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GOOD SHEPHERD HOSPICE INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD HOSPICE INC (EIN 20-5276923)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-16
IRS object ID
202533209349302808
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-16T22:20:50+00:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

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 Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205276923EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Good Shepherd Hospice IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone8138718111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112470 Telecom Drive Suite 301AddressLine1Txt
CityTemple TerraceCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33637ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW MOLOSKYPersonNm
Person TitlePresident & CEOPersonTitleTxt
Signature2025-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTNEY KOCAJPreparerPersonNm
PTINP01320603PTIN
Phone9542028600PhoneNum
Preparation2025-11-17PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREW MOLOSKYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112470 Telecom Drive Suite 301AddressLine1Txt
CityTemple TerraceCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33637ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$37,500,244GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresschaptershealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionProvides hospice and palliative care 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 as possible.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee313TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI-$55,316TotalGrossUBIAmt
PY Contributions Grants$628,200PYContributionsGrantsAmt
CY Contributions Grants$843,828CYContributionsGrantsAmt
PY Program Service Revenue$34,069,632PYProgramServiceRevenueAmt
CY Program Service Revenue$36,656,416CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$10,000PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$34,707,832PYTotalRevenueAmt
CY Total Revenue$37,500,244CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,637,803PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,981,438CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,607,695PYOtherExpensesAmt
CY Other Expenses$13,163,546CYOtherExpensesAmt
PY Total Expenses$46,245,498PYTotalExpensesAmt
CY Total Expenses$40,144,984CYTotalExpensesAmt
PY Revenues Less Expenses-$11,537,666PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,644,740CYRevenuesLessExpensesAmt
Total Assets BOY$17,034,849TotalAssetsBOYAmt
Total Assets EOY$16,559,833TotalAssetsEOYAmt
Total Liabilities BOY$3,227,429TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,335,589TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,807,420NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,224,244NetAssetsOrFundBalancesEOYAmt
MissionGood Shepherd Hospice, Inc. provides hospice and palliative care 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$33,914,729ExpenseAmt
Revenue$36,711,732RevenueAmt
DescThe organization provides a full range of medical and supportive services to individuals and their families facing a crisis of terminal illness. These services include, but are not limited to customized treatment programs, comfort and pain management, regularly scheduled visits from nurses who specialize in the recognition and treatment of pain, 24/7 on call services, counseling for family members, and children's bereavement program. Care services are provided at home, in assisted living and nursing home environments, or in hospice care centers. During the year, Good Shepherd Hospice served 4,848 patients in its communities and maintains 29.0% market share in the counties it serves. The company has 94 trained volunteers whose donated time is valued at $510,662. Good Shepherd Hospice provided $1.363M in charity care.Desc
Total Program Service Expenses$33,914,729TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 BondsfalseTaxExemptBondsInd
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 MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee313EmployeeCnt
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 ContributionsfalseQuidProQuoContributionsInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
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 CEOfalseCompensationProcessCEOInd
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 Line1Todd WebbBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8138718111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112470 Telecom drive Suite 301AddressLine1Txt
