CAPITAL CARING ADVANCED ILLNESS SERVICES INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CAPITAL CARING ADVANCED ILLNESS SERVICES INC (EIN 84-3787656)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-05
- IRS object ID
- 202433109349301753
- 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 | 2024-11-05T09:51:16+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 | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843787656 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capital Caring Advanced Illness 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 | President/CEO | PersonTitleTxt |
| Phone | 8138718111 | PhoneNum |
| 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 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Andrew Molosky | 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) |
|---|---|---|
| Gross Receipts | $619,028 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | CHAPTERSHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2019 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF CAPITAL CARING ADVANCED ILLNESS SERVICES, INC. IS TO PROVIDE PATIENTS, THEIR FAMILIES AND CAREGIVERS WITH COMPREHENSIVE, HIGH-QUALITY ADVANCED ILLNESS CARE, OVER TIME AND ACROSS DIFFERENT SETTINGS OF CARE. ADVANCED ILLNESS CARE INCLUDES PALLIATIVE AND PRIMARY CARE SERVICES, AS WELL AS MENTAL AND BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SERVICES AND SUPPORTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $65,802 | PYContributionsGrantsAmt |
| CY Contributions Grants | $97,055 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $353,825 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $372,515 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $364,113 | PYOtherRevenueAmt |
| CY Other Revenue | $149,458 | CYOtherRevenueAmt |
| PY Total Revenue | $783,740 | PYTotalRevenueAmt |
| CY Total Revenue | $619,028 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,394,725 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,463,733 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $119,018 | PYOtherExpensesAmt |
| CY Other Expenses | $673,931 | CYOtherExpensesAmt |
| PY Total Expenses | $1,513,743 | PYTotalExpensesAmt |
| CY Total Expenses | $2,137,664 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$730,003 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,518,636 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $206,241 | TotalAssetsBOYAmt |
| Total Assets EOY | $166,510 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,564,281 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,043,186 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,358,040 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$3,876,676 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF CAPITAL CARING ADVANCED ILLNESS SERVICES IS TO PROVIDE HOME BASED PRIMARY CARE FOR THOSE FACING SERIOUS ILLNESS OR DISABILITY THROUGH DIRECT SUPPORT OF PATIENTS AND THEIR FAMILIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $1,358,396 | ExpenseAmt |
| Revenue | $521,973 | RevenueAmt |
| Desc | CAPITAL CARING ADVANCED ILLNESS SERVICES, INC. (CCAIS) PROVIDES PRIMARY CARE AT HOME SERVICES (PCH). UNDER PCH, CCAIS SERVES ELDERS, AGED 65 AND OLDER, WHO ARE HOME-LIMITED OR OTHERWISE BENEFIT FROM RECEIVING MOST OF THEIR CARE IN THE HOME DUE TO AN ADVANCED ILLNESS OR DISABILITY. CCAI PROVIDES SOCIAL WORK SUPPORT TO PATIENTS AND THEIR FAMILIES TO FIND RESOURCES, ASSIST WITH LIFE TRANSITIONS, AND PROVIDE COUNSELING AND CAREGIVER SUPPORT. CCAI OFFERS 24/7 ON-CALL MEDICAL STAFF BY PHONE WHO PROVIDE AFTER-HOURS ADVICE TO PATIENTS AND FAMILIES. THE GOAL OF CCAI IS TO PROVIDE PEACE OF MIND FOR PATIENTS AND FAMILIES AND ALLOW PATIENTS TO SAFELY AGE IN PLACE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. FOR THE YEAR ENDING DECEMBER 31, 2023, CCAI SERVED 439 PATIENTS AND PERFORMED 3,727 PATIENT VISITS. | Desc |
| Total Program Service Expenses | $1,358,396 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 17 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Todd Webb | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Andrew Molosky | ||||||||
| PRESIDENT/CEO (Starting 5/2023) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $1,576,179 | $969,172 | |
| ANGELA WEBB | ||||||||
| Treasurer | 2.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LYNN MENTO | ||||||||
| Secretary | 2.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| REV DR TYRONE PITTS | ||||||||
| Vice Chair | 2.0 | 6.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RHONDA G WHITE | ||||||||
| Chief Operating Officer (starting 5/2023) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $469,677 | $191,283 | |
| TODD A WEBB | ||||||||
| CHIEF FINANCIAL OFFICER (starting 5/2023) | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $399,506 | $184,162 | |
| Tom Koutsoumpas | ||||||||
| PRESIDENT/CEO/CHAIR | 4.0 | 36.0 | Yes (X) | Yes (X) | $0 | $715,765 | $8,220 | |
| BILL NOVELLI | ||||||||
| BOARD MEMBER | 2.0 | 8.0 | Yes (X) | $0 | $0 | $0 | ||
| CLIFFORD BARNES | ||||||||
| BOARD MEMBER | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| DIANE TY | ||||||||
| BOARD MEMBER | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| JEANNINE ENGLISH | ||||||||
| BOARD MEMBER | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| JOHN ADAMS | ||||||||
| BOARD MEMBER | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| TOM NELSON | ||||||||
