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NORTH CENTRAL FLORIDA HOSPICE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
NORTH CENTRAL FLORIDA HOSPICE INC (EIN 59-2490893)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202543179349301939
Schema version
2024v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T08:09:52+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1255 South Orange Avenue Suite 600AddressLine1Txt
CityOrlandoCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592490893EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH CENTRAL FLORIDA HOSPICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone8007271889PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1SANTAFE HEALTHCAREINC PO BOX 749AddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP326270749ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN M ZIEGLERPersonNm
Person TitlePRESIDENT AND CHIEF LEGAL OFFICERPersonTitleTxt
Phone8007271889PhoneNum
Signature2025-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPeter GublerPreparerPersonNm
PTINP00190185PTIN
Phone4077405400PhoneNum
Preparation2025-11-07PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HAVEN HOSPICEBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVEN M ZIEGLERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1SANTAFE HEALTHCAREINC PO BOX 749AddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP326270749ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$101,081,080GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BEYOURHAVEN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionHONORING LIFE BY PROVIDING COMFORT, CARE AND COMPASSION TO THOSE WE SERVE.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee660TotalEmployeeCnt
Total Volunteers534TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,624,869PYContributionsGrantsAmt
CY Contributions Grants$3,200,286CYContributionsGrantsAmt
PY Program Service Revenue$48,921,016PYProgramServiceRevenueAmt
CY Program Service Revenue$36,898,089CYProgramServiceRevenueAmt
PY Investment Income$382,006PYInvestmentIncomeAmt
CY Investment Income$57,317,896CYInvestmentIncomeAmt
PY Other Revenue$281,096PYOtherRevenueAmt
CY Other Revenue$964,202CYOtherRevenueAmt
PY Total Revenue$54,208,987PYTotalRevenueAmt
CY Total Revenue$98,380,473CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,350,149PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,923,133CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$143,022CYTotalFundraisingExpenseAmt
PY Other Expenses$16,079,866PYOtherExpensesAmt
CY Other Expenses$13,139,049CYOtherExpensesAmt
PY Total Expenses$54,430,015PYTotalExpensesAmt
CY Total Expenses$42,062,182CYTotalExpensesAmt
PY Revenues Less Expenses-$221,028PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$56,318,291CYRevenuesLessExpensesAmt
Total Assets BOY$56,707,896TotalAssetsBOYAmt
Total Assets EOY$112,553,652TotalAssetsEOYAmt
Total Liabilities BOY$13,174,826TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,100,961TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$43,533,070NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$110,452,691NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF NORTH CENTRAL FLORIDA HOSPICE, INC. (HAVEN HOSPICE) IS TO HONOR LIFE BY PROVIDING COMFORT, CARE AND COMPASSION TO THOSE WE SERVE. NORTH CENTRAL FLORIDA HOSPICE, INC. (HAVEN HOSPICE) HELPS PATIENTS BE AS COMFORTABLE AS POSSIBLE AND PROVIDES THEIR CAREGIVERS WITH NEEDED RESOURCES AND ASSISTANCE. HAVEN HOSPICE PROVIDES THE MOST CURRENT THERAPIES AND METHODS TO MAXIMIZE COMFORT AND CARE TO PATIENTS INCLUDING ACCESS TO PROFESSIONAL STAFF AROUND THE CLOCK. HAVEN HOSPICE PROVIDES CLINICAL EDUCATION ABOUT END-OF-LIFE AND PALLIATIVE CARE, GRIEF SUPPORT TO CHILDREN AND FAMILIES AND BEREAVEMENT PROGRAMS FOR BOTH GROUPS AND INDIVIDUALS IN ITS SERVICE AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,534,682ExpenseAmt
Grant$0GrantAmt
Revenue$25,380,180RevenueAmt
DescHAVEN HOSPICE OFFERS COMPASSIONATE HOSPICE CARE AND SUPPORT TO INDIVIDUALS WITH LIFE-LIMITING ILLNESS AND THEIR FAMILIES, WHICH ADDRESS THE PHYSICAL, PSYCHOSOCIAL, EMOTIONAL AND SPIRITUAL NEEDS ASSOCIATED WITH ADVANCED ILLNESS WHILE RESPECTING EACH INDIVIDUAL'S GOALS, BELIEFS AND WISHES. HAVEN HOSPICE'S TEAM OF MEDICAL PROVIDERS AND STAFF EXPERTLY MANAGE PAIN AND SYMPTOMS AT HOME OR IN A VARIETY OF SETTINGS INCLUDING HOSPITALS, NURSING HOMES OR ASSISTED LIVING FACILITIES. HAVEN HOSPICE PROVIDED SERVICES TO 2,526 HOSPICE PATIENTS INCLUDING 234,476 DAYS OF SERVICE. EXPENSES INCLUDE $438,913 OF UNREIMBURSED CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,505,665ExpenseAmt
Grant$0GrantAmt
Revenue$10,266,844RevenueAmt
