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NORTHEAST FLORIDA HEALTHCARE COALITION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
NORTHEAST FLORIDA HEALTHCARE COALITION INC (EIN 81-3064292)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-10-26
IRS object ID
202242999349300034
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-10-26T09:57:59-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593204548PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JAMES MOORE & COPLBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1121 EXECUTIVE CIRCLEAddressLine1Txt
CityDAYTONA BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP321141180ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN813064292EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST FLORIDA HEALTHCARE COALITIONBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone9042790880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 FESTIVAL PARK AVENUEAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP322021309ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIM DEVINPersonNm
Person TitleCHAIRPersonTitleTxt
Phone9042790880PhoneNum
Signature2022-10-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTIMPersonFirstNm
Person LastDEVINPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonZACH CHALIFOURPreparerPersonNm
PTINP01447809PTIN
Phone3862574100PhoneNum
Preparation2022-10-20PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIM DEVINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 FESTIVAL PARK AVENUEAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP322021309ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$672,602GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NEFLHCC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE COALITION AUGMENTS LOCAL OPERATIONAL READINESS TO MEET THE HEALTH AND MEDICAL CHALLENGES POSED BY A CATASTROPHIC INCIDENT OR EVENT. THIS IS ACHIEVED BY ENGAGING AND EMPOWERING ALL PARTS OF THE HEALTHCARE COMMUNITY, AND BY STRENGTHENING THE EXISTING RELATIONSHIPS TO UNDERSTAND AND MEET THE ACTUAL HEALTH AND MEDICAL NEEDS OF THE WHOLE COMMUNITY. THE COALITION IS INTENDED AS A VEHICLE TO COORDINATE AND MAINTAIN CURRENT HOSPITAL PREPAREDNESS LEVELS WHILE ENHANCING DISASTER PREPAREDNESS AND RESILIENCY IN OTHER PORTIONS OF THE HEALTHCARE SYSTEM. THESE EFFORTS ALSO HELP IMPROVE MEDICAL SURGE CAPACITY AND CAPABILITY, FURTHER ENHANCING A COMMUNITY'S HEALTH SYSTEM PREPAREDNESS FOR DISASTERS AND PUBLIC HEALTH EMERGENCIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$618,506PYContributionsGrantsAmt
CY Contributions Grants$672,602CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$618,506PYTotalRevenueAmt
CY Total Revenue$672,602CYTotalRevenueAmt
PY Grants And Similar Paid$202,324PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$209,842CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$423,516PYOtherExpensesAmt
CY Other Expenses$470,093CYOtherExpensesAmt
PY Total Expenses$625,840PYTotalExpensesAmt
CY Total Expenses$679,935CYTotalExpensesAmt
PY Revenues Less Expenses-$7,334PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,333CYRevenuesLessExpensesAmt
Total Assets BOY$7,333TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,333NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO UNDERSTAND AND MEET THE ACTUAL HEALTH AND MEDICAL NEEDS OF THE WHOLE COMMUNITY. THE COALITION IS INTENDED AS A VEHICLE TO COORDINATE AND MAINTAIN CURRENT HOSPITAL PREPAREDNESS LEVELS WHILE ENHANCING DISASTER PREPAREDNESS AND RESILIENCY IN OTHER PORTIONS OF THE HEALTHCARE SYSTEM. THESE EFFORTS ALSO HELP IMPROVE MEDICAL SURGE CAPACITY AND CAPABILITY, FURTHER ENHANCING A COMMUNITY'S HEALTH SYSTEM PREPAREDNESS FOR DISASTERS AND PUBLIC HEALTH EMERGENCIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$639,240ExpenseAmt
Grant$209,842GrantAmt
