Community Hospice & Palliative Care

What it reported doing in 2024

Hospice homecare established in 1979, community hospice & palliative care is an innovative national leader in palliative and hospice care, providing programs and services to meet the diverse needs of the communities it serves. During its 46-year history, the jacksonville, Florida-based nonprofit organization has served approximately 220,000 adults and children in 16 counties in northeast and north central Florida: alachua, baker, bradford, clay, columbia, dixie, duval, gilchrist, hamilton, lafayette, levy, nassau, putnam, st. Johns, suwannee and union. During fiscal year 2025, the organization helped over 9,000 patients and their families live better with advanced illness through hospice care and support programs. Most of this care is provided in the home setting, including private residences, nursing homes and assisted living communities. Community hospice & palliative care ensures patients' comfort by addressing their physical, emotional, and spiritual needs through interdisciplinary clinical care teams, whose members make up more than half of the organization's 1,095 employees, along with the services of approximately 500 volunteers. The organization also assists family caregivers through education, access to community resources and bereavement support for up to 13 months after a loss. The community hospice & palliative care mission is to improve the quality of life for patients and their families and to be the compassionate guide for end-of-life care in our community. Our goal is to provide comfort and address symptoms from life-limiting conditions, as well as provide supportive care to family members and other loved ones. The organization focuses on enhancing the quality of life while respecting patients' cultural beliefs and values. No one is ever denied care due to an inability to pay. Community hospice & palliative care support includes in-home nursing; physician services; psychosocial services; spiritual support; certified nursing assistant (cna); medical equipment (such as wheelchairs, beds and walkers); medical supplies (such as bandages and catheters); drugs for symptom management and/or pain relief; bereavement counseling and support; physical and occupational therapy; speech, music, massage and/or pet therapy; and dietary counseling. The organization also offers inpatient care, short-term respite care, veteran- and caregiver-focused services, and specialized care for those of the jewish faith, children's programs and advance care planning. A dedicated, interdisciplinary team of professionals works with patients to help manage the pain and symptoms associated with a life-limiting illness, and provides personal, respectful care and assistance. The organization helps educate patients and their caregivers about the illness they have and what to expect as the illness progresses, and about medicines and therapies to help manage patient comfort. On-call services are available 24 hours a day, seven days a week. In fiscal year 2025, our homecare teams provided 504,646 routine days of care. Advance care planning honoring choices Florida is a community collaborative advance care planning initiative of community hospice & palliative care. The program launched in 2014 and is based on a model from respecting choices, a pioneering acp program implementing throughout the united states, canada and many countries in europe and asia. Honoring choices Florida is designed to sustain an integrated, community-wide system to ensure patients' future health care preferences are discussed, documented, and honored. The program engages individuals through health care facilities and community-based venues through a specialized advance care planning document and offers trained facilitators-more than 590-to guide individuals and families through the process of discussing and documenting their health care wishes. In fiscal year 2024, facilitators guided over 7074 conversations and helped 6,111 individuals document their wishes. Program staff pre

Financial Efficiency

• Mission deployment rate: 87.8%; rating input score 88
• Program expense ratio: 91.6%; rating input score 92
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 87%; rating input score 87; 34th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 5.2%; rating input score 57; 57th percentile among comparable filings
• Total-asset coverage ratio: 0.73; rating input score 29; 29th percentile among comparable filings
• Liabilities to assets ratio: 0.24; rating input score 63; 63rd percentile among comparable filings
• Officer compensation ratio: 1.2%; rating input score 70; 70th percentile among comparable filings

Growth

• Program expense growth: 3.4% per year; rating input score 100; 25th percentile among comparable filings
• Revenue growth: 3% per year; rating input score 100; 22nd percentile among comparable filings
• Asset growth: 3.3% per year; rating input score 100; 23rd percentile among comparable filings