DescHAVEN HOSPICE OFFERS HOSPICE CARE CENTERS IN GAINESVILLE, PALATKA, LAKE CITY AND ORANGE PARK, FLORIDA, WHEN THERE IS A NEED FOR SHORT-TERM INPATIENT CARE. IN THESE WELCOMING AND HOME-LIKE SETTINGS, HAVEN HOSPICE PHYSICIANS, ADVANCED REGISTERED NURSE PRACTITIONERS AND OTHER CLINICIANS PROVIDE AROUND-THE-CLOCK CARE TO PATIENTS NEEDING INTENSE PAIN AND SYMPTOM MANAGEMENT AS WELL AS PROVIDE EDUCATION AND SUPPORT TO FAMILIES AND LOVED ONES. FAMILY MEMBERS ARE WELCOME 24 HOURS A DAY AND ARE ENCOURAGED TO STAY. HAVEN HOSPICE ALSO WELCOMES VISITS FROM CHILDREN AND FAMILY PETS. THE CARE CENTERS OFFER OVERNIGHT RESPITE CARE TO PROVIDE A BREAK TO PRIMARY CAREGIVERS FOR UP TO FIVE DAYS. EACH CARE CENTER OFFERS THE LOCAL COMMUNITY A PLACE TO HOLD MEETINGS AND EDUCATIONAL EVENTS. HAVEN HOSPICE PROVIDED SERVICES TO 943 PATIENTS IN INPATIENT CARE CENTERS, FOR A TOTAL OF 10,706 DAYS OF SERVICE. EXPENSES INCLUDE $720,355 OF UNREIMBURSED CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$275,843ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescHAVEN HOSPICE PROVIDES BEREAVEMENT SERVICES TO FAMILY MEMBERS OF PATIENTS WHO HAVE DIED IN OUR CARE AND TO THE COMMUNITIES IN WHICH WE SERVE. WORKPLACE COUNSELING AND SUPPORT: HAVEN HOSPICE PROVIDES COUNSELING AND SUPPORT TO AREA BUSINESSES WHOSE STAFF ARE DEALING WITH GRIEF, LOSS, LIFE-LIMITING ILLNESS, OR SERVING AS CAREGIVERS. HAVEN HOSPICE IS A RESOURCE FOR COUNSELING SERVICES AND EDUCATIONAL PROGRAMS. HELPING EMPLOYEES WITH FAMILY CONCERNS HAS PROVEN TO LOWER UNSCHEDULED ABSENCES, REDUCE THE NUMBER OF BENEFIT CLAIMS AND INCREASE PRODUCTIVITY. HAVEN HOSPICE OFFERS SEVERAL COUNSELING AND SUPPORT PROGRAMS AND SERVICES AT COMMUNITY WORKSITES AS FOLLOWS: COPING WITH GRIEF AND LOSS IN THE WORKPLACE; WORKING CAREGIVERS: BALANCING TWO FULL-TIME JOBS; LIFE PLANNING: DOCUMENTS YOU SHOULDN'T LIVE WITHOUT; AND PREVENTING COMPASSION FATIGUE IN THE CAREGIVING PROFESSION. CAMP SAFE HAVEN: CAMP SAFE HAVEN PROVIDES CHILDREN, TEENS AND FAMILIES WITH FUN AND THERAPEUTIC ACTIVITIES TO HELP THEM WORK THROUGH THEIR FEELINGS OF GRIEF. THE CAMP IS SUPPORTED BY HAVEN HOSPICE'S STAFF OF PROFESSIONALS AND VOLUNTEERS HEALING HEARTS GRIEF SUPPORT: HAVEN HOSPICE'S HEALING HEARTS GRIEF SUPPORT PROGRAM OFFERS INDIVIDUAL, FAMILY AND GROUP COUNSELING TO ANYONE COPING WITH LOSS, REGARDLESS OF HOW THE LOSS OCCURRED. COUNSELING AND EDUCATION: HAVEN HOSPICE OFFERS SHORT-TERM INDIVIDUAL, FAMILY AND GROUP BEREAVEMENT COUNSELING WITH SPECIALLY TRAINED HAVEN HOSPICE PROFESSIONALS FOR ANYONE IN THE COMMUNITY WHO HAS EXPERIENCED A LOSS. MEMORIAL SERVICES: HAVEN HOSPICE HOSTS LOVE AND REMEMBRANCE (MEMORIAL) SERVICES IN SPRING AND FALL TO HONOR THE LIVES OF FAMILY, FRIENDS AND LOVED ONES. THE BEREAVEMENT DEPARTMENT CONDUCTED 48 COMMUNITY EDUCATION EVENTS. IN ADDITION, 10,931 SUPPORT MAILERS WERE DISTRIBUTED, 9,699 BEREAVEMENT SUPPORT PHONE CALLS WERE PLACED AND 234 COUNSELING SESSIONS WERE PROVIDED FOR EITHER GROUP, INDIVIDUAL, OR FAMILY GRIEF SUPPORT. IN ADDITION, MEMORIAL SERVICES AND TEEN/KID GRIEF CAMPS WERE PROVIDED IN 2024.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$3,928,086ExpenseAmt
Grant$0GrantAmt
Revenue$1,251,065RevenueAmt
DescPALLIATIVE CARE CONSULTATIONS: HAVEN HOSPICE'S PALLIATIVE CARE CONSULTATIONS ARE PROVIDED BY A TEAM OF PHYSICIANS AND NURSE PRACTITIONERS. THE PROGRAM INCLUDES A PALLIATIVE CARE MEDICAL EXAMINATION TO ADDRESS PAIN AND SYMPTOMS AS WELL AS DISCUSSIONS WITH INDIVIDUALS AND THEIR HEALTHCARE PROVIDERS ABOUT TREATMENT GOALS, OPTIONS AND RECOMMENDATIONS. TRANSITIONS: HAVEN HOSPICE'S TRANSITIONS PROGRAM OFFERS EMOTIONALLY SUPPORTIVE PHONE CALLS, VOLUNTEER COMPANIONS AND REFERRALS TO COMMUNITY SERVICES FOR INDIVIDUALS AND FAMILIES WHO ARE DEALING WITH ADVANCED ILLNESS AND WHO ARE NEEDING ADDITIONAL SUPPORT ADVANCE CARE PLANNING (ACP): THE MISSION OF ADVANCE CARE PLANNING IS TO HAVE AS MANY PEOPLE OVER THE AGE OF 18 AND ESPECIALLY THOSE WITH ADVANCED ILLNESS EXPERIENCE AN ADVANCE CARE PLANNING SESSION. THE GOAL IS TO HAVE THE CONVERSATION WITH LOVED ONES AND/OR A HEALTH CARE SURROGATE SO THAT THE INDIVIDUAL'S CURRENT AND FUTURE HEALTHCARE GOALS, WISHES AND VALUES ARE DOCUMENTED AND SHARED. IN ORDER TO HONOR WISHES, OTHERS HAVE TO BE INFORMED.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,928,086TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,251,065TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$27,244,276TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document153IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee660EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RANDY L STUART CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3522625320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14300 NW 90TH BLVDAddressLine1Txt
CityGAINESVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32606ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BENJAMIN I DOERR JR
TREASURER1.05.0Yes (X)Yes (X)$0$61,339$0
GLENDA E HOOD
CHAIR1.05.0Yes (X)Yes (X)$0$74,039$0
JACKSON N SASSER PHD
VICE CHAIR1.05.0Yes (X)Yes (X)$0$61,339$0
LAWRENCE G SCHREIBER
Former President & CEO/Director1.044.0Yes (X)Yes (X)$0$6,619,112$30,816
KEVIN R MADDRON
DIRECTOR1.05.0Yes (X)$0$56,539$0
STEVEN ZIEGLER
PRESDIENT & CLO1.044.0Yes (X)$0$1,752,513$47,836
ELLEN L TALOS
DIRECTOR OF MEDICAL OPERATIONS40.00$353,504$0$12,126Yes (X)
MICHAEL H GROOVER
CHIEF MEDICAL OFFICER40.01.0$0$315,220$15,086Yes (X)
TIFFANY T MASSEY
EXECUTIVE MEDICAL DIRECTOR40.00$257,177$0$8,170Yes (X)
CLAUDIA BEUREUSE
REGISTERED NURSE40.00$138,478$0$5,465Yes (X)
JACQUELINE S HART
DIRECTOR OF CLINICAL OPERATIONS40.01.0$158,298$1,326$5,280Yes (X)
KAREN L LAAUWE
ASSOCIATE MEDICAL DIRECTOR40.00$147,305$0$17,429Yes (X)
KRISTEN NENEZIAN
CONTROLLER40.00$131,599$0$9,748Yes (X)
