COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC (EIN 59-1940256)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-02-06
- IRS object ID
- 201300379349300625
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2013-02-06T15:01:13-06:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1556 | AddressLine1 |
| City | MORGANTOWN | City |
| State | WV | State |
| ZIP Code | 265071556 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591940256 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE OF NORTHEAST FLORIDA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 9042685200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM RD | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 32257 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CARLOS BOSQUE | Name |
| Title | CFO | Title |
| Phone | 9042685200 | Phone |
| Date Signed | 2013-01-31 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUSAN DULL | Name |
| PTIN | P00233523 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CARLOS BOSQUE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM RD | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 32257 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 96202579 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.COMMUNITYHOSPICE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | HOSPICE IN HOME CARE OF TERMINALLY ILL PATIENTS AND COMPREHENSIVE GUIDANCE AND SUPPORT FOR PATIENTS AND THEIR FAMILIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 30 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 30 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1050 | TotalNbrEmployees |
| Total Nbr Volunteers | 704 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2249082 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1579519 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 90291974 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 93910056 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 682645 | InvestmentIncomePriorYear |
| Investment Income Current Year | 540185 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 98837 | OtherRevenuePriorYear |
| Other Revenue Current Year | 86684 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 93322538 | TotalRevenuePriorYear |
| Total Revenue Current Year | 96116444 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1400000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 45252581 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 50466260 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 38472922 | OtherExpensePriorYear |
| Other Expenses Current Year | 39195069 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 83725503 | TotalExpensesPriorYear |
| Total Expenses Current Year | 91061329 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9597035 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5055115 | RevenuesLessExpensesCY |
| Total Assets BOY | 64411887 | TotalAssetsBOY |
| Total Assets EOY | 73227466 | TotalAssetsEOY |
| Total Liabilities BOY | 5963608 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8075305 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 58448279 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 65152161 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 59169402 | Expense |
| Revenue | 76499863 | Revenue |
| Description | 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 1,300 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 FIVE 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 900 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 380,363 DAYS OF CARE WERE PROVIDED BY OUR HOMECARE TEAMS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16090137 | Expense |
| Revenue | 17409483 | Revenue |
| Description | 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 28,075 DAYS OF CARE WERE PROVIDED IN OUR INPATIENT FACILITIES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1328058 | Expense |
| Revenue | 710 | Revenue |
| Description | PALLIATIVE CARETHROUGH COMMUNITY PALLIATIVE CONSULTANTS LAUNCHED IN 2010, PALLIATIVE CONSULT SERVICES ARE PROVIDED THROUGH SEVERAL LOCAL HOSPITALS. AT THE REQUEST OF THE PATIENTS ATTENDING PHYSICIAN, SPECIALLY TRAINED PHYSICIANS AND ADVANCED REGISTERED NURSE PRACTITIONERS (ARNPS) TAKE THE TIME TO UNDERSTAND THEN RECOMMEND OPTIONS TO MEET THE PATIENTS 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 8,054 PATIENT VISITS IN OUR LOCAL HOSPITALS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2338576 | Expense |
| Grants | 1400000 | Grants |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2338576 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 1400000 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 78926173 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 140 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1050 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 30 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 30 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLOS BOSQUE CPA CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9042685200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM ROAD | AddressLine1 |
| City | jacksonville | City |
| State | FL | State |
| ZIP Code | 32257 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (46 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JAMES R BURKHART | ||||||||
| BOARD OFFICER | 3.00 | X | X | 0 | 0 | 0 | ||
| JOE MITRICK | ||||||||
| BOARD OFFICER | 2.00 | X | X | 0 | 0 | 0 | ||
| MOODY CHISHOLM | ||||||||
| BOARD OFFICER | 1.00 | X | X | 0 | 0 | 0 | ||
| BARBARA CONE | ||||||||
| BOARD OFFICER | 2.00 | X | X | 0 | 0 | 0 | ||
| JOHN W LOGUE | ||||||||
| BOARD OFFICER | 2.00 | X | X | 0 | 0 | 0 | ||
| FERNANDO ACOSTA-RUA | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JILL BUIE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| LAWRENCE A SOLBERG JR MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| YANK D COBLE JR MD | ||||||||
