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  5. COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC.

COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. - Florida Company Profile

Company Details

Entity Name: COMMUNITY HOSPICE OF NORTHEAST FLORIDA, 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: 27 Nov 1978 (46 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 22 May 2020 (5 years ago)
Document Number: 745062
FEI/EIN Number 591940256

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC, 4266 SUNBEAM RD., JACKSONVILLE, FL, 32257, US
Mail Address: COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC, 4266 SUNBEAM RD., JACKSONVILLE, FL, 32257, US
ZIP code: 32257
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932393717 2007-09-05 2023-11-08 4266 SUNBEAM RD, JACKSONVILLE, FL, 322576030, US 4266 SUNBEAM RD, JACKSONVILLE, FL, 322576030, US

Contacts
Phone +1 904-407-6231
Fax 9044076033

Authorized person
Name MR. PHILLIP C WARD
Role PRESIDENT & CEO
Phone 9042685200

Taxonomy
Taxonomy Code 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary Yes
Taxonomy Code 2080H0002X - Pediatric Hospice and Palliative Medicine Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2019 591940256 2020-06-23 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 825
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042655200
Plan sponsor’s DBA name COMMUNITY HOSPICE & PALLIATIVE CARE
Plan sponsor’s mailing address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425
Plan sponsor’s address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425

Number of participants as of the end of the plan year
Active participants 800

Signature of
Role Plan administrator
Date 2020-06-22
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-22
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2018 591940256 2019-07-30 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 825
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042655200
Plan sponsor’s DBA name COMMUNITY HOSPICE & PALLIATIVE CARE
Plan sponsor’s mailing address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425
Plan sponsor’s address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425

Number of participants as of the end of the plan year
Active participants 785

Signature of
Role Plan administrator
Date 2019-07-26
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2017 591940256 2018-07-24 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 790
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042655200
Plan sponsor’s DBA name COMMUNITY HOSPICE & PALLIATIVE CARE
Plan sponsor’s mailing address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425
Plan sponsor’s address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425

Number of participants as of the end of the plan year
Active participants 825

Signature of
Role Plan administrator
Date 2018-06-29
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2016 591940256 2017-07-31 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 745
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042655200
Plan sponsor’s mailing address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425
Plan sponsor’s address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425

Number of participants as of the end of the plan year
Active participants 790

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2015 591940256 2016-07-29 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 925
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042685200
Plan sponsor’s mailing address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425
Plan sponsor’s address 4266 SUNBEAM RD, JACKSONVILLE, FL, 322572425

Number of participants as of the end of the plan year
Active participants 898
Other retired or separated participants entitled to future benefits 102
Number of participants with account balances as of the end of the plan year 944
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 32

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2014 591940256 2015-06-10 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC 948
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042685200
Plan sponsor’s mailing address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
Plan sponsor’s address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257

Number of participants as of the end of the plan year
Active participants 847
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 58
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-10
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2013 591940256 2014-07-21 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 947
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042685200
Plan sponsor’s mailing address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
Plan sponsor’s address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257

Number of participants as of the end of the plan year
Active participants 912
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 40
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-18
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2012 591940256 2013-07-31 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 738
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042685200
Plan sponsor’s mailing address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
Plan sponsor’s address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257

Number of participants as of the end of the plan year
Active participants 733
Retired or separated participants receiving benefits 4
Other retired or separated participants entitled to future benefits 18

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2010 591940256 2011-07-07 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 603
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042685200
Plan sponsor’s mailing address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
Plan sponsor’s address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257

Plan administrator’s name and address
Administrator’s EIN 591940256
Plan administrator’s name COMMUNITY HOSPICE OF NORTHEST FLORIDA, INC.
Plan administrator’s address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
Administrator’s telephone number 9042685200

Number of participants as of the end of the plan year
Active participants 595
Retired or separated participants receiving benefits 11

Signature of
Role Plan administrator
Date 2011-07-07
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature
COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. CAFETERIA PLAN 2009 591940256 2011-04-21 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. 559
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1991-10-01
Business code 621610
Sponsor’s telephone number 9042685200
Plan sponsor’s mailing address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
Plan sponsor’s address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257

Plan administrator’s name and address
Administrator’s EIN 591940256
Plan administrator’s name COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC.
Plan administrator’s address 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
Administrator’s telephone number 9042685200