SHAYNA E RICH
ASSOCIATE MEDICAL DIRECTOR40.00$290,056$0$23,377Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,476,417TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,941,427TotReportableCompRltdOrgAmt
Total Other Compensation$175,333TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
ARBOR TEMPORARY SERVICES LLC
PO BOX 354526PALM COASTFL32135STAFFING SERVICES$653,461
NETSMART TECHNOLOGIES INC
PO BOX 354526PHILADELPHIAPA191713519IT SERVICES$486,951
WRIGHT EXPRESS FINANCIAL SERVICES
33548 TREASURY CTRCHICAGOIL606943500FINANCIAL SERVICES$324,351
SHANDS TEACHING HOSPITAL & CLINICS INC
POX 16051MEFL042439534NURSING HOME SERVICES$253,622LWISTON
FACILITIES MAINTENANCE OF NORTH CENTRAL
PO BOX 124HOLLISTERFL321470124MAINTENANCE SERVICES$190,124
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
All Other Contributions$3,200,286AllOtherContributionsAmt
Noncash Contributions$2,699,708NoncashContributionsAmt
Total Contributions$3,200,286TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE REVENUE623990$33,545,275$33,545,275
MEDICAID REVENUE623990$1,840,748$1,840,748
NET PATIENT SERVICE REVENUE623990$1,512,066$1,512,066

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$36,898,089TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,000,099TotalRevenueColumnAmt
Exclusion$1,000,099ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$883,062RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$883,062RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$883,062TotalRevenueColumnAmt
Exclusion$883,062ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$56,318,696OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$899SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$899SecuritiesAmt
Other$56,318,696OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,317,797TotalRevenueColumnAmt
Exclusion$56,317,797ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,699,708GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,699,708CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE INCOMEDesc
Business900099BusinessCd
Total Revenue Column$81,140TotalRevenueColumnAmt
Exclusion$81,140ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$81,140OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$98,380,473TotalRevenueColumnAmt
Related Or Exempt Func Income$36,898,089RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$58,282,098ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$610,681TotalAmt
Program Services$610,681ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,107,887TotalAmt
Program Services$16,606,163ProgramServicesAmt
Management And General$7,474,859ManagementAndGeneralAmt
Fundraising$26,865FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,236,407TotalAmt
Program Services$402,834ProgramServicesAmt
Management And General$832,753ManagementAndGeneralAmt
Fundraising$820FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,352,236TotalAmt
Program Services$1,037,799ProgramServicesAmt
Management And General$310,861ManagementAndGeneralAmt
Fundraising$3,576FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,615,922TotalAmt
Program Services$1,272,364ProgramServicesAmt
Management And General$342,241ManagementAndGeneralAmt
Fundraising$1,317FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$17,259TotalAmt
Management And General$17,259ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$487,949TotalAmt
Management And General$487,949ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$128,899TotalAmt
Management And General$128,899ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,135,210TotalAmt
Program Services$3,309,384ProgramServicesAmt
Management And General$818,601ManagementAndGeneralAmt
Fundraising$7,225FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$64,337TotalAmt
Management And General$62,323ManagementAndGeneralAmt
Fundraising$2,014FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$570,451TotalAmt
Program Services$167,211ProgramServicesAmt
Management And General$393,208ManagementAndGeneralAmt
Fundraising$10,032FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$753,949TotalAmt
Program Services$7,318ProgramServicesAmt
Management And General$746,631ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,017,222TotalAmt
Program Services$941,616ProgramServicesAmt
Management And General$1,075,452ManagementAndGeneralAmt
Fundraising$154FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$883,273TotalAmt
Program Services$735,968ProgramServicesAmt
Management And General$138,538ManagementAndGeneralAmt
Fundraising$8,767FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,589TotalAmt
Program Services$2,031ProgramServicesAmt
Management And General$21,558ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$194,181TotalAmt
Program Services$163,853ProgramServicesAmt
Management And General$30,328ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,422,104TotalAmt
Program Services$1,101,132ProgramServicesAmt
Management And General$320,972ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,022,299TotalAmt
Program Services$272,738ProgramServicesAmt
Management And General$749,561ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$505,937$472,836$33,101
DUES AND SUBSCRIPTIONS$401,667$32,024$347,400$22,243
