COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC (EIN 59-1940256)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-14
IRS object ID
201400459349300900
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-14T07:54:52-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591940256EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPICE OF NORTHEAST FLORIDABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone9042685200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14266 SUNBEAM RDAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32257ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARLOS BOSQUEName
TitleCFOTitle
Phone9042685200Phone
Date Signed2014-02-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCARLOS BOSQUENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14266 SUNBEAM RDAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32257ZIPCode
FieldValueIRS element (for citing)
Gross Receipts98150822GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COMMUNITYHOSPICE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionHOSPICE IN HOME CARE OF TERMINALLY ILL PATIENTS AND COMPREHENSIVE GUIDANCE AND SUPPORT FOR PATIENTS AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body33NbrVotingMembersGoverningBody
Nbr Independent Voting Members33NbrIndependentVotingMembers
Total Nbr Employees1094TotalNbrEmployees
Total Nbr Volunteers770TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1579519ContributionsGrantsPriorYear
Contributions Grants Current Year1808531ContributionsGrantsCurrentYear
Program Service Revenue Prior Year93910056ProgramServiceRevenuePriorYear
Program Service Revenue CY95223451ProgramServiceRevenueCY
Investment Income Prior Year540185InvestmentIncomePriorYear
Investment Income Current Year903582InvestmentIncomeCurrentYear
Other Revenue Prior Year86684OtherRevenuePriorYear
Other Revenue Current Year120962OtherRevenueCurrentYear
Total Revenue Prior Year96116444TotalRevenuePriorYear
Total Revenue Current Year98056526TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1400000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1400676GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year50466260SalariesEtcPriorYear
Salaries Etc Current Year52223419SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year39195069OtherExpensePriorYear
Other Expenses Current Year42367651OtherExpensesCurrentYear
Total Expenses Prior Year91061329TotalExpensesPriorYear
Total Expenses Current Year95991746TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5055115RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2064780RevenuesLessExpensesCY
Total Assets BOY73227466TotalAssetsBOY
Total Assets EOY75914999TotalAssetsEOY
Total Liabilities BOY8075305TotalLiabilitiesBOY
Total Liabilities EOY7868188TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY65152161NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY68046811NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE QUALITY OF LIFE FOR PATIENTS AND FAMILIES AND BE THE COMPASSIONATE GUIDE FOR END-OF-LIFE CARE IN OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense64236195Expense
Revenue75689432Revenue
DescriptionHOSPICE 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 1,100 PATIENTS AND THEIR FAMILIES LIVE BETTER WITH ADVANCED ILLNESS. MOST HOSPICE CARE IS PROVIDED WHERE PATIENTS LIVE, WHETHER THAT IS A PRIVATE RESIDENCE, NURSING HOME, OR ASSISTED LIVING FACILITY, AS WELL AS IN THE HOSPITAL OR IN ONE OF SIX COMMUNITY HOSPICE INPATIENT CARE CENTERS.COMMUNITY HOSPICE ENSURES PATIENTS' COMFORT BY ADDRESSING THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS THROUGH AN INTERDISCIPLINARY TEAM OF MORE THAN 850 HOSPICE PROFESSIONALS AND 930 VOLUNTEERS. THE ORGANIZATION ALSO ASSISTS FAMILY CAREGIVERS THROUGH EDUCATION, ACCESS TO COMMUNITY RESOURCES, AND BEREAVEMENT SUPPORT FOR AT LEAST 13 MONTHS 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 CARE; PHYSICIAN SERVICES; PSYCHOSOCIAL SERVICES; SPIRITUAL SUPPORT; CERTIFIED NURSING ASSISTANT (CNA), HOME HEALTH AIDE SERVICES; MEDICAL EQUIPMENT (SUCH AS WHEELCHAIRS AND WALKERS); MEDICAL SUPPLIES (SUCH AS BANDAGES AND CATHETERS); DRUGS FOR SYMPTOM MANAGEMENT OR PAIN RELIEF; BEREAVEMENT COUNSELING AND SUPPORT; PHYSICAL AND OCCUPATIONAL THERAPY; SPEECH THERAPY; DIETARY COUNSELING.A DEDICATED TEAM OF HOSPICE PROFESSIONALS WORK WITH PATIENTS TO HELP MANAGE THE PAIN AND SYMPTOMS ASSOCIATED WITH A LIFE-LIMITING ILLNESS, AND PROVIDE PERSONAL, RESPECTFUL CARE AND ASSISTANCE. THIS INCLUDES EMOTIONAL AND SPIRITUAL SUPPORT. THE ORGANIZATION TEACHES PATIENTS AND THEIR CAREGIVERS ABOUT THE DISEASE AND WHAT TO EXPECT IN FUTURE STAGES, AS WELL AS ABOUT MEDICINES AND WAYS TO INCREASE COMFORT. ON-CALL SERVICES ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. LAST YEAR 378,242 DAYS OF CARE WERE PROVIDED BY OUR HOMECARE TEAMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17469446Expense
