICIAN | 40.00 | $235,899 | $0 | $7,889 | Yes (X) | ||||
| KENNETH GOLDSTEIN | |||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $194,126 | $0 | $16,686 | Yes (X) | ||||
| ANDREW DAIGLE | |||||||||
| PHYSICIAN | 40.00 | $206,286 | $0 | $22,910 | Yes (X) | ||||
| JENNIFER CONTIN | |||||||||
| PHYSICIAN | 40.00 | $205,960 | $0 | $23,154 | Yes (X) | ||||
| REUBEN SMITH | |||||||||
| PHYSICIAN | 40.00 | $186,435 | $0 | $18,158 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,990,533 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $155,008 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $313,080 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JACKSONVILLE HOSPITALISTS PA | |||||
| 8773 PERIMETER PARK CT | JACKSONVILLE | FL | 32216 | PHYSICIAN VISITS | $1,325,261 |
| WOODLAND GROVE HEALTH & REHAB | |||||
| 4325 SOUTHPOINT BLVD | JACKSONVILLE | FL | 32216 | NURSING HOME ROOM & BOARD | $1,000,895 |
| LAKESIDE NURSING & REHAB CENTER | |||||
| 11411 ARMSDALE ROAD | JACKSONVILLE | FL | 32218 | NURSING HOME ROOM & BOARD | $988,914 |
| PALM GARDEN OF JACKSONVILLE | |||||
| 5725 SPRING PARK RD | JACKSONVILLE | FL | 32216 | NURSING HOME ROOM & BOARD | $952,461 |
| TAYLOR CARE CENTER | |||||
| 6535 CHESTER AVENUE | JACKSONVILLE | FL | 33217 | NURSING HOME ROOM & BOARD | $867,441 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 56 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,663,166 | RelatedOrganizationsAmt |
| Noncash Contributions | $14,500 | NoncashContributionsAmt |
| Total Contributions | $1,663,166 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENU | 623000 | $81,319,300 | $81,319,300 |
| NURSING HOME SUPPORT | 623000 | $21,902,017 | $21,902,017 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $103,221,317 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $873,271 | TotalRevenueColumnAmt |
| Exclusion | $873,271 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,688 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $9,851 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,688 | SecuritiesAmt |
| Other | -$9,851 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,837 | TotalRevenueColumnAmt |
| Exclusion | $7,837 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,383,277 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $393,731 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $989,546 | TotalRevenueColumnAmt |
| Exclusion | $989,546 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANOUS REVENUE | 623000 | $1,108,259 | $1,108,259 |
| CAFE REVENUE | 722210 | $65,920 | $65,920 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,174,179 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,929,316 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,221,317 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,044,833 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,079 | TotalAmt |
| Program Services | $107,079 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,769,049 | TotalAmt |
| Program Services | $606,810 | ProgramServicesAmt |
| Management And General | $1,162,239 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,827,075 | TotalAmt |
| Program Services | $35,251,873 | ProgramServicesAmt |
| Management And General | $9,575,202 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,292,367 | TotalAmt |
| Program Services | $960,140 | ProgramServicesAmt |
| Management And General | $332,227 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,488,188 | TotalAmt |
| Program Services | $5,434,074 | ProgramServicesAmt |
| Management And General | $1,054,114 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,334,787 | TotalAmt |
| Program Services | $2,714,350 | ProgramServicesAmt |
| Management And General | $620,437 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,120 | TotalAmt |
| Management And General | $157,120 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,125 | TotalAmt |
| Management And General | $316,125 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,825 | TotalAmt |
| Management And General | $46,825 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,894 | TotalAmt |
| Program Services | $72,894 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,386 | TotalAmt |
| Management And General | $25,386 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,909,490 | TotalAmt |
| Program Services | $2,656,963 | ProgramServicesAmt |
| Management And General | $1,252,527 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,329 | TotalAmt |
| Program Services | $59,521 | ProgramServicesAmt |
| Management And General | $558,808 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,393,253 | TotalAmt |
| Program Services | $2,430,679 | ProgramServicesAmt |
| Management And General | $962,574 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,845 | TotalAmt |
| Program Services | $437,845 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,034,916 | TotalAmt |
| Program Services | $2,034,916 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,007,427 | TotalAmt |
| Program Services | $853,021 | ProgramServicesAmt |
| Management And General | $154,406 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,644 | TotalAmt |
| Program Services | $136,576 | ProgramServicesAmt |
| Management And General | $115,068 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65 | TotalAmt |
| Program Services | $65 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,861,127 | TotalAmt |