DescFUNCTION 1: DEVELOP, REFINE OR SUSTAIN HEALTHCARE COALITIONS*ESSENTIAL MEMBERS*ADDITIONAL PARTNERS*EVIDENCE OF PARTNERSHIPS*GOVERNANCE DOCUMENTATION*MULTI-AGENCY COORDINATION DURING RESPONSEFUNCTION 2: COORDINATE HEALTHCARE PLANNING TO PREPARE THE HEALTHCARE SYSTEM FOR A DISASTER*HEALTHCARE SYSTEM SITUATIONAL ASSESSMENTS*HEALTHCARE SYSTEM DISASTER PLANNINGFUNCTION 3: IDENTIFY AND PRIORITIZE ESSENTIAL HEALTHCARE ASSETS AND SERVICES*PRIORITY HEALTHCARE ASSETS AND ESSENTIAL SERVICES PLANNING*EQUIPMENT TO ASSIST HEALTHCARE ORGANIZATIONS WITH THE PROVISION OF CRITICAL SERVICESFUNCTION 4: DETERMINE GAPS IN HEALTHCARE PREPAREDNESS AND IDENTIFY RESOURCES FOR MITIGATION OF THESE GAPS*RESOURCE ELEMENTS (PLANS, EQUIPMENT, SKILLS, HEALTHCARE RESOURCES ASSESSMENT)*ADDRESS HEALTHCARE INFORMATION GAPSFUNCTION 5: COORDINATE TRAINING TO ASSIST HEALTHCARE RESPONDERS TO DEVELOP THE NECESSARY SKILLS TO RESPOND*RESOURCE ELEMENTS*NIMSFUNCTION 6: IMPROVE HEALTHCARE RESPONSE CAPABILITIES THROUGH COORDINATED EXERCISE AND EVALUATION *EXERCISE PLANS*EXERCISE IMPLEMENTATION AND COORDINATIONFUNCTION 7: COORDINATE WITH PLANNING FOR AT-RISK INDIVIDUALS AND THOSE WITH SPECIAL MEDICAL NEEDS*STATUS OF VULNERABLE POPULATIONS AND POTENTIAL IMPACT ON HEALTHCARE DELIVERY*HEALTHCARE PLANNING FOR AT-RISK INDIVIDUALS AND FUNCTIONAL NEEDSDesc
Total Program Service Expenses$639,240TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DONNA STARLINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9042790880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 FESTIVAL PARK AVENUEAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP322021309ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JOSE MORALES
BOARD MEMBER1.00Yes (X)$0$0$0
SONNY RODGERS
BOARD MEMBER1.00Yes (X)$0$0$0
ROCHELLE CIVIL
BOARD MEMBER1.00Yes (X)$0$0$0
RONNIE NESSLER
BOARD MEMBER1.00Yes (X)$0$0$0
NOREEN NICKOLA-WILLIAMS
BOARD MEMBER1.00Yes (X)$0$0$0
DAVE CHAPMAN
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
JAFFEY LEE
BOARD MEMBER1.00Yes (X)$0$0$0
TIM DEVIN
CHAIR1.00Yes (X)$0$0$0Yes (X)
ROBERT SNYDER
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN BLANCHARD
BOARD MEMBER1.00Yes (X)$0$0$0
KRISTY SIEBERT
BOARD MEMBER1.00Yes (X)$0$0$0
JEFF MARKULIK
SECRETARY/TREASURER1.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$672,602GovernmentGrantsAmt
Total Contributions$672,602TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$672,602TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$209,842TotalAmt
Program Services$209,842ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$335,944TotalAmt
Program Services$335,944ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,384TotalAmt
Management And General$5,384ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,006TotalAmt
Management And General$13,006ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,372TotalAmt
Management And General$14,372ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,541TotalAmt
Program Services$17,541ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,653TotalAmt
Program Services$8,653ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,333TotalAmt
Management And General$7,333ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$600TotalAmt
Management And General$600ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
INDIRECT COSTS$66,959$66,959
MISCELLANEOUS EXPENSE$301$301

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$679,935TotalAmt
Program Services$639,240ProgramServicesAmt
Management And General$40,695ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,000LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,000LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,333BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,333BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$7,333BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,333BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,333BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$7,333ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$626,777CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$672,551CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$682,690CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$618,506CurrentTaxYearMinus1YearAmt
Current Tax Year$672,602CurrentTaxYearAmt
