2019-11-06T10:45:22-06:00 2019-06-30 593204548 JAMES MOORE & COPL 121 EXECUTIVE CIRCLE DAYTONA BEACH FL 321141180 990 2018-07-01 813064292 NORTHEAST FLORIDA HEALTHCARE COALITION INC NORT 9042790880 100 FESTIVAL PARK AVE JACKSONVILLE FL 322021309 RICHARD WARD CHAIR 9042790880 2019-11-06 ZACH CHALIFOUR P01447809 3862574100 2019-11-06 70.169.187.70 2019-11-06 10:20:29 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C45594228A5F1E6B70BA333D088FD31310C8BDA7 2018 2020-03-31 21:24:44Z RICHARD WARD 100 FESTIVAL PARK AVE JACKSONVILLE FL 322021309 672551 0 X WWW.NEFLHCC.ORG X 2015 FL 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. 12 12 0 12 0 0 626777 672551 0 0 0 0 0 0 626777 672551 97272 190671 0 0 0 0 0 0 0 621106 459692 718378 650363 -91601 22188 0 22000 188 0 -188 22000 X 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. 0 0 638376 190671 FUNCTION 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 NEEDS 638376 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 1 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X DONNA STARLING 9042790880 100 FESTIVAL PARK AVE JACKSONVILLE FL 322021309 X JORDAN DUNCAN BOARD MEMBER 1.00 X 0 0 0 SONNY RODGERS BOARD MEMBER 1.00 X 0 0 0 RICHARD WARD BOARD MEMBER (DUVAL COUNTY) 1.00 X 0 0 0 RONNIE NESSLER BOARD MEMBER 1.00 X 0 0 0 NOREEN NICKOLA-WILLIAMS BOARD MEMBER 1.00 X 0 0 0 TIM CONNOR VICE CHAIR 1.00 X X 0 0 0 JOE STORES BOARD MEMBER 1.00 X 0 0 0 RICH WARD CHAIR (HOSPITAL REP) 1.00 X X 0 0 0 ROBERT SNYDER BOARD MEMBER 1.00 X 0 0 0 JEFF MARKULIK BOARD MEMBER 1.00 X 0 0 0 ED BALTZLEY - UNTIL 712019 BOARD MEMBER 1.00 X 0 0 0 MICHAEL GODWIN - UNTIL 63019 SECRETARY/TREASURER 1.00 X X 0 0 0 0 0 0 0 0 0 0 0 672551 672551 672551 0 0 0 X 190671 190671 329409 329409 11 11 10131 10131 1653 1653 22566 22566 5678 5678 203 203 INDIRECT COSTS 86767 86767 MATERIALS & TRAINING 2973 2973 MISCELLANEOUS EXPENSE 301 301 650363 638376 11987 0 22000 0 0 22000 0 22000 188 0 188 0 X -188 22000 0 0 0 0 -188 22000 0 22000 22188 0 X X 0 1 X 1 1 1 X 100000 227500 238507 626777 672551 1865335 100000 227500 238507 626777 672551 1865335 1865335 1865335 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22000 22000 22000 1 ASCENSION ST VINCENT'S MEDICAL CENTER INC 1 SHIRCLIFF WAY JACKSONVILLE FL 32204 590624449 501(C)(3) 24035 MATERIALS AND TRAINING ALACHUA COUNTY FIRE RESCUE PO BOX 5038 GAINESVILLE FL 32627 596000501 GOVERNMENT 18550 MATERIALS AND TRAINING CITY OF JACKSONVILLE FIRE & RESCUE DEPARTMENT 515 N JULIA STREET JACKSONVILLE FL 32202 596000344 GOVERNMENT 15000 MATERIALS AND TRAINING FLAGLER HOSPITAL INC 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 590675143 501(C)(3) 12341 MATERIALS AND TRAINING MARION COUNTY FIRE RESCUE 2631 SE 3RD STREET OCALA FL 34471 596000735 GOVERNMENT 9578 MATERIALS AND TRAINING UF HEALTH SHANDS PO BOX 100366 GAINESVILLE FL 326100366 591943502 501(C)(3) 15780 MATERIALS AND TRAINING ST JOHN'S BOARD OF COUNTY COMMISSIONERS 500 SAN SEBASTIAN VIEW ST AUGUSTINE FL 32084 596000825 GOVERNMENT 30270 MATERIALS AND TRAINING ORANGE PARK MEDICAL CENTER 2001 KINGSLEY AVENUE ORANGE PARK FL 32073 611269295 N/A 24035 MATERIALS AND TRAINING HOSPICE OF MARION COUNTY PO BOX 4860 OCALA FL 34478 592214796 501(C)(3) 6000 MATERIALS AND TRAINING PUTNAM COUNTY HEALTH DEPARTMENT 281 KENNEDY STREET PALATKA FL 32177 593502843 GOVERNMENT 14803 MATERIALS AND TRAINING 9 1 PART I, LINE 2: 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. 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.