OTHER EXPENSES$271,671$5,726$265,945
COMMUNITY SUPPORT$136,901$447$76,445$60,009

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$102,151TotalAmt
Program Services$102,151ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,062,182TotalAmt
Program Services$27,244,276ProgramServicesAmt
Management And General$14,674,884ManagementAndGeneralAmt
Fundraising$143,022FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,838,812BOYAmt
EOY$2,994,155EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$234,114BOYAmt
EOY$7,117,996EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$145,156BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,183,392BOYAmt
EOY$195,780EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$15,275,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,057,431BOYAmt
EOY$780,746EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$50,670,932LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,167,403LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,210,049BOYAmt
EOY$29,503,529EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,934,750BOYAmt
EOY$48,457,410EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$4,065,087BOYAmt
EOY$4,571,224EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,039,105BOYAmt
EOY$3,657,812EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,707,896BOYAmt
EOY$112,553,652EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,776,244BOYAmt
EOY$1,352,833EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,169,128BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,229,454BOYAmt
EOY$748,128EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,174,826BOYAmt
EOY$2,100,961EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,800,006BOYAmt
EOY$109,601,415EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,733,064BOYAmt
EOY$851,276EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,533,070BOYAmt
EOY$110,452,691EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,707,896BOYAmt
EOY$112,553,652EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$56,318,291ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,865,796NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,264,466OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,524,298CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,841,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,579,737CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,624,869CurrentTaxYearMinus1YearAmt
Current Tax Year$3,200,286CurrentTaxYearAmt
Total$22,771,172TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,616,247CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,746,501CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,987,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,921,016CurrentTaxYearMinus1YearAmt
Current Tax Year$36,898,089CurrentTaxYearAmt
Total$207,169,703TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,140,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,588,483CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,567,587CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,545,885CurrentTaxYearMinus1YearAmt
Current Tax Year$40,098,375CurrentTaxYearAmt
Total$229,940,875TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$229,940,875PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$376,363CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$268,478CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$322,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$537,302CurrentTaxYearMinus1YearAmt
Current Tax Year$1,883,161CurrentTaxYearAmt
Total$3,387,487TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$376,363CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$268,478CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$322,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$537,302CurrentTaxYearMinus1YearAmt
Current Tax Year$1,883,161CurrentTaxYearAmt
Total$3,387,487TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$166,451CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$534,608CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,693CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$126,590CurrentTaxYearMinus1YearAmt
Current Tax Year$81,140CurrentTaxYearAmt
Total$1,041,482TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,683,359CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,391,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,022,463CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,209,777CurrentTaxYearMinus1YearAmt
Current Tax Year$42,062,676CurrentTaxYearAmt
Total$234,369,844TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98110PublicSupportCY509Pct
Public Support PY5090.98299PublicSupportPY509Pct
Investment Income CY0.01InvestmentIncomeCYPct
Investment Income PY0.01InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - ADMINISTRATIVE INCOME, COLUMN A - 190724.0, COLUMN B - 185388.0, COLUMN C - 132693.0, COLUMN D - 126590.0, COLUMN E - 81140.0, COLUMN F - 716535.0; DESCRIPTION - SPECIAL EVENT INCOME, NET, COLUMN A - -24273.0, COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - -24273.0; DESCRIPTION - CHANGE IN INTEREST IN FOUNDATION, COLUMN A - , COLUMN B - 349220.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 349220.0;ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,991,921BeginningYearBalanceAmt
