COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC (EIN 59-1940256)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-01
IRS object ID
201240619349302854
Schema version
2010v3.4
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)
Timestamp2012-03-01T15:30:22-06:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-03-01DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts93394376GrossReceipts
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 Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees898TotalNbrEmployees
Total Nbr Volunteers6505TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4143926ContributionsGrantsPriorYear
Contributions Grants Current Year2249082ContributionsGrantsCurrentYear
Program Service Revenue Prior Year74775457ProgramServiceRevenuePriorYear
Program Service Revenue CY90291974ProgramServiceRevenueCY
Investment Income Prior Year258718InvestmentIncomePriorYear
Investment Income Current Year682645InvestmentIncomeCurrentYear
Other Revenue Prior Year106823OtherRevenuePriorYear
Other Revenue Current Year98837OtherRevenueCurrentYear
Total Revenue Prior Year79284924TotalRevenuePriorYear
Total Revenue Current Year93322538TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year36984864SalariesEtcPriorYear
Salaries Etc Current Year45252581SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year32969783OtherExpensePriorYear
Other Expenses Current Year38472922OtherExpensesCurrentYear
Total Expenses Prior Year70054647TotalExpensesPriorYear
Total Expenses Current Year83725503TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9230277RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9597035RevenuesLessExpensesCY
Total Assets BOY56343866TotalAssetsBOY
Total Assets EOY64411887TotalAssetsEOY
Total Liabilities BOY6555376TotalLiabilitiesBOY
Total Liabilities EOY5963608TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY49788490NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY58448279NetAssetsOrFundBalancesEOY
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
Expense72094567Expense
Revenue90287048Revenue
DescriptionTHE COMMUNITY HOSPICE OF NORTHEAST FLORIDA PROVIDED MEDICAL AND PALLIATIVE CARE, PSYCHOLOGICAL, PHYSICAL AND SPIRITUAL SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES REGARDLESS OF THEIR ABILITY TO PAY. EDUCATION AND TRAINING IS PROVIDED TO EXPAND AND ENHANCE KNOWLEDGE OF DEATH AND DYING CARE TO PATIENTS, FAMILY MEMBERS AND THE COMMUNITY. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011, 7,111 PATIENTS AND THEIR FAMILIES WERE SERVED TOTALING 421,996 DAYS OF CARE. NUMEROUS COMMUNITY EVENTS WERE HOSTED TO ALLOW ALL MEMBERS OF THE 5 COUNTY AREA THE OPPORTUNITY TO GET A BETTER UNDERSTANDING OF HOSPICE AND PALLIATIVE CARE. DURING THE YEAR, THE HOSPICE BEGAN A PALLIATIVE CARE PROGRAM WITHIN LOCAL HOSPITALS.Description
Total Program Service Expense72094567TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Organizations0GrantsToOrganizations
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096132NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees898NumberOfEmployees
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 Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
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
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARLOS BOSQUE CPA 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 (44 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JAMES R BURKHART
PRESIDENT & ADMINISTRATOR3.00XX000
JOE MITRICK
1ST VICE CHAIR2.00XX000
SCOTT C CAIRNS
BOARD MEMBER2.00X000
BARBARA CONE
SECRETARY2.00XX000
JOHN W LOGUE
TREASURER2.00XX000
FERNANDO ACOSTA-RUA
BOARD MEMBER1.00X000
JILL BUIE
BOARD MEMBER1.00X000
LAWRENCE A SOLBERG JR MD
BOARD MEMBER1.00X000
YANK D COBLE JR MD
BOARD MEMBER1.00X000
PAULA RINGHAVER
BOARD MEMBER1.00X000
REV ROBERT L MORRIS
BOARD MEMBER1.00X000
ROB BRADLEY
BOARD MEMBER1.00X000
CHRISTOPHER EMANS
BOARD MEMBER1.00X000
LARRY J FREEMAN
BOARD MEMBER1.00X000
CAROLE GARDNER
BOARD MEMBER1.00X000
JOE GORDY
BOARD MEMBER1.00X000
JOHN HAYT
BOARD MEMBER1.00X000
HON MARCIA M HOWARD
BOARD MEMBER1.00X000
CAL JACKSON
BOARD MEMBER1.00X000
JOY KORMAN
BOARD MEMBER1.00X000
JOHN J DIAMOND
BOARD MEMBER1.00X000
RABBI JOSHUA LIEF
BOARD MEMBER1.00X000
HILARY MATHEWS
BOARD MEMBER1.00X000
JOSH MCGRAW
BOARD MEMBER1.00X000
ESTELLE MCKISSICK
BOARD MEMBER1.00X000
TEALA MILTON JOHNSON
BOARD MEMBER1.00X000
SCOTT WITT
BOARD MEMBER1.00X000
RAY MATUZA
BOARD MEMBER1.00X000
AMBASSADOR MARILYN MCAFEE
BOARD MEMBER1.00X000
MARCIA MORALES
BOARD MEMBER1.00X000
SUSAN PONDER-STANSEL