Revenue19528969Revenue
DescriptionHOSPICE INPATIENT CAREINPATIENT CARE, IF NEEDED, IS AVAILABLE IN ONE OF OUR FIVE INPATIENT CENTERS. OUR INPATIENT FACILITIES ARE AVAILABLE FOR PATIENTS NEEDING PAIN AND SYMPTOM MANAGEMENT AT AN ACUTE LEVEL UNABLE TO BE CARRIED OUT IN A HOME SETTING. WE ALSO PROVIDE CARE TO PATIENTS HERE THAT IT IS NON- ACUTE IF IT IS NOT FEASIBLE FOR THE PATIENT TO REMAIN IN THEIR HOME. OUR FACILITIES ARE HOMELIKE SURROUNDINGS WITH GARDENS AND SERENE SETTINGS. WE HAVE LOCATED THESE FACILITIES THROUGHOUT OUR 5 COUNTY SERVICE AREA TO ALLOW FAMILIES TO RECEIVE THIS SERVICE WITHOUT A LONG DRIVE TO BE WITH THEIR LOVED ONES. LAST YEAR 27,653 DAYS OF CARE WERE PROVIDED IN OUR INPATIENT FACILITIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1441905Expense
Grants676Grants
Revenue5050Revenue
DescriptionPALLIATIVE CARETHROUGH COMMUNITY PALLIATIVE CONSULTANTS LAUNCHED IN 2010, PALLIATIVE CONSULT SERVICES ARE PROVIDED THROUGH SEVERAL 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 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 OUR PALLIATIVE CARE PROGRAM DID 9,157 PATIENT VISITS IN OUR LOCAL HOSPITALS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Grants1400000Grants
FieldValueIRS element (for citing)
Total Of Other Program Service Grnt1400000TotalOfOtherProgramServiceGrnt
Total Program Service Expense83147546TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096142NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1094NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members33NbrVotingGoverningBodyMembers
Number Independent Voting Members33NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARLOS BOSQUE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9042685200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14266 SUNBEAM ROADAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32257ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (48 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
FERNANDO ACOSTA-RUA
CHAIR2.001.00XX000
JAMES R BURKHART
CHAIR (THROUGH NOVEMBER 2012)2.003.00XX000
JOE MITRICK
1ST VICE CHAIR2.00XX000
MORRIE ZIMMERMAN
2ND VICE CHAIR1.00XX000
JOHN W LOGUE
TREASURER2.001.00XX000
DR ROBERT NUSS
ASSISTANT TREASURER1.00XX000
JOHN HAYT
SECRETARY2.00XX000
MOODY CHISHOLM
BOARD OFFICER1.00X000
GERARDO COLON-OTERO
BOARD MEMBER1.00X000
BARBARA CONE
BOARD OFFICER1.00X000
JOHN J DIAMOND
BOARD MEMBER1.00X000
MARK DOYLE
BOARD MEMBER1.00X000
CHRISTOPHER EMANS
BOARD MEMBER1.00X000
CAROLE GARDNER
BOARD MEMBER1.00X000
JOE GORDY
BOARD MEMBER1.00X000
DAVID HALLMAN
BOARD MEMBER1.00X000
DR ANN HARDWOOD-NUSS
BOARD MEMBER1.00X000
HON MARCIA M HOWARD
BOARD MEMBER1.00X000
BRIAN HUTCHESON
BOARD MEMBER1.00X000
CAL JACKSON
BOARD MEMBER1.00X000
PATRICE JONES
BOARD MEMBER1.00X000
JOY KORMAN
BOARD MEMBER1.00X000
RABBI JOSHUA LIEF
BOARD MEMBER1.00X000
HILARY MATHEWS
BOARD MEMBER1.00X000
RAY MATUZA
BOARD MEMBER1.00X000
AMBASSADOR MARILYN MCAFEE
BOARD MEMBER1.00X000
JOSH MCGRAW
BOARD MEMBER1.001.00X000
ESTELLE MCKISSICK
BOARD MEMBER1.00X000
GREG MILLER
BOARD MEMBER1.00X000
MARCIA MORALES
BOARD MEMBER1.001.00X000
PAULA RINGHAVER
BOARD MEMBER1.00X000
SCOTT CAIRNS
BOARD OFFICER1.00X000
LARRY WAGONER
BOARD MEMBER1.00X000
SCOTT WITT
BOARD MEMBER1.00X000
SUSAN PONDER-STANSEL
PRESIDENT/CEO30.0010.00X436892058390
CARLOS BOSQUE
CFO25.005.00X197106033831
PHIL WARD
CHIEF OF BUS. OPER.40.00X294716051263
STEPHEN CLARK
CHIEF MEDICAL OFFICER40.00229653023628X
KATHLEEN JOHNSON
VP OF WORKFORCE DEV.40.00189697028527X
JOHN MCILVAINE
VP BUS. DEVELOPMENT40.00227697021238X
ANDREA FRITZ
DEPUTY CFO40.00191303042851X
KATHRYN MCILVAINE
VP OF COMMUNITCATION40.00179843020845X
MARY MCELROY
CNO40.00229356015624X
ANDREW DAIGLE
ASSOC. MEDICAL DIR.40.00180377020564X
DAVID YARIAN
ASSOC. MEDICAL DIR.40.0016530906700X
REUBEN SMITH
ASSOC. MEDICAL DIR.40.00187324012265X
PAUL BORGMAN
ASSOC. MEDICAL DIR.40.00197970021134X
DONALD TWIGGS
ASSOC. MEDICAL DIR.40.00204435016517X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3111678TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation373377TotalOtherCompensation
Number Individuals GT100 K31NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INPATIENT CONSULTANTS OF FL
PO BOX 513500LOS ANGELESCA900513500CONTRACTED PHYSICIAN SERVICES1637101
TAYLOR CARE CENTER
6535 CHESTER AVENUEJACKSONVILLEFL33217SKILLED NURSING FACILITY1043645
PALM GARDEN
5725 SPRING PARK ROADJACKSONVILLEFL32216SKILLED NURSING FACILITY669172
LANIER MANOR
12740 LANIER ROADJACKSONVILLEFL32226SKILLED NURSING FACILITY572181
SOUTHPOINT TERRACE
4325 SOUTHPOINT BLVDJACKSONVILLEFL32216SKILLED NURSING FACILITY566443
FieldValueIRS element (for citing)
