2014-02-14T07:54:52-06:00 2013-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2012-10-01 591940256 COMMUNITY HOSPICE OF NORTHEAST FLORIDA COMM 9042685200 4266 SUNBEAM RD JACKSONVILLE FL 32257 CARLOS BOSQUE 9042685200 2014-02-14 1 AMY BIBBY 8282542254 2012 2015-11-30 17:44:51Z CARLOS BOSQUE 4266 SUNBEAM RD JACKSONVILLE FL 32257 98150822 0 X WWW.COMMUNITYHOSPICE.COM X 1984 FL HOSPICE IN HOME CARE OF TERMINALLY ILL PATIENTS AND COMPREHENSIVE GUIDANCE AND SUPPORT FOR PATIENTS AND THEIR FAMILIES. 33 33 1094 770 0 0 1579519 1808531 93910056 95223451 540185 903582 86684 120962 96116444 98056526 1400000 1400676 0 0 50466260 52223419 0 0 0 39195069 42367651 91061329 95991746 5055115 2064780 73227466 75914999 8075305 7868188 65152161 68046811 X TO IMPROVE THE QUALITY OF LIFE FOR PATIENTS AND FAMILIES AND BE THE COMPASSIONATE GUIDE FOR END-OF-LIFE CARE IN OUR COMMUNITY. 0 0 64236195 75689432 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 1,100 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. 17469446 19528969 HOSPICE 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. 1441905 676 5050 PALLIATIVE 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. 1400000 1400000 83147546 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 142 0 1 1094 1 0 0 0 0 0 0 0 0 0 0 X 33 33 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X CARLOS BOSQUE CFO 9042685200 4266 SUNBEAM ROAD JACKSONVILLE FL 32257 FERNANDO ACOSTA-RUA 2.00 1.00 X X 0 0 0 JAMES R BURKHART 2.00 3.00 X X 0 0 0 JOE MITRICK 2.00 X X 0 0 0 MORRIE ZIMMERMAN 1.00 X X 0 0 0 JOHN W LOGUE 2.00 1.00 X X 0 0 0 DR ROBERT NUSS 1.00 X X 0 0 0 JOHN HAYT 2.00 X X 0 0 0 MOODY CHISHOLM 1.00 X 0 0 0 GERARDO COLON-OTERO 1.00 X 0 0 0 BARBARA CONE 1.00 X 0 0 0 JOHN J DIAMOND 1.00 X 0 0 0 MARK DOYLE 1.00 X 0 0 0 CHRISTOPHER EMANS 1.00 X 0 0 0 CAROLE GARDNER 1.00 X 0 0 0 JOE GORDY 1.00 X 0 0 0 DAVID HALLMAN 1.00 X 0 0 0 DR ANN HARDWOOD-NUSS 1.00 X 0 0 0 HON MARCIA M HOWARD 1.00 X 0 0 0 BRIAN HUTCHESON 1.00 X 0 0 0 CAL JACKSON 1.00 X 0 0 0 PATRICE JONES 1.00 X 0 0 0 JOY KORMAN 1.00 X 0 0 0 RABBI JOSHUA LIEF 1.00 X 0 0 0 HILARY MATHEWS 1.00 X 0 0 0 RAY MATUZA 1.00 X 0 0 0 AMBASSADOR MARILYN MCAFEE 1.00 X 0 0 0 JOSH MCGRAW 1.00 1.00 X 0 0 0 ESTELLE MCKISSICK 1.00 X 0 0 0 GREG MILLER 1.00 X 0 0 0 MARCIA MORALES 1.00 1.00 X 0 0 0 PAULA RINGHAVER 1.00 X 0 0 0 SCOTT CAIRNS 1.00 X 0 0 0 LARRY WAGONER 1.00 X 0 0 0 SCOTT WITT 1.00 X 0 0 0 SUSAN PONDER-STANSEL 30.00 10.00 X 436892 0 58390 CARLOS BOSQUE 25.00 5.00 X 197106 0 33831 PHIL WARD 40.00 X 294716 0 51263 STEPHEN CLARK 40.00 X 229653 0 23628 KATHLEEN JOHNSON 40.00 X 189697 0 28527 JOHN MCILVAINE 40.00 X 227697 0 21238 ANDREA FRITZ 40.00 X 191303 0 42851 KATHRYN MCILVAINE 40.00 X 179843 0 20845 MARY MCELROY 40.00 X 229356 0 15624 ANDREW DAIGLE 40.00 X 180377 0 20564 DAVID YARIAN 40.00 X 165309 0 6700 