TIDEWELL HOSPICE INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- TIDEWELL HOSPICE INC (EIN 59-1911861)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-15
- IRS object ID
- 202312279349302131
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-15T12:01:56-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593070669 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MSL PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 E BROWARD BLVD SUITE 1550 | AddressLine1Txt |
| City | FORT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33394 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591911861 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIDEWELL HOSPICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TIDE | BusinessNameControlTxt |
| Phone | 7275864432 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5595 RAND BLVD | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34238 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAIDA BOUHAMID | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7275864432 | PhoneNum |
| Signature | 2023-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SAIDA | PersonFirstNm |
| Person Last | BOUHAMID | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | VICKI L HINZ CPA | PreparerPersonNm |
| PTIN | P00356696 | PTIN |
| Phone | 9548578910 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JONATHAN FLEECE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5595 RAND BLVD | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34238 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $113,594,422 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EMPATHHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TIDEWELL HOSPICE'S MISSION IS HELPING PEOPLE LIVE WELL BY PROVIDING CARE, COMFORT AND COMPASSION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 978 | TotalEmployeeCnt |
| Total Volunteers | 535 | TotalVolunteersCnt |
| Total Gross UBI | $91,326 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,809,037 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,979,799 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $103,332,999 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $103,482,962 | CYProgramServiceRevenueAmt |
| PY Investment Income | $758,992 | PYInvestmentIncomeAmt |
| CY Investment Income | $39,898 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$44,284 | PYOtherRevenueAmt |
| CY Other Revenue | $91,326 | CYOtherRevenueAmt |
| PY Total Revenue | $110,856,744 | PYTotalRevenueAmt |
| CY Total Revenue | $113,593,985 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $91,834 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $55,825 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $94,894 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $108,991,445 | PYOtherExpensesAmt |
| CY Other Expenses | $113,165,864 | CYOtherExpensesAmt |
| PY Total Expenses | $109,083,279 | PYTotalExpensesAmt |
| CY Total Expenses | $113,221,689 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,773,465 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $372,296 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,737,381 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,135,309 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,992,221 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,723,779 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,745,160 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,411,530 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TIDEWELL HOSPICE'S MISSION IS HELPING PEOPLE LIVE WELL BY PROVIDING CARE, COMFORT AND COMPASSION. WHILE HONORING HUMAN DIGNITY AND PERSONAL CHOICE, TIDEWELL TREATS THE WHOLE PERSON THROUGH QUALITY EN-OF-LIFE PROGRAMS THAT FULFILL PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $92,012,764 | ExpenseAmt |
| Grant | $42,330 | GrantAmt |
| Revenue | $86,521,454 | RevenueAmt |