| BOARD MEMBER | 2.0 | 6.0 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES O LEE | ||||||||
| Chief Administrative Officer (through 6/2023) | 2.0 | 48.0 | Yes (X) | $0 | $576,964 | $49,262 | ||
| MICHAEL SHAPIRO | ||||||||
| Chief Medical Officer - Hospice (starting 5/2023) | 2.0 | 48.0 | Yes (X) | $0 | $355,760 | $99,926 | ||
| Nicole Romence | ||||||||
| Chief People Officer (starting 5/2023) | 2.0 | 48.0 | Yes (X) | $0 | $439,073 | $163,885 | ||
| Paola Delp | ||||||||
| Chief Business Development Officer (Starting 5/2023) | 2.0 | 48.0 | Yes (X) | $0 | $680,764 | $239,538 | ||
| Sheri Anne Strobel Amateau | ||||||||
| Chief Information Officer (starting 5/2023) | 2.0 | 48.0 | Yes (X) | $0 | $407,547 | $143,212 | ||
| Tara Friedman | ||||||||
| Chief Medical Officer (Starting 5/2023) | 2.0 | 48.0 | Yes (X) | $0 | $521,450 | $212,195 | ||
| Valerie Zolman | ||||||||
| Chief Compliance Officer (starting 5/2023) | 2.0 | 48.0 | Yes (X) | $0 | $285,280 | $120,968 | ||
| Heidi Young | ||||||||
| Associate Chief Medical Officer | 40.0 | 0 | $303,868 | $0 | $36,555 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $303,868 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,427,966 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,418,377 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $49,650 | RelatedOrganizationsAmt |
| Government Grants | $0 | GovernmentGrantsAmt |
| All Other Contributions | $47,405 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $97,055 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $372,515 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $372,515 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $372,515 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICARE DIRECT CONTRACTING INCOME - AIP | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $149,458 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $149,458 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $149,458 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $619,028 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $521,973 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,222,173 | TotalAmt |
| Program Services | $602,934 | ProgramServicesAmt |
| Management And General | $619,239 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,299 | TotalAmt |
| Program Services | $3,108 | ProgramServicesAmt |
| Management And General | $3,191 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,857 | TotalAmt |
| Program Services | $76,889 | ProgramServicesAmt |
| Management And General | $78,968 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,404 | TotalAmt |
| Program Services | $39,172 | ProgramServicesAmt |
| Management And General | $40,232 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,020 | TotalAmt |
| Program Services | $39,020 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,990 | TotalAmt |
| Program Services | $5,843 | ProgramServicesAmt |
| Management And General | $3,147 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,464 | TotalAmt |
| Program Services | $18,502 | ProgramServicesAmt |
| Management And General | $9,962 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,063 | TotalAmt |
| Program Services | $4,848 | ProgramServicesAmt |
| Management And General | $4,215 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,560 | TotalAmt |
| Program Services | $2,622 | ProgramServicesAmt |
| Management And General | $3,938 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| AIP EXPENSE | $441,519 | $441,519 | $0 | |
| RESERVE FOR UNCOLLECTIBLE ACCOUNTS | $116,273 | $116,273 | ||
| BANK FEES | $16,376 | $16,376 | ||
| MEDICAL SUPPLIES | $7,666 | $7,666 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,137,664 | TotalAmt |
| Program Services | $1,358,396 | ProgramServicesAmt |
| Management And General | $779,268 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,665 | BOYAmt |
| EOY | $110,920 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,576 | BOYAmt |
| EOY | $55,590 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,241 | BOYAmt |
| EOY | $166,510 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,338 | BOYAmt |
| EOY | $5,824 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,559,943 | BOYAmt |
| EOY | $4,037,362 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,564,281 | BOYAmt |
| EOY | $4,043,186 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,393,025 | BOYAmt |
| EOY | -$3,992,746 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,985 | BOYAmt |
| EOY | $116,070 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,358,040 | BOYAmt |
| EOY | -$3,876,676 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,241 | BOYAmt |
| EOY | $166,510 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,518,636 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $153,812 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,790 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,802 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $97,055 | CurrentTaxYearAmt |
| Total | $349,459 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $239,581 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $653,110 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $353,825 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $372,515 | CurrentTaxYearAmt |