Number Of Contractors GT100 K45NumberOfContractorsGT100K
Related Organizations1808530RelatedOrganizations
All Other Contributions1AllOtherContributions
Total Contributions1808531TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6230007568943275689432
NURSING HOME SUPPORT6230001952896919528969
OTHER PROGRAM SERVICE62300050505050
FieldValueIRS element (for citing)
Total Program Service Revenue95223451TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column724645TotalRevenueColumn
Exclusion$724,645ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities273233Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other94296Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities273233Securities
Other-94296Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column178937TotalRevenueColumn
Exclusion$178,937ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFE REVENUE72221073945$73,945
MISCELLANOUS REVENUE62300046051$46,051
VENDING REVENUE722210966$966
FieldValueIRS element (for citing)
Total Other Revenue120962TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column98056526TotalRevenueColumn
Related Or Exempt Function Income95223451RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,024,544ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1400676Total
Program Services1400676ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2110099Total
Program Services525097ProgramServices
Management And General1585002ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total39978089Total
Program Services33025044ProgramServices
Management And General6953045ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1236602Total
Program Services886260ProgramServices
Management And General350342ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5639635Total
Program Services4714980ProgramServices
Management And General924655ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3258994Total
Program Services2777855ProgramServices
Management And General481139ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total121142Total
Management And General121142ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total170565Total
Management And General170565ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47330Total
Management And General47330ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total78933Total
Program Services78933ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total16294Total
Management And General16294ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2890249Total
Program Services2640470ProgramServices
Management And General249779ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total628414Total
Program Services159481ProgramServices
Management And General468933ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total23862083Total
Program Services23219126ProgramServices
Management And General642957ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total382862Total
Program Services382862ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1944480Total
Program Services1944480ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1219284Total
Program Services1004940ProgramServices
Management And General214344ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total254935Total
Program Services146984ProgramServices
Management And General107951ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total15364Total
Program Services15364ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2327471Total
Program Services2327471ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total510722Total
Management And General510722ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES EXPENS63693466369346
CHARITY CARE EXPENSES837770837770
BAD DEBT391506391506
DIETARY EXPENSE285742285742

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13159Total
Program Services13159ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total95991746Total
Program Services83147546ProgramServices
Management And General12844200ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2100BOY
EOY2150EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY20375947BOY
EOY20065207EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7284766BOY
EOY4920406EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY5475BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY544030BOY
EOY537255EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2013250BOY
EOY3069515EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis46578532LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15786910LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28901974BOY
EOY30791622EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13991522BOY
EOY16342158EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY108402BOY