Investment Earnings Or Losses$503,375InvestmentEarningsOrLossesAmt
End Year Balance$4,495,296EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,241,678BeginningYearBalanceAmt
Investment Earnings Or Losses$750,243InvestmentEarningsOrLossesAmt
End Year Balance$3,991,921EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,008,913BeginningYearBalanceAmt
Investment Earnings Or Losses-$767,235InvestmentEarningsOrLossesAmt
End Year Balance$3,241,678EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,609,768BeginningYearBalanceAmt
Investment Earnings Or Losses$399,145InvestmentEarningsOrLossesAmt
End Year Balance$4,008,913EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,175,778BeginningYearBalanceAmt
Investment Earnings Or Losses$433,990InvestmentEarningsOrLossesAmt
End Year Balance$3,609,768EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,847,628OtherCostOrOtherBasisAmt
Book Value$4,847,628BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,401,961OtherCostOrOtherBasisAmt
Depreciation$14,812,064DepreciationAmt
Book Value$23,589,897BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,414,190OtherCostOrOtherBasisAmt
Depreciation$1,705,351DepreciationAmt
Book Value$708,839BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,007,153OtherCostOrOtherBasisAmt
Depreciation$4,649,988DepreciationAmt
Book Value$357,165BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,503,529TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Federal Income Taxes
LEASE LIABILITIES
CHARITABLE REMAINDER UNITRUST$632,000
DUE TO AFFILIATES$23,000
GIFT ANNUITIES$93,128
FieldValueIRS element (for citing)
Total Liability$748,128TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$108,980,188TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$11,865,796NetUnrealizedGainsInvstAmt
Other Revenue-$1,266,081OtherRevenueAmt
Revenue Not Reported$10,599,715RevenueNotReportedAmt
Revenue Subtotal$98,380,473RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$98,380,473TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$42,060,567TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$1,615OtherExpensesIncludedAmt
Expenses Not Reported-$1,615ExpensesNotReportedAmt
Expenses Subtotal$42,062,182ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$42,062,182TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE HAVEN HOSPICE ENDOWMENT IS A SEPARATE ACCOUNT OF FUNDS THAT ARE HELD TO PROVIDE CURRENT AND FUTURE INCOME TO HAVEN HOSPICE IN ORDER TO OFFSET THE BURDEN OF UNCOMPENSATED CARE PROVIDED BY HAVEN HOSPICE. THE OBJECTIVE OF THE ENDOWMENT IS TO PROVIDE TIMELY FINANCIAL ASSISTANCE WHEN NEEDED AND LONG-TERM STABILITY TO HAVEN HOSPICE.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteHAVEN IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. HAVEN IS SUBJECT TO TAXES ON INCOME UNRELATED TO ITS TAX-EXEMPT PURPOSE AS IT MAY BECOME APPLICABLE. AS OF DECEMBER 31, 2024, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES AND HAVEN HAD NO UNCERTAIN TAX POSITIONS.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990CHANGE IN VALUE OF GIFT ANNUITIES - -87734 TRASFER OF FOUNDATION ASSETS - -1212334 CHANGE IN VALUE OF CHARITABLE REMAINDER UNITRUST - 77750 EXPENSES RECLASSED OUT OF REVENUE - -1615 CHANGE IN VALUE OF INTEREST RATE SWAP - -42148
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990EXPENSES RECLASSED OUT OF REVENUE - -1615

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LAWRENCE G SCHREIBER
Former President & CEO/Director$0$518,262$0$0$0$6,100,850$0$13,800$0$17,016$0$6,649,928$0$0
STEVEN ZIEGLER
PRESDIENT & CLO$0$425,856$0$0$0$1,326,657$0$13,800$0$34,036$0$1,800,349$0$0
MICHAEL H GROOVER
CHIEF MEDICAL OFFICER$0$310,360$0$0$0$4,860$0$3,605$0$11,481$0$330,306$0$0
ELLEN L TALOS
DIRECTOR OF MEDICAL OPERATIONS$353,504$0$0$0$0$0$12,118$0$8$0$365,630$0$0$0
TIFFANY T MASSEY
EXECUTIVE MEDICAL DIRECTOR$257,177$0$0$0$0$0$7,474$0$696$0$265,347$0$0$0
JACQUELINE S HART
DIRECTOR OF CLINICAL OPERATIONS$147,251$1,326$10,610$0$437$0$4,281$0$999$0$163,578$1,326$0$0
SHAYNA E RICH
ASSOCIATE MEDICAL DIRECTOR$290,056$0$0$0$0$0$10,868$0$12,509$0$313,433$0$0$0
KAREN L LAAUWE
ASSOCIATE MEDICAL DIRECTOR$147,305$0$0$0$0$0$4,852$0$12,577$0$164,734$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE CHIEF EXECUTIVE OFFICER (CEO) OF NORTH CENTRAL FLORIDA HOSPICE, INC. (HAVEN HOSPICE) BY SANTAFE HEALTHCARE, INC., A RELATED SUPPORTING ORGANIZATION. SANTAFE HEALTHCARE, INC. UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS CONSULTING FIRM (FIRM) TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE CEO'S TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES, AND LONG TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISON TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. THE FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ESTABLISHES THE FINAL COMPENSATION AND BENEFIT PACKAGE FOR THE CEO TAKING INTO CONSIDERATION THE MARKET COMPETITIVENESS REVIEW AND FINAL RECOMMENDATION OF THE FIRM. THE FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE CEO'S FINAL COMPENSATION AND BENEFITS PACKAGE. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING.