| Desc | PATIENT CARETIDEWELL PROVIDE A FULL SPECTRUM OF PROGRAMS AND SERVICES DESIGNED TO RESPOND TO THE NEEDS OF PATIENTS AND FAMILIES WHO ARE LIVING WITH ADVANCED ILLNESS. FROM MEDICAL TO PSYCHOSOCIAL AND SPIRITUAL SERVICES, TIDEWELL CARES FOR THE WHOLE PERSON. TIDEWELL ALSO GOES BEYOND TYPICAL HOSPICE SERVICES BY PROVIDING A LARGE VARIETY OF ALTERNATIVE SERVICES - PET, HORTICULTURE, ART, MUSIC, AROMATHERAPIES, REIKI, THERAPEUTIC MASSAGE AND MORE.TIDEWELL PROVIDED 428,335 PATIENT DAYS OF HOSPICE CARE TO PATIENTS AND THEIR FAMILIES THROUGHOUT SARASOTA, MANATEE, CHARLOTTE, AND DESOTO COUNTIES. DURING FY22, TIDEWELL HOSPICE PROVIDED $4,513,823 IN UNREIMBURSED SERVICES AND COMMUNITY BENEFITS, FULFILLING A KEY PART OF TIDEWELL'S MISSION TO SERVE ALL THOSE IN NEED, REGARDLESS OF THEIR ABILITY TO PAY.RATHER THAN A PLACE, HOSPICE IS A PHILOSOPHY - A PROGRAM OF CARE AND SUPPORT WHEREVER PATIENTS NEED US. TIDEWELL'S SERVICES EXTEND TO ANY LOCATION - A HOME, THE HOSPITAL, AN ASSISTED LIVING FACILITY (ALF), A NURSING HOME OR ANY OF TIDEWELL'S EIGHT HOSPICE HOUSES. PATIENTS WITH CHRONIC OR LIFE-LIMITING ILLNESS AND THEIR FAMILIES WILL NEVER BE ALONE AS TIDEWELL HOSPICE REACHES OUT TO ANY SETTING TO PROVIDE FULL SUPPORT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,963,284 | ExpenseAmt |
| Revenue | $16,961,508 | RevenueAmt |
| Desc | HOSPICE HOUSESSINCE THEIR INCEPTION, TIDEWELL'S HOSPICE HOUSES HAVE BEEN THE SITE OF RESIDENTIAL CARE FOR THOSE AT THE END OF LIFE WHO HAVE NO CAREGIVER OR WHOSE CAREGIVER IS NO LONGER ABLE TO CARE FOR THEM AT HOME. TIDEWELL'S EIGHT HOSPICE HOUSES ARE ALSO LICENSED AS INPATIENT CARE FACILITIES, ALLOWING FOR THE SKILLED NURSING CARE OF PATIENTS WHOSE NEEDS PREVIOUSLY COULD ONLY BE MET IN THE HOSPITAL SETTING. PATIENTS IN NEED OF CONTINUOUS SYMPTOM CONTROL CAN BE ADMITTED FOR AROUND-THE-CLOCK CARE WHILE THEIR CONDITION IS STABILIZED. TIDEWELL PROVIDED 20,770 PATIENT DAYS OF HOSPICE HOUSE CARE TO PATIENTS AND THEIR FAMILIES IN FY22. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,621,547 | ExpenseAmt |
| Grant | $13,495 | GrantAmt |
| Desc | GRIEF SUPPORTTIDEWELL OFFERS A WIDE VARIETY OF BEREAVEMENT SERVICES, INCLUDING INDIVIDUAL COUNSELING SESSIONS AND ONGOING GRIEF AND LOSS SUPPORT GROUPS. THERE ARE SUPPORT GROUPS FOR ADULTS, AS WELL AS CHILDREN AND TEENS - AND A VARIETY OF GRIEF-SPECIFIC GROUPS FOR SURVIVORS OR SUICIDE, LOVED ONES OF MILITARY VETERANS, PARENTS WHO ARE GRIEVING THE LOSS OF A CHILD AND MORE. ALL BEREAVEMENT SERVICES ARE OFFERED AT NO COST. SERVICES ARE PROVIDED TO ANYONE WHO HAS EXPERIENCED THE DEATH OF A LOVED ONE, NOT JUST THOSE WHO HAVE HAD A LOVED ONE WHO RECEIVED TIDEWELL SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $472,977 | ExpenseAmt |
| Desc | COMPLEMENTARY SERVICESUSED TOGETHER WITH CONVENTIONAL MEDICINE, THESE THERAPIES REDUCE STRESS, RELIEVE PAIN AND CREATE DISTRACTION AND OPPORTUNITIES FOR JOY. PROGRAMS INCLUDE: EXPRESSIVE ART, A TYPE OF ART THAT IS NOT CONCERNED WITH THE END RESULT, BUT RATHER WITH THE CREATIVE PROCESS. IT DIVERTS THE PATIENT'S ATTENTION FROM STRESSFUL SYMPTOMS. MUSIC THERAPY BRINGS THE BODY INTO HARMONY AND ENCOURAGES A RELEASE OF ENDORPHINS WHICH HELP STOP PAIN. HORTICULTURAL ACTIVITIES USES PLANTS AND GARDENING ACTIVITIES TO REDUCE STRESS AND DISCOMFORT, ALLEVIATE DEPRESSION AND FEELINGS OF BOREDOM AND LONELINESS. PET THERAPY BRINGS BACK MEMORIES OF FAVORITE PETS AND TRIGGERS DISCUSSION. TIDEWELL'S CLOWNS VISIT AREA NURSING HOMES AND ASSISTED LIVING FACILITIES TO BRING CHEER AND LAUGHTER. AROMATHERAPY USES ESSENTIAL OILS TO BENEFIT THE MIND, BODY AND SPIRIT. THEY CAN BE CALMING, ANTISEPTIC, STIMULATING AND MEDITATIVE. THERAPEUTIC MASSAGE, REIKI AND CARING TOUCH CONTRIBUTE TO PAIN AND STRESS MANAGEMENT AND EVOKE RELAXATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $472,977 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $111,070,572 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 978 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAIDA BOUHAMID | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7275864432 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5595 RAND BLVD | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34238 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| JONATHAN FLEECE | ||||||||
| PRESIDENT | 1.00 | 46.00 | Yes (X) | $0 | $910,629 | $52,399 | ||
| RAFAEL J SCIULLO | ||||||||
| CHIEF EXECUTIVE OFFICER | 1.00 | 46.00 | Yes (X) | $0 | $909,978 | $59,885 | ||
| SAIDA BOUHAMID | ||||||||
| CHIEF FINANCIAL OFFICER | 1.00 | 46.00 | Yes (X) | $0 | $426,247 | $44,537 | ||
| JAMES VALENTI | ||||||||
| ASSOC. MEDICAL DIRECTOR | 40.00 | $324,272 | $0 | $44,868 | Yes (X) | |||
| KAREN RAY | ||||||||
| ASSOC. MEDICAL DIRECTOR | 40.00 | $218,582 | $0 | $36,689 | Yes (X) | |||
| KIMBERLY MARSTERS | ||||||||
| ASSOC. MEDICAL DIRECTOR | 40.00 | $205,116 | $0 | $43,144 | Yes (X) | |||
| BRADEN VANDERWALL | ||||||||
| ASSOC. MEDICAL DIRECTOR | 32.00 | $194,596 | $0 | $43,863 | Yes (X) | |||
| RICHARD DEIBERT | ||||||||
| COMMUNITY RESOURCE PHYSICIAN | 40.00 | $176,835 | $0 | $28,487 | Yes (X) | |||