| Program Services | $2,861,127 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,812 | TotalAmt |
| Management And General | $157,812 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ROOM AND BOARD | $23,243,421 | $23,243,421 |
| MEDICAL SUPPLIES EXPENS | $7,245,837 | $7,245,837 |
| CHARITY CARE EXPENSES | $953,551 | $953,551 |
| MISCELLANEOUS | $656,350 | $656,350 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $742,868 | TotalAmt |
| Program Services | $742,868 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,950,830 | TotalAmt |
| Program Services | $89,459,960 | ProgramServicesAmt |
| Management And General | $16,490,870 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,830 | BOYAmt |
| EOY | $3,980 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,067,906 | BOYAmt |
| EOY | $21,989,867 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,508,746 | BOYAmt |
| EOY | $4,626,687 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,168 | BOYAmt |
| EOY | $575,729 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,999,610 | BOYAmt |
| EOY | $3,406,811 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $57,637,566 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,344,486 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,975,795 | BOYAmt |
| EOY | $36,293,080 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,418,801 | BOYAmt |
| EOY | $20,579,785 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,664 | BOYAmt |
| EOY | $105,394 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,755 | BOYAmt |
| EOY | $683,664 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,845,275 | BOYAmt |
| EOY | $88,264,997 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,013,653 | BOYAmt |
| EOY | $9,659,346 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,731 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,462,441 | BOYAmt |
| EOY | $1,702,166 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,479,825 | BOYAmt |
| EOY | $11,361,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,365,450 | BOYAmt |
| EOY | $76,903,485 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,365,450 | BOYAmt |
| EOY | $76,903,485 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,845,275 | BOYAmt |
| EOY | $88,264,997 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,978,486 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,559,549 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,568,604 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,808,531 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,560,561 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,711,247 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,550,845 | CurrentTaxYearAmt |
| Total | $8,199,788 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $93,920,661 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $95,223,451 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $90,590,457 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,054,495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $103,225,000 | CurrentTaxYearAmt |
| Total | $478,014,064 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $95,489,265 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $97,031,982 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $92,151,018 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $96,765,742 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $104,775,845 | CurrentTaxYearAmt |
| Total | $486,213,852 | 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 | $486,213,852 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $550,386 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $724,645 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $690,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $578,072 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $873,271 | CurrentTaxYearAmt |
| Total | $3,416,374 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $550,386 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $724,645 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $690,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $578,072 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $873,271 | CurrentTaxYearAmt |
| Total | $3,416,374 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $120,962 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $187,502 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $777,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,282,817 | CurrentTaxYearAmt |
| Total | $2,368,897 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $96,039,651 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $97,877,589 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93,028,520 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,121,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $106,931,933 | CurrentTaxYearAmt |
| Total | $491,999,123 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98820 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99160 | PublicSupportPY509Pct |
| Investment Income CY | 0.00690 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00610 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $72,894 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,616 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $76,510 | 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 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 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,208,118 | OtherCostOrOtherBasisAmt |