Schedule J, Part I, Line 4a Severance or change-of-control paymentLISTED PERSONS WHO ARE EMPLOYEES OF HAVEN HOSPICE ARE NOT COVERED BY A SEVERANCE POLICY; SEVERANCE IS HANDLED ON A CASE-BY-CASE BASIS. EMPLOYEES OF RELATED ORGANIZATIONS ARE COVERED UNDER A SEVERANCE POLICY WHICH INCLUDES MONTHLY PAYMENTS UP TO A MAXIMUM OF 12 - 36 MONTHS UNDER QUALIFYING CIRCUMSTANCES AND DEPENDING ON POSITION. THE FOLLOWING PERSONS RECEIVED SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS DURING THE 2024 CALENDAR YEAR: LAWRENCE SCHREIBER - $6,100,560 STEVEN ZIEGLER - $1,326,177
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planLISTED PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE YEAR: LAWRENCE G SCHREIBER, PHILIP G BOWLING, STEVEN M ZIEGLER AND PAULINE E TAYLOR ARE EMPLOYEES OF SANTAFE HEALTHCARE, INC., A RELATED SUPPORTING ORGANIZATION. THEY PARTICIPATE IN TWO NONQUALIFIED DEFERRED COMPENSATION RETIREMENT PLANS SPONSORED BY SANTAFE HEALTHCARE, INC. FOR A CERTAIN GROUP OF EXECUTIVES. ONE PLAN RESTORES RETIREMENT BENEFITS EQUIVALENT TO QUALIFIED 401(K) BENEFITS ON INCOME EARNED IN EXCESS OF THE INTERNAL REVENUE SERVICE CODE SECTION 401(A)(17) RECOGNIZABLE PAY LIMITS (A DEFINED CONTRIBUTION RESTORATION PLAN). VESTING FOR THIS PLAN IS ACHIEVED AT AGE 55 AND 10 YEARS OF SERVICE OR AT AGE 65 AND 5 YEARS OF SERVICE. THE SECOND SUPPLEMENTAL DEFINED CONTRIBUTION PLAN PROVIDES ADDITIONAL RETIREMENT INCOME BASED ON A PERCENTAGE OF BASE SALARY AND VESTS AT THREE AND FIVE YEARS OF SERVICE.
Schedule J, Part IICERTAIN SENIOR EXECUTIVES ARE ACCOUNTABLE FOR AND PERFORM SERVICES FOR SANTAFE HEALTHCARE, INC. AND EACH OF ITS AFFILIATES. SANTAFE HEALTHCARE, INC. AND AFFILIATES REPRESENT A DIVERSIFIED FAMILY OF NOT FOR PROFIT ORGANIZATIONS. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY SANTAFE HEALTHCARE, INC. AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATES BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES.

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$2,699,708NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidINVENTORY, PERSONAL PROPERTY, SOFTWARE, DESPOSIT ACCOUNTS, INTELLECTUAL PROPERTY & ASSUMED CONTRACTSAssetsDistriOrExpnssPaidDesc
Distribution2024-08-31DistributionDt
Fair Market Value Of Asset$60,000,000FairMarketValueOfAssetAmt
Method Of FMV DeterminationFMVMethodOfFMVDeterminationTxt
EIN992961045EIN
PersonAbode Hospice of Florida LLCPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1805 N WHITTINGTON PARWAY SUITE 400AddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP40222ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule N, Part IIFormAndLineReferenceDesc
ExplanationEFFECTIVE 11:59 P.M. ON AUGUST 31, 2024, NORTH CENTRAL FLORIDA HOSPICE, INC. SOLD SUBSTANTIALLY ALL OF ITS ASSETS (EXCLUDING ITS OWNED REAL ESTATE) AND ALL OF ITS HOSPICE, PALLIATIVE AND END OF LIFE CARE OPERATIONS TO ABODE HOSPICE OF FLORIDA, LLC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services(Expenses $ 3,928,086 including grants of $ 0)(Revenue $ 1,251,065) PALLIATIVE CARE CONSULTATIONS: HAVEN HOSPICE'S PALLIATIVE CARE CONSULTATIONS ARE PROVIDED BY A TEAM OF PHYSICIANS AND NURSE PRACTITIONERS. THE PROGRAM INCLUDES A PALLIATIVE CARE MEDICAL EXAMINATION TO ADDRESS PAIN AND SYMPTOMS AS WELL AS DISCUSSIONS WITH INDIVIDUALS AND THEIR HEALTHCARE PROVIDERS ABOUT TREATMENT GOALS, OPTIONS AND RECOMMENDATIONS. TRANSITIONS: HAVEN HOSPICE'S TRANSITIONS PROGRAM OFFERS EMOTIONALLY SUPPORTIVE PHONE CALLS, VOLUNTEER COMPANIONS AND REFERRALS TO COMMUNITY SERVICES FOR INDIVIDUALS AND FAMILIES WHO ARE DEALING WITH ADVANCED ILLNESS AND WHO ARE NEEDING ADDITIONAL SUPPORT ADVANCE CARE PLANNING (ACP): THE MISSION OF ADVANCE CARE PLANNING IS TO HAVE AS MANY PEOPLE OVER THE AGE OF 18 AND ESPECIALLY THOSE WITH ADVANCED ILLNESS EXPERIENCE AN ADVANCE CARE PLANNING SESSION. THE GOAL IS TO HAVE THE CONVERSATION WITH LOVED ONES AND/OR A HEALTH CARE SURROGATE SO THAT THE INDIVIDUAL'S CURRENT AND FUTURE HEALTHCARE GOALS, WISHES AND VALUES ARE DOCUMENTED AND SHARED. IN ORDER TO HONOR WISHES, OTHERS HAVE TO BE INFORMED.
Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATIONTHE PROCESS FOR DETERMINING COMPENSATION FOR THE NON-DIRECTOR OFFICERS, PRESIDENT, CHIEF MEDICAL OFFICER, AND DIRECTORS OF HAVEN HOSPICE IS AS FOLLOWS: THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD-PARTY COMPENSATION AND BENEFITS FIRM (FIRM) TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE AFOREMENTIONED OFFICERS' TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES, AND LONG-TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISONS TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. AFTER COMPLETION OF ITS REVIEW, THE FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF TOTAL DIRECT COMPENSATION AND EXECUTIVE BENEFITS. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETINGS. THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS REGULARLY RETAINS AN INDEPENDENT THIRD PARTY CONSULTANT TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE BOARD OF DIRECTORS' (INCLUDING OFFICER POSITIONS) COMPENSATION. THE COMPETITIVENESS ANALYSIS INCLUDES COMPARISONS TO BOTH NOT-FOR-PROFIT AND PUBLIC COMPANY (EXCLUDING EQUITY COMPONENT) DATA FOR COMPANIES WITHIN THE SAME OR SIMILAR INDUSTRY. ANY COMPENSATION CHANGES ARE APPROVED BY THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS BASED ON THE MARKET COMPETITIVENESS STUDY.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyHAVEN HOSPICE'S ARTICLES OF INCORPORATION AND BYLAWS STATE THAT THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS SHALL CONSTITUTE THE ORGANIZATION'S BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS CONSTITUTES THE ORGANIZATION'S BOARD OF DIRECTORS, WHICH MAKES ALL GOVERNANCE DECISIONS OF THE ORGANIZATION. THE SANTAFE HEALTHCARE, INC. BOARD OF DIRECTORS HAS THE POWER AND AUTHORITY TO ESTABLISH COMMITTEES, TO ELECT AND REMOVE OFFICERS, TO APPROVE AMENDMENTS OF THE ORGANIZATION'S GOVERNING DOCUMENTS, AND TO MODIFY, AMEND, RESCIND, OR REPEAL ANY ACTION TAKEN BY THE ORGANIZATION'S BOARD OF DIRECTORS.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyA COPY OF THE ORGANIZATION'S FORM 990, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH CURRENT MEMBER OF THE BOARD OF DIRECTORS BEFORE SUBMISSION TO THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyHAVEN HOSPICE HAS A PROCEDURE FOR MONITORING AND ENFORCING COMPLIANCE WITH ITS CORPORATE CONFLICT OF INTEREST POLICY (POLICY). EACH COVERED PERSON SHALL RECEIVE A COPY OF THE POLICY FOR REVIEW AND SUBMIT AN AFFIRMATION WHICH IS ATTACHED TO THE CODE OF ETHICAL BUSINESS CONDUCT. ADDITIONALLY, EACH COVERED PERSON ENGAGED IN MAKING OR INFLUENCING DECISIONS ON BEHALF OF SANTAFE HEALTHCARE, INC. OR ITS AFFILIATES SHALL COMPLETE A QUESTIONNAIRE CONCERNING CONFLICTS OF INTEREST ANNUALLY. THE PROCEDURE DETAILS THAT THE CORPORATE SECRETARY HAS RESPONSIBILITY FOR DELIVERY OF THE POLICY TO DIRECTORS AND OFFICERS AND RECEIPT OF THEIR AFFIRMATIONS AND QUESTIONNAIRES. THE HUMAN RESOURCES DEPARTMENT SHALL OBTAIN THE AFFIRMATION AND QUESTIONNAIRE FROM EVERY NEW EMPLOYEE AT ORIENTATION. THE HUMAN RESOURCES DEPARTMENT SHALL ALSO OBTAIN THE AFFIRMATION FROM ALL EMPLOYEES AND THE CONFLICT OF INTEREST QUESTIONNAIRE FROM APPLICABLE EMPLOYEES ANNUALLY. MEMBERS OF CORPORATE ADVISORY BOARDS SUBMIT THE AFFIRMATION AND QUESTIONNAIRE TO THE CHIEF COMPLIANCE OFFICER. ANNUAL CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY INTERNAL STAFF TO ENSURE RECORDS ARE COMPLETE. AS PART OF THE CORPORATE CONTRACT REVIEW PROCESS, CONSIDERATION IS GIVEN TO ANY POTENTIAL CONFLICTS OF INTEREST INVOLVING OPERATIONAL OR FINANCIAL TRANSACTIONS. ALL EMPLOYEES ARE EXPECTED TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS. INITIAL REVIEW OF EMPLOYEE QUESTIONNAIRES WILL BE PERFORMED BY THE HUMAN RESOURCES DEPARTMENT AND AFFILIATE COMPLIANCE OFFICER, WITH REVIEW OF ANY DISCLOSURES BY THE CHIEF COMPLIANCE OFFICER WHO WILL EVALUATE, MAKE NECESSARY INQUIRIES, AND INVESTIGATE ALTERNATIVES. BOARD MEMBERS SHALL DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS TO THE CHAIRPERSON OF THE SANTAFE HEALTHCARE, INC. BOARD, AND THE CHAIRPERSON OR CHIEF COMPLIANCE OFFICER SHALL EVALUATE CONFLICT DISCLOSURES AND, IF APPROPRIATE, INVESTIGATE ALTERNATIVES AND REPORT TO DISINTERESTED BOARD MEMBERS FOR RESOLUTION. THE MINUTES OF THE BOARD OR ANY COMMITTEE MEETING AT WHICH A POTENTIAL OR ACTUAL CONFLICT OF INTEREST IS DISCLOSED OR DISCUSSED SHALL REFLECT THE NAME OF THE INTERESTED PARTY, THE NATURE OF THE CONFLICT, THE DELIBERATIONS AND THE RESOLUTION OF THE CONFLICT. IF IT IS DETERMINED THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE CHIEF COMPLIANCE OFFICER OR THE CHAIRPERSON SHALL TAKE APPROPRIATE ACTION, WHICH MAY INCLUDE REMOVAL FROM OFFICE OR TERMINATION OF EMPLOYMENT.