Total$3,273,126TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$626,777CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$672,551CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$682,690CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$618,506CurrentTaxYearMinus1YearAmt
Current Tax Year$672,602CurrentTaxYearAmt
Total$3,273,126TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,273,126PublicSupportTotal170Amt
Total Support$3,273,126TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,000OtherCostOrOtherBasisAmt
Depreciation$22,000DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BAPTIST MEDICAL
800 PRUDENTIAL DRIVEJACKSONVILLEFL32207590747311501(C)(3)$20,181$0MATERIALS AND TRAINING
CITY OF JACKSONVILLE FIRE & RESCUE DEPARTMENT
515 N JULIA STREETJACKSONVILLEFL32202596000344GOVERNMENT$6,480$0MATERIALS AND TRAINING
FLAGLER HOSPITAL
400 HEALTH PARK BLVDST AUGUSTINEFL32086590675143501(C)(3)$19,378$0MATERIALS AND TRAINING
MEMORIAL HOSPITAL JACKSONVILLE
3625 UNIVERSITY BLVD SJACKSONVILLEFL32216593283127$26,459$0MATERIALS AND TRAINING
MENTAL HEALTH RESOURCE CENTER
PO BOX 19249JACKSONVILLEFL32245591905344501(C)(3)$8,394$0MATERIALS AND TRAINING
UF HEALTH JACKSONVILLE
655 WEST 8TH STREETJACKSONVILLEFL32209592142859501(C)(3)$26,206$0MATERIALS AND TRAINING
ADVENT HEALTH PALM COAST
60 MEMORIAL MEDICAL PARKWAYPALM COASTFL32164592951990501(C)(3)$15,232$0MATERIALS AND TRAINING
HOSPICE OF MARION COUNTY INC
PO BOX 4860OCALAFL34478592214796501(C)(3)$13,000$0MATERIALS AND TRAINING
BAKER COUNTY SHERIFF'S OFFICE
1 SHERIFFS OFFICE DRIVEMACCLENNYFL32063596018702GOVERNMENT$7,770$0MATERIALS AND TRAINING
DIXIE COUNTY EMERGENCY SERVICES
17600 SE HIGHWAY 19CROSS CITYFL32628596000587GOVERNMENT$36,206$0MATERIALS AND TRAINING
TOWN OF CROSS CITY
PO BOX 417CROSS CITYFL32628596000296GOVERNMENT$5,600$0MATERIALS AND TRAINING
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE GRANTS ARE USED TO PROVIDE EMERGENCY PREPAREDNESS MATERIALS AND TRAINING TO HEALTHCARE FACILITIES. EACH GRANTEE HAS TO PROVIDE DOCUMENTATION THAT THEY HAVE PURCHASED THE MATERIALS AND/OR TRAINING AND PAID FOR THOSE ITEMS BEFORE THEY ARE REIMBURSED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE NORTHEAST FLORIDA REGIONAL COUNCIL IS THE ADMINISTRATIVE AND FIDUCIARY AGENT FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6THE VOTING MEMBERSHIP SHALL BE KNOWN AS THE EXECUTIVE BOARD. AT A MINIMUM, THE EXECUTIVE BOARD CONSISTS OF ONE DESIGNATED REPRESENTATIVE FROM THE FOLLOWING: EACH COUNTY (ONE VOTE PER COUNTY; TOTAL OF SIX VOTES) EACH DISCIPLINE** (ONE VOTE PER DISCIPLINE; TOTAL OF FOUR VOTES) ONE OF THE REGIONAL HEALTH ADVISORS (ONE VOTE ONLY TO BREAK A TIE VOTE) **THE FOUR DISCIPLINE GROUPS HAVING VOTING PRIVILEGES AT THE FORMATION OF THE ORGANIZATION ARE PUBLIC HEALTH, EMERGENCY MANAGEMENT, HOSPITALS, AND EMERGENCY MEDICAL SERVICES. OTHER ENTITIES OR INDIVIDUALS MAY BE ADDED TO THE EXECUTIVE BOARD THROUGH A MAJORITY VOTE OF THE EXECUTIVE BOARD MEMBERS. THE REGION SERVED BY THE NORTHEAST FLORIDA HEALTHCARE COALITION INCLUDES THE FOLLOWING NORTHEAST FLORIDA COUNTIES: BAKER, CLAY, DUVAL, FLAGLER, NASSAU, ST. JOHNS
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD WILL NOT REVIEW THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CA MEMBER WHO HAS A DIRECT AGENCY OR PERSONAL INTEREST IN ANY MATTER BEFORE THE COALITION SHALL DISCLOSE HIS/HER INTEREST PRIOR TO ANY DISCUSSION OF THAT MATTER BY THE COALITION. THE DISCLOSURE SHALL BECOME A PART OF THE OFFICIAL RECORD OF THE COALITION PROCEEDINGS. THE CONFLICTED MEMBER SHALL REFRAIN FROM FURTHER PARTICIPATION IN ANY ACTION RELATING TO THE MATTER, INCLUDING FUNDING REQUESTS ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION DOES NOT COMPENSATE ANY INDIVIDUALS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONSULTANTS: PROGRAM SERVICE EXPENSES 166,778. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,778. SHARED STAFFING EXPENSES: PROGRAM SERVICE EXPENSES 169,166. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,166.
FORM 990, PART XII, LINE 2CTHE PROCESS FOR THE SELECTION AND SUPERVISION OF THE ORGANIZATION'S INDEPENDENT AUDITOR HAS REMAINED CONSISTENT WITH THE PRIOR YEAR.