| ESTHER WYLEN | ||||||||
| ASSOC. MEDICAL DIRECTOR | 40.00 | $173,343 | $0 | $17,755 | Yes (X) | |||
| DONNA JOLLY | ||||||||
| VP PHARMACY | 40.00 | $154,458 | $0 | $43,163 | Yes (X) | |||
| ROBERT KLEIN | ||||||||
| RESOURCE PHYSICIAN | 32.00 | $106,756 | $0 | $941 | Yes (X) | |||
| KEVIN LOGAN | ||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MATTHEW MAYPER | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RENEE EPPARD | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KIMBERLIE BUCHANAN | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES FIORICA MD | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| KAREN FORDHAM | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| STEVE HALL | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| A JILL C MCCRORY | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| FERMIN JJ MIRANDA | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| STEVE ROSKAMP | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MINDY RYALS | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JAKE SORG | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DANIEL DEEMS | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,553,958 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,246,854 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $415,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CORE MEDICAL GROUP | |||||
| 655 SOUTH WILLOW STREET SUITE 128 | MANCHESTER | NH | 03103 | MEDICAL AND HEALTH CARE | $1,478,617 |
| STATESERV MEDICAL OF FLORIDA LLC | |||||
| 2130 E UNIVERSITY DRIVE | TEMPE | AZ | 85281 | MEDICAL AND HEALTH CARE | $1,014,286 |
| LABORATORY CORPORATION OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27126 | MEDICAL LABORATORY SERVICES | $947,359 |
| SOUTHWEST FLORIDA RETIREMENT CENTER INC | |||||
| 920 TAMIAMI TRAIL SOUTH | VENICE | FL | 34285 | MEDICAL AND HEALTH CARE | $697,214 |
| FUSION MEDICAL STAFFING LLC | |||||
| PO BOX 82674 | LINCOLN | NE | 68501 | MEDICAL STAFF SERVICES | $624,243 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 57 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $6,776,034 | RelatedOrganizationsAmt |
| Government Grants | $2,873,749 | GovernmentGrantsAmt |
| All Other Contributions | $330,016 | AllOtherContributionsAmt |
| Noncash Contributions | $71,404 | NoncashContributionsAmt |
| Total Contributions | $9,979,799 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 623000 | $100,770,701 | $100,770,701 |
| PRIVATE INSURANCE | 623000 | $2,419,352 | $2,419,352 |
| PRIVATE PAYMENTS | 623000 | $292,909 | $292,909 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $103,482,962 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,335 | TotalRevenueColumnAmt |
| Exclusion | $40,335 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $437 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$437 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$437 | TotalRevenueColumnAmt |
| Exclusion | -$437 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INVESTMENT LOSS - K-1 | Desc |
| Total Revenue Column | $91,326 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $91,326 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $91,326 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,593,985 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,482,962 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $91,326 | UnrelatedBusinessRevenueAmt |
| Exclusion | $39,898 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,825 | TotalAmt |
| Program Services | $55,825 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,103,651 | TotalAmt |
| Program Services | $17,570,164 | ProgramServicesAmt |
| Management And General | $533,487 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,507 | TotalAmt |
| Management And General | $22,507 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,407,187 | TotalAmt |
| Program Services | $60,586,224 | ProgramServicesAmt |
| Management And General | $820,842 | ManagementAndGeneralAmt |
| Fundraising | $121 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,088 | TotalAmt |
| Program Services | $538 | ProgramServicesAmt |
| Fundraising | $550 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,814 | TotalAmt |
| Program Services | $471,014 | ProgramServicesAmt |
| Management And General | $45,554 | ManagementAndGeneralAmt |
| Fundraising | $246 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,653,940 | TotalAmt |
