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HERNANDO-PASCO HOSPICE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HERNANDO-PASCO HOSPICE INC (EIN 59-2217929)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-07
IRS object ID
201623129349300227
Schema version
2015v2.1
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)
Return2016-11-07T10:01:09-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker DriveAddressLine1Txt
Address Line2Suite 2600AddressLine2Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592217929EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hernando Pasco Hospice IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHERNBusinessNameControlTxt
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 O'NEILPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Signature2016-10-18SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE BENCIKPreparerPersonNm
PTINP00756195PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HPH HospiceBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Kathy Fernandez president & ceoBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line112470 telecom driveAddressLine1Txt
CityTEMPLE TERRACECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33637ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,803,260GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.hph-hospice.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or Missionthe organization provides medical & supportive services to individuals & their families living in hernando, pasco, & citrus counties in fl who are facing the crisis of a terminal illness in their lives.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee574TotalEmployeeCnt
Total Volunteers745TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$232,925PYContributionsGrantsAmt
CY Contributions Grants$1,500,000CYContributionsGrantsAmt
PY Program Service Revenue$10,754,471PYProgramServiceRevenueAmt
CY Program Service Revenue$33,301,128CYProgramServiceRevenueAmt
PY Investment