| HONORARY BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |||
| PAULA RINGHAVER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARK DOYLE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ROB BRADLEY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CHRISTOPHER EMANS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| LARRY J FREEMAN | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CAROLE GARDNER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOE GORDY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOHN HAYT | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| HON MARCIA M HOWARD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CAL JACKSON | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOY KORMAN | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOHN J DIAMOND | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| RABBI JOSHUA LIEF | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| HILARY MATHEWS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOSH MCGRAW | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ESTELLE MCKISSICK | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SCOTT WITT | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| RAY MATUZA | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| AMBASSADOR MARILYN MCAFEE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARCIA MORALES | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DR ANN HARDWOOD-NUSS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DR ROBERT NUSS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MORRIE ZIMMERMAN | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SUSAN PONDER-STANSEL | ||||||||
| PRESIDENT/CEO | 40.00 | X | 313285 | 0 | 37298 | |||
| PHIL WARD | ||||||||
| CHIEF OF BUS. OPER. | 40.00 | X | 279662 | 0 | 45670 | |||
| CARLOS BOSQUE | ||||||||
| CFO | 30.00 | X | 202670 | 0 | 24573 | |||
| KATHLEEN JOHNSON | ||||||||
| VP OF WORKFORCE DEV. | 40.00 | 190469 | 0 | 36120 | X | |||
| JOHN MCILVAINE | ||||||||
| VP BUS. DEVELOPMENT | 40.00 | 216052 | 0 | 15507 | X | |||
| ANDREA FRITZ | ||||||||
| DEPUTY CFO | 40.00 | 194688 | 0 | 30556 | X | |||
| STEPHEN CLARK | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 241116 | 0 | 21827 | X | |||
| KATHRYN MCILVAINE | ||||||||
| VP OF COMMUNITCATION | 40.00 | 174422 | 0 | 16280 | X | |||
| MARY MCELROY | ||||||||
| CNO | 40.00 | 170268 | 0 | 11959 | X | |||
| ELLEN SORRESSO | ||||||||
| ASSOC. MEDICAL DIR. | 30.00 | 166089 | 0 | 6284 | X | |||
| DAVID YARIAN | ||||||||
| ASSOC. MEDICAL DIR. | 40.00 | 177759 | 0 | 6378 | X | |||
| REUBEN SMITH | ||||||||
| ASSOC. MEDICAL DIR. | 40.00 | 177265 | 0 | 12303 | X | |||
| PAUL BORGMAN | ||||||||
| ASSOC. MEDICAL DIR. | 40.00 | 192665 | 0 | 22042 | X | |||
| DONALD TWIGGS | ||||||||
| ASSOC. MEDICAL DIR. | 40.00 | 193074 | 0 | 16831 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2889484 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 303628 | TotalOtherCompensation |
| Number Individuals GT100 K | 19 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| INPATIENT CONSULTANTS OF FL | |||||
| PO BOX 513500 | LOS ANGELES | CA | 900513500 | CONTRACTED PHYSICIAN SERVICES | 1673432 |
| TAYLOR CARE CENTER | |||||
| 6535 CHESTER AVENUE | JACKSONVILLE | FL | 33217 | SKILLED NURSING FACILITY | 803255 |
| JACKSONVILLE NURSING & REHAB CENTER | |||||
| 4131 DUNN AVENUE | JACKSONVILLE | FL | 32218 | SKILLED NURSING FACILITY | 613473 |
| PALM GARDEN | |||||
| 5725 SPRING PARK ROAD | JACKSONVILLE | FL | 32216 | SKILLED NURSING FACILITY | 593615 |
| SOVEREIGN HEALTH CARE OF MACCLENNY | |||||
| 755 S 5TH STREET | MACCLENNY | FL | 32063 | SKILLED NURSING FACILITY | 579485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 45 | NumberOfContractorsGT100K |
| Related Organizations | 1361167 | RelatedOrganizations |
| All Other Contributions | 218352 | AllOtherContributions |
| Total Contributions | 1579519 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 623000 | 76499863 | 76499863 |
| NURSING HOME SUPPORT | 623000 | 17409483 | 17409483 |
| OTHER PROGRAM SERVICE | 623000 | 710 | 710 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 93910056 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 626320 | TotalRevenueColumn |
| Exclusion | $626,320 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 36254 | Securities |
| Other | 49881 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -36254 | Securities |
| Other | -49881 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -86135 | TotalRevenueColumn |
| Exclusion | -$86,135 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFE REVENUE | 722210 | 45217 | $45,217 |
| MISCELLANOUS REVENUE | 623000 | 41467 | $41,467 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 86684 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 96116444 | TotalRevenueColumn |
| Related Or Exempt Function Income | 93910056 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $626,869 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1400000 | Total |
| Program Services | 1400000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2842574 | Total |
| Program Services | 1402865 | ProgramServices |
| Management And General | 1439709 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37369821 | Total |
| Program Services | 30188663 | ProgramServices |
| Management And General | 7181158 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1123379 | Total |
| Program Services | 788432 | ProgramServices |
| Management And General | 334947 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6033487 | Total |
| Program Services | 5414517 | ProgramServices |
| Management And General | 618970 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3096999 | Total |
| Program Services | 2637339 | ProgramServices |
| Management And General | 459660 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104915 | Total |