PRESIDENT/CEO40.00X414855050020
PHIL WARD
CHIEF OF BUS. OPER.40.00X248363049947
CARLOS BOSQUE
CFO30.00X215177041763
KATHY JOHNSON
VP OF WORKFORCE DEV.40.00204831040409X
JOHN MCILVAINE
VP BUS. DEVELOPMENT40.00200861013377X
ANDREA FRITZ
DEPUTY CFO40.00182829044886X
STEPHEN CLARK
CHIEF MEDICAL OFFICER40.00232614018171X
KATHRYN MCILVAINE
VP OF COMMUNITCATION40.00162523028552X
MARY MCELROY
CNO40.00179201011236X
ELLEN SORRESSO
ASSOC. MEDICAL DIR.40.0016608806284X
DAVID YARIAN
ASSOC. MEDICAL DIR.40.0017775906378X
REUBEN SMITH
ASSOC. MEDICAL DIR.40.00177265012304X
PAUL BORGMAN
ASSOC. MEDICAL DIR.40.00192665022078X
DONALD TWIGGS
ASSOC. MEDICAL DIR.40.00193074016867X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2948105TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation362272TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NEWELL TERRY & DOUGLAS PABusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1817 N GADSDEN STAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32303ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLEGAL SERVICESDescriptionOfServices
Compensation270661Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations2068622RelatedOrganizations
All Other Contributions180460AllOtherContributions
Total Contributions2249082TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6230007382266073822660
NURSING HOME SUPPORT6230001646931416469314
FieldValueIRS element (for citing)
Total Program Service Revenue90291974TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column412451TotalRevenueColumn
Exclusion$412,451ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities342032Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other71838Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities342032Securities
Other-71838Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column270194TotalRevenueColumn
Exclusion$270,194ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFE REVENUE72221051957$51,957
MISCELLANOUS REVENUE62300046880$46,880
FieldValueIRS element (for citing)
Total Other Revenue98837TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column93322538TotalRevenueColumn
Related Or Exempt Function Income90291974RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$781,482ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2024730Total
Program Services479335ProgramServices
Management And General1545395ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total34058943Total
Program Services27742395ProgramServices
Management And General6316548ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total952163Total
Program Services629915ProgramServices
Management And General322248ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5395050Total
Program Services4687667ProgramServices
Management And General707383ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2821695Total
Program Services2376763ProgramServices
Management And General444932ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total69405Total
Management And General69405ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total163692Total
Management And General163692ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total51974Total
Management And General51974ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total21273Total
Management And General21273ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3091749Total
Program Services3023912ProgramServices
Management And General67837ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total470354Total
Program Services150953ProgramServices
Management And General319401ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26675384Total
Program Services26125171ProgramServices
Management And General550213ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total304226Total
Program Services304226ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1920434Total
Program Services1920434ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total988065Total
Program Services801443ProgramServices
Management And General186622ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total234037Total
Program Services128523ProgramServices
Management And General105514ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9602Total
Program Services9602ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2012526Total
Program Services2012526ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total758499Total
Management And General758499ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CHARITY CARE EXPENSES986053986053
BAD DEBT607755607755
MISCELLANEOUS107894107894