Number of participants as of the end of the plan year
Active participants 592
Retired or separated participants receiving benefits 11
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2011-04-21
Name of individual signing ANDREA FRITZ
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
ROBBINS KEVIN Chairman 500 WORLD COMMERCE PARKWAY, ST. AUGUSTINE, FL, 32092
ROBBINS KEVIN Director 500 WORLD COMMERCE PARKWAY, ST. AUGUSTINE, FL, 32092
Hawthorne Rick Vice Chairman 1 INDEPENDENT DRIVE, SUITE 1200, JACKSONVILLE, FL, 32202
Hawthorne Rick Director 1 INDEPENDENT DRIVE, SUITE 1200, JACKSONVILLE, FL, 32202
ARTHUR TRACY Secretary 1 RAYONIER WAY, YULEE, FL, 32097
ARTHUR TRACY Director 1 RAYONIER WAY, YULEE, FL, 32097
EMANS CHRIS Treasurer 8230 NATIONS WAY, JACKSONVILLE, FL, 32256
EMANS CHRIS Director 8230 NATIONS WAY, JACKSONVILLE, FL, 32256
WARD PHILLIP President 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
WARD PHILLIP Chief Executive Officer 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000036467 COMMUNITY HOSPICE & PALLIATIVE CARE OF HILLSBOROUGH COUNTY ACTIVE 2024-03-12 2029-12-31 - 4266 SUNBEAM ROAD, ATTN BONNIE OVERBEY DIRECTOR LEGAL & REG, JACKSONVILLE, FL, 32257
G24000036139 COMMUNITY HOSPICE & PALLIATIVE CARE OF FLORIDA ACTIVE 2024-03-11 2029-12-31 - 4266 SUNBEAM ROAD, ATTN BONNIE OVERBEY DIRECTOR LEGAL & REG, JACKSONVILLE, FL, 32257
G19000031882 COMMUNITY HOSPICE & PALLIATIVE CARE OF ALACHUA COUNTY ACTIVE 2019-03-08 2029-12-31 - 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
G19000013757 COMMUNITY HOSPICE UPSCALE RESALE EXPIRED 2019-01-25 2024-12-31 - 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
G19000007895 COMMUNITY HOSPICE SHOPS EXPIRED 2019-01-15 2024-12-31 - 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
G19000004466 COMMUNITY HOSPICE & PALLIATIVE CARE OF COLUMBIA COUNTY ACTIVE 2019-01-09 2029-12-31 - 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
G19000000278 COMMUNITY HOSPICE & PALLIATIVE CARE OF GAINESVILLE ACTIVE 2019-01-02 2029-12-31 - 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
G18000136833 COMMUNITY HOSPICE & PALLIATIVE CARE OF PUTNAM COUNTY ACTIVE 2018-12-28 2028-12-31 - 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
G18000093082 COMMUNITY HOSPICE & PALLIATIVE CARE OF CLAY COUNTY ACTIVE 2018-08-21 2028-12-31 - 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
G17000044070 ALIVIA HOME CARE EXPIRED 2017-04-24 2022-12-31 - 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-03-08 WARD, PHILLIP -
AMENDED AND RESTATEDARTICLES 2020-05-22 - -
CHANGE OF PRINCIPAL ADDRESS 2009-03-16 COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC, 4266 SUNBEAM RD., JACKSONVILLE, FL 32257 -
CHANGE OF MAILING ADDRESS 2009-03-16 COMMUNITY HOSPICE OF NORTHEAST FLORIDA INC, 4266 SUNBEAM RD., JACKSONVILLE, FL 32257 -
NAME CHANGE AMENDMENT 1999-02-11 COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC. -
REGISTERED AGENT ADDRESS CHANGED 1996-05-01 4266 SUNBEAM ROAD, JACKSONVILLE, FL 32257 -
AMENDMENT 1995-08-04 - -

Documents

Name Date
ANNUAL REPORT 2025-01-08
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-02-06
AMENDED ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2021-03-08
Amended and Restated Articles 2020-05-22
ANNUAL REPORT 2020-03-31
ANNUAL REPORT 2019-02-04
ANNUAL REPORT 2018-01-26

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
303988125 0419700 2002-03-04 4266 SUNBEAM ROAD, JACKSONVILLE, FL, 32257
Inspection Type Complaint
Scope Partial
Safety/Health Safety
Close Conference 2002-03-04
Case Closed 2002-05-16

Related Activity
Type Complaint
Activity Nr 203850060
Safety Yes
Health Yes

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100147 C01
Issuance Date 2002-03-20
Abatement Due Date 2002-04-24
Current Penalty 1500.0
Initial Penalty 1500.0
Nr Instances 1
Nr Exposed 2
Related Event Code (REC) Complaint
Gravity 02
Citation ID 02001
Citaton Type Other
Standard Cited 19100132 D01
Issuance Date 2002-03-20
Abatement Due Date 2002-04-24
Nr Instances 1
Nr Exposed 110
Related Event Code (REC) Complaint
Gravity 01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-1940256 Corporation Unconditional Exemption 4266 SUNBEAM RD, JACKSONVILLE, FL, 32257-6030 1978-10
In Care of Name -
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, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 104844542
Income Amount 123796658
Form 990 Revenue Amount 123796658
National Taxonomy of Exempt Entities Human Services: Hospices
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 COMMUNITY HOSPICE OF NORTHEAST FLORIDA
EIN 59-1940256
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE OF NORTHEAST FLORIDA
EIN 59-1940256
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE OF NORTHEAST FLORIDA
EIN 59-1940256
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE OF NORTHEAST FLORIDA
EIN 59-1940256
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE OF NORTHEAST FLORIDA
EIN 59-1940256
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE OF NORTHEAST FLORIDA
EIN 59-1940256
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE OF NORTHEAST FLORIDA
EIN 59-1940256
Tax Period 201609
Filing Type E
Return Type 990
File View File
Organization Name COMMUNITY HOSPICE OF NORTHEAST FLORIDA
EIN 59-1940256
Tax Period 201609
Filing Type E
Return Type 990
File View File

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Companies related by address

No other companies in our directory share the same address as COMMUNITY HOSPICE OF NORTHEAST FLORIDA, INC.

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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