REUBEN SMITH 40.00 X 187324 0 12265 PAUL BORGMAN 40.00 X 197970 0 21134 DONALD TWIGGS 40.00 X 204435 0 16517 3111678 0 373377 31 0 1 0 INPATIENT CONSULTANTS OF FL PO BOX 513500 LOS ANGELES CA 900513500 CONTRACTED PHYSICIAN SERVICES 1637101 TAYLOR CARE CENTER 6535 CHESTER AVENUE JACKSONVILLE FL 33217 SKILLED NURSING FACILITY 1043645 PALM GARDEN 5725 SPRING PARK ROAD JACKSONVILLE FL 32216 SKILLED NURSING FACILITY 669172 LANIER MANOR 12740 LANIER ROAD JACKSONVILLE FL 32226 SKILLED NURSING FACILITY 572181 SOUTHPOINT TERRACE 4325 SOUTHPOINT BLVD JACKSONVILLE FL 32216 SKILLED NURSING FACILITY 566443 45 1808530 1 1808531 PATIENT SERVICE REVENU 623000 75689432 75689432 NURSING HOME SUPPORT 623000 19528969 19528969 OTHER PROGRAM SERVICE 623000 5050 5050 95223451 724645 724645 273233 0 94296 273233 -94296 178937 178937 CAFE REVENUE 722210 73945 73945 MISCELLANOUS REVENUE 623000 46051 46051 VENDING REVENUE 722210 966 966 120962 98056526 95223451 0 1024544 1400676 1400676 2110099 525097 1585002 39978089 33025044 6953045 1236602 886260 350342 5639635 4714980 924655 3258994 2777855 481139 121142 121142 170565 170565 47330 47330 78933 78933 16294 16294 2890249 2640470 249779 628414 159481 468933 23862083 23219126 642957 382862 382862 1944480 1944480 1219284 1004940 214344 254935 146984 107951 15364 15364 2327471 2327471 510722 510722 MEDICAL SUPPLIES EXPENS 6369346 6369346 CHARITY CARE EXPENSES 837770 837770 BAD DEBT 391506 391506 DIETARY EXPENSE 285742 285742 13159 13159 95991746 83147546 12844200 0 2100 2150 20375947 20065207 7284766 4920406 5475 0 544030 537255 2013250 3069515 46578532 15786910 28901974 30791622 13991522 16342158 108402 103681 0 83005 73227466 75914999 6865778 6510458 275870 150446 933657 1207284 8075305 7868188 X 65152161 68046811 65152161 68046811 73227466 75914999 2064780 829870 0 X 0 1 X 1 0 X 2181745 4143926 3553298 1568604 1808531 13256104 66686742 74775457 90287048 93920661 95223451 420893359 68868487 78919383 93840346 95489265 97031982 434149463 0 0 0 434149463 129706 279251 386772 550386 724645 2070760 129706 279251 386772 550386 724645 2070760 120962 120962 68998193 79198634 94227118 96039651 97877589 436341185 0.99500 0.99640 0.00470 0.00360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 78933 0 1 3215 82148 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION INCURRED EXPENSES BY CALLING ON MEMBERS OF NORTH FLORIDA DELEGATION REGARDING PACE LEGISLATION, FUNDING FOR "MONEY FOLLOWS THE PERSON" GRANT FOR FLORIDA, PARTNERS IN CARE-MEDICAID, MEDICAID MANAGED CARE CONCERNS, CERTIFICATE OF NEED SUPPORT FOR HOSPICE THE ORGANIZATION WAS A MEMEBER OF THE FOLLOWING ORGANIZATIONS THAT ENGAGED IN LOBBYING ON BEHALF OF ITS MEMBERS: NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE FLORIDA HEALTH CARE ASSOCIATION FLORIDA HOSPICES AND PALLIATIVE CARE NHPCO 886925 886925 30547740 8092867 22454873 3138407 792521 2345886 11698325 6901522 4796803 307135 307135 30791622 DEFERRED COMPENSATION 1207284 1207284 X 98886396 829870 829870 98056526 0 98056526 95991746 0 95991746 0 95991746 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013. 