2013-02-06T15:01:13-06:00 2012-09-30 DIXON HUGHES GOODMAN LLP PO BOX 1556 MORGANTOWN WV 265071556 990 2011-10-01 591940256 COMMUNITY HOSPICE OF NORTHEAST FLORIDA COMM 9042685200 4266 SUNBEAM RD JACKSONVILLE FL 32257 CARLOS BOSQUE 9042685200 2013-01-31 SUSAN DULL P00233523 2011 2016-02-25 16:41:14Z CARLOS BOSQUE 4266 SUNBEAM RD JACKSONVILLE FL 32257 96202579 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. 30 30 1050 704 0 0 2249082 1579519 90291974 93910056 682645 540185 98837 86684 93322538 96116444 0 1400000 0 0 45252581 50466260 0 0 0 38472922 39195069 83725503 91061329 9597035 5055115 64411887 73227466 5963608 8075305 58448279 65152161 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 59169402 76499863 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. 16090137 17409483 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. 1328058 710 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. 2338576 1400000 2338576 1400000 78926173 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 1 0 1 140 0 1 1050 1 0 0 0 0 0 0 0 0 0 X 30 30 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 CPA CFO 9042685200 4266 SUNBEAM ROAD jacksonville FL 32257 JAMES R BURKHART 3.00 X X 0 0 0 JOE MITRICK 2.00 X X 0 0 0 MOODY CHISHOLM 1.00 X X 0 0 0 BARBARA CONE 2.00 X X 0 0 0 JOHN W LOGUE 2.00 X X 0 0 0 FERNANDO ACOSTA-RUA 2.00 X 0 0 0 JILL BUIE 1.00 X 0 0 0 LAWRENCE A SOLBERG JR MD 1.00 X 0 0 0 YANK D COBLE JR MD 0.00 X 0 0 0 PAULA RINGHAVER 1.00 X 0 0 0 MARK DOYLE 1.00 X 0 0 0 ROB BRADLEY 1.00 X 0 0 0 CHRISTOPHER EMANS 1.00 X 0 0 0 LARRY J FREEMAN 1.00 X 0 0 0 CAROLE GARDNER 1.00 X 0 0 0 JOE GORDY 1.00 X 0 0 0 JOHN HAYT 2.00 X 0 0 0 HON MARCIA M HOWARD 1.00 X 0 0 0 CAL JACKSON 1.00 X 0 0 0 JOY KORMAN 1.00 X 0 0 0 JOHN J DIAMOND 1.00 X 0 0 0 RABBI JOSHUA LIEF 1.00 X 0 0 0 HILARY MATHEWS 1.00 X 0 0 0 JOSH MCGRAW 1.00 X 0 0 0 ESTELLE MCKISSICK 1.00 X 0 0 0 SCOTT WITT 1.00 X 0 0 0 RAY MATUZA 1.00 X 0 0 0 AMBASSADOR MARILYN MCAFEE 1.00 X 0 0 0 MARCIA MORALES 1.00 X 0 0 0 DR ANN HARDWOOD-NUSS 1.00 X 0 0 0 DR ROBERT NUSS 1.00 X 0 0 0 MORRIE ZIMMERMAN 1.00 X 0 0 0 SUSAN PONDER-STANSEL 40.00 X 313285 0 37298 PHIL WARD 40.00 X 279662 0 45670 CARLOS BOSQUE 30.00 X 202670 0 24573 KATHLEEN JOHNSON 40.00 X 190469 0 36120 JOHN MCILVAINE 40.00 X 216052 0 15507 ANDREA FRITZ 40.00 X 194688 0 30556 STEPHEN CLARK 40.00 X 241116 0 21827 KATHRYN MCILVAINE 40.00 X 174422 0 16280 MARY MCELROY 40.00 X 170268 0 11959 ELLEN SORRESSO 30.00 X 166089 0 6284 DAVID YARIAN 40.00 X 177759 0 6378 REUBEN SMITH 40.00 X 177265 0 12303 PAUL BORGMAN 40.00 X 192665 0 22042 DONALD TWIGGS 40.00 X 193074 0 16831 2889484 0 303628 19 0 1 0 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 45 1361167 218352 1579519 PATIENT SERVICE REVENU 623000 76499863 76499863 NURSING HOME SUPPORT 623000 17409483 17409483 OTHER PROGRAM SERVICE 623000 710 710 93910056 626320 626320 36254 49881 -36254 -49881 -86135 -86135 CAFE REVENUE 722210 45217 45217 MISCELLANOUS REVENUE 623000 41467 41467 86684 96116444 93910056 0 626869 1400000 1400000 2842574 1402865 1439709 37369821 30188663 7181158 1123379 788432 334947 6033487 5414517 618970 3096999 2637339 459660 104915 104915 164010 164010 50149 50149 77638 77638 16282 16282 2508123 2350194 157929 493186 146288 346898 21720953 21219988 500965 337323 337323 1849495 1849495 1110712 906703 204009 264278 165245 99033 22438 22438 2134876 2134876 455842 455842 MEDICAL EXPENSES 6035360 6035360 CHARITY CARE EXPENSES 1075044 1075044 BAD DEBT 743396 743396 MISCELLANEOUS 31031 30351 680 18 18 91061329 78926173 12135156 0 13140531 20378047 8252634 7284766 19745 5475 527999 544030 1969431 2013250 42948052 14046078 29774313 28901974 10637891 13991522 89343 108402 64411887 73227466 4927734 6865778 365810 275870 670064 933657 5963608 8075305 X 58448279 65152161 58448279 65152161 64411887 73227466 X 5055115 1648767 X 0 1 1 X 0 X 2928342 2181745 4143926 3553298 1568604 14375915 63536122 66686742 74775457 90287048 93920661 389206030 66464464 68868487 78919383 93840346 95489265 403581945 0 0 0 403581945 114564 129706 279251 386772 550386 1460679 114564 129706 279251 386772 550386 1460679 66579028 68998193 79198634 94227118 96039651 405042624 0.99640 0.99680 0.00360 0.00320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 77637 0 1 5007 82644 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 30436164 7787011 22649153 10619018 6259067 4359951 1005945 1005945 28901974 DEFERRED COMP LIABILITY 933657 933657 96116444 91061329 5055115 1648767 1648767 6703882 97765211 1648767 1648767 96116444 0 96116444 91061329 0 91061329 0 91061329 Description of Uncertain Tax Positions Under FIN 48: Part X: 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. 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 0 1 0 0 0 0 0 0 0 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 Part I, Line 4b 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 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 1,648,767. 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 1 1 1 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 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