| Management And General | 104915 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164010 | Total |
| Management And General | 164010 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50149 | Total |
| Management And General | 50149 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77638 | Total |
| Program Services | 77638 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16282 | Total |
| Management And General | 16282 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2508123 | Total |
| Program Services | 2350194 | ProgramServices |
| Management And General | 157929 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 493186 | Total |
| Program Services | 146288 | ProgramServices |
| Management And General | 346898 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21720953 | Total |
| Program Services | 21219988 | ProgramServices |
| Management And General | 500965 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337323 | Total |
| Program Services | 337323 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1849495 | Total |
| Program Services | 1849495 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1110712 | Total |
| Program Services | 906703 | ProgramServices |
| Management And General | 204009 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264278 | Total |
| Program Services | 165245 | ProgramServices |
| Management And General | 99033 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22438 | Total |
| Program Services | 22438 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2134876 | Total |
| Program Services | 2134876 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 455842 | Total |
| Management And General | 455842 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL EXPENSES | 6035360 | 6035360 | |
| CHARITY CARE EXPENSES | 1075044 | 1075044 | |
| BAD DEBT | 743396 | 743396 | |
| MISCELLANEOUS | 31031 | 30351 | 680 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18 | Total |
| Program Services | 18 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91061329 | Total |
| Program Services | 78926173 | ProgramServices |
| Management And General | 12135156 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13140531 | BOY |
| EOY | 20378047 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8252634 | BOY |
| EOY | 7284766 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19745 | BOY |
| EOY | 5475 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 527999 | BOY |
| EOY | 544030 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1969431 | BOY |
| EOY | 2013250 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 42948052 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 14046078 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29774313 | BOY |
| EOY | 28901974 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10637891 | BOY |
| EOY | 13991522 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89343 | BOY |
| EOY | 108402 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64411887 | BOY |
| EOY | 73227466 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4927734 | BOY |
| EOY | 6865778 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 365810 | BOY |
| EOY | 275870 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 670064 | BOY |
| EOY | 933657 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5963608 | BOY |
| EOY | 8075305 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58448279 | BOY |
| EOY | 65152161 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58448279 | BOY |
| EOY | 65152161 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64411887 | BOY |
| EOY | 73227466 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5055115 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1648767 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2928342 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2181745 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4143926 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3553298 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1568604 | CurrentTaxYear |
| Total | 14375915 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 63536122 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 66686742 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 74775457 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 90287048 | CurrentTaxYearMinus1Year |
| Current Tax Year | 93920661 | CurrentTaxYear |
| Total | 389206030 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66464464 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 68868487 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 78919383 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 93840346 | CurrentTaxYearMinus1Year |
| Current Tax Year | 95489265 | CurrentTaxYear |
| Total | 403581945 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 403581945 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 114564 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 129706 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 279251 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 386772 | CurrentTaxYearMinus1Year |
| Current Tax Year | 550386 | CurrentTaxYear |
| Total | 1460679 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 114564 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 129706 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 279251 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 386772 | CurrentTaxYearMinus1Year |
| Current Tax Year | 550386 | CurrentTaxYear |
| Total | 1460679 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 66579028 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 68998193 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 79198634 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 94227118 | CurrentTaxYearMinus1Year |
| Current Tax Year | 96039651 | CurrentTaxYear |
