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HOSPICE OF ST. FRANCIS, INC. - Florida Company Profile

Company Details

Entity Name: HOSPICE OF ST. FRANCIS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 28 Nov 1977 (47 years ago)
Last Event: RESTATED ARTICLES
Event Date Filed: 01 Oct 2024 (7 months ago)
Document Number: 740892
FEI/EIN Number 591795440

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780-7927, US
Mail Address: 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780-7927, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1598815839 2007-01-11 2022-03-25 1250 GRUMMAN PL STE B, TITUSVILLE, FL, 327807927, US 1250 GRUMMAN PL STE B, TITUSVILLE, FL, 327807927, US

Contacts

Phone +1 321-269-4240
Fax 3212695428

Authorized person

Name MR. KAMEN JENKINS
Role MANAGE CARE/SYSTEMS SPECIALIST
Phone 3215228612

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
License Number 5029096
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 087255500
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HOSPICE OF ST. FRANCIS 403B RETIREMENT PLAN 2012 591795440 2013-10-09 HOSPICE OF ST. FRANCIS 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621610
Sponsor’s telephone number 3212694240
Plan sponsor’s address 1250 GRUMMAN PLACE SUITE B, TITUSVILLE, FL, 32780

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing BRUCE WOLTERS
Valid signature Filed with authorized/valid electronic signature
HOSPICE OF ST. FRANCIS 403B RETIREMENT PLAN 2011 591795440 2012-10-10 HOSPICE OF ST. FRANCIS 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621610
Sponsor’s telephone number 3212694240
Plan sponsor’s address 1250 GRUMMAN PLACE SUITE B, TITUSVILLE, FL, 32780

Plan administrator’s name and address

Administrator’s EIN 591795440
Plan administrator’s name HOSPICE OF ST. FRANCIS
Plan administrator’s address 1250 GRUMMAN PLACE SUITE B, TITUSVILLE, FL, 32780
Administrator’s telephone number 3212694240

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing BRUCE WOLTERS
Valid signature Filed with authorized/valid electronic signature
HOSPICE OF ST. FRANCIS 403B RETIREMENT PLAN 2010 591795440 2011-10-13 HOSPICE OF ST. FRANCIS 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621610
Sponsor’s telephone number 3212694240
Plan sponsor’s address 1250 GRUMMAN PLACE SUITE B, TITUSVILLE, FL, 32780

Plan administrator’s name and address

Administrator’s EIN 591795440
Plan administrator’s name HOSPICE OF ST. FRANCIS
Plan administrator’s address 1250 GRUMMAN PLACE SUITE B, TITUSVILLE, FL, 32780
Administrator’s telephone number 3212694240

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing BRUCE WOLTERS
Valid signature Filed with authorized/valid electronic signature
HOSPICE OF ST. FRANCIS 403B RETIREMENT PLAN 2009 591795440 2010-10-14 HOSPICE OF ST. FRANCIS 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-02-01
Business code 621610
Sponsor’s telephone number 3212694240
Plan sponsor’s address 1250 GRUMMAN PLACE SUITE B, TITUSVILLE, FL, 32780

Plan administrator’s name and address

Administrator’s EIN 591795440
Plan administrator’s name HOSPICE OF ST. FRANCIS
Plan administrator’s address 1250 GRUMMAN PLACE SUITE B, TITUSVILLE, FL, 32780
Administrator’s telephone number 3212694240

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing BRUCE WOLTERS
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MCALPINE CHRISTOPHER Director 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 327807927
Ferguson David Member 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 327807927
Hurt Tony Vice President 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 327807927
Killian Joseph S Chief Executive Officer 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 327807927
Alderman Mary Ann Past 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 327807927
Allender Jerry Director 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 327807927
Killian Joseph Agent 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 327807927

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000018281 ST. FRANCIS HOSPICE ACTIVE 2025-02-06 2030-12-31 - 1250-B GRUMMAN PL, TITUSVILLE, FL, 32780
G20000134412 ST. FRANCIS REFLECTIONS HOSPICE ACTIVE 2020-10-16 2025-12-31 - 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780
G20000133658 ST. FRANCIS REFLECTIONS CHILD GRIEF PROGRAM ACTIVE 2020-10-15 2025-12-31 - 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780
G20000119814 ST. FRANCIS REFLECTIONS GRIEF SUPPORT ACTIVE 2020-09-15 2025-12-31 - 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780
G20000119815 ST. FRANCIS REFLECTIONS PET PLEDGE ACTIVE 2020-09-15 2025-12-31 - 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780
G20000119808 ST. FRANCIS REFLECTIONS PEDIATRIC PALLIATIVE CARE ACTIVE 2020-09-15 2025-12-31 - 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780
G20000119812 ST. FRANCIS REFLECTIONS CHILD GRIEF PROGRAM ACTIVE 2020-09-15 2025-12-31 - 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780
G20000101724 ST. FRANCIS REFLECTIONS LIFESTAGE CARE ACTIVE 2020-08-11 2025-12-31 - 1250-B GRUMMAN PLACE, TITUSVILLE, FL, 32780

Events

Event Type Filed Date Value Description
RESTATED ARTICLES 2024-10-01 - -
AMENDMENT 2022-08-16 - -
REGISTERED AGENT NAME CHANGED 2022-04-07 Killian, Joseph -
RESTATED ARTICLES 2019-10-04 - -
AMENDMENT 2013-06-05 - -
REGISTERED AGENT ADDRESS CHANGED 2004-12-06 1250-B GRUMMAN PLACE, TITUSVILLE, FL 32780-7927 -
CHANGE OF PRINCIPAL ADDRESS 2004-12-06 1250-B GRUMMAN PLACE, TITUSVILLE, FL 32780-7927 -
CHANGE OF MAILING ADDRESS 2004-12-06 1250-B GRUMMAN PLACE, TITUSVILLE, FL 32780-7927 -
NAME CHANGE AMENDMENT 1991-05-01 HOSPICE OF ST. FRANCIS, INC. -
NAME CHANGE AMENDMENT 1988-03-23 NORTH BREVARD HOSPICE, INC. -

Documents

Name Date
ANNUAL REPORT 2025-01-28
Restated Articles 2024-10-01
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-02-03
Amendment 2022-08-16
ANNUAL REPORT 2022-04-07
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-06-30
Restated Articles 2019-10-04
AMENDED ANNUAL REPORT 2019-07-05

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-1795440 Corporation Unconditional Exemption 1250 GRUMMAN PL STE B, TITUSVILLE, FL, 32780-7927 1990-04
In Care of Name % DONNA SKAROSI
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 22567660
Income Amount 34525524
Form 990 Revenue Amount 31811561
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name HOSPICE OF ST FRANCIS INC
EIN 59-1795440
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name HOSPICE OF ST FRANCIS INC
EIN 59-1795440
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name HOSPICE OF ST FRANCIS INC
EIN 59-1795440
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name HOSPICE OF ST FRANCIS INC
EIN 59-1795440
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name HOSPICE OF ST FRANCIS
EIN 59-1795440
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name HOSPICE OF STFRANCIS
EIN 59-1795440
Tax Period 201609
Filing Type E
Return Type 990
File View File

Date of last update: 01 Apr 2025

Sources: Florida Department of State