CityTemple TerraceCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33637ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrew Molosky
PRESIDENT/CEO/Chair2.046.0Yes (X)Yes (X)$0$1,594,079$663,374
ANNE FURR
Vice Chair (until 5/2024)/Board Member2.00Yes (X)Yes (X)$0$0$0
CLIFFORD RHOADES
Vice Chair (Starting 5/2024)2.02.0Yes (X)Yes (X)$0$0$0
James Joiner
Secretary2.02.0Yes (X)Yes (X)$0$0$0
RHONDA G WHITE
Chief Operating Officer2.046.0Yes (X)Yes (X)$0$509,984$203,486
Tara Friedman
Chief Medical Officer2.046.0Yes (X)Yes (X)$0$652,983$106,634
TODD A WEBB
CHIEF FINANCIAL OFFICER2.046.0Yes (X)Yes (X)$0$484,344$179,971
Christen Johnson
BOARD MEMBER2.00Yes (X)$0$0$0
Harold Bennett III
BOARD MEMBER2.00Yes (X)$0$0$0
Laura Hawley
BOARD MEMBER2.00Yes (X)$0$0$0
MICHAEL SHAPIRO
Chief Medical Officer - Hospice (Through 3/2024)2.048.0Yes (X)$0$400,434$46,948
Nicole Romence
Chief People Officer2.046.0Yes (X)$0$427,298$159,229
Paola Delp
Chief Business Development Officer2.046.0Yes (X)$0$707,432$21,141
Sheri Anne Strobel Amateau
Chief Information Officer2.046.0Yes (X)$0$454,183$70,395
Valerie Zolman
Chief Compliance Officer2.046.0Yes (X)$0$281,000$82,539
Kyle Zenkner
Executive Director40.00$241,777$0$70,005Yes (X)
Danielle Marie Christiano
Staff Physician40.00$234,639$0$57,401Yes (X)
Jennifer Christine Johnson
Director, Regional40.00$136,050$0$33,941Yes (X)
Khazi Mohammed Nayeemuddin
Staff Physician40.00$279,592$0$25,216Yes (X)
Lynnette Canady
Nurse Practitioner40.00$128,860$0$37,661Yes (X)
Stuart Owens
Medical Director40.00$348,605$0$35,726Yes (X)
CHARLES O LEE
Former Chief Administrative Officer/Chair0.00.0$0$520,000$0Yes (X)
David J O'Neil
Former CHIEF FINANCIAL OFFICER0.00.0$0$181,942$9,337Yes (X)
Ronald S Schonwetter MD
Former Chief Medical Officer0.00.0$0$290,512$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,369,523TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,504,191TotReportableCompRltdOrgAmt
Total Other Compensation$1,803,004TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$843,828RelatedOrganizationsAmt
Total Contributions$843,828TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Service RevenueDesc
Business621610BusinessCd
Total Revenue Column$36,656,416TotalRevenueColumnAmt
Related Or Exempt Func Income$36,711,732RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$55,316UnrelatedBusinessRevenueAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$36,656,416TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

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$37,500,244TotalRevenueColumnAmt
Related Or Exempt Func Income$36,711,732RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$55,316UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$311,781TotalAmt
Program Services$311,781ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,955,120TotalAmt
Program Services$19,419,294ProgramServicesAmt
Management And General$2,535,826ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,336,493TotalAmt
Program Services$2,901,497ProgramServicesAmt
Management And General$434,996ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,378,044TotalAmt
Program Services$1,222,017ProgramServicesAmt
Management And General$156,027ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$326,542TotalAmt
Management And General$326,542ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,911TotalAmt
Management And General$49,911ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$461,287TotalAmt
Program Services$187,283ProgramServicesAmt
Management And General$274,004ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$70,778TotalAmt
Program Services$41,824ProgramServicesAmt
Management And General$28,954ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$765,703TotalAmt
Program Services$236,355ProgramServicesAmt
Management And General$529,348ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$990,293TotalAmt
Program Services$14,779ProgramServicesAmt
Management And General$975,514ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,492,953TotalAmt
Program Services$2,243,801ProgramServicesAmt
Management And General$249,152ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$544,808TotalAmt
Program Services$511,842ProgramServicesAmt
Management And General$32,966ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$37,654TotalAmt
Program Services$22,636ProgramServicesAmt
Management And General$15,018ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,106TotalAmt
Management And General$6,106ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$466,993TotalAmt
Management And General$466,993ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL, OXYGEN & IV SUPPLIES, AND DME$2,000,860$2,000,860
INPATIENT AND RESPITE$1,808,237$1,808,237
DRUGS$1,613,376$1,613,376
PATIENT SERVICES$958,172$958,172

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$569,873TotalAmt
Program Services$420,975ProgramServicesAmt
Management And General$148,898ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,144,984TotalAmt
Program Services$33,914,729ProgramServicesAmt
Management And General$6,230,255ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY-$869,059EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,841,263BOYAmt
EOY$3,523,562EOYAmt

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,723BOYAmt
EOY$38,333EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,190,863BOYAmt
EOY$13,866,997EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,034,849BOYAmt
EOY$16,559,833EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,629,334BOYAmt
EOY$2,732,035EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$598,095BOYAmt
EOY$603,554EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,227,429BOYAmt
EOY$3,335,589EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,385,701BOYAmt
EOY$11,110,374EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,421,719BOYAmt
EOY$2,113,870EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,807,420BOYAmt
EOY$13,224,244EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,034,849BOYAmt
EOY$16,559,833EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,644,740ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,061,564OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,884,754CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,592,407CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$465,732CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$628,200CurrentTaxYearMinus1YearAmt
Current Tax Year$843,828CurrentTaxYearAmt
Total$7,414,921TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,140,618CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,252,650CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,040,769CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,069,632CurrentTaxYearMinus1YearAmt
Current Tax Year$36,656,416CurrentTaxYearAmt
Total$177,160,085TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,025,372CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,845,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,506,501CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,697,832CurrentTaxYearMinus1YearAmt
Current Tax Year$37,500,244CurrentTaxYearAmt
Total$184,575,006TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$184,575,006PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,589CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,000CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$11,589TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,026,961CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,845,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,506,501CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,707,832CurrentTaxYearMinus1YearAmt
Current Tax Year$37,500,244CurrentTaxYearAmt
Total$184,586,595TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99994PublicSupportCY509Pct
Public Support PY5090.99988PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.0InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - OTHER INCOME, COLUMN A - 1589.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 10000.0, COLUMN E - 0.0, COLUMN F - 11589.0;ExplanationTxt

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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,011,599BeginningYearBalanceAmt
Investment Earnings Or Losses$61,436InvestmentEarningsOrLossesAmt
End Year Balance$1,073,035EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,011,599BeginningYearBalanceAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
End Year Balance$1,011,599EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$997,414BeginningYearBalanceAmt
Investment Earnings Or Losses$14,185InvestmentEarningsOrLossesAmt
End Year Balance$1,011,599EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,957BeginningYearBalanceAmt
Investment Earnings Or Losses$20,457InvestmentEarningsOrLossesAmt
End Year Balance$997,414EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$953,607BeginningYearBalanceAmt
Investment Earnings Or Losses$23,350InvestmentEarningsOrLossesAmt
End Year Balance$976,957EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Beneficial interest in net assets of Chapters Health Foundation$13,866,997
Amounts due from 3rd parties
Right-of-use assets
FieldValueIRS element (for citing)
Total Book Value Other Assets$13,866,997TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Federal Income Taxes
Amounts due to 3rd parties$600,554
Right-of-use liabilities, net$3,000
FieldValueIRS element (for citing)
Total Liability$603,554TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 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 upkeep of all Chapters Health System (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 Good Shepherd Hospice, Inc.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteChapters and the affiliate organizations, except for the CareNu entities, are exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely to be realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The applicable Forms 990 have not been subject to examination by the Internal Revenue Service or the state of Florida for the last three years. CHS does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. CHS recognizes interest and/or penalties related to income tax matters in income tax expense. CHS did not have any amounts accrued for interest and penalties at December 31, 2024 and 2023.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
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 (18 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
CHARLES O LEE
Former Chief Administrative Officer/Chair$0$0$0$0$0$520,000$0$0$0$0$0$520,000$0$0
Andrew Molosky
PRESIDENT/CEO/Chair$0$866,779$0$550,629$0$176,671$0$618,259$0$45,115$0$2,257,453$0$713,591
Tara Friedman
Chief Medical Officer$0$529,856$0$110,725$0$12,402$0$103,370$0$3,264$0$759,617$0$110,725
RHONDA G WHITE
Chief Operating Officer$0$409,134$0$92,000$0$8,850$0$183,397$0$20,089$0$713,470$0$92,000
TODD A WEBB
CHIEF FINANCIAL OFFICER$0$408,773$0$66,924$0$8,647$0$133,667$0$46,304$0$664,315$0$66,924
David J O'Neil
Former CHIEF FINANCIAL OFFICER$0$67,908$0$54,600$0$59,434$0$2,100$0$7,237$0$191,279$0$112,836
Ronald S Schonwetter MD
Former Chief Medical Officer$0$0$0$0$0$290,512$0$0$0$0$0$290,512$0$290,512
Paola Delp
Chief Business Development Officer$0$515,817$0$123,857$0$67,758$0$6,680$0$14,461$0$728,573$0$179,081
Sheri Anne Strobel Amateau
Chief Information Officer$0$333,335$0$70,125$0$50,723$0$66,459$0$3,936$0$524,578$0$110,002
Nicole Romence
Chief People Officer$0$348,581$0$68,198$0$10,519$0$124,362$0$34,867$0$586,527$0$68,198
MICHAEL SHAPIRO
Chief Medical Officer - Hospice (Through 3/2024)$0$354,659$0$44,280$0$1,495$0$0$0$46,948$0$447,382$0$44,280
Valerie Zolman
Chief Compliance Officer$0$231,982$0$40,365$0$8,653$0$49,615$0$32,924$0$363,539$0$40,365
Kyle Zenkner
Executive Director$206,133$0$21,570$0$14,074$0$23,806$0$46,199$0$311,782$0$34,697$0
Lynnette Canady
Nurse Practitioner$127,223$0$0$0$1,637$0$4,175$0$33,486$0$166,521$0$0$0
Danielle Marie Christiano
Staff Physician$222,653$0$10,318$0$1,668$0$21,246$0$36,155$0$292,040$0$10,318$0
Jennifer Christine Johnson
Director, Regional$129,561$0$5,333$0$1,156$0$4,128$0$29,813$0$169,991$0$0$0
Khazi Mohammed Nayeemuddin
Staff Physician$277,007$0$0$0$2,585$0$22,934$0$2,282$0$304,808$0$0$0
Stuart Owens
Medical Director$310,707$0$35,179$0$2,719$0$7,659$0$28,067$0$384,331$0$35,047$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe President & CEO is paid by Chapters Health System, Inc. (a related organization). Chapters Health System uses a compensation committee, independent compensation consultant, compensation survey or study, forms 990 of other organizations, and approval by the board or compensation committee to determine his compensation. The company relies on Chapters Health System to ensure compensation is reasonable.
Schedule J, Part I, Line 4a Severance or change-of-control paymentDuring the Year, Chapters Health System, Inc. paid severance to: C.Lee $520,000
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planChapters Health System, Inc. (a related organization) has a supplemental executive retirement plan (SERP) in which some of the interested persons participate. During the year, the following payments were made by Chapters Health System, Inc. into the SERP plans of the participants: A.Molosky $357,909 T.Friedman $96,087 R.White $76,107 N.Romence $64,011 S.Strobel $60,675 T. Webb $73,316 V.Zolman $42,167

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS FOR DETERMINING 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 process took place during the year. The president/CEO of the organization is paid by Chapters Health System, Inc. The form 990 instructions indicate when the CEO is not paid by the filing organization, the question should be answered "no".
Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERSThe 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, COO, CFO, CMO, the Vice Chairperson of the Board and the Secretary, shall carry out the work of the Board of Directors between meetings and make recommendations to the Board of Directors for its action. The Executive Committee shall have all the authority of the Board of Directors except as may be limited by law and subject to the approval of the sole member.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsDavid J. O'Neil, Andrew Molosky and Paola Delp - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersThe organization has a sole member, Chapters Health System, Inc., that both elects the members of the governing body of the organization and also approves certain significant decisions made by the governing body of the organization.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyThe organization's sole member, Chapters Health System, Inc., nominates and elects the elected members of the organization's Board of Directors and may appoint replacement directors at any time when a vacancy occurs.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersWithout the written approval of the organization's Sole Member, Chapters Health System, Inc., the organization's governing body is not permitted to: (A) Sell, lease, or dispose of assets, merge, combine or otherwise or reorganize with any other entity, convert its corporate structure to another form or enter into any management services agreement; (B) Enter into any loan facility, borrow any funds or pledge or hypothecate any or all of its assets as security for any borrowing; (C) Change the character or nature of the organization's business to something other than the operation of a hospice and home health agency; (D) Remove or appoint the President and CEO; (E) Execute any deed, mortgage, note or bond; (F) Adopt or amend the annual operating and/or capital budgets proposed by the President and CEO and the management of the organization; (G) Make any contribution or distribution of assets or property to any person; (H) Amend the Articles of Incorporation of the Corporation; (I) Dissolve, liquidate or otherwise cease to exist as a Not-for-Profit Corporation which is exempt from taxation under Section 501(c)(3) of the Internal Revenue Code; (J) Form, Dissolve, Liquidate, Sell, Merge or otherwise transfer ownership or control of any subsidiary corporation; or (K) Acquire, enjoy, utilize, and dispose of patents, copyrights, and trademarks and any licenses and other rights or interests thereunder or therein.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe organization retains an independent tax advisor to assist management in the preparation and review of its IRS Form 990. Prior to filing the return, management and the independent tax advisor review the return and all required schedules with the Compensation Committee of the Board of Directors. The Compensation Committee is composed of independent directors of the Company. Upon completion of its review, the Compensation Committee recommends to the Executive Committee of the Board of Directors that management be authorized to sign and file the return. Under the Company's by laws the Executive Committee has the authority to take this action on behalf of the Board of Directors. A complete copy of the Form 990 is provided to the full board prior to filing with the IRS and the Executive Committee reports its activities to the Board of Directors on a quarterly basis.
Form 990, Part VI, Line 12c Conflict of interest 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. (CHS) and Affiliates. They further agree that if, at any time subsequent to the submission of the disclosure form, they become aware of any actual or potential conflict of interest or the information previously submitted becomes inaccurate or incomplete, they will promptly notify the CHS Board of Directors, the President and CEO of Chapters Health System, Inc., and the Affiliate Board of Directors. DETERMINATION OF AND REMEDIES FOR CONFLICTS OF INTEREST 1. Disclosure. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts to the Directors (and members of committees) considering the proposed transaction or arrangement. The disclosure shall be made as soon as practicable following the realization by the interested person that an actual or possible conflict of interest exists. Ordinarily, disclosures by interested persons should be to the Chairperson of the Board. When an actual or possible conflict of interest becomes apparent in the course of a Board meeting (or committee meeting), the interested person shall immediately disclose his or her financial interest and related material facts to the presiding Director or officer at such meeting. 2. Determining Whether a Conflict of Interest Exists. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, the interested person shall leave the Board (or committee) meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board (or committee) members shall decide if a conflict of interest exists. 3. Procedures for Addressing the Conflict of Interest. (a) An interested person who has a conflict of interest may make a presentation at the Board (or committee) meeting, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that result in the conflict of interest. The interested person who has a conflict of interest will not be counted as present for determining a majority with respect to the vote on the transaction or arrangement that results in the conflict of interest. (b) The Chairperson of the Board (or committee) shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. (c) After exercising due diligence, the Board (or Committee) shall determine whether CHS and Affiliates can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or business entity that would not give rise to a conflict of interest. (d)If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board (or committee) shall determine by a majority vote of the disinterested Directors (or committee members) whether the transaction or arrangement is in the best interest of CHS and Affiliates and for its own benefit and whether the transaction is fair and reasonable to CHS and Affiliates and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. Violations of the Conflicts of Interest Policy (a) If the Board (or committee) has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform the interested person of the basis for such belief and afford the interested person an opportunity to explain the alleged failure to disclose. (b) If, after hearing the response of the interested person and making such further investigation as may be warranted under the circumstances, the Board (or committee) determines that the interested person has in fact failed to disclose an actual or possible conflict of interest, it shall take such action as it determines to be appropriate, including corrective and disciplinary action. RECORD OF PROCEEDINGS The minutes of the Board (and each committee) shall contain: 1. The name of each person who disclosed or otherwise was found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the Board's (or committee's) decision as to whether a conflict of interest in fact existed. 2. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. PERIODIC REVIEWS To ensure that CHS and Affiliates operate in a manner consistent with their charitable purposes and that it does not engage in activities that could jeopardize their status as organizations exempt from federal income tax, periodic reviews shall be conducted. CHS and Affiliates may, but need not, use an outside advisor to conduct a periodic review. The periodic review shall include, at a minimum, the following subjects: 1. Whether compensation arrangements and benefits are reasonable and are the results of arm's-length bargaining. 2. Whether agreements to provide health care and agreements with other health care providers, employees and third party payers further the charitable purposes of CHS and Affiliates and do not result in private inurement or impermissible private benefit.
Form 990, Part VI, Line 19 Required documents available to the publicThe Organization's Articles of Incorporation are filed with and viewable by the public at the official website of the Department of State, division of corporations. The organization's bylaws and conflict of interest policy are not made available to the public. Unaudited financial statements of the organization are filed and viewable by the public at the official website of the State, division of consumer services. In addition, the organization reports its financial performance each year in its annual report, copies of which are available to the public upon request.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGE IN Beneficial interest in net assets of Chapters Health Foundation - -307848; Net Asset Transfer - 2369412; Total - 2061564;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Chapters Health System Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637592264957ParentFL501(c)(3)Type IINAfalse
Chapters Health Foundation Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637593467282FoundationFL501(c)(3)7Chapters Health System Incfalse
Cornerstone Hospice and Palliative Care Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637592330114Hospice CareFL501(c)(3)10Chapters Health System Incfalse
Cornerstone Health Services Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637611798762Palliative CareFL501(c)(3)10Chapters Health System Incfalse
Hernando Pasco Hospice Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637592217929Hospice CareFL501(c)(3)10Chapters Health System Incfalse
Hospice of Okeechobee Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637593823139Hospice CareFL501(c)(3)7Chapters Health System Incfalse
Lifepath Hospice Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637205276870Hospice CareFL501(c)(3)10Chapters Health System Incfalse
Capital Hospice dba Capital Caring
12470 Telecom DriveSuite 301Temple TerraceFL33637541920770Hospice CareVA501(c)(3)10Capital Caring Healthfalse
Capital Caring Health
12470 Telecom DriveSuite 301Temple TerraceFL33637843773372Medical Support ServicesVA501(c)(3)Type IIChapters Health System Incfalse
Capital Caring Advanced Illness Services Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637843787656Illness, Palliative and Primary Care ServicesVA501(c)(3)10Capital Caring Healthfalse
Capital Caring Stay at Home Services Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637843797085At home medical servicesVA501(c)(3)7Capital Caring Healthfalse
Hope Hospice and Community Services Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637592128697Hospice CareFL501(c)(3)7Chapters Health System Incfalse
Visiting Nurses Association of SW Florida Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637596175593Medical Support ServicesFL501(c)(3)10Hope Hospice & Community Services Incfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
ADVANCED ILLNESS PARTNERS LLC
3180 FAIRVIEW PARK DRIVESUITE 500FALLS CHURCHVA22042853613085MEDICARE DIRECT CONTRACTED MEDICAL SERVICESDENAN/Afalsefalse
Assurity DCE LLC
3535 Little RoadTrinityFL34655850951162Medical ServicesFLNAN/Afalsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Chapters CareNu Inc
12470 Telecom DriveSuite 301Temple TerraceFL33637850850926Population HealthFLNAC Corporationfalse
SECUR Inc
4200 West Cypress StreetSuite 690TampaFL33607881837830Licensed Health PlanFLNAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
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 OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd