2026-01-23T14:19:19-06:00 2025-06-30 593204548 JAMES MOORE & COPL 121 EXECUTIVE CIRCLE DAYTONA BEACH FL 321141180 990 2024-07-01 813064292 NORTHEAST FLORIDA HEALTHCARE COALITION INC NORT 9042790880 40 EAST ADAMS STREET JACKSONVILLE FL 322023357 ELIZABETH PAYNE CEO 9042790880 2026-01-15 1 1 ZACH CHALIFOUR P01447809 3862574100 2026-01-15 2024 2025-03-06 01:10:19Z ELIZABETH PAYNE 40 EAST ADAMS STREET JACKSONVILLE FL 322023357 748884 0 X WWW.FLREGION3HCC.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. 11 11 4 11 0 0 749163 748884 0 0 0 0 0 0 749163 748884 201137 198625 0 0 220687 235878 0 0 0 327339 314381 749163 748884 0 0 0 0 0 0 0 0 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 685600 198625 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 685600 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 X 1 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 1 0 0 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 X DONNA STARLING 9042790880 40 EAST ADAMS STREET JACKSONVILLE FL 322023357 X DAVE CHAPMAN CHAIR 1.00 X X 0 0 0 GAVIN BUTLER VICE CHAIR 1.00 X X 0 0 0 SUSAN CHAPMAN SECRETARY/TREASURER 1.00 X X 0 0 0 KASSIE KNOLL BOARD MEMBER 1.00 X 0 0 0 TIM DEVIN BOARD MEMBER 1.00 X 0 0 0 JOHN BLANCHARD BOARD MEMBER 1.00 X 0 0 0 RONNIE NESSLER BOARD MEMBER 1.00 X 0 0 0 JAFFY LEE BOARD MEMBER 1.00 X 0 0 0 ROCHELLE CIVIL BOARD MEMBER 1.00 X 0 0 0 SONNY RODGERS BOARD MEMBER 1.00 X 0 0 0 JERRY LYNN DANIELS BOARD MEMBER AS OF 10/2024 1.00 X 0 0 0 0 0 0 0 0 0 0 0 748884 748884 748884 0 0 0 X 198625 198625 173867 173867 62011 62011 160750 160750 36 36 57436 55294 2142 41535 41535 35761 16834 18927 12478 12478 5276 5276 680 680 MISCELLANEOUS EXPENSE 429 429 748884 685600 63284 0 22000 22000 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 X 0 1 X 0 1 1 X 618506 672602 817793 749163 748884 3606948 618506 672602 817793 749163 748884 3606948 3606948 3606948 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22000 22000 0 0 1 ADVENT HEALTH OCALA 1500 SW 1ST AVE OCALA FL 33471 824372339 501(C)(3) 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING ADVENT HEALTH PALM COAST 60 MEMORIAL MEDICAL PARKWAY PALM COAST FL 32164 592951990 501(C)(3) 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING UF HEALTH JACKSONVILLE 655 WEST 8TH STREET JACKSONVILLE FL 32209 592142859 501(C)(3) 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING RIVER GARDEN HEBREW HOME 11401 OLD ST AUGUSTINE ROAD JACKSONVILLE FL 32258 590624438 501(C)(3) 0 6400 FMV EQUIPMENT MATERIALS AND TRAINING VICAR'S LANDING 1003 YORK ROAD PONTE VEDRA BEACH FL 32082 592555812 501(C)(3) 0 6400 FMV EQUIPMENT MATERIALS AND TRAINING PARK RIDGE NURSING CENTER 730 COLLEGE STREET JACKSONVILLE FL 32204 824991751 0 9600 FMV EQUIPMENT MATERIALS AND TRAINING WESTMINSTER WOODS ON JULINGTON CREEK 25 SR 13 JACKSONVILLE FL 32259 590872675 501(C)(3) 0 6100 FMV EQUIPMENT MATERIALS AND TRAINING MOOSEHAVEN 1701 PARK AVE ORANGE PARK FL 32073 593268779 501(C)(3) 0 6200 FMV EQUIPMENT MATERIALS AND TRAINING ASCENSION ST VINCENT'S SOUTHSIDE 4201 BELFORT ROAD JACKSONVILLE FL 32216 260479484 501(C)(3) 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING UF HEALTH JACKSONVILLE - NORTH 15255 MAX LEGGETT PKWY JACKSONVILLE FL 32218 592142859 501(C)(3) 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING HCA FLORIDA ORANGE PARK HOSPITAL 2001 KINGSLEY AVENUE ORANGE PARK FL 32073 611269295 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING ASCENSION ST VINCENT'S ST JOHNS COUNTY 205 TRINITY WAY ST JOHNS FL 32259 593650609 501(C)(3) 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING BAPTIST CLAY 1771 BAPTIST CLAY DRIVE FLEMING ISLAND FL 32003 753198121 501(C)(3) 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING BAPTIST MEDICAL CENTER JACKSONVILLE DOWNTOWN 800 PRUDENTIAL DRIVE JACKSONVILLE FL 32202 592487136 501(C)(3) 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING UF SHANDS GAINESVILLE 1600 SW ARCHER RD GAINESVILLE FL 32608 591943502 501(C)(3) 0 13840 FMV EQUIPMENT MATERIALS AND TRAINING LAKE BUTLER HOSPITAL 850 EAST MAIN STREET LAKE BUTLER FL 32054 593218382 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING HCA FLORIDA PUTNAM HOSPITAL 611 ZEAGLER DR PALATKA FL 32177 472762362 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING HCA FLORIDA NORTH FLORIDA HOSPITAL 6500 NEWBERRY ROAD GAINESVILLE FL 32614 611269294 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING THE LODGE HEALTH AND REHABILITATION CENTER 635 SE 17TH STREET OCALA FL 34471 881398455 0 5300 FMV EQUIPMENT MATERIALS AND TRAINING HCA FLORIDA OCALA HOSPITAL 1431 SW 1ST AVE OCALA FL 34471 591479652 0 6920 FMV EQUIPMENT MATERIALS AND TRAINING 13 7 PART I, LINE 2: THE GRANTS ARE USED TO PROVIDE EMERGENCY PREPAREDNESS MATERIALS AND TRAINING TO HEALTHCARE FACILITIES. FORM 990, PART V, LINE 2B: THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF EMPLOYEES OF THE FILING ORGANIZATION DURING THE TAX YEAR 2024 WHICH WERE REPORTED ON FORM W-3 BY NORTHEAST FLORIDA REGIONAL COUNCIL. SIMILARLY, THE SALARY EXPENSES REFLECTED ON FORM 990, PART IX WERE ALL REPORTED ON THE FORM 941, EMPLOYER'S QUARTERLY FEDERAL TAX RETURN, OF NORTHEAST FLORIDA REGIONAL COUNCIL AND REIMBURSED BY NORTHEAST FLORIDA HEALTHCARE COALITION. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS SUSAN AND DAVE CHAPMAN HAVE A FAMILY RELATIONSHIP. 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 ORGANIZATION HAS MEMBERS. 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 12 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 DIRECTLY COMPENSATE ANY INDIVIDUALS, BUT INSTEAD REIMBURSES THE NORTHEAST FLORIDA REGIONAL COUNCIL FOR THE PORTION OF SALARY APPLICABLE TO COALITION BUSINESS. 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 CONSULTANTS: PROGRAM SERVICE EXPENSES 104,750. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 104,750. CONTRACTUAL: PROGRAM SERVICE EXPENSES 56,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,000.