CAPITAL CARING STAY AT HOME SERVICES INC: Form 990EZ, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CAPITAL CARING STAY AT HOME SERVICES INC (EIN 84-3797085)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-05
- IRS object ID
- 202413109349201026
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-05T09:52:43+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 East Las Olas Blvd Suite 1100 | AddressLine1Txt |
| City | Fort Lauderdale | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 333014230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843797085 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capital Caring Stay At Home Services Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAPI | BusinessNameControlTxt |
| Phone | 8138718111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 Telecom Drive Suite 301 | AddressLine1Txt |
| City | Temple Terrace | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33637 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Andrew Molosky | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2024-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brittney Kocaj | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 9542028600 | PhoneNum |
| Preparation | 2024-11-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | chaptershealth.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $59,650 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $59,650 | ContributionsGiftsGrantsEtcAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Special Events Net Income Loss | $0 | SpecialEventsNetIncomeLossAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
| Total Revenue | $59,650 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $138,574 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $95,228 | OtherExpensesTotalAmt |
| Total Expenses | $233,802 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$174,152 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | -$1,052,487 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | -$1,226,639 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,622 | BOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,528 | BOYAmt |
| EOY | $183,528 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,150 | BOYAmt |
| EOY | $183,528 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,322,878 | BOYAmt |
| EOY | $1,410,167 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,052,487 | BOYAmt |
| EOY | -$1,226,639 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | CAPITAL CARING STAY AT HOME SERVICES, INC. (CCSH) CEASED OPERATIONS IN 2023. FORMERLY, THE ORGANIZATION PROVIDED SERVICES THAT SOUGHT TO IMPROVE PATIENTS SOCIAL AND PHYSICAL ENVIRONMENTS AS A MEANS OF BETTERING THEIR CARE AND QUALITY OF LIFE SO THAT THEY CAN ULTIMATELY STAY AT HOME, WHERE THE VAST MAJORITY OF FAMILIES WOULD WANT TO RECEIVE CARE AS THEY AGE AND THEIR MEDICAL AND FUNCTIONAL REASON DETERIORATES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | CAPITAL CARING STAY AT HOME SERVICES, INC. (CCSH) CEASED OPERATIONS IN 2023. FORMERLY, THE ORGANIZATION PROVIDED CONTRACTED MEDICAL SERVICES TO ORGANIZATIONS NEEDING SUCH SERVICES. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $220,937 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $220,937 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (20 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Andrew Molosky | ||||
| PRESIDENT/CEO (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| Tom Koutsoumpas | ||||
| PRESIDENT & CEO (through 5/2023) / CHAIR | 2.000 | $0 | $0 | $0 |
| RHONDA G WHITE | ||||
| Chief Operating Officer (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| TODD A WEBB | ||||
| CHIEF FINANCIAL OFFICER (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| ANGELA WEBB | ||||
| Treasurer | 2.000 | $0 | $0 | $0 |
| LYNN MENTO | ||||
| Secretary | 2.000 | $0 | $0 | $0 |
| REV DR TYRONE PITTS | ||||
| Vice Chair | 2.000 | $0 | $0 | $0 |
| BILL NOVELLI | ||||
| BOARD MEMBER | 2.000 | $0 | $0 | $0 |
| CLIFFORD BARNES | ||||
| BOARD MEMBER | 2.000 | $0 | $0 | $0 |
| DIANE TY | ||||
| BOARD MEMBER | 2.000 | $0 | $0 | $0 |
| JEANNINE ENGLISH | ||||
| BOARD MEMBER | 2.000 | $0 | $0 | $0 |
| JOHN ADAMS | ||||
| BOARD MEMBER | 2.000 | $0 | $0 | $0 |
| TOM NELSON | ||||
| BOARD MEMBER | 2.000 | $0 | $0 | $0 |
| Paola Delp | ||||
| Chief Business Development Officer (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| Tara Friedman | ||||
| Chief Medical Officer (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| CHARLES O LEE | ||||
| Chief Administrative Officer (through 6/2023) | 2.000 | $0 | $0 | $0 |
| Nicole Romence | ||||
| Chief People Officer (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| Sheri Anne Strobel Amateau | ||||
| Chief Information Officer (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| MICHAEL SHAPIRO | ||||
| Chief Medical Officer - Hospice (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| Valerie Zolman | ||||
| Chief Compliance Officer (starting 5/2023) | 2.000 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | Yes (true) | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | DC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Todd Webb | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 Telecom Drive Suite 301 | AddressLine1Txt |
| City | Temple Terrace | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33637 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8138718111 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Other Employee Paid Over100k | 0 | OtherEmployeePaidOver100kCnt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $300,314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $351,210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,650 | CurrentTaxYearAmt |
| Total | $712,424 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $300,314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $351,210 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,650 | CurrentTaxYearAmt |
| Total | $712,424 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $712,424 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $142 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,800 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $41,800 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $754,366 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.9444 | PublicSupportCY170Pct |
| Public Support PY170 | 0.9396 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 41800.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 41800.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 10 Grants Paid | ACTIVITY:PRIMARY CARE AT HOME;GRANTEE NAME:CAPITAL HOSPICE DBA CAPITAL CARING;GRANTEE ADDRESS:12470 TELECOM DRIVE , TEMPLE TERRACE, FL, 33637-____, US;AMOUNT:88924;RELATIONSHIP:RELATED 501(C)(3) ORGANIZATION;ACTIVITY:PRIMARY CARE AT HOME;GRANTEE NAME:CAPITAL CARING ADVANCED ILLNESS SERVICES, INC.;GRANTEE ADDRESS:12470 TELECOM DRIVE , TEMPLE TERRACE, FL, 33637-____, US;AMOUNT:49650;RELATIONSHIP:RELATED 501(C)(3) ORGANIZATION; |
| Form 990-EZ, Part I, Line 16 Other Expenses | MEALS FOR PATIENTS - 52929; PATIENT TRANSPORTATION - 13410; BANK CHARGES - 12254; PACE EXPENSE - 6241; OTHER DIRECT PATIENT - 613; MEDICAL SUPPLIES - 525; CONTRACT SERVICES - HHA/NA - 7317; MEDICAL EQIPMENT PURCHASES - 1328; OFFICE EXPENSE - 522; INTEREST - 89; |
| Form 990-EZ, Part II, Line 24b Other Assets | ACCOUNT RECEIVABLE RELATED ENTITIES - BOY:183528,EOY:183528; |
| Form 990-EZ, Part II, Line 26b Total Liabilities | ACCOUNTS PAYABLE TO RELATED ENTITIES - BOY:1322878,EOY:1410167; |
| Form 990-EZ, Part III, Exempt Purpose PRIMARY EXEMPT PURPOSE | CAPITAL CARING STAY AT HOME SERVICES, INC. (CCSH) CEASED OPERATIONS IN 2023. FORMERLY, THE ORGANIZATION PROVIDED SERVICES THAT SOUGHT TO IMPROVE PATIENTS SOCIAL AND PHYSICAL ENVIRONMENTS AS A MEANS OF BETTERING THEIR CARE AND QUALITY OF LIFE SO THAT THEY CAN ULTIMATELY STAY AT HOME, WHERE THE VAST MAJORITY OF FAMILIES WOULD WANT TO RECEIVE CARE AS THEY AGE AND THEIR MEDICAL AND FUNCTIONAL REASON DETERIORATES. |
| Form 990-EZ, Part V, Line 34 Changes to governing documents | Effective May 1, 2023, the articles of incorporation were amended to reflect the affiliation agreement between organization and Chapters Health System, Inc. The amended articles of incorporation name Chapters Health System, Inc. as the member of the organization's sole member,Capital Caring Health (CCH). The member shall have and exercise such reserved rights and powers related to the organization as set forth in the bylaws. In addition, the amended articles state that the bylaws may be amended, altered, added to or rescinded only with the approval of the sole member. Likewise, the bylaws were amended as of May 1, 2023, naming Chapters Health System, Inc. the member of the organization's sole member. In addition, the amended bylaws lay out the following: - The number, composition, qualifications, authority, and duties of the governing body's voting members; - The number, qualifications, powers, and duties of the organization's officers; - The role of the sole member in governance; - The provisions to amend the bylaws; and - The policies or procedures contained within the bylaws regarding compensation, conflicts of interest, and document retention. |