| Program Services | $3,315,683 | ProgramServicesAmt |
| Management And General | $245,258 | ManagementAndGeneralAmt |
| Fundraising | $92,999 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,302 | TotalAmt |
| Program Services | $1,302 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,956 | TotalAmt |
| Program Services | $31,956 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $785,159 | TotalAmt |
| Program Services | $654,258 | ProgramServicesAmt |
| Management And General | $130,901 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,956 | TotalAmt |
| Program Services | $25,837 | ProgramServicesAmt |
| Management And General | $148,119 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| THERAPY CARE & OTHER PA | $21,293,463 | $21,292,748 | $715 | |
| MEDICAL SUPPLIES & PHAR | $4,529,301 | $4,529,301 | ||
| MEDICAL EQUIPMENT | $2,202,886 | $2,201,606 | $1,280 | |
| MISCELLANEOUS | $442,654 | $334,116 | $263 | $108,275 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,221,689 | TotalAmt |
| Program Services | $111,070,572 | ProgramServicesAmt |
| Management And General | $2,056,223 | ManagementAndGeneralAmt |
| Fundraising | $94,894 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,649 | BOYAmt |
| EOY | $3,501 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,167,057 | BOYAmt |
| EOY | $1,502,762 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,300 | BOYAmt |
| EOY | $1,700 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,241,244 | BOYAmt |
| EOY | $6,322,877 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $8,535 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,983 | BOYAmt |
| EOY | $69,582 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,197,111 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,160,344 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,437,897 | BOYAmt |
| EOY | $4,036,767 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,984 | BOYAmt |
| EOY | $226,984 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,447,267 | BOYAmt |
| EOY | $16,962,601 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,737,381 | BOYAmt |
| EOY | $29,135,309 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,992,221 | BOYAmt |
| EOY | $7,723,779 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,992,221 | BOYAmt |
| EOY | $7,723,779 | 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 | $14,412,508 | BOYAmt |
| EOY | $15,134,395 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,332,652 | BOYAmt |
| EOY | $6,277,135 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,745,160 | BOYAmt |
| EOY | $21,411,530 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,737,381 | BOYAmt |
| EOY | $29,135,309 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $372,296 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,705,926 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $6,175,741 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,324,936 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,954,305 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,799,862 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,979,799 | CurrentTaxYearAmt |
| Total | $38,234,643 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,175,741 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,324,936 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,954,305 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,799,862 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,979,799 | CurrentTaxYearAmt |
| Total | $38,234,643 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $38,234,643 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $571,215 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $655,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $642,871 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,753 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,335 | CurrentTaxYearAmt |
| Total | $1,960,618 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,277 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $323,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,980 | CurrentTaxYearMinus2YearsAmt |
| Total | $416,317 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $40,611,578 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $103,482,962 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94150 | PublicSupportCY170Pct |