EOY103681EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY83005EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY73227466BOY
EOY75914999EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6865778BOY
EOY6510458EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY275870BOY
EOY150446EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY933657BOY
EOY1207284EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8075305BOY
EOY7868188EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY65152161BOY
EOY68046811EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65152161BOY
EOY68046811EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY73227466BOY
EOY75914999EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2064780ReconcilationRevenueExpenses
Reconciliation Unrealized Invest829870ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2181745CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4143926CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3553298CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1568604CurrentTaxYearMinus1Year
Current Tax Year1808531CurrentTaxYear
Total13256104Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66686742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years74775457CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90287048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93920661CurrentTaxYearMinus1Year
Current Tax Year95223451CurrentTaxYear
Total420893359Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68868487CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years78919383CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years93840346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95489265CurrentTaxYearMinus1Year
Current Tax Year97031982CurrentTaxYear
Total434149463Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509434149463PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years129706CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years279251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years386772CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year550386CurrentTaxYearMinus1Year
Current Tax Year724645CurrentTaxYear
Total2070760Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years129706CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years279251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years386772CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year550386CurrentTaxYearMinus1Year
Current Tax Year724645CurrentTaxYear
Total2070760Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year120962CurrentTaxYear
Total120962Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68998193CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years79198634CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years94227118CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year96039651CurrentTaxYearMinus1Year
Current Tax Year97877589CurrentTaxYear
Total436341185Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99500PublicSupportPercentage509
Prior Year Support Percentage0.99640PriorYearSupportPercentage
Investment Income Percentage0.00470InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00360PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$78,933DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$3,215OtherActivitiesAmount
Total Lobbying Expenditures IIB82148TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE 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 HEALTH CARE ASSOCIATION FLORIDA HOSPICES AND PALLIATIVE CARE NHPCOExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis886925OtherCostOrOtherBasis
Book Value886925BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30547740OtherCostOrOtherBasis
Depreciation8092867Depreciation
Book Value22454873BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3138407OtherCostOrOtherBasis
Depreciation792521Depreciation
Book Value2345886BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11698325OtherCostOrOtherBasis
Depreciation6901522Depreciation
Book Value4796803BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis307135OtherCostOrOtherBasis
Book Value307135BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30791622TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Amount$1,207,284Amount
FieldValueIRS element (for citing)
Total Of Amounts1207284TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt98886396TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments829870NetUnrealizedGainsInvestments
Revenue Not Rptd F990829870RevenueNotRptdF990
Revenue Subtotal98056526RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99098056526TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt95991746TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal95991746ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99095991746TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationINCOME 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, 2013.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPICE FOUNDATION FOR CARINGBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14266 SUNBEAM ROADAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32257ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient593583920EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant1400000AmountOfCashGrant
Purpose Of GrantBUILD INVESTMENTS FOR FOUNDATIONPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: SCHEDULE I, PART 1, LINE 2: THE COMMUNITY HOSPICE OF NORTHEAST FLORIDA IS THE SOLE MEMBER OF THE COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION. MONITORING OF FUNDS IS MAINTAINED THROUGH HIGH OVERLAP OF THE TWO ORGANIZATIONS' MANAGEMENT AND GOVERNING BODIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SUSAN PONDER-STANSEL
PRESIDENT/CEO29223201276600170000343550240350495282000
CARLOS BOSQUE
CFO1687940143660139460177130161180230937000
PHIL WARD
CHIEF OF BUS. OPER.2377320399840170000267260245370345979000
STEPHEN CLARK
CHIEF MEDICAL OFFICER21539801425500070070166210253281000
KATHLEEN JOHNSON
VP OF WORKFORCE DEV.1620170140500136300127390157880218224000
JOHN MCILVAINE
VP BUS. DEVELOPMENT180016031571016110012744084940248935000
ANDREA FRITZ
DEPUTY CFO1629920143700139410184420244090234154000
KATHRYN MCILVAINE
VP OF COMMUNITCATION148569018571012703012465083800200688000
MARY MCELROY
CNO1791330502230006770088540244980000
ANDREW DAIGLE
ASSOC. MEDICAL DIR.1749770540000055950149690200941000
DAVID YARIAN
ASSOC. MEDICAL DIR.161634036750005637010630172009000
REUBEN SMITH
ASSOC. MEDICAL DIR.183362039620005668065970199589000
PAUL BORGMAN
ASSOC. MEDICAL DIR.1939480402200061690149650219104000
DONALD TWIGGS
ASSOC. MEDICAL DIR.1983090612600062840102330220952000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationSUSAN PONDER-STANSEL 20,855 PHILLIP WARD 13,226 CARLOS BOSQUE 7,804 KATHLEEN JOHNSON 3,054 JOHN MCLLVAINE 1,297 ANDREA FRITZ 8,537 KATHRYN MCLLVAINE 3,439Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 1THE 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 2JOHN MCILAINE AND KATHY MCILVAINE ARE BOTH KEY EMPLOYEES AND ARE HUSBAND AND WIFE. THE HONORABLE MARCIA MORALES HOWARD AND MARCIA MORALES ARE BOTH BOARD MEMBERS AND ARE MOTHER AND DAUGHTER. DR ROBERT NUSS AND DR. ANN HARDWOOD-NUSS ARE BOTH BOARD MEMBERS AND ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CMEMBERS 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 15USING CURRENT JOB DESCRIPTIONS FOR THE EXECUTIVE POSITIONS, COMPETITIVE COMPENSATION DATA IS COLLECTED FROM PUBLISHED SALARY SURVEYS, THE FORM 990 OF SIMILAR HOSPICES, AND THROUGH DATA SUPPLIED BY EXTERNAL COMPENSATION CONSULTANTS. THIS INFORMATION IS ORGANIZED AND PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD BY THE DIRECTOR OF HUMAN RESOURCES. THE EXECUTIVE COMMITTEE IN TURN DETERMINES AND APPROVES INDIVIDUAL SALARY ADJUSTMENTS IT BELIEVES ARE WARRANTED. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION FOR THE CEO, COO, CFO, DEPUTY CFO, CMO, CNO, VP OF WORKFORCE DEVELOPMENT, VP OF MARKETING DEVELOPMENT, VP OF MARKETING & COMMUNICATIONS, VP OF BUSINESS DEVELOPMENT, AND THE EXECUTIVE DIRECTOR OF THE RELATED FOUNDATION.
FORM 990, PART VI, SECTION C, LINE 18PHOTOCOPIES 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 19THE ORGANIZATION WILL PROVIDE ANY GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS UPON REQUEST. THIS CAN BE DONE IN PERSON, BY PHONE, VIA OUR WEBSITE OR ON WWW.GUIDESTAR.COM. THE ORGANIZATION PUBLISHES A COMMUNITY REPORT IN THE LOCAL SUNDAY NEWSPAPER THAT PROVIDES SUMMARY INFORMATION OF THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING
4266 SUNBEAM ROADJACKSONVILLEFL32257593583920FUNDRAISING FOR COMMUNITY HOSPICE OF NORTHEAST FLORIDAFL501(C)(3)13, TYPE ICOMMUNITY HOSPICE OF NORTHEAST FLORIDA1
COMMUNITY MANAGEMENT COMPANY OF NORTHEAST FLORIDA INC
4266 SUNBEAM ROADJACKSONVILLEFL32257EDUCATION AND CARING FOR THE ELDERLYFL501(C)(3)COMMUNITY HOSPICE OF NORTHEAST FLORIDA1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION
A98488FMV
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION
C1808530FMV
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION
O189467FMV
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION
B1400000FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
ExplanationTHE 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 TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITY IT SERVES. AS OF SEPTEMBER 30, 2012, COMMUNITY MANAGEMENT COMPANY OF NORTHEAST FLORIDA, INC. HAD NOT ENGAGED IN ANY FINANCIAL TRANSACTIONS AND THEIR APPLICATION FOR EXEMPTION WAS STILL IN THE PROCESS.Explanation

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