| Total | 405042624 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99640 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99680 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00360 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00320 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $77,637 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $5,007 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 82644 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| 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 HEALTH CARE ASSOCIATION FLORIDA HOSPICES AND PALLIATIVE CARE NHPCO | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 886925 | OtherCostOrOtherBasis |
| Book Value | 886925 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 30436164 | OtherCostOrOtherBasis |
| Depreciation | 7787011 | Depreciation |
| Book Value | 22649153 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10619018 | OtherCostOrOtherBasis |
| Depreciation | 6259067 | Depreciation |
| Book Value | 4359951 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1005945 | OtherCostOrOtherBasis |
| Book Value | 1005945 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 28901974 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED COMP LIABILITY | Description |
| Amount | $933,657 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 933657 | TotalOfAmounts |
| Total Revenue | 96116444 | TotalRevenue |
| Total Expenses | 91061329 | TotalExpenses |
| Excess Or Deficit For Year | 5055115 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1648767 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 1648767 | TotalAdjustments |
| Excess Or Deficit Per FS | 6703882 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 97765211 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1648767 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 1648767 | RevenueNotRptdF990 |
| Revenue Subtotal | 96116444 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 96116444 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 91061329 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 91061329 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 91061329 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X: | ReturnReference |
| Explanation | 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. EFFECTIVE OCTOBER 1, 2009, THE HOSPICE ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE CONSOLIDATED FINANCIAL STATEMENTS. TAX POSITIONS MUST BE A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENFIT 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, 2012 AND THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE HOSPICE'S FINANCIAL POSITION OR RESULTS OF OPERATIONS. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE FOUNDATION FOR CARING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM ROAD | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 32257 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 593583920 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 1400000 | AmountOfCashGrant |
| Purpose Of Grant | BUILD INVESTMENTS FOR FOUNDATION | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN PONDER-STANSEL | |||||||||||||
| 293777 | 0 | 3008 | 0 | 16500 | 0 | 15765 | 0 | 21533 | 0 | 350583 | 0 | 0 | 0 |
| PHIL WARD | |||||||||||||
| 225034 | 0 | 38128 | 0 | 16500 | 0 | 24199 | 0 | 21471 | 0 | 325332 | 0 | 0 | 0 |
| CARLOS BOSQUE | |||||||||||||
| 165539 | 0 | 22597 | 0 | 14534 | 0 | 10327 | 0 | 14246 | 0 | 227243 | 0 | 0 | 0 |
| KATHLEEN JOHNSON | |||||||||||||
| 159707 | 0 | 17090 | 0 | 13672 | 0 | 22204 | 0 | 13916 | 0 | 226589 | 0 | 0 | 0 |
| JOHN MCILVAINE | |||||||||||||
| 177615 | 0 | 32782 | 0 | 5655 | 0 | 8092 | 0 | 7415 | 0 | 231559 | 0 | 0 | 0 |
| ANDREA FRITZ | |||||||||||||
| 157895 | 0 | 22433 | 0 | 14360 | 0 | 10203 | 0 | 20353 | 0 | 225244 | 0 | 0 | 0 |
| STEPHEN CLARK | |||||||||||||
| 215254 | 0 | 25862 | 0 | 0 | 0 | 7256 | 0 | 14571 | 0 | 262943 | 0 | 0 | 0 |
| KATHRYN MCILVAINE | |||||||||||||
| 146007 | 0 | 16073 | 0 | 12342 | 0 | 8770 | 0 | 7510 | 0 | 190702 | 0 | 0 | 0 |
| MARY MCELROY | |||||||||||||
| 168552 | 0 | 1716 | 0 | 0 | 0 | 5115 | 0 | 6844 | 0 | 182227 | 0 | 0 | 0 |
| ELLEN SORRESSO | |||||||||||||
| 164350 | 0 | 1739 | 0 | 0 | 0 | 4995 | 0 | 1289 | 0 | 172373 | 0 | 0 | 0 |
| DAVID YARIAN | |||||||||||||
| 175908 | 0 | 1851 | 0 | 0 | 0 | 5333 | 0 | 1045 | 0 | 184137 | 0 | 0 | 0 |
| REUBEN SMITH | |||||||||||||
| 175397 | 0 | 1868 | 0 | 0 | 0 | 5385 | 0 | 6918 | 0 | 189568 | 0 | 0 | 0 |
| PAUL BORGMAN | |||||||||||||
| 190638 | 0 | 2027 | 0 | 0 | 0 | 5873 | 0 | 16169 | 0 | 214707 | 0 | 0 | 0 |
| DONALD TWIGGS | |||||||||||||
| 191024 | 0 | 2050 | 0 | 0 | 0 | 5944 | 0 | 10887 | 0 | 209905 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4b | ReturnReference |
| Explanation | SUSAN PONDER-STANSEL 16,500 PHILLIP WARD 16,500 CARLOS BOSQUE 14,534 KATHLEEN JOHNSON 13,672 JOHN MCLLVAINE 5,655 ANDREA FRITZ 14,360 KATHRYN MCLLVAINE 12,342 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | JOHN MCILAINE AND KATHY MCILVAINE ARE BOTH KEY EMPLOYEES 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. | |
| Form 990, Part XI, line 5: | Net unrealized gains on investments: 1,648,767. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4266 SUNBEAM ROAD | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 32257 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593583920 | EIN |
| Primary Activities | FUNDRAISING FOR COMMUNITY HOSPICE OF NORTHEAST FLORIDA | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 13, TYPE I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HOSPICE OF NORTHEAST FLORIDA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION | |
| A | 106512 |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION | |
| C | 1579519 |
| COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION | |
| N | 166538 |
| ComMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION | |
| B | 1400000 |
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