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total83725503Total
Program Services72094567ProgramServices
Management And General11630936ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13090169BOY
EOY13140531EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7914965BOY
EOY8252634EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY54583BOY
EOY19745EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY526072BOY
EOY527999EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1802745BOY
EOY1969431EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis41825284LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12050971LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28556981BOY
EOY29774313EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4290746BOY
EOY10637891EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY107605BOY
EOY89343EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY56343866BOY
EOY64411887EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6434130BOY
EOY4927734EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY121246BOY
EOY365810EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY670064EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6555376BOY
EOY5963608EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY49788490BOY
EOY58448279EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49788490BOY
EOY58448279EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56343866BOY
EOY64411887EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9597035ReconcilationRevenueExpenses
Reconcilation Other Changes-937246ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years2660445CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2928342CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2181745CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4143926CurrentTaxYearMinus1Year
Current Tax Year3553298CurrentTaxYear
Total15467756Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67749281CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63536122CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66686742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74775457CurrentTaxYearMinus1Year
Current Tax Year90287048CurrentTaxYear
Total363034650Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years70409726CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66464464CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68868487CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78919383CurrentTaxYearMinus1Year
Current Tax Year93840346CurrentTaxYear
Total378502406Total

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 Total509378502406PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years303545CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129706CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year279251CurrentTaxYearMinus1Year
Current Tax Year386772CurrentTaxYear
Total1213838Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years303545CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years129706CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year279251CurrentTaxYearMinus1Year
Current Tax Year386772CurrentTaxYear
Total1213838Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years70713271CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66579028CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68998193CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79198634CurrentTaxYearMinus1Year
Current Tax Year94227118CurrentTaxYear
Total379716244Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99680PublicSupportPercentage509
Prior Year Support Percentage0.99650PriorYearSupportPercentage
Investment Income Percentage0.00320InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00350PriorYrInvestIncomePercentage
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$76,401DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB76401TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHE ORGANIZATION INCURRED EXPENSES BY CALLING ON MEMBERS OF NORTH FLORIDA DELEGATION REGARDING VOLUNTEER BACKGROUND SCREENING BILL, FUNDING FOR "MONEY FOLLOWS THE PERSON" GRANT FOR FLORIDA, PARTNERS IN CARE-MEDICAID, MEDICAID MANAGED CARE CONCERNS, CERTIFICATE OF NEED SUPPORT FOR HOSPICE AND PILL MILL LEGISLATION AND SPECIFIC PROTECTIONS FOR HOSPICE.Explanation

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 Basis31016360OtherCostOrOtherBasis
Depreciation6807327Depreciation
Book Value24209033BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9820247OtherCostOrOtherBasis
Depreciation5243644Depreciation
Book Value4576603BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis101752OtherCostOrOtherBasis
Book Value101752BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29774313TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMP LIABILITYDescription
Amount$670,064Amount
FieldValueIRS element (for citing)
Total Of Amounts670064TotalOfAmounts
Total Revenue93322538TotalRevenue
Total Expenses83725503TotalExpenses
Excess Or Deficit For Year9597035ExcessOrDeficitForYear
Net Unrealized GL On Investments-948675NetUnrealizedGLOnInvestments
Other$11,429OtherAmount
Total Adjustments-937246TotalAdjustments
Excess Or Deficit Per FS8659789ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt92373863TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-948675NetUnrealizedGainsInvestments
Revenue Not Rptd F990-948675RevenueNotRptdF990
Revenue Subtotal93322538RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99093322538TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt83725503TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal83725503ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99083725503TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X: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. 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, 2011 AND THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON THE HOSPICE'S FINANCIAL POSITION OR RESULTS OF OPERATIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
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)

Base 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
27351607274406859502973002029004648750685950
PHIL WARD
211683036680000297300202170298310000
CARLOS BOSQUE
17759802702501055402817501358802569400105540
KATHY JOHNSON
174136026702039930270350133740245240039930
JOHN MCILVAINE
1748850259760006013073640214238000
ANDREA FRITZ
158487024342000244310204550227715000
STEPHEN CLARK
20715402546000043110138600250785000
KATHRYN MCILVAINE
14398701853600021128074240191075000
MARY MCELROY
1570460221550004607066290190437000
ELLEN SORRESSO
16598801000004995012890172372000
DAVID YARIAN
17765901000005333010450184137000
REUBEN SMITH
17716501000005385069190189569000
PAUL BORGMAN
192565010000058730162050214743000
DONALD TWIGGS
192974010000059440109230209941000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SHANDS
CEO OF SHANDS IS OUR BOARD CHAIRMAN139500RENT-MORRIS INPATIENT FACILITY0
SHANDS
CEO OF SHANDS IS OUR BOARD CHAIRMAN585RENT-COMMUNITY PALLIATIVE CARE0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2JOHN MCILAINE AND KATHY MCILVAINE ARE BOTH KEY EMPLOYEES 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.
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.FORM 990, PART VI, SECTION B, LINE 12C
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 B, LINE 15
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 18
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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -948,675. TRANSFER OF NET ASSETS FROM AFFILIATE 11,429. TOTAL TO FORM 990, PART XI, LINE 5: -937,246.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14266 SUNBEAM ROADAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32257ZIPCode
FieldValueIRS element (for citing)
EIN593583920EIN
Primary ActivitiesFUNDRAISING FOR COMMUNITY HOSPICE OF NORTHEAST FLORIDAPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status13, TYPE IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
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 InvolvedAmountInvolved
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION
A100828
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION
C2068622
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION
L263740
COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION
N157404

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