| Public Support PY170 | 0.92070 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $3,588 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,588 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | TIDEWELL HOSPICE PAID DUES TO AN ORGANIZATION WHICH USED A PORTION OF THOSE DUES FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,125 | DepreciationAmt |
| Book Value | $38,349 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,133,637 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,135,219 | DepreciationAmt |
| Book Value | $3,998,418 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,036,767 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $27,188 |
| BEQUESTS RECEIVABLE | $555,250 |
| BENEFICIAL INTEREST - COMMUNITY FOUNDATION | $6,238,319 |
| WORK IN PROCESS | $545,160 |
| DUE FROM RELATED ENTITIES | $9,596,684 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,962,601 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $111,865,552 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,614,600 | OtherRevenueAmt |
| Revenue Not Reported | -$1,614,600 | RevenueNotReportedAmt |
| Revenue Subtotal | $113,480,152 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $22,507 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $91,326 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $113,833 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $113,593,985 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $113,199,182 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $113,199,182 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $22,507 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $22,507 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $113,221,689 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | HOSPICE HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE ("IRS") THAT IT IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"). IT IS ALSO EXEMPT FROM STATE INCOME TAX PURSUANT TO FLORIDA LAW. FURTHER, HOSPICE IS NOT A PRIVATE FOUNDATION FOR FEDERAL TAX PURPOSES AND QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER IRC SECTION 170 AS WELL AS TAX DEDUCTIBLE BEQUESTS, DEVICES, TRANSFERS OR GIFTS UNDER SECTIONS 2055, 2106, OR 2522. HOSPICE IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, HOSPICE IS POTENTIALLY SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES, IF ANY. HOSPICE HAD NO UNRELATED BUSINESS TAXABLE INCOME DURING THE YEARS ENDED SEPTEMBER 30, 2022 OR 2021. ACCORDINGLY, THESE FINANCIAL STATEMENTS INCLUDE NO PRO-VISION OR LIABILITY FOR INCOME TAXES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN ASSETS HELD BY OTHERS -1,614,600. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | SCHEDULE K-1 INCOME/LOSS 91,326. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | VARIOUS | GrantTypeTxt |
| Recipient | 50 | RecipientCnt |
| Cash Grant | $55,825 | CashGrantAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JONATHAN FLEECE | ||||||||||||||
| PRESIDENT | $0 | $698,800 | $0 | $0 | $0 | $211,829 | $0 | $26,000 | $0 | $26,399 | $0 | $963,028 | $0 | $0 |
| RAFAEL J SCIULLO | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $0 | $819,429 | $0 | $0 | $0 | $90,549 | $0 | $26,000 | $0 | $33,885 | $0 | $969,863 | $0 | $0 |
| SAIDA BOUHAMID | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $388,899 | $0 | $0 | $0 | $37,348 | $0 | $26,000 | $0 | $18,537 | $0 | $470,784 | $0 | $0 |
| JAMES VALENTI | ||||||||||||||
| ASSOC. MEDICAL DIRECTOR | $324,272 | $0 | $0 | $0 | $0 | $0 | $22,702 | $0 | $22,166 | $0 | $369,140 | $0 | $0 | $0 |
| KAREN RAY | ||||||||||||||
| ASSOC. MEDICAL DIRECTOR | $218,582 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $17,189 | $0 | $255,271 | $0 | $0 | $0 |
| KIMBERLY MARSTERS | ||||||||||||||
| ASSOC. MEDICAL DIRECTOR | $205,116 | $0 | $0 | $0 | $0 | $0 | $18,307 | $0 | $24,837 | $0 | $248,260 | $0 | $0 | $0 |
| BRADEN VANDERWALL | ||||||||||||||
| ASSOC. MEDICAL DIRECTOR | $194,596 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $24,363 | $0 | $238,459 | $0 | $0 | $0 |
| RICHARD DEIBERT | ||||||||||||||
| COMMUNITY RESOURCE PHYSICIAN | $176,835 | $0 | $0 | $0 | $0 | $0 | $21,394 | $0 | $7,093 | $0 | $205,322 | $0 | $0 | $0 |
| ESTHER WYLEN | ||||||||||||||
| ASSOC. MEDICAL DIRECTOR | $173,343 | $0 | $0 | $0 | $0 | $0 | $8,353 | $0 | $9,402 | $0 | $191,098 | $0 | $0 | $0 |
| DONNA JOLLY | ||||||||||||||
| VP PHARMACY | $154,458 | $0 | $0 | $0 | $0 | $0 | $25,370 | $0 | $17,793 | $0 | $197,621 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE COMPENSATION OF THE PRESIDENT AND CEO IS DETERMINED BY EMPATH HEALTH, INC. ("EHI"). EHI USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE TO DETERMINE HIS COMPENSATION. | ExplanationTxt |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $67,499 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | LAND LEASE VALUATION | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | SANDY BUCHANAN, STRATUM HEALTH SYSTEM TRUSTEE AND KIMBERLIE BUCHANAN, TIDEWELL HOSPICE TRUSTEE AS SISTER IN-LAWS. STEVE HALL, STRATUM HEALTH SYSTEM AND TIDEWELL HOSPICE TRUSTEE IS THE NEPHEW OF LORI DENGLER, TIDEWELL HOSPICE ARNP (NOT KEY EMPLOYEE). |
| FORM 990, PART VI, SECTION B, LINE 11B | UPON COMPLETION AND BEFORE SUBMISSION, THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER ALONG WITH A SUMMARY OF IMPORTANT HIGHLIGHTS, NOTING THE PAGE NUMBERS AND LINES FOR ITEMS OF PARTICULAR IMPORTANCE TO REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD OF TRUSTEES AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. BOARD MEMBERS SIGN A STATEMENT ANNUALLY. POSSIBLE CONFLICTS ARE REVIEWED OR RESOLVED BY NON-INTERESTED PARTIES OF THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | EACH YEAR A MARKET ANALYSIS IS PERFORMED. ANALYSIS IS CROSS REFERENCED WITH NATIONAL COMPENSATION PUBLICATION FOR VALIDATION. THE INFORMATION DERIVED FROM THIS PROCESS IS PRESENTED TO THE PERSONNEL COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF TRUSTEES. FULL BOARD OF TRUSTEES' APPROVAL IS REQUIRED IN ORDER TO ADJUST COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | TIDEWELL HOSPICE MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. EACH REQUEST IS EVALUATED BY THE CFO AND A COPY OF THE REQUESTED DOCUMENT IS MADE AND MAILED TO THE REQUESTER. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 234,896. MANAGEMENT AND GENERAL EXPENSES 43,553. FUNDRAISING EXPENSES 121. TOTAL EXPENSES 278,570. MEDICAL TRANSPORTATION: PROGRAM SERVICE EXPENSES 745,437. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 745,437. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 926,450. MANAGEMENT AND GENERAL EXPENSES 5,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 932,303. SALARIES AND BENEFITS ALLOCATION: PROGRAM SERVICE EXPENSES 58,679,441. MANAGEMENT AND GENERAL EXPENSES 771,436. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,450,877. |
| FORM 990, PART XI, LINE 9: | SCHEDULE K-1 INCOME/LOSS -91,326. CHANGE IN ASSETS HELD BY OTHERS -1,614,600. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION'S SOLE MEMBER, STRATUM HEALTH SYSTEMS INC., IS RESPONSIBLE FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| STRATUM HEALTH SYSTEM INC | ||||||||||
| 5955 RAND BLVD | SARASOTA | FL | 34238 | 472508009 | PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICES | FL | 501(C)(3) | LINE 12A, I | EMPATH-STRATUM INC | 0 |
| TIDEWELL FOUNDATION INC | ||||||||||
| 5955 RAND BLVD | SARASOTA | FL | 34238 | 850729071 | PROVIDE FUNDS TO SUPPORT THE MISSION AND PROGRAMS OF TIDEWELL HOSPICE | FL | 501(C)(3) | LINE 7 | STRATUM HEALTH SYSTEM INC | 0 |
| EMPATH HEALTH INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 263605761 | PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICES | FL | 501(C)(3) | LINE 12B, II | EMPATH-STRATUM INC | 0 |
| THE HOSPICE OF THE FLORIDA SUNCOAST INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 591744006 | HOSPICE | FL | 501(C)(3) | LINE 10 | EMPATH HEALTH INC | 0 |
| THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 593176721 | INACTIVE | FL | 501(C)(3) | LINE 7 | EMPATH HEALTH INC | 0 |
| THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 592252045 | FUNDRAISING | FL | 501(C)(3) | LINE 7 | EMPATH HEALTH INC | 0 |
| SUNCOAST PACE INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 452980257 | PACE PROGRAM | FL | 501(C)(3) | LINE 10 | EMPATH HEALTH INC | 0 |
| AIDS SERVICE ASSOCIATION OF PINELLAS INC DBA EMPATH PARTNERS IN CARE (EPIC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 592862537 | AIDS PREVENTION | FL | 501(C)(3) | LINE 7 | EMPATH HEALTH INC | 0 |
| EMPATH-STRATUM INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 851356625 | PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICES | FL | 501(C)(3) | LINE 12A, I | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE SYSTEMS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5771 ROOSEVELT BLVD | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593502780 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMPATH HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |