2024-08-14T15:55:38-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 852777461 ALIVIA CARE SOLUTIONS INC ALIV 9042685200 4266 SUNBEAM RD JACKSONVILLE FL 32257 SUSAN PONDER-STANSEL PRESIDENT & CEO OF ALIVIA CARE, INC 9042685200 2024-08-14 1 0 AMY BIBBY P00445891 8282542254 2024-08-14 2022 2024-08-08 14:25:15Z SUSAN PONDER-STANSEL 4266 SUNBEAM RD JACKSONVILLE FL 32257 1451976 0 X WWW.ALIVIACARE.COM X 2019 FL ALIVIA CARE SOLUTIONS WILL DELIVER HIGH QUALITY PERSON-CENTERED CARE THAT SUPPORTS THE DIGNITY, HEALTH, SAFETY, AND INDEPENDENCE OF PATIENTS IN WHATEVER LOCATION THEY CALL HOME. 7 3 48 0 0 0 0 0 1432332 1428945 0 -1780 0 23031 1432332 1450196 0 0 0 0 2030979 2511180 0 0 0 795849 1405747 2826828 3916927 -1394496 -2466731 1338875 1279884 3167450 5929925 -1828575 -4650041 X ALIVIA CARE HAS INVESTED IN THE DEVELOPMENT OF INNOVATIVE CARE SOLUTIONS THAT ARE PROVIDED THROUGH ITS NETWORK OF COLLABORATIVE PARTNERSHIPS AND SUBSIDIARY ORGANIZATIONS. THESE SOLUTIONS CREATE A CONTINUUM OF CARE THAT IS PATIENT-CENTRIC AND ALIGNED WITH TRADITIONAL AND EMERGING PAYMENT MODELS. 0 0 3232891 1450196 ALIVIA SUPPORTIVE CARE PROVIDES SPECIALIZED, PERSON-CENTERED, COORDINATED CARE TO PEOPLE WITH LATE-STAGE, SERIOUS LIFE-LIMITING ILLNESS. OUR PROGRAM MOVES THE FOCUS OF CARE OUT OF THE HOSPITAL AND INTO THE HOME AND COMMUNITY. OUR DEDICATED PALLIATIVE CARE TEAM PROVIDES PATIENTS WITH THE TOOLS TO MANAGE THEIR ILLNESS AND IMPROVE QUALITY OF LIFE. THROUGH REGULAR HOME VISITS, OUR APRNS HELP CREATE A PERSONALIZED CARE PLAN UNIQUE TO THE INDIVIDUAL AND BASED ON THEIR NEEDS. PATIENTS AND FAMILIES BENEFIT FROM OUR PROGRAM BY RECEIVING PRACTICAL AND EMOTIONAL SUPPORT, GUIDANCE IN PLANNING AND MAKING DECISIONS ABOUT FUTURE HEALTH CARE NEEDS, PEACE OF MIND NAVIGATING COMPLEX HEALTH CARE SYSTEMS, AND RELIEF FROM PAIN AND CHALLENGING SYMPTOMS. SERVING OVER 50 ZIP CODES IN DUVAL, CLAY, NASSAU, ST. JOHNS, AND BAKER COUNTIES, THIS YEAR WE ARE PROJECTED TO TREAT OVER 950 PATIENTS. TO HELP OUR PATIENTS AVOID UNNECESSARY HOSPITALIZATIONS AND VISITS TO THE EMERGENCY ROOM, WE COORDINATE WITH PRIMARY CARE AND SPECIALTY PHYSICIANS, CONNECT PATIENTS TO COMMUNITY RESOURCES, AND PROVIDE EDUCATION ABOUT SERIOUS ILLNESS AND END OF LIFE PLANNING. IN ADDITION TO APRN HOME VISITS, WE OFFER A 24-HOUR CALL CENTER STAFFED BY RNS, RN AND SOCIAL WORKER TELEPHONIC AND HOME VISITS, AND A WELL-TRAINED OPERATIONS TEAM. ALTHOUGH MOST OF THESE SERVICES ARE NOT COVERED BY INSURANCE PLANS, WE ARE COMMITTED TO OUR PROGRAM AND BELIEVE THESE SERVICES PROVIDE