| Total | $1,619,031 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $393,393 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $685,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $419,627 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $469,570 | CurrentTaxYearAmt |
| Total | $1,968,490 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| 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 |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| 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 |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,968,490 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| 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 |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| 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 | $364,113 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $149,458 | CurrentTaxYearAmt |
| Total | $513,571 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $393,393 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $685,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $783,740 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $619,028 | CurrentTaxYearAmt |
| Total | $2,482,061 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.7931 | PublicSupportCY509Pct |
| Public Support PY509 | 0.815 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 364113.0, COLUMN E - 149458.0, COLUMN F - 513571.0; | 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 D IRS990ScheduleD
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RECEIVABLE FROM RELATED PARTIES | Desc |
| Book Value | $55,590 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $55,590 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCOUNTS PAYABLE TO RELATED ENTITY | Desc |
| Amt | $4,037,362 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,037,362 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | Chapters and the affiliate organizations, except for the CareNu entities, are exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely to be realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The applicable Forms 990 have not been subject to examination by the Internal Revenue Service or the state of Florida for the last three years. CHS does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. CHS recognizes interest and/or penalties related to income tax matters in income tax expense. CHS did not have any amounts accrued for interest and penalties at December 31, 2023 and 2022. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Tom Koutsoumpas | ||||||||||||||
| PRESIDENT/CEO/CHAIR | $0 | $322,533 | $0 | $0 | $0 | $393,232 | $0 | $6,486 | $0 | $1,734 | $0 | $723,985 | $0 | $33,232 |
| Andrew Molosky | ||||||||||||||
| PRESIDENT/CEO (Starting 5/2023) | $0 | $840,771 | $0 | $562,200 | $0 | $173,208 | $0 | $915,327 | $0 | $53,845 | $0 | $2,545,351 | $0 | $523,416 |
| TODD A WEBB | ||||||||||||||
| CHIEF FINANCIAL OFFICER (starting 5/2023) | $0 | $330,189 | $0 | $60,719 | $0 | $8,598 | $0 | $137,439 | $0 | $46,722 | $0 | $583,667 | $0 | $60,719 |
| RHONDA G WHITE | ||||||||||||||
| Chief Operating Officer (starting 5/2023) | $0 | $368,600 | $0 | $92,400 | $0 | $8,677 | $0 | $170,170 | $0 | $21,113 | $0 | $660,961 | $0 | $92,400 |
| Paola Delp | ||||||||||||||
| Chief Business Development Officer (Starting 5/2023) | $0 | $498,181 | $0 | $130,553 | $0 | $52,030 | $0 | $226,028 | $0 | $13,510 | $0 | $920,302 | $0 | $173,083 |
| Tara Friedman | ||||||||||||||
| Chief Medical Officer (Starting 5/2023) | $0 | $511,328 | $0 | $0 | $0 | $10,122 | $0 | $193,269 | $0 | $18,926 | $0 | $733,645 | $0 | $0 |
| CHARLES O LEE | ||||||||||||||
| Chief Administrative Officer (through 6/2023) | $0 | $217,999 | $0 | $62,001 | $0 | $296,964 | $0 | $6,594 | $0 | $42,667 | $0 | $626,226 | $0 | $62,001 |
| Nicole Romence | ||||||||||||||
| Chief People Officer (starting 5/2023) | $0 | $312,966 | $0 | $115,718 | $0 | $10,390 | $0 | $142,792 | $0 | $21,093 | $0 | $602,959 | $0 | $93,025 |
| MICHAEL SHAPIRO | ||||||||||||||
| Chief Medical Officer - Hospice (starting 5/2023) | $0 | $354,226 | $0 | $327 | $0 | $1,208 | $0 | $51,084 | $0 | $48,842 | $0 | $455,686 | $0 | $0 |
| Sheri Anne Strobel Amateau | ||||||||||||||
| Chief Information Officer (starting 5/2023) | $0 | $321,514 | $0 | $77,245 | $0 | $8,788 | $0 | $138,289 | $0 | $4,923 | $0 | $550,759 | $0 | $77,245 |
| Valerie Zolman | ||||||||||||||
| Chief Compliance Officer (starting 5/2023) | $0 | $231,306 | $0 | $51,717 | $0 | $2,258 | $0 | $90,709 | $0 | $30,259 | $0 | $406,248 | $0 | $37,502 |
| Heidi Young | ||||||||||||||
| Associate Chief Medical Officer | $303,868 | $0 | $0 | $0 | $0 | $0 | $3,374 | $0 | $33,181 | $0 | $340,423 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | Prior to the affiliation with Chapters Health System, Inc., compensation for the organization's President & CEO was paid by Capital Hospice (a related organization). Capital Hospice used the following methods to determine the President and CEO's compensation: a compensation committee, independent compensation consultant, form 990 of other organizations, compensation survey or study, and approval by the board or compensation committee. After the affiliation with Chapters Health System, Inc., the President & CEO is paid by Chapters Health System, Inc. (a related organization). Chapters Health System used the following to determine his compensation: a compensation committee, independent compensation consultant, compensation survey or study, forms 990 of other organizations, and approval by the board or compensation committee to determine his compensation. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | During the Year, Chapters Health System, Inc. paid severance to: C.Lee $291,429 D.Forman $331,937 J.Koutsoumpas $360,000 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Chapters Health System, Inc. (a related organization) has a supplemental executive retirement plan (SERP) in which some of the interested persons participate. During the year, the following payments were made by Chapters Health System, Inc. into the SERP plans of the participants: A.Molosky $354,797 P.Delp $94,737 T.Friedman $77,250 D.O'Neil $57,628 R.White $70,067 N.Romence $67,867 S.Strobel $60,036 T. Webb $60,512 V.Zolman $43,270 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 3 Significant changes in program services | WITH THE ASSISTED LIVING AND NURSING HOME FACILITIES STAFFING NEEDS RETURNING TO NORMAL AFTER THE COVID PANDEMIC THERE WAS A REDUCED NEED FOR CONTRACT MEDICAL DIRECTOR SERVICES SO IN 2023 THE ORGANIZATION CEASED PROVIDING THOSE SERVICES. |
| Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL | Prior to the affiliation with Chapters Health System, Inc., the Executive Committee of the Board engaged an independent consulting group to prepare a report to assist in establishing compensation for the top management official. After the affiliation with Chapters Health System, Inc., the President/CEO of the organization is paid by Chapters Health System, Inc. The organization engaged an independent compensation consultant to assist in establishing a Compensation Charter that details the organization's procedures for setting compensation of the President/CEO and all other officers and key employees of the organization. The Compensation Charter established the Compensation Committee, the independent body responsible for establishing the compensation of the President/CEO. The Compensation Committee relies on a recent compensation study performed by an independent compensation consultant, which is done on an annual basis, that provides compensation data for similarly qualified persons in comparable organizations to support its decision-making process and reports its activities to the Board of Directors at the next regularly scheduled meeting. The Compensation Committee adequately documents its compensation determinations in the meeting minutes on a timely basis. This process took place during the year. The president/CEO of the organization is paid by Chapters Health System, Inc. The form 990 instructions indicate when the CEO is not paid by the filing organization, the question should be answered "no". |
| Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS | Prior to the affiliation with Chapters Health System, Inc., the Executive Committee of the Board engaged an independent consulting group to prepare a report to assist in establishing compensation for other officers and key employees. After the affiliation with Chapters Health System, Inc., the other Officers and key employees of the organization are paid by Chapters Health System, Inc. The compensation of all other officers and key employees is determined by the president/ceo. The president/ceo uses comparability data and an independent compensation consultant to determine the compensation. The decisions are documented in each employee's file. This process took place during the year. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The Executive Committee, made up of the President and CEO, CFO, the Chairperson of the Board , the Vice Chairperson of the Board and the Secretary, shall carry out the work of the Board of Directors between meetings and make recommendations to the Board of Directors for its action. The Executive Committee shall have all the authority of the Board of Directors except as may be limited by law and subject to the approval of the the member of the sole member. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | David J. O'Neil, Andrew Molosky and Paola Delp - Business relationship |
| Form 990, Part VI, Line 4 Significant changes to organizational 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. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The organization's members are Capital Caring Health (CCH) and Chapters Health System, Inc. (CHS). CCH is the sole member of the organization. Certain rights and powers of the sole member shall be exercised only by the member of the sole member, CHS. CHS both elects the members of the governing body of the organization and also approves certain significant decisions made by the governing body of the organization. Specifically, CHS has the following powers: (1) the ability to remove board members (2) the ability to set the schedule for board meetings, special meetings and annual meeting, (3) the officers who are in the following roles as the officer of CHS, COO, CFO, CAO, CMO, CBDO, CPO, CIO, CCO, VP-F, Assistant Secretary (4) approval to amend bylaws. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The member of the organization's sole member, Chapters Health System, Inc., elects the members of the organization's Board of Directors and may appoint replacement directors at any time when a vacancy occurs. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Without the written approval of the member of the organization's sole member, Chapters Health System, Inc., the organization's governing body is not permitted to: (A) Sell, lease, or dispose of assets, merge, combine or otherwise or reorganize with any other entity, convert its corporate structure to another form or enter into any management services agreement; (B) Enter into any loan facility, borrow any funds or pledge or hypothecate any or all of its assets as security for any borrowing; (C) Change the character or nature of the organization's business to something other than the operation of a hospice and home health agency; (D) Remove or appoint the President and CEO; (E) Execute any deed, mortgage, note or bond; (F) Adopt or amend the annual operating and/or capital budgets proposed by the President and CEO and the management of the organization; (G) Make any contribution or distribution of assets or property to any person; (H) Amend the Articles of Incorporation of the Corporation; (I) Dissolve, liquidate or otherwise cease to exist as a Not-for-Profit Corporation which is exempt from taxation under Section 501(c)(3) of the Internal Revenue Code; (J) Form, DISSOLVE, LIQUIDATE, SELL, MERGE OR OTHERWISE TRANSFER OWNERSHIP OR CONTROL OF any subsidiary corporation; or (K) Acquire or dispose of patents, copyrights, and trademarks and any licenses and other rights or interests thereunder or therein. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The organization retains an independent tax advisor to assist management in the preparation and review of its IRS Form 990. Prior to filing the return, management and the independent tax advisor review the return and all required schedules with the Compensation Committee of the Board of Directors. The Compensation Committee is composed of independent directors of the Company. Upon completion of its review, the Compensation Committee recommends to the Executive Committee of the Board of Directors that management be authorized to sign and file the return. Under the Company's by laws the Executive Committee has the authority to take this action on behalf of the Board of Directors. A COMPLETE copy of the Form 990 is provided to the full board prior to filing with the IRS and the Executive Committee reports its activities to the Board of Directors on a quarterly basis. |
| Form 990, Part VI, Line 12c Conflict of interest policy | Annually, each officer, director and key employee signs an acknowledgement and disclosure form attesting that they have read the Conflict of Interest Policy and agreeing to comply fully with its terms and conditions during their services with Chapters Health System, Inc. (CHS) and Affiliates. They further agree that if, at any time subsequent to the submission of the disclosure form, they become aware of any actual or potential conflict of interest or the information previously submitted becomes inaccurate or incomplete, they will promptly notify the CHS Board of Directors, the President and CEO of Chapters Health System, Inc., and the Affiliate Board of Directors. DETERMINATION OF AND REMEDIES FOR CONFLICTS OF INTEREST 1. Disclosure. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts to the Directors (and members of committees) considering the proposed transaction or arrangement. The disclosure shall be made as soon as practicable following the realization by the interested person that an actual or possible conflict of interest exists. Ordinarily, disclosures by interested persons should be to the Chairperson of the Board. When an actual or possible conflict of interest becomes apparent in the course of a Board meeting (or committee meeting), the interested person shall immediately disclose his or her financial interest and related material facts to the presiding Director or officer at such meeting. 2. Determining Whether a Conflict of Interest Exists. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, the interested person shall leave the Board (or committee) meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board (or committee) members shall decide if a conflict of interest exists. 3. Procedures for Addressing the Conflict of Interest. (a) An interested person who has a conflict of interest may make a presentation at the Board (or committee) meeting, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that result in the conflict of interest. The interested person who has a conflict of interest will not be counted as present for determining a majority with respect to the vote on the transaction or arrangement that results in the conflict of interest. (b) The Chairperson of the Board (or committee) shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. (c) After exercising due diligence, the Board (or Committee) shall determine whether CHS and Affiliates can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or business entity that would not give rise to a conflict of interest. (d)If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board (or committee) shall determine by a majority vote of the disinterested Directors (or committee members) whether the transaction or arrangement is in the best interest of CHS and Affiliates and for its own benefit and whether the transaction is fair and reasonable to CHS and Affiliates and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. Violations of the Conflicts of Interest Policy (a) If the Board (or committee) has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform the interested person of the basis for such belief and afford the interested person an opportunity to explain the alleged failure to disclose. (b) If, after hearing the response of the interested person and making such further investigation as may be warranted under the circumstances, the Board (or committee) determines that the interested person has in fact failed to disclose an actual or possible conflict of interest, it shall take such action as it determines to be appropriate, including corrective and disciplinary action. RECORD OF PROCEEDINGS The minutes of the Board (and each committee) shall contain: 1. The name of each person who disclosed or otherwise was found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the Board's (or committee's) decision as to whether a conflict of interest in fact existed. 2. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. PERIODIC REVIEWS To ensure that CHS and Affiliates operate in a manner consistent with their charitable purposes and that it does not engage in activities that could jeopardize their status as organizations exempt from federal income tax, periodic reviews shall be conducted. CHS and Affiliates may, but need not, use an outside advisor to conduct a periodic review. The periodic review shall include, at a minimum, the following subjects: 1. Whether compensation arrangements and benefits are reasonable and are the results of arm's-length bargaining. 2. Whether agreements to provide health care and agreements with other health care providers, employees and third party payers further the charitable purposes of CHS and Affiliates and do not result in private inurement or impermissible private benefit. |
| Form 990, Part VI, Line 19 Required documents available to the public | The Organization's Articles of Incorporation are filed with and viewable by the public at the official website of the Department of State, division of corporations. The organization's bylaws and conflict of interest policy are not made available to the public. Unaudited financial statements of the organization are filed and viewable by the public at the official website of the State, division of consumer services. In addition, the organization reports its financial performance each year in its annual report, copies of which are available to the public upon request. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Chapters Health System Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 592264957 | Parent | FL | 501(c)(3) | Type II | NA | false |
| Chapters Health Foundation Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 593467282 | Foundation | FL | 501(c)(3) | 7 | Chapters Health System Inc | false |
| Chapters Health Home Connect Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 275158323 | Long term Care | FL | 501(c)(3) | 10 | Chapters Health System Inc | false |
| Cornerstone Hospice and Palliative Care Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 592330114 | Hospice Care | FL | 501(c)(3) | 10 | Chapters Health System Inc | false |
| Cornerstone Health Services Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 611798762 | Palliative Care | FL | 501(c)(3) | 10 | Chapters Health System Inc | false |
| Good Shepherd Hospice Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 205276923 | Hospice Care | FL | 501(c)(3) | 10 | Chapters Health System Inc | false |
| Hernando Pasco Hospice Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 592217929 | Hospice Care | FL | 501(c)(3) | 10 | Chapters Health System Inc | false |
| Hospice of Okeechobee Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 592831397 | Hospice Care | FL | 501(c)(3) | 7 | Chapters Health System Inc | false |
| Lifepath Hospice Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 205276870 | Hospice Care | FL | 501(c)(3) | 10 | Chapters Health System Inc | false |
| Capital Hospice dba Capital Caring | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 541920770 | Hospice Care | VA | 501(c)(3) | 10 | Capital Caring Health | false |
| Capital Caring Health | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 843773372 | Medical Support Services | VA | 501(c)(3) | Type III-FI | Chapters Health System Inc | false |
| Capital Caring Stay at Home Services Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 843797085 | At home medical services | VA | 501(c)(3) | 7 | Capital Caring Health | false |
| Hope Hospice and Community Services Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 592128697 | Hospice Care | FL | 501(c)(3) | 7 | Chapters Health System Inc | false |
| Visiting Nurses Association of SW Florida Inc | |||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 596175593 | Medical Support Services | FL | 501(c)(3) | 10 | Hope Hospice & Community Services Inc | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED ILLNESS PARTNERS LLC | |||||||||||||
| 3180 FAIRVIEW PARK Dr | FALLs CHURCH | VA | 22042 | 853613085 | MEDICARE DIRECT CONTRACT MEDICAL SERVICES | DE | CAPITAL CARING | Related | $14,509 | $1,296,621 | false | Yes (true) | 0.4286 |
| Assurity DCE LLC | |||||||||||||
| 3535 Little Road | Trinity | FL | 34655 | 850951162 | Medical Services | FL | NA | N/A | false | false | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Chapters CareNu Inc | ||||||||||
| 12470 Telecom Drive | Suite 301 | Temple Terrace | FL | 33637 | 850850926 | Population Health | FL | NA | C Corporation | false |
| SECUR Inc | ||||||||||
| 4200 West Cypress Street | Suite 690 | Tampa | FL | 33607 | 881837830 | Licensed Health Plan | FL | NA | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |