Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 1,456,171 | 1,938,853 | 1,186,799 | 2,339,773 | 1,478,077 | 8,399,673 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 117,107,727 | 113,711,376 | 112,110,151 | 118,172,965 | 125,965,156 | 587,067,375 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | 0 | |||||
| 6 | Total. Add lines 1 through 5 | 118,563,898 | 115,650,229 | 113,296,950 | 120,512,738 | 127,443,233 | 595,467,048 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | 0 | 0 | 0 | 0 | 0 |
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public support. (Subtract line 7c from line 6.) | 595,467,048 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 118,563,898 | 115,650,229 | 113,296,950 | 120,512,738 | 127,443,233 | 595,467,048 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 1,121,937 | 1,360,365 | 1,007,399 | 1,823,340 | 2,464,946 | 7,777,987 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 1,121,937 | 1,360,365 | 1,007,399 | 1,823,340 | 2,464,946 | 7,777,987 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 1,003,514 | 655,800 | 462,275 | 232,984 | 241,896 | 2,596,469 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 120,689,349 | 117,666,394 | 114,766,624 | 122,569,062 | 130,150,075 | 605,841,504 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 1003514.0, COLUMN B - 655800.0, COLUMN C - 462275.0, COLUMN D - 232984.0, COLUMN E - 241896.0, COLUMN F - 2596469.0; |
| Software ID: | 23017437 |
| Software Version: | 2023v6.0 |
| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4a-4c Description of program services | (Expenses $ 581,892 including grants of $) Specialized Care for Children Since 2000, Community Hospice & Palliative Care has provided palliative and hospice care and support for children living with life-limiting and life-threatening conditions through Community PedsCare, an award-winning pediatric care program in collaboration with Wolfson Children's Hospital, Nemours Children's Specialty Care and the University of Florida-Jacksonville. The program, one of only a few community pediatric programs in the United States offering both palliative and hospice care, provides clinical, social service, spiritual, child life, medical and volunteer support to improve quality of life for children from prenatal to age 21. To date, the program has served nearly 2,000 patients with an average daily census in Fiscal Year 2024 of 223 patients. Advance Care Planning Honoring Choices Florida is a community collaborative advance care planning initiative of Community Hospice & Palliative Care. The program launched in 2014 and is based on a model from Respecting Choices, a pioneering ACP program implementing throughout the United States, Canada and many countries in Europe and Asia. Honoring Choices Florida is designed to sustain an integrated, community-wide system to ensure patients' future health care preferences are discussed, documented, and honored. The program engages individuals through health care facilities and community-based venues through a specialized advance care planning document and offers trained facilitators-more than 590-to guide individuals and families through the process of discussing and documenting their health care wishes. In Fiscal Year 2024, facilitators guided over 7074 conversations and helped 6,111 individuals document their wishes. Program staff presented on advance care planning in 135 venues reaching over 2,471 individuals and responded to another 850 individual inquiries through the website and designated phone line. Bereavement Services and Community Grief Support Community Hospice & Palliative Care offers a variety of grief and loss support services for those who have experienced the death of a loved one. These services provide support or guidance for dealing with the loss and sorrow. Services are available not only to survivors of patients in our hospice care program but to anyone in the community who requests them. Services include bereavement support groups held at many locations, Understanding Grief (a program for the newly bereaved), an annual candlelight service of remembrance, grief camp for kids (Camp Healing Powers) and a program to cope with grief during the holiday season (November and December). Hospice patients' family members may also receive individual and family counseling (including children and teens). We send letters to the bereaved during the year after the death, these include helpful hints and invitations to our support activities. In Fiscal Year 2024, 15,082 found hope and healing through Bereavement Services with an additional 2,375 community grief sessions serving area residents. Outreach to Family Caregivers and Military/Veteran Communities The Community Hospice Veterans Partnership (CHVP) raises awareness as well as funds for pins and flags to honor veterans in the care of Community Hospice & Palliative Care, a We Honor Veterans Level III provider. In Fiscal Year 2024, Community Hospice & Palliative Care provided hospice services to 1,476 veterans from all branches of services throughout the organization's 16-county region. Volunteers The nearly 482 Community Hospice & Palliative Care volunteers are vital members of our team. Whether offering companionship and a listening ear to patients and family members, helping with clerical work at one of our office locations, assisting at fundraising events or greeting guests at one of our front desk locations, there's a volunteer opportunity for everyone. Foundation The Foundation of Community Hospice & Palliative Care is dedicated to enabling Community Hospice & Palliative Care to fulfill its mission and vision. Funds raised through the Foundation enhance the quality of life for patients and families and support unfunded and under-funded patient care, outreach programs, and services for those facing advanced illness and grief. Donor support provides community programs and compassionate care to all who need it, regardless of ability to pay. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS AND THE IMMEDIATE PAST CHAIR, IF HE OR SHE CONTINUES TO SERVE ON THE BOARD, AND THE CHAIRS OF THE STRATEGIC PLANNING COMMITTEE, THE COMPLIANCE/QUALITY OVERSIGHT COMMITTEE AND THE NOMINATING AND BOARD DEVELOPMENT COMMITTEE. THE CHAIR OF THE COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING, INC. SHALL BE AN EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE WITHOUT VOTE. THE EXECUTIVE COMMITTEE SHALL MEET AT THE CALL OF THE CHAIR, OR, IN THE ABSENCE OF THE CHAIR, AT THE CALL OF THE FIRST VICE-CHAIR. THE EXECUTIVE COMMITTEE SHALL HAVE SUCH POWERS AS MAY BE DELEGATED BY THE BOARD OF DIRECTORS FROM TIME TO TIME. THE EXECUTIVE COMMITTEE SHALL ACT UPON INTERIM BUSINESS ARISING BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS AND SHALL REPORT ITS ACTION AT THE NEXT MEETING OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL PERIODICALLY REVIEW THE PERFORMANCE OF THE PRESIDENT/CEO, AND SHALL REVIEW, FROM TIME TO TIME, PERSONNEL POLICIES, INCLUDING CONDITIONS OF EMPLOYMENT, AND SHALL MEET PERIODICALLY WITH THE PRESIDENT/CEO TO ASSESS PERSONNEL POLICIES AND WORKING CONDITIONS. THE COMMITTEE WILL REVIEW THE SALARY PLAN AND RECOMMEND CHANGES WHEN INDICATED. THE COMMITTEE SHALL OVERSEE THE ADMINISTRATION OF ANY AFFIRMATIVE ACTION PLAN. ACTIONS OF THE EXECUTIVE COMMITTEE PURSUANT TO THIS PARAGRAPH SHALL HAVE THE SAME EFFECT AS ACTIONS OF THE FULL BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Alivia Care, Inc a Florida Not-For-Profit tax exempt entity as the sole Member. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The Organization's bylaws were amended to state that Alicare Care, Inc a Florida Not-For-Profit tax exempt entity as the sole Member. As the Sole Member Alivia Care, Inc has the right to: (a) employ the President of the Corporation (the "Hospice President"); (b) approve the amendment, modification, or restatement of the Articles of Incorporation or Bylaws of the Corporation, in whole or in part; (c) approve the annual capital and operating budget of the Corporation; (d) approve the annual and long-term strategic plans of the Corporation; (e) incur any long-term debt or financing to be used in furtherance of the Corporation's purposes; (f) approve and authorize the expansion of the Corporation into any new service lines which are not set forth in Article I of these Bylaws; (g) approve and authorize the geographic expansion of the Corporation into any service area beyond the Corporation's licensed hospice service area; (h) approve and authorize the establishment or dissolution of organizational relationships by the Corporation including subsidiaries, consolidation, partnerships, joint ventures, mergers, or any other fundamental reorganization of the Corporation; |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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, Line 12c Conflict of interest policy | 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, Line 15a Process to establish compensation of top management official | Executive committee of the Board reviews and makes decisions annually regarding compensation for executive staff. The executive committee retained an independent consultant to conduct a comprehensive review of the competitiveness and reasonableness of the compensation and benefits provided to the following positions: CEO, COO, CFO, SVP of Palliative Care, SVP Hospice Services, VP Deputy Chief Financial Officer, VP Compliance and Quality, and Vice President Education & Community Engagement. A review of competitiveness and reasonableness for like organizations to include not-for-profit post acute care providers and hospitals of comparable size, regardless of geography was conducted. Target market at median. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | Executive committee of the Board reviews and makes decisions annually regarding compensation for executive staff. The executive committee retained an independent consultant to conduct a comprehensive review of the competitiveness and reasonableness of the compensation and benefits provided to the following positions: CEO, COO, CFO, SVP of Palliative Care, SVP Hospice Services, VP Deputy Chief Financial Officer, VP Compliance and Quality, and Vice President Education & Community Engagement. A review of competitiveness and reasonableness for like organizations to include not-for-profit post acute care providers and hospitals of comparable size, regardless of geography was conducted. Target market at median. |
| Form 990, Part VI, Line 19 Required documents available to the public | 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. |
| Form 990, Part IX, Line 11g Other Expenses | Dietary - Total Expense: 265203, Program Service Expense: 265203, Management and General Expenses: , Fundraising Expenses: ; Room & board - Total Expense: 22255021, Program Service Expense: 22255021, Management and General Expenses: , Fundraising Expenses: ; Equipment - Total Expense: 425188, Program Service Expense: 425188, Management and General Expenses: , Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Net Asset Transfer - -11809760; |
| Form 990, Part XII, Line 2c Change of oversight process or selection process | THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
| Software ID: | 23017437 |
| Software Version: | 2023v6.0 |