Form 990, Part VI, Line 19 Required documents available to the publicHAVEN HOSPICE'S PROCEDURE FOR MAKING VARIOUS DOCUMENTS AVAILABLE TO THE PUBLIC IS AS FOLLOWS: THE ARTICLES OF INCORPORATION CAN BE ACCESSED DIRECTLY THROUGH THE FLORIDA DEPARTMENT OF STATE, DIVISION OF CORPORATIONS WEBSITE AT WWW.SUNBIZ.ORG. THE CONFLICT OF INTEREST POLICY CAN BE OBTAINED DIRECTLY FROM THE ORGANIZATION UPON WRITTEN REQUEST. HAVEN HOSPICE DID NOT OTHERWISE MAKE ITS GOVERNING DOCUMENTS, INCLUDING BYLAWS, AVAILABLE TO THE PUBLIC. IN ADDITION, DURING THE TAX YEAR, HAVEN HOSPICE DID NOT MAKE ITS AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGE IN FAIR VALUE OF CHARITABLE REMAINDER UNITRUST (CRUT) - 77750; CHANGE IN NET UNREALIZED GAINS/LOSSES ON INTEREST RATE SWAP - -42148; CHANGE IN VALUE OF GIFT ANNUITIES - -87734; TRANSFER OF FOUNDATION ASSETS - -1212334; Total - -1264466;
Form 990, Part XII, Line 2c Change of oversight process or selection processAUDIT OVERSIGHT PROCESS: THE COMPANY'S AUDIT COMMITTEE HAS NOT CHANGED ITS PROCESS FOR SELECTION OF THE INDEPENDENT ACCOUNTANT OR ITS PROCESS FOR MANAGING THE AUDIT.
FORM 990, PART VII, SECTION A, LINE 1ACERTAIN SENIOR EXECUTIVES ARE ACCOUNTABLE FOR AND PERFORM SERVICES FOR SANTAFE HEALTHCARE, INC. AND EACH OF ITS AFFILIATES. SANTAFE HEALTHCARE, INC. AND AFFILIATES REPRESENT A DIVERSIFIED FAMILY OF NOT FOR PROFIT ORGANIZATIONS. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY SANTAFE HEALTHCARE, INC. AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATES BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HAVEN MEDICAL GROUP LLC
PO BOX 749GAINESVILLEFL326270749452557237MEDICAL PRACTICE MEDICAL PRACTICE CAREFL$1,972,273$67,091NORTH CENTRAL FLORIDA HOSPICE INC
HAVEN HOSPICE PROPERTIES LLC
PO BOX 749GAINESVILLEFL326270749850917632REAL ESTATE HOLDING COMPANYFL$0$0NORTH CENTRAL FLORIDA HOSPICE INC
HAVEN PALLIATIVE CARE LLC
PO BOX 749GAINESVILLEFL326270749851116047PALLIATIVE CAREFL$0$0NORTH CENTRAL FLORIDA HOSPICE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SANTAFE HEALTHCARE INC
PO BOX 749GAINESVILLEFL326270749592317607MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATESFL501(c)(3)Type IINAfalse
NORTH FLORIDA RETIREMENT VILLAGE INC
PO BOX 749GAINESVILLEFL326270749591912330RETIREMENT COMMUNITYFL501(c)(3)10SANTAFE HEALTHCARE INCfalse
SANTAFE SENIOR LIVING INC
PO BOX 749GAINESVILLEFL326270749203700526MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATESFL501(c)(3)Type IISANTAFE HEALTHCARE INCfalse
BVG ACQUISITION INC
PO BOX 749GAINESVILLEFL326270749203701186RETIREMENT COMMUNITYFL501(c)(3)10SANTAFE HEALTHCARE INCfalse
EAST RIDGE RETIREMENT VILLAGE INC
PO BOX 749GAINESVILLEFL326270749590903331RETIREMENT COMMUNITYFL501(c)(3)10SANTAFE HEALTHCARE INCfalse
SANTAFE SENIOR LIVING FOUNDATION INC
PO BOX 749GAINESVILLEFL326270749264464727CHARITABLE & EDUCATIONAL PURPOSESFL501(c)(3)7SANTAFE HEALTHCARE INCfalse
HFK CARE CORPORATION
PO BOX 749GAINESVILLEFL326270749592386289HOSPICE CARE & HOME HEALTH CAREFL501(c)(3)7SANTAFE HEALTHCARE INCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SF HOLDING CORP INC
PO BOX 749GAINESVILLEFL326270749592903901HOLDING COMPANYFLNAC Corporationfalse
CHARITABLE REMAINDER UNITRUST
CHARITABLE REMAINDER UNITRUSTGANATrustfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd