STRATEGY STUDIO / PUBLIC DATA EXPLORER

CHAPTERS HEALTH SYSTEM INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHAPTERS HEALTH SYSTEM INC (EIN 59-2264957)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-05
IRS object ID
202123099349304217
Schema version
2020v4.0
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

FieldValueIRS element (for citing)
Return2021-11-05T16:01:29-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas Blvd Suite 1100AddressLine1Txt
CityFort LauderdaleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP333014230ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592264957EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Chapters Health System IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHAPBusinessNameControlTxt
Phone8138718111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112470 Telecom Drive Suite 300AddressLine1Txt
CityTemple TerraceCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33637ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid J ONeilPersonNm
Person Titlechief financial officerPersonTitleTxt
Signature2021-11-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDavid JPersonFirstNm
Person LastONeilPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTNEY KOCAJPreparerPersonNm
PTINP01320603PTIN
Phone9542028600PhoneNum
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREW MOLOSKY President & CEOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112470 Telecom Drive ste 300AddressLine1Txt
CityTemple TerraceCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33637ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$134,247,632GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresschaptershealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionThrough its subsidiaries, the organization provides services that relieve the suffering of those affected by life-limiting illnesses & end-of-life issues so all may live as fully & comfortably as possible.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee569TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,284PYContributionsGrantsAmt
CY Contributions Grants$69,969CYContributionsGrantsAmt
PY Program Service Revenue$57,185,508PYProgramServiceRevenueAmt
CY Program Service Revenue$71,229,666CYProgramServiceRevenueAmt
PY Investment Income$3,884,463PYInvestmentIncomeAmt
CY Investment Income$5,004,379CYInvestmentIncomeAmt
PY Other Revenue$158,970PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$61,239,225PYTotalRevenueAmt
CY Total Revenue$76,304,014CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$28,172,437PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,656,853CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$43,811CYTotalFundraisingExpenseAmt
PY Other Expenses$30,030,504PYOtherExpensesAmt
CY Other Expenses$35,693,322CYOtherExpensesAmt
PY Total Expenses$58,202,941PYTotalExpensesAmt
CY Total Expenses$76,350,175CYTotalExpensesAmt
PY Revenues Less Expenses$3,036,284PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$46,161CYRevenuesLessExpensesAmt
Total Assets BOY$198,991,516TotalAssetsBOYAmt
Total Assets EOY$208,580,355TotalAssetsEOYAmt
Total Liabilities BOY$41,424,644TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,910,583TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$157,566,872NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$167,669,772NetAssetsOrFundBalancesEOYAmt
MissionChapters Health System, Inc. (CHS), through its subsidiary organizations, provides services to relieve the suffering of persons residing in its communities affected by life-limiting illnesses and end-of-life issues so all may live as fully and comfortably as possible. (continued on Schedule O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$59,418,093ExpenseAmt
Grant$0GrantAmt
Revenue$71,229,666RevenueAmt
DescA. Chapters Health System, Inc. provides hospice care and services to patients and families through its four hospice affiliates - LifePath Hospice, Inc., Good Shepherd Hospice, Inc., Hernando-Pasco Hospice, Inc. and Hospice of Okeechobee, Inc. All four are not-for-profit hospice programs certified by the Federal Medicare Program and provide a wide range of palliative and supportive care services to help terminally ill patients, their families, and their loved ones. In addition, Chapters Health System is the sole member and operates four additional LLC's - Chapters Health Palliative Care, LLC; Chapters Health Pharmacy, LLC, Chapters Health Staffing, LLC., and Chapters CareNu LLC. (continued in Sch O).Desc
Total Program Service Expenses$59,418,093TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document814IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee569EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1David J ONeilBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8138718111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112470 Telecom Drive Suite 300AddressLine1Txt
CityTemple TerraceCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33637ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Andrew Molosky
PRESIDENT/CEO38.012.0Yes (X)Yes (X)$661,676$0$214,534
Graham Smith III
Treasurer2.02.0Yes (X)Yes (X)$0$0$0
Lilly Ho-Pehling
SECRETARY2.02.0Yes (X)Yes (X)$0$0$0
Randall Woodruff
VICE CHAIR2.03.5Yes (X)Yes (X)$0$0$0
William Becker Jr
CHAIR2.00Yes (X)Yes (X)$0$0$0
Brian Hinton
BOARD MEMBER2.00Yes (X)$0$0$0
CLIFFORD RHOADES
BOARD MEMBER2.02.0Yes (X)$0$0$0
Frank Irby
BOARD MEMBER2.02.0Yes (X)$0$0$0
James Joiner
BOARD MEMBER2.02.0Yes (X)$0$0$0
Janet Davis
Board Member (Through 1/2020)2.00Yes (X)$0$0$0
Jerry Eugene Fogarty
Immediate Past Chair2.02.0Yes (X)$0$0$0
Mary Reardon
BOARD MEMBER2.02.0Yes (X)$0$0$0
Philip D Wegman
BOARD MEMBER2.02.0Yes (X)$0$0$0
Phillip Walker
BOARD MEMBER2.00Yes (X)$0$0$0
Robert Giles Jr
Board Member (Through 9/2020)2.00Yes (X)$0$0$0
Valerie Goddard
BOARD MEMBER (Starting 9/2020)2.02.0Yes (X)$0$0$0
David J O'Neil
Chief Financial Officer38.012.0Yes (X)$605,296$0$142,604
DEAN FORMAN
Chief Operating Officer38.010.0Yes (X)$422,840$0$98,149
Paola Delp
Chief Business Development Officer38.010.0Yes (X)$303,427$0$50,027
Ronald S Schonwetter MD
Chief Medical Officer38.010.0Yes (X)$814,280$0$132,260
Sharon P Saucier
Chief Clinical & Compliance Officer38.010.0Yes (X)$403,805$0$84,925
Sheryl J Sypek
Chief Information Officer38.010.0Yes (X)$371,578$0$98,974
Andrea Miller
Regional Medical Director - Palliative Care40.00$313,781$0$2,716Yes (X)
John Francis Szafranski
Staff Physician40.00$252,977$0$35,570Yes (X)
MARY A ALFANO-TORRES
MEDICAL DIRECTOR40.00$299,298$0$12,066Yes (X)
STEWART STEIN MD
Associate Vice President - Medical Svcs40.00$336,413$0$54,667Yes (X)
SUZANNE WALL
VP, Human Resources40.00$234,558$0$46,886Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,019,929TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$973,378TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K75IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ST JOSEPHS HOSPITAL INC
3001 W Martin Luther King BlvdTampaFL33607PATIENT SERVICES$1,350,704
LAKELAND REGIONAL MEDICAL CENTER INC
1324 Lakeland Hills BlvdLakelandFL338050448PATIENT SERVICES$1,208,168
BUCHANAN INGERSOLL & ROONEY PC
501 Grant Street Suite 200PittsburghPA152194413LEGAL SERVICES$1,064,052
CROSSTOWN COURIERS (ELM BUSINESS DEV INC)
PO Box 10871TampaFL33679PATIENT SERVICES$973,820
UNIVERSITY COMMUNITY HOSPITAL
PO Box 864447OrlandoFL328864447PATIENT SERVICES$916,416
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K109CntrctRcvdGreaterThan100KCnt
Related Organizations$21,219RelatedOrganizationsAmt
Government Grants$48,750GovernmentGrantsAmt
Total Contributions$69,969TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARED SERVICES AGREEMENT561000$43,745,783$43,745,783
PHARMACY446110$7,809,208$7,809,208
RENTAL INCOME FROM AFFILIATES532000$3,867,641$3,867,641
MEDICAL STAFFING SERVICES900099$9,572,143$9,572,143
PALLIATIVE CARE624100$1,515,953$1,515,953

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,718,938TotalRevenueColumnAmt
Related Or Exempt Func Income$4,718,938RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$71,229,666TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,665,963TotalRevenueColumnAmt
Exclusion$2,665,963ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$60,282,033SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$57,837,336SecuritiesAmt
Other$106,282OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,444,697SecuritiesAmt
Other-$106,282OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,338,416TotalRevenueColumnAmt
Exclusion$2,338,416ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,304,014TotalRevenueColumnAmt
Related Or Exempt Func Income$71,229,666RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,004,379ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,404,376TotalAmt
Program Services$566,494ProgramServicesAmt
Management And General$3,794,072ManagementAndGeneralAmt
Fundraising$43,811FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$72,904TotalAmt
Program Services$72,904ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,524,745TotalAmt
Program Services$28,524,745ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,321,157TotalAmt
Program Services$1,321,157ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,085,250TotalAmt
Program Services$4,085,250ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,248,421TotalAmt
Program Services$2,248,421ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,695,573TotalAmt
Management And General$1,695,573ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$304,841TotalAmt
Management And General$304,841ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$129,652TotalAmt
Management And General$129,652ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$291,355TotalAmt
Management And General$291,355ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,538,164TotalAmt
Program Services$3,538,164ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$692,964TotalAmt
Program Services$692,964ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,486,384TotalAmt
Program Services$4,486,384ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,022,139TotalAmt
Program Services$4,022,139ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,949,405TotalAmt
Program Services$1,949,405ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$509,491TotalAmt
Program Services$509,491ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$65,652TotalAmt
Program Services$65,652ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,033,535TotalAmt
Management And General$1,033,535ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,932,490TotalAmt
Management And General$7,932,490ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,706,754TotalAmt
Management And General$1,706,754ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Drugs$3,559,937$3,559,937
RECRUITMENT$760,262$760,262
REPAIRS & MAINTENANCE$1,718,000$1,718,000
MED, OXYGEN, IV & DME$801,421$801,421

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$495,303TotalAmt
Program Services$495,303ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$76,350,175TotalAmt
Program Services$59,418,093ProgramServicesAmt
Management And General$16,888,272ManagementAndGeneralAmt
Fundraising$43,811FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,600BOYAmt
EOY$575,517EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,763,542BOYAmt
EOY$13,548,147EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$367,789BOYAmt
EOY$1,304,998EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$259,699BOYAmt
EOY$248,781EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,099,381BOYAmt
EOY$4,813,838EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$119,995,730LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$60,424,042LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$62,433,497BOYAmt
EOY$59,571,688EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$91,414,128BOYAmt
EOY$105,415,615EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,186,399BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$18,511,520BOYAmt
EOY$19,762,020EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,939,961BOYAmt
EOY$3,339,751EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$198,991,516BOYAmt
EOY$208,580,355EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,538,002BOYAmt
EOY$8,463,432EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$185,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,379,676BOYAmt
EOY$12,444,220EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,000,000BOYAmt
EOY$14,556,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,506,966BOYAmt
EOY$5,261,931EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,424,644BOYAmt
EOY$40,910,583EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$157,566,872BOYAmt
EOY$167,669,772EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$157,566,872BOYAmt
EOY$167,669,772EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$198,991,516BOYAmt
EOY$208,580,355EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$46,161ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,427,239NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,721,822OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations5SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
LIFEPATH HOSPICE INC
2052768709Yes (true)$0$24,099,293
GOOD SHEPHERD HOSPICE INC
2052769239Yes (true)$0$9,802,393
CHAPTERS HEALTH HOME CONNECT INC
2751583239Yes (true)$0$137,095
HERNANDO PASCO HOSPICE INC
5922179299Yes (true)$0$12,904,838
HOSPICE OF OKEECHOBEE
5928313977false$0$84,271
FieldValueIRS element (for citing)
Supported Organizations Total5SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$47,027,890OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocfalseListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgYes (true)OrganizationChangeSuprtOrgInd
Supported Org Class DesignatedfalseSupportedOrgClassDesignatedInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 12g AMOUNT OF SUPPORTCHAPTERS HEALTH SYSTEM, INC. PROVIDES SUPPORT SERVICES TO ITS SUBSIDIARIES AND ITS SUPPORTED ORGANIZATIONS (LIFEPATH HOSPICE, INC., GOOD SHEPHERD HOSPICE, INC., CHAPTERS HEALTH HOME CONNECT, INC., HERNANDO PASCO HOSPICE, INC., AND HOSPICE OF OKEECHOBEE INC.) IN THE FORM OF INFORMATION TECHNOLOGY, HUMAN RESOURCES, LEGAL, FUND RAISING, COMPLIANCE, FINANCE, MANAGEMENT OVERSIGHT AND HEALTHCARE PERSONNEL.
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By NameThe supporting organization, Chapters Health System, Inc. (CHS), is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the tax-exempt purposes and missions of the supported organizations. Of the five supported organizations, LifePath Hospice, Inc. (LPH), Good Shepherd Hospice, Inc. (GSH), Hernando Pasco Hospice, Inc. (HPH), and Chapters Health Home Connect, Inc. (CHHC) are mentioned explicitly in the Articles of Incorporation of CHS, while Hospice of Okeechobee, Inc. (HOK) is included by class or purpose, as an organization within the health system that is described in section 501(c)(3) and classified as a public charity under 509(a)(2) of the Internal Revenue Code of 1986, as amended, with director representation on the board of CHS.
Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org.Hospice of Okeechobee, Inc. (HOK), EIN 59-2831397, was added as a supported organization in 2020 in order to help CHS achieve its mission to provide services to relieve the suffering of persons residing in its communities affected by life-limiting illnesses and end-of-life issues so all may live as fully and comfortably as possible. Hospice of Okeechobee, Inc. (HOK), is included by class or purpose, as an organization within the health system that is described in section 501(c)(3) and classified as a public charity under 509(a)(2) of the Internal Revenue Code of 1986, as amended. The CHS Articles of Incorporation require that no less than a majority of the directors of CHS must also be persons who are directors of the supported organizations; thus, HOK has director representation on the board of CHS.
Schedule A, Part IV, Section C, Line 1 Majority director detailThe articles of incorporation of Chapters Health System, Inc. ("Chapters") identify that the organization is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the tax-exempt purposes and missions of the supported organizations (LifePath Hospice, Good Shepherd Hospice, Chapters Home Health Connect, Hernando Pasco Hospice, and Hospice of Okeechobee). As a supporting organization, Chapters is supervised and controlled in connection with the supported organizations, and therefore is designated a Type II supporting organization. Chapters meets this classification because the management of Chapters is vested in the same persons that control and manage the supported organizations. The bylaws of each of the supported organizations require that the board of directors of each supported organization shall include Chapters' Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and Chief Medical Officer. The bylaws further require that the management of each supported organization shall include Chapters' Chief Clinical Officer and Chief Compliance Officer, who will serve as ex-officio nonvoting members of the governing bodies. In addition, there are other members of the supported organization governing boards who also serve as directors on the Chapters board. The fact that the management of Chapters is vested in the same persons that control and manage the supported organizations allows Chapters and its five supported organizations to function collectively as a health system. Chapters provides management and administrative support to the supported organizations and various clinical services that further the supported organizations' tax-exempt purpose of providing hospice and home health services to the community. The fact that the core leadership team of each of the supported organizations is also Chapters core leadership team assures that Chapters is responsive to the needs and demands of the supported organizations and that Chapters constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$129,652DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$129,652TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationA lobbyist was hired to represent the organization before the Florida Legislature and the Executive Branch of Florida Government, including the Department of Elder Affairs and the Agency of Health Care Administration, and to provide guidance regarding interaction with legislation and agency staff on matters pertaining to specific issue advocacy, legislative and regulatory developments of concern.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,017,221BeginningYearBalanceAmt
Contributions$23,350ContributionsAmt
End Year Balance$1,040,571EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$987,153BeginningYearBalanceAmt
Contributions$30,068ContributionsAmt
End Year Balance$1,017,221EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$966,052BeginningYearBalanceAmt
Contributions$21,101ContributionsAmt
End Year Balance$987,153EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$952,006BeginningYearBalanceAmt
Contributions$14,046ContributionsAmt
End Year Balance$966,052EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$938,429BeginningYearBalanceAmt
Contributions$13,577ContributionsAmt
End Year Balance$952,006EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0611BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.9389PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,358,443OtherCostOrOtherBasisAmt
Book Value$6,358,443BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$64,485,508OtherCostOrOtherBasisAmt
Depreciation$26,175,233DepreciationAmt
Book Value$38,310,275BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,205,235OtherCostOrOtherBasisAmt
Depreciation$3,704,413DepreciationAmt
Book Value$2,500,822BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,753,845OtherCostOrOtherBasisAmt
Depreciation$28,304,591DepreciationAmt
Book Value$8,449,254BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,192,699OtherCostOrOtherBasisAmt
Depreciation$2,239,805DepreciationAmt
Book Value$3,952,894BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$59,571,688TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DEFERRED SERP LIABILITIES$1,609,052
LEASE INCENTIVE OBLIGATION$492,188
CAPITAL LEASE OBLIGATION$1,747,932
UNCLAIMED PROPERTY$3,187
SWAP LIABILITY$1,409,572
FieldValueIRS element (for citing)
Total Liability$5,261,931TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$66,235,094TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$8,427,239NetUnrealizedGainsInvstAmt
Other Revenue-$615,494OtherRevenueAmt
Revenue Not Reported$7,811,745RevenueNotReportedAmt
Revenue Subtotal$58,423,349RevenueSubtotalAmt
Investment Expenses Not Incld$291,355InvestmentExpensesNotIncldAmt
Other Revenues Not Included$17,589,310OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$17,880,665RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$76,304,014TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$58,469,510TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$58,469,510ExpensesSubtotalAmt
Investment Expenses Not Incld2$291,355InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$17,589,310OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$17,880,665ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$76,350,175TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe Building Endowment fund provides funds for the necessary maintenance and facility up-keep of all Chapters Health Systems, Inc. (CHS) facilities; the Children's Endowment fund provides funds for specific equipment and staffing to meet the needs of pediatric patients, grieving children and families; The Medical Student endowment provides funds to the Medical Student Program that educates future physicians on the importance of end-of-life care. THESE ENDOWMENTS ARE HELD BY CHAPTERS HEALTH FOUNDATION, INC. (CHF), a related organization, AND THE PROGRAMS AND FACILITIES OF CHF SUPPORT CHS AND ITS AFFILIATES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteChapters and the affiliate organizations 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. U.S. GAAP requires that 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 of being 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, 2020 and 2019.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990ALLCARE NON-CONTROLLING INTEREST - 242759 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT - -858253
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsSupport Services Allocation - 17589310
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsSupport Services Allocation - 17589310

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Andrew Molosky
PRESIDENT/CEO$596,550$0$51,026$0$14,100$0$174,406$0$40,129$0$876,210$0$51,026$0
Paola Delp
Chief Business Development Officer$294,515$0$0$0$8,912$0$45,167$0$4,860$0$353,454$0$0$0
DEAN FORMAN
Chief Operating Officer$378,934$0$33,075$0$10,831$0$70,863$0$27,286$0$520,989$0$33,075$0
David J O'Neil
Chief Financial Officer$463,862$0$41,386$0$100,048$0$86,444$0$56,161$0$747,900$0$41,386$0
Sharon P Saucier
Chief Clinical & Compliance Officer$354,927$0$0$0$48,878$0$62,692$0$22,233$0$488,730$0$0$0
Ronald S Schonwetter MD
Chief Medical Officer$502,721$0$44,325$0$267,234$0$92,078$0$40,181$0$946,540$0$44,325$0
Sheryl J Sypek
Chief Information Officer$292,542$0$26,578$0$52,458$0$58,537$0$40,437$0$470,552$0$26,578$0
MARY A ALFANO-TORRES
MEDICAL DIRECTOR$273,838$0$20,634$0$4,826$0$8,215$0$3,850$0$311,363$0$20,634$0
Andrea Miller
Regional Medical Director - Palliative Care$294,275$0$16,787$0$2,719$0$0$0$2,716$0$316,497$0$16,787$0
STEWART STEIN MD
Associate Vice President - Medical Svcs$315,855$0$14,183$0$6,375$0$32,066$0$22,601$0$391,081$0$14,183$0
John Francis Szafranski
Staff Physician$246,271$0$5,000$0$1,706$0$0$0$35,570$0$288,547$0$5,000$0
SUZANNE WALL
VP, Human Resources$220,275$0$10,920$0$3,363$0$23,210$0$23,676$0$281,445$0$10,920$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation feesThe organization pays for the president/ceo to be a member of the centre club to cultivate prospective donors and for other business purposes. The use of this membership is business related and therefore the related benefit has not been included in the recipient's taxable compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planCHS HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN WHICH SOME OF THE INTERESTED PERSONS PARTICIPATE. DURING THE YEAR, THE FOLLOWING PAYMENTS WERE MADE BY CHS INTO THE SERP PLANS OF THE PARTICIPANTS: A.Molosky $164,655 R.Schonwetter $83,578 D.O'Neil $77,943 S.Saucier $54,141 S.Sypek $49,986 D.Forman $62,312 P.Delp $44,476 S.Stein $23,516 S.Wall $16,658

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1City of Temple Terrace FloridaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN596000439BondIssuerEIN
Bond Issued2017-03-23BondIssuedDt
Issue Price$19,365,900IssuePriceAmt
PurposeTO REFUND THE OUTSTANDING BALANCES OF THE SERIES 2003, SERIES 2004, AND SERIES 2010 BONDS.PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$6,519,500RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$19,365,900TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$19,365,900OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2017SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.0PrivateBusUseByOthersPct
