NORTHEAST FLORIDA HEALTHCARE COALITION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: NORTHEAST FLORIDA HEALTHCARE COALITION INC (EIN 81-3064292)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2019-11-06
IRS object ID: 201933109349301333
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-06T10:45:22-06:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	593204548	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	JAMES MOORE & COPL	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	121 EXECUTIVE CIRCLE	AddressLine1Txt
City	DAYTONA BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	321141180	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	813064292	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHEAST FLORIDA HEALTHCARE COALITION	BusinessNameLine1Txt
Business Name Line2	INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt
Phone	9042790880	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 FESTIVAL PARK AVE	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	322021309	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD WARD	PersonNm
Person Title	CHAIR	PersonTitleTxt
Phone	9042790880	PhoneNum
Signature	2019-11-06	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ZACH CHALIFOUR	PreparerPersonNm
PTIN	P01447809	PTIN
Phone	3862574100	PhoneNum
Preparation	2019-11-06	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	70.169.187.70	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-06	IPDt
IP Tm	10:20:29	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C45594228A5F1E6B70BA333D088FD31310C8BDA7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICHARD WARD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 FESTIVAL PARK AVE	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	322021309	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$672,551	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NEFLHCC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2015	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	THE 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 Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$626,777	PYContributionsGrantsAmt
CY Contributions Grants	$672,551	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$626,777	PYTotalRevenueAmt
CY Total Revenue	$672,551	CYTotalRevenueAmt
PY Grants And Similar Paid	$97,272	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$190,671	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$621,106	PYOtherExpensesAmt
CY Other Expenses	$459,692	CYOtherExpensesAmt
PY Total Expenses	$718,378	PYTotalExpensesAmt
CY Total Expenses	$650,363	CYTotalExpensesAmt
PY Revenues Less Expenses	-$91,601	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$22,188	CYRevenuesLessExpensesAmt
Total Assets BOY	$0	TotalAssetsBOYAmt
Total Assets EOY	$22,000	TotalAssetsEOYAmt
Total Liabilities BOY	$188	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$188	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,000	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$638,376	ExpenseAmt
Grant	$190,671	GrantAmt
Desc	FUNCTION 1: DEVELOP, REFINE OR SUSTAIN HEALTHCARE COALITIONSESSENTIAL MEMBERSADDITIONAL PARTNERSEVIDENCE OF PARTNERSHIPSGOVERNANCE DOCUMENTATIONMULTI-AGENCY COORDINATION DURING RESPONSEFUNCTION 2: COORDINATE HEALTHCARE PLANNING TO PREPARE THE HEALTHCARE SYSTEM FOR A DISASTERHEALTHCARE SYSTEM SITUATIONAL ASSESSMENTSHEALTHCARE SYSTEM DISASTER PLANNINGFUNCTION 3: IDENTIFY AND PRIORITIZE ESSENTIAL HEALTHCARE ASSETS AND SERVICESPRIORITY HEALTHCARE ASSETS AND ESSENTIAL SERVICES PLANNINGEQUIPMENT TO ASSIST HEALTHCARE ORGANIZATIONS WITH THE PROVISION OF CRITICAL SERVICESFUNCTION 4: DETERMINE GAPS IN HEALTHCARE PREPAREDNESS AND IDENTIFY RESOURCES FOR MITIGATION OF THESE GAPSRESOURCE ELEMENTS (PLANS, EQUIPMENT, SKILLS, HEALTHCARE RESOURCES ASSESSMENT)ADDRESS HEALTHCARE INFORMATION GAPSFUNCTION 5: COORDINATE TRAINING TO ASSIST HEALTHCARE RESPONDERS TO DEVELOP THE NECESSARY SKILLS TO RESPONDRESOURCE ELEMENTSNIMSFUNCTION 6: IMPROVE HEALTHCARE RESPONSE CAPABILITIES THROUGH COORDINATED EXERCISE AND EVALUATION EXERCISE PLANSEXERCISE IMPLEMENTATION AND COORDINATIONFUNCTION 7: COORDINATE WITH PLANNING FOR AT-RISK INDIVIDUALS AND THOSE WITH SPECIAL MEDICAL NEEDSSTATUS OF VULNERABLE POPULATIONS AND POTENTIAL IMPACT ON HEALTHCARE DELIVERY*HEALTHCARE PLANNING FOR AT-RISK INDIVIDUALS AND FUNCTIONAL NEEDS	Desc
Total Program Service Expenses	$638,376	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DONNA STARLING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9042790880	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 FESTIVAL PARK AVE	AddressLine1Txt
City	JACKSONVILLE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	322021309	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
JORDAN DUNCAN
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
SONNY RODGERS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
RICHARD WARD
BOARD MEMBER (DUVAL COUNTY)	1.00	Yes (X)	$0	$0	$0
RONNIE NESSLER
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
NOREEN NICKOLA-WILLIAMS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
TIM CONNOR
VICE CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
JOE STORES
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
RICH WARD
CHAIR (HOSPITAL REP)	1.00	Yes (X)	$0	$0	$0	Yes (X)
ROBERT SNYDER
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JEFF MARKULIK
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
ED BALTZLEY - UNTIL 712019
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
MICHAEL GODWIN - UNTIL 63019
SECRETARY/TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$672,551	GovernmentGrantsAmt
Total Contributions	$672,551	TotalContributionsAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$672,551	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$190,671	TotalAmt
Program Services	$190,671	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$329,409	TotalAmt
Program Services	$329,409	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11	TotalAmt
Program Services	$11	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,131	TotalAmt
Management And General	$10,131	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,653	TotalAmt
Management And General	$1,653	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$22,566	TotalAmt
Program Services	$22,566	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$5,678	TotalAmt
Program Services	$5,678	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$203	TotalAmt
Management And General	$203	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
INDIRECT COSTS	$86,767	$86,767
MATERIALS & TRAINING	$2,973	$2,973
MISCELLANEOUS EXPENSE	$301	$301

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$650,363	TotalAmt
Program Services	$638,376	ProgramServicesAmt
Management And General	$11,987	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$22,000	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$0	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,000	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$188	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$188	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	-$188	BOYAmt
EOY	$22,000	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$188	BOYAmt
EOY	$22,000	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,000	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$22,188	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$100,000	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$227,500	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$238,507	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$626,777	CurrentTaxYearMinus1YearAmt
Current Tax Year	$672,551	CurrentTaxYearAmt
Total	$1,865,335	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$100,000	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$227,500	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$238,507	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$626,777	CurrentTaxYearMinus1YearAmt
Current Tax Year	$672,551	CurrentTaxYearAmt
Total	$1,865,335	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$1,865,335	PublicSupportTotal170Amt
Total Support	$1,865,335	TotalSupportAmt
First5 Years170	Yes (X)	First5Years170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,000	OtherCostOrOtherBasisAmt
Book Value	$22,000	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$22,000	TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ASCENSION ST VINCENT'S MEDICAL CENTER INC
1 SHIRCLIFF WAY	JACKSONVILLE	FL	32204	590624449	501(C)(3)	$24,035	MATERIALS AND TRAINING
ALACHUA COUNTY FIRE RESCUE
PO BOX 5038	GAINESVILLE	FL	32627	596000501	GOVERNMENT	$18,550	MATERIALS AND TRAINING
CITY OF JACKSONVILLE FIRE & RESCUE DEPARTMENT
515 N JULIA STREET	JACKSONVILLE	FL	32202	596000344	GOVERNMENT	$15,000	MATERIALS AND TRAINING
FLAGLER HOSPITAL INC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	590675143	501(C)(3)	$12,341	MATERIALS AND TRAINING
MARION COUNTY FIRE RESCUE
2631 SE 3RD STREET	OCALA	FL	34471	596000735	GOVERNMENT	$9,578	MATERIALS AND TRAINING
UF HEALTH SHANDS
PO BOX 100366	GAINESVILLE	FL	326100366	591943502	501(C)(3)	$15,780	MATERIALS AND TRAINING
ST JOHN'S BOARD OF COUNTY COMMISSIONERS
500 SAN SEBASTIAN VIEW	ST AUGUSTINE	FL	32084	596000825	GOVERNMENT	$30,270	MATERIALS AND TRAINING
ORANGE PARK MEDICAL CENTER
2001 KINGSLEY AVENUE	ORANGE PARK	FL	32073	611269295	N/A	$24,035	MATERIALS AND TRAINING
HOSPICE OF MARION COUNTY
PO BOX 4860	OCALA	FL	34478	592214796	501(C)(3)	$6,000	MATERIALS AND TRAINING
PUTNAM COUNTY HEALTH DEPARTMENT
281 KENNEDY STREET	PALATKA	FL	32177	593502843	GOVERNMENT	$14,803	MATERIALS AND TRAINING

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE 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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	THE NORTHEAST FLORIDA REGIONAL COUNCIL IS THE ADMINISTRATIVE AND FIDUCIARY AGENT FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 6	THE 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 11B	THE BOARD WILL NOT REVIEW THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	A 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 15	THE ORGANIZATION DOES NOT COMPENSATE ANY INDIVIDUALS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	CONTRACTUAL: PROGRAM SERVICE EXPENSES 75,165. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,165. CONSULTANTS: PROGRAM SERVICE EXPENSES 92,449. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,449. SHARED STAFFING EXPENSES: PROGRAM SERVICE EXPENSES 161,795. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 161,795.
FORM 990, PART XII, LINE 2C	THE PROCESS FOR THE SELECTION AND SUPERVISION OF THE ORGANIZATION'S INDEPENDENT AUDITOR HAS REMAINED CONSISTENT WITH THE PRIOR YEAR.