VALUE TO OUR PATIENTS AND THEIR LOVED ONES. 3232891 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 0 0 0 1 7 0 1 48 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X THE ORGANIZATION 9042685200 4266 SUNBEAM RD JACKSONVILLE FL 32257 SUSAN PONDER-STANSEL PRESIDENT & CEO ALIVIA CARE, INC., CHAIR 2.00 40.00 X X 0 541122 45853 WILDRICK STEVENSON KENNY CHIEF OPERATING OFFICER, SECRETARY 2.00 40.00 X X 0 279495 26284 RAY MATUZA DIRECTOR 1.00 X 0 0 0 THE HONORABLE KRISTINA MOBLEY DIRECTOR 1.00 X 0 0 0 LAWRENCE A SOLBERG JR MD DIRECTOR 1.00 X 0 0 0 KENNETH MCCOSH CFO ALIVIA CARE, INC. 1.00 40.00 X X 0 0 0 PHILLIP WARD PRESIDENT & CEO COMMUNITY HOSPICE OF NORTHEAST FLO 1.00 X X 0 420018 37179 CONNIE EDELEN SENIOR MEDICAL DIRECTOR 40.00 X 133510 0 9972 EMILY KASSEL LEAD APRN 40.00 X 105443 0 25308 CYNTHIA CROWE APRN 40.00 X 105142 0 3793 EDYTHE BECKLES BETTER LIFE HOME HEALTH - MANAGER, BUSINESS DEVELO 40.00 X 104506 0 4634 LATONYA GREEN APRN 40.00 X 101469 0 11657 GREGORY DIXON CFO (THROUGH 04/22/22) - FORMER 1.00 40.00 X 0 329722 18213 550070 1570357 182893 5 1 1 0 0 NET PATIENT SERVICE RE 621400 1428945 1428945 1428945 1780 -1780 -1780 -1780 MISCELLANEOUS REVENUE 900099 23031 23031 23031 1450196 1450196 0 0 2108776 1626085 482691 30911 19624 11287 210386 120837 89549 161107 101267 59840 50673 34175 16498 206503 191591 14912 75669 75669 271624 271624 23623 23623 90223 80964 9259 35782 35782 356917 356917 11863 11863 BAD DEBT EXPENSE 190425 190425 OVERHEAD ALLOCATION 31494 31494 DUES AND SUBSCRIPTION 21367 21367 BUSINESS DEVELOPMENT 16867 16867 22717 22717 3916927 3232891 684036 0 22812 193392 894453 633919 900 258 19110 73061 12071 19245 60990 400000 371573 2107 0 1338875 1279884 1661879 246631 10855 9372 1494716 5673922 3167450 5929925 X -1828575 -4650041 -1828575 -4650041 1338875 1279884 -2466731 -354735 0 X 0 0 0 X 120546 1432332 1451976 3004854 120546 1432332 1451976 3004854 0 0 0 3004854 120546 1432332 1451976 3004854 X 73061 12071 60990 60990 DUE TO AFFILIATES 5673922 5673922 1 0 0 0 0 0 0 0 0 SUSAN PONDER-STANSEL PRESIDENT & CEO ALIVIA CARE, INC., C 0 500000 0 28030 0 13092 0 16470 0 29383 0 586975 0 0 PHILLIP WARD PRESIDENT & CEO COMMUNITY HOSPICE OF 0 385445 0 13138 0 21435 0 16470 0 20709 0 457197 0 0 GREGORY DIXON CFO (THROUGH 04/22/22) - FORMER 0 332715 0 0 0 -2993 0 4062 0 14151 0 347935 0 0 WILDRICK STEVENSON KENNY CHIEF OPERATING OFFICER, SECRETARY 0 250000 0 9000 0 20495 0 13986 0 12298 0 305779 0 0 PART I, LINE 3 THE PROCESS USED TO ESTABLISH COMPENSATION FOR THE PRESIDENT/CEO WAS UNDERTAKEN BY A RELATED ORGANIZATION. THIS PROCESS INCLUDED THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, FORM 990S OF OTHER ORGANIZATIONS, COMPENSATION STUDIES/SURVEY, AND THE APPROVAL BY THE BOARD/COMMITTEE. PART I, LINE 4A GREGORY DIXON RECEIVED A SEVERANCE PAYMENT DURING THE FISCAL YEAR OF $131,154. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED IN ITS ENTIRETY BY THE AUDIT FINANCE COMMITTEE OF THE BOARD, FOLLOWED BY A PRESENTATION TO THE FULL BOARD FOR APPROVAL. FOLLOWING APPROVAL, THE RETURN WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED ANNUALLY TO COMPLETE AND SIGN A CONFLICT OF INTEREST POLICY IDENTIFYING RELATIONSHIPS THAT MAY GIVE RISE TO CONFLICT. ANY PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTE RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED ANNUALLY TO COMPLETE AND SIGN A CONFLICT OF INTEREST POLICY IDENTIFYING RELATIONSHIPS THAT MAY GIVE RISE TO CONFLICT. ANY PERSON DETERMINED TO HAVE A CONFLICT OF INTEREST IS REQUIRED TO RECUSE THEMSELVES FROM ANY VOTE RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS UPON REQUEST. THIS CAN BE DONE IN PERSON, BY PHONE, VIA OUR WEBSITE OR ON WWW.GUIDESTAR.COM. THE ORGANIZATION PUBLISHES A COMMUNITY REPORT IN THE LOCAL SUNDAY NEWSPAPER THAT PROVIDES SUMMARY INFORMATION OF THE PREVIOUS YEAR. COMMUNITY HOSPICE OF NORTHEAST FLORIDA 4266 SUNBEAM RD JACKSONVILLE FL 32257 591940256 HOSPICE & PALLIATIVE CARE FL 501(C)(3) LINE 11 ALIVIA CARE INC 0 COMMUNITY HOSPICE OF NORTHEAST FLORIDA FOUNDATION FOR CARING 4266 SUNBEAM RD JACKSONVILLE FL 32257 593583920 FUNDRAISING FOR COMMUNITY HOSPICE OF NORTHEAST FLORIDA FL 501(C)(3) LINE 12B, II COMMUNITY HOSPICE OF NORTHEAST FLORIDA 0 HOSPICE OF GOLDEN ISLES INC 1692 GLYNCO PKWY BRUNSWICK GA 31525 581428562 HOSPICE & PALLIATIVE CARE GA 501(C)(3) LINE 7 ALIVIA CARE OF GEORGIA INC 0 HOSPICE SATILLA 808 EVERGREEN WAY WAYCROSS GA 31501 581741612 HOSPICE & PALLIATIVE CARE GA 501(C)(3) LINE 3 ALIVIA CARE OF GEORGIA INC 0 ALIVIA CARE INC 4266 SUNBEAM RD JACKSONVILLE FL 32257 844695341 LEADERSHIP SUPPORT FOR HOSPICE & PALLIATIVE CARE FL 501(C)(3) LINE 10 N/A 0 ALIVIA CARE OF GEORGIA INC 4266 SUNBEAM RD JACKSONVILLE FL 32257 850842222 LEADERSHIP SUPPORT FOR HOSPICE & PALLIATIVE CARE FL 501(C)(3) LINE 10 ALIVIA CARE INC 0 PACE PARNTERS FOR NORTHEAST FLORIDA INC 4266 SUNBEAM RD JACKSONVILLE FL 32257 364861283 PROGRAM FOR NURSING HOME PATIENTS FL 501(C)(3) LINE 12A, I COMMUNITY HOSPICE OF NORTHEAST FLORIDA 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 1 0 1 0