Private Bus Concerning UBI0.0PrivateBusConcerningUBIPct
Total Private Business Use0.0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN C O'NEILBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF DAVID O'NEIL, CFORelationshipDescriptionTxt
Transaction$72,904TransactionAmt
TransactionSalary and BenefitsTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS(continued from part iii) Chapters Health System provides significant management duties, including without limitation, financial and accounting services, human resources, legal and marketing services, information technology services, to its subsidiaries and wholly owned LLC's via a written Management Agreement. The amount of these services is reflected in the statement of revenue as Shared Services Revenue" and Management Fee Income. B. LifePath Hospice, Inc. LifePath Hospice is a Medicare-certified agency that provides end-of-life care in Hillsborough County, Florida. In 2020, LifePath Hospice served 7,136 patients in its community. Lifepath Hospice maintains 80% market share in Hillsborough County in 2020 as they are one of two hospice providers. The company has 515 trained volunteers whose donated time is valued at $346,573. LifePath Hospice provided $2,486,000 in charity care in 2020. C. Good Shepherd Hospice, Inc. Good Shepherd Hospice is a Medicare-certified agency that provides end-of-life care in Polk, Highlands, Monroe, and Hardee counties in Florida. In 2020, Good Shepherd Hospice served 4,258 patients in its communities. Good Shepherd Hospice maintains 54% market share in Polk and Hardee counties in 2020. The company has 200 trained volunteers whose donated time is valued at $289,416. Good Shepherd Hospice provided $1,534,000 in charity care in 2020. D. Hernando-Pasco Hospice, Inc. Hernando-Pasco Hospice is a Medicare-certified agency that provides end-of-life care in Hernando, Pasco and Citrus counties in Florida. Hernando-Pasco Hospice also provides home health services in Pasco and Pinellas counties. Hernando-Pasco Hospice affiliated with Chapters Health System, Inc. on February 1, 2015. In 2020, Hernando-Pasco Hospice served 4,691 patients in its communities. Hernando-Pasco Hospice maintains 48% market share in Hernando, Pasco, and Citrus counties in 2020. The company has 215 trained volunteers whose donated time is valued at $446,717. Hernando-Pasco Hospice provided $1,265,000 in charity care in 2020. E. Hospice of Okeechobee, Inc. Hospice of Okeechobee, Inc. provides hospice services that relieve the suffering of persons residing in its communities affected by life-limiting illnesses and end-of-life issues so all may live as fully and comfortably as possible. Hospice of Okeechobee, Inc. affiliated with Chapters Health System, Inc. on August 1, 2019. In 2020, Hospice of Okeechobee, Inc. served 232 patients in its communities. The company has 52 trained volunteers. Hospice of Okeechobee, Inc. provided $2,000 in charity care in 2020. F. Chapters Health Palliative Care, LLC. Chapters Health Palliative Care provides pain and palliative care consults in hospitals and other facilities in Hillsborough and Polk counties. In 2020, Chapters Health Palliative Care provided 12,474 patient visits, which included 4,010 new palliative care consults at three hospitals and three nursing home/rehabilitation centers. G. Chapters Health Pharmacy, LLC Chapters Health Pharmacy is a not-for-profit subsidiary that provides medications for the patients of LifePath Hospice and Good Shepherd Hospice. Chapters Health Pharmacy improved staff efficiency with electronic medication orders, filling 157,382 prescriptions in 2020. Chapters Health Pharmacy provides free delivery of medications for hospice patients, at a cost of more than $1,112,801. H. Chapters Health Staffing, LLC. Chapters Health System established a not-for-profit subsidiary, Chapters Health Staffing, LLC, in 2009. Chapters Health Staffing operates a licensed health care services pool. This company provides temporary staffing of healthcare personnel to other Chapters Health System subsidiaries and enables Chapters Health System to centralize the management of clinical staff whose duties cross between multiple subsidiaries. Chapters Health Staffing staff includes physicians, nurses, respiratory therapists and managers for the oncology program, medical staff and infusion services. I. Chapters Health Foundation The Chapters Health Foundation is the fundraising entity of Chapters Health System. Through community events and fundraising activities, the Foundation raises funds to support the unfunded programs of LifePath Hospice, Good Shepherd Hospice, Hernando Pasco Hospice, Hospice of Okeechobee, Chapters Palliative Care, and Home Care services which include charity care, community grief support and medical student education. In 2020, a total of 13,015 donors contributed $4,542,312 to the Chapters Heath Foundation through capital campaigns, memorials, realized planned gifts, special events and other gifts. J. Chapters Health Home Connect is a not for profit corporation whose mission is to provide services for the support and care of frail elderly persons.
Form 990, Part III, Line 1 ORGANIZATION'S MISSION(CONTINUED FROM PART III) CHS ALSO WORKS TO PROMOTE AN UNDERSTANDING OF THE NEEDS OF PERSONS WITH SERIOUS OR LIFE-LIMITING ILLNESSES AS WELL AS THE NEEDS OF ITS FAMILIES AND CAREGIVERS. CHS PROVIDES SIGNIFICANT MANAGEMENT DUTIES, INCLUDING WITHOUT LIMITATION, FINANCIAL AND ACCOUNTING SERVICES, HUMAN RESOURCES, LEGAL SERVICES, MARKETING SERVICES AND INFORMATION TECHNOLOGY SERVICES, TO ITS SUBSIDIARIES AND WHOLLY OWNED LLC'S VIA A WRITTEN MANAGEMENT AGREEMENT.
Form 990, Part VI, Line 15b process to establish compensation of other employeesthe 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 committeeTHE EXECUTIVE COMMITTEE, MADE UP OF THE PRESIDENT AND CEO, CHAIRPERSON OF THE BOARD, VICE CHAIRPERSON OF THE BOARD, TREASURER OF THE BOARD, SECRETARY OF THE BOARD, IMMEDIATE PAST CHAIRPERSON OF THE BOARD AND NO FEWER THAN TWO ADDITIONAL ELECTED DIRECTORS AND/OR ELECTED DIRECTORS OF AFFILIATE BOARDS AS APPOINTED BY THE BOARD CHAIRPERSON, 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 that the Executive Committee is not authorized to: (1) recommend actions or proposals required to be approved by Board members; (2) fill vacancies on the Board or any committee thereof; or (3) adopt, amend, supplement, restate, repeal, or rescind these Bylaws.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyChapters Health System, Inc. 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 bylaws 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 policyAnnually, 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. 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 or the President and CEO of Chapters Health System, Inc. 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 Chapters Health System 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 CHS's best interest and for its own benefit and whether the transaction is fair and reasonable to CHS 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 operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. CHS 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 CHS's charitable purposes and do not result in private inurement or impermissible private benefit.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe 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 is done annually.
Form 990, Part VI, Line 19 Required documents available to the publicThe organization's articles of incorporation are filed with and viewable by the public at the official website of the Florida 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 of Florida, Division of Consumer Services. The organization is required to file its audited consolidated financial statements and other financial information with its annual Medicare cost report. This information is subject to a public records request. In addition, the organization reports its financial performance each year in its Annual Report, copies of which are available to the public upon request.
Form 990, Part VIII, Line 2f Other Program Service RevenueMgmt fee incom - Total Revenue: 13632, Related or Exempt Function Revenue: 13632, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Allcare Medical of Florida - Total Revenue: 4705306, Related or Exempt Function Revenue: 4705306, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesAllcare Non-Controlling interest - 242649; Change in value of split interest agreement - -858253; Net Asset Transfer - 2337426;
Schedule O COVID-19 PandemicIn March 2020, the World Health Organization declared a pandemic related to the rapidly spreading coronavirus ("COVID-19") outbreak, which has led to a global health emergency. The extent to which the COVID-19 pandemic may impact the financial condition or results of CHS' operations is uncertain and cannot be predicted fully at this time. The nature and extent of the final impact may depend on a number of factors, including: the duration and extent of the pandemic; the nature and duration of the pandemic's impact on CHS' healthcare services, and the nature and duration of the pandemic's impact on the CHS' business partners, vendors, and patients, all of which are uncertain and cannot be predicted fully. CHS continues to evaluate the impact of the COVID-19 pandemic on its business and to monitor pandemic related developments. The Coronavirus Aid, Relief, and Economic Security Act ("CARES Act") became law on March 27, 2020. This Federal response to the market volatility and instability resulting from the coronavirus pandemic includes provisions to support individuals and businesses in the form of loans, grants, and tax changes, among other types of relief. The CARES Act authorized $175 billion in payments to be distributed through the Public Health and Social Services Emergency Fund ("Provider Relief Funds" or "PRF"). Payments from the PRF are not loans; however, PRF funds are required to be paid back if not fully utilized by June 30, 2021. During the year ended December 31, 2020, CHS received payments of $9,350,198 from the Provider Relief Fund. CHS has elected to account for the PRF proceeds received as a conditional contribution in accordance with Subtopic 958-605. Under Subtopic 958-605, the PRF proceeds are initially recorded as a deferred grant liability and subsequently recognized as other operating revenue when CHS has substantially met all terms and conditions of the grant. CHS' assessment of whether the terms and conditions for amounts received have been substantially met considers, among other things, the terms of the CARES Act and the Consolidation Appropriation Act of 2021 (CAA), and all other interpretive guidance issued by the U.S. Department of Human and Health Services. Such guidance sets forth the allowable methods for quantifying eligible healthcare related expenses and lost revenues. Only healthcare related expenses attributable to coronavirus that another source has not reimbursed and is not obligated to reimburse are eligible to be claimed. Based on CHS' assessment, the Organization has recognized $9,350,198 which is included in other operating revenue in the consolidated statements of operations and changes in net assets. There are no remaining funds at December 31, 2020.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtAddress Line2USAddress/AddressLine2Txt
CHAPTERS HEALTH PALLIATIVE CARE LLC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637205620723PALLIATIVEFL$1,585,922$0CHAPTERS HEALTH SYSTEM INC
CHAPTERS HEALTH PHARMACY LLC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637208607458PHARMACYFL$7,809,208$248,781CHAPTERS HEALTH SYSTEM INC
CHAPTERS HEALTH STAFFING LLC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637264146328STAFFINGFL$9,572,143$0CHAPTERS HEALTH SYSTEM INC
CHAPTERS CARENU LLC
12470 Telecom DrTemple TerraceFL33637850850926POPULATION HEALTHFL$0$0CHAPTERS HEALTH SYSTEM INCSuite 301

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line2USAddress/AddressLine2Txt
LIFEPATH HOSPICE INC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637205276870HOSPICE CAREFL501(c)(3)10CHAPTERS HEALTH SYSTEM INCYes (true)
GOOD SHEPHERD HOSPICE INC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637205276923HOSPICE CAREFL501(c)(3)10CHAPTERS HEALTH SYSTEM INCYes (true)
CHAPTERS HEALTH HOME CONNECT INC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637275158323LONG-TERM CAREFL501(c)(3)10CHAPTERS HEALTH SYSTEM INCYes (true)
Chapters Health Foundation Inc
12470 TELECOM DRIVE suite 300TEMPLE TERRACEFL33637593467282FoundationFL501(c)(3)7CHAPTERS HEALTH SYSTEM INCYes (true)
HERNANDO PASCO HOSPICE INC
12470 TELECOM DRIVE suite 300TEMPLE TERRACEFL33637592217929HOSPICE CAREFL501(c)(3)10CHAPTERS HEALTH SYSTEM INCYes (true)
Hospice of Okeechobee Inc
12470 Telecom DriveTemple TerraceFL33637592831397Hospice CareFL501(c)(3)7Chapters Health System IncYes (true)Suite 300

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Allcare Medical of Florida LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13500 King StreetAddressLine1Txt
Address Line2Suite 4AddressLine2Txt
CityTampaCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32926ZIPCd
FieldValueIRS element (for citing)
EIN463626920EIN
Primary ActivitiesMedical ServicesPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CHAPTERS HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$63,461ShareOfTotalIncomeAmt
Share Of EOY Assets$1,880,370ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.9OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LIFEPATH HOSPICE INC
A$1,076,110FMV
GOOD SHEPHERD HOSPICE INC
A$1,320,799FMV
HERNANDO PASCO HOSPICE Inc
A$1,347,924FMV
LIFEPATH HOSPICE INC
L$8,890,625FMV
GOOD SHEPHERD HOSPICE INC
L$4,174,092FMV
HERNANDO PASCO HOSPICE Inc
L$4,524,594FMV
CHAPTERS HEALTH HOME CONNECT
Q$137,095FMV
LIFEPATH HOSPICE INC
Q$14,132,558FMV
GOOD SHEPHERD HOSPICE INC
Q$4,307,502FMV
HERNANDO PASCO HOSPICE Inc
Q$7,032,320FMV
CHAPTERS HEALTH FOUNDATION INC
Q$300,000FMV
HOSPICE OF OKEECHOBEE INC
Q$84,271FMV