| Book Value | $4,208,118 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,912,431 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,076,233 | DepreciationAmt |
| Book Value | $21,836,198 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,672,227 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,324,466 | DepreciationAmt |
| Book Value | $3,347,761 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,531,075 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,943,787 | DepreciationAmt |
| Book Value | $4,587,288 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,313,715 | OtherCostOrOtherBasisAmt |
| Book Value | $2,313,715 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,293,080 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMPENSATION | Desc |
| Amt | $1,702,166 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,702,166 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $109,882,596 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,559,549 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $393,731 | OtherRevenueAmt |
| Revenue Not Reported | $1,953,280 | RevenueNotReportedAmt |
| Revenue Subtotal | $107,929,316 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $107,929,316 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $106,344,561 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $393,731 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $393,731 | ExpensesNotReportedAmt |
| Expenses Subtotal | $105,950,830 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $105,950,830 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 653 WEST 8TH STREET | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32209 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 591867557 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $106,151 | CashGrantAmt |
| Purpose Of Grant | PALLIATIVE CARE FELLOWSHIP | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART II, LINE 1H | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 (14 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 | $337,597 | $0 | $97,457 | $0 | $18,000 | $0 | $11,518 | $0 | $26,773 | $0 | $491,345 | $0 | $0 | $0 |
| CARLOS BOSQUE | ||||||||||||||
| CFO | $178,451 | $0 | $34,141 | $0 | $16,157 | $0 | $3,082 | $0 | $17,429 | $0 | $249,260 | $0 | $0 | $0 |
| PHILLIP WARD | ||||||||||||||
| CHIEF OF BUS. OPER. | $246,593 | $0 | $34,615 | $0 | $18,000 | $0 | $9,713 | $0 | $18,288 | $0 | $327,209 | $0 | $0 | $0 |
| JOHN MCILVAINE | ||||||||||||||
| VP BUS. DEVELOPMENT | $183,430 | $0 | $32,188 | $0 | $16,827 | $0 | $10,895 | $0 | $17,512 | $0 | $260,852 | $0 | $0 | $0 |
| ANDREA FRITZ | ||||||||||||||
| DEPUTY CFO | $172,788 | $0 | $15,368 | $0 | $14,794 | $0 | $10,532 | $0 | $26,155 | $0 | $239,637 | $0 | $0 | $0 |
| MARY MCELROY | ||||||||||||||
| SENIOR VP OF HOSPICE SRVCS | $186,394 | $0 | $21,634 | $0 | $15,999 | $0 | $11,045 | $0 | $9,488 | $0 | $244,560 | $0 | $0 | $0 |
| JOHN ERSTLING | ||||||||||||||
| SENIOR VP, COMMUNITY ENGAGEMENT | $0 | $155,008 | $0 | $0 | $0 | $0 | $0 | $3,609 | $0 | $16,351 | $0 | $174,968 | $0 | $0 |
| WILLIAM BICKFORD | ||||||||||||||
| CIO, RTD 8/2016 | $151,744 | $0 | $13,500 | $0 | $0 | $0 | $5,099 | $0 | $17,289 | $0 | $187,632 | $0 | $0 | $0 |
| KENNY STEVENSON | ||||||||||||||
| CCO/ VP OF COMPLIANCE AND QUALITY | $133,728 | $0 | $11,363 | $0 | $11,059 | $0 | $7,857 | $0 | $1,648 | $0 | $165,655 | $0 | $0 | $0 |
| ANA SANCHEZ | ||||||||||||||
| PHYSICIAN | $233,899 | $0 | $2,000 | $0 | $0 | $0 | $7,077 | $0 | $812 | $0 | $243,788 | $0 | $0 | $0 |
| KENNETH GOLDSTEIN | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $194,126 | $0 | $0 | $0 | $0 | $0 | $687 | $0 | $15,999 | $0 | $210,812 | $0 | $0 | $0 |
| ANDREW DAIGLE | ||||||||||||||
| PHYSICIAN | $206,286 | $0 | $0 | $0 | $0 | $0 | $7,177 | $0 | $15,733 | $0 | $229,196 | $0 | $0 | $0 |
| JENNIFER CONTIN | ||||||||||||||
| PHYSICIAN | $205,960 | $0 | $0 | $0 | $0 | $0 | $6,432 | $0 | $16,722 | $0 | $229,114 | $0 | $0 | $0 |
| REUBEN SMITH | ||||||||||||||
| PHYSICIAN | $186,435 | $0 | $0 | $0 | $0 | $0 | $6,349 | $0 | $11,809 | $0 | $204,593 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM ROAD | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32257 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593583920 | EIN |
| Primary Activities | FUNDRAISING FOR COMMUNITY HOSPICE OF NORTHEAST FLORIDA | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 13, TYPE I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE OF NORTHEAST FLORIDA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MANAGEMENT COMPANY OF NORTHEAST FLORIDA INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM ROAD | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32257 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | EDUCATION AND CARING FOR THE ELDERLY | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE OF NORTHEAST FLORIDA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | 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 | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION | ||
| A | $121,651 | FMV |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION | ||
| C | $1,663,167 | FMV |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION | ||
| O | $159,822 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART VII | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
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