0 COMMUNITY HOSPICE FOUNDATION FOR CARING 4266 SUNBEAM ROAD JACKSONVILLE FL 32257 593583920 501(C)(3) 1400000 BUILD INVESTMENTS FOR FOUNDATION 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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. X X X X X X 0 1 0 0 0 0 0 0 0 SUSAN PONDER-STANSEL 292232 0 127660 0 17000 0 34355 0 24035 0 495282 0 0 0 CARLOS BOSQUE 168794 0 14366 0 13946 0 17713 0 16118 0 230937 0 0 0 PHIL WARD 237732 0 39984 0 17000 0 26726 0 24537 0 345979 0 0 0 STEPHEN CLARK 215398 0 14255 0 0 0 7007 0 16621 0 253281 0 0 0 KATHLEEN JOHNSON 162017 0 14050 0 13630 0 12739 0 15788 0 218224 0 0 0 JOHN MCILVAINE 180016 0 31571 0 16110 0 12744 0 8494 0 248935 0 0 0 ANDREA FRITZ 162992 0 14370 0 13941 0 18442 0 24409 0 234154 0 0 0 KATHRYN MCILVAINE 148569 0 18571 0 12703 0 12465 0 8380 0 200688 0 0 0 MARY MCELROY 179133 0 50223 0 0 0 6770 0 8854 0 244980 0 0 0 ANDREW DAIGLE 174977 0 5400 0 0 0 5595 0 14969 0 200941 0 0 0 DAVID YARIAN 161634 0 3675 0 0 0 5637 0 1063 0 172009 0 0 0 REUBEN SMITH 183362 0 3962 0 0 0 5668 0 6597 0 199589 0 0 0 PAUL BORGMAN 193948 0 4022 0 0 0 6169 0 14965 0 219104 0 0 0 DONALD TWIGGS 198309 0 6126 0 0 0 6284 0 10233 0 220952 0 0 0 PART I, LINE 4B SUSAN 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 3,439 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 JOHN 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 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 USING 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 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS UPON REQUEST. THIS CAN BE DONE IN PERSON, BY PHONE, VIA OUR WEBSITE OR ON WWW.GUIDESTAR.COM. THE ORGANIZATION PUBLISHES A COMMUNITY REPORT IN THE LOCAL SUNDAY NEWSPAPER THAT PROVIDES SUMMARY INFORMATION OF THE PREVIOUS YEAR. COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING 4266 SUNBEAM ROAD JACKSONVILLE FL 32257 593583920 FUNDRAISING FOR COMMUNITY HOSPICE OF NORTHEAST FLORIDA FL 501(C)(3) 13, TYPE I COMMUNITY HOSPICE OF NORTHEAST FLORIDA 1 COMMUNITY MANAGEMENT COMPANY OF NORTHEAST FLORIDA INC 4266 SUNBEAM ROAD JACKSONVILLE FL 32257 EDUCATION AND CARING FOR THE ELDERLY FL 501(C)(3) COMMUNITY HOSPICE OF NORTHEAST FLORIDA 1 1 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION A 98488 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION C 1808530 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION O 189467 FMV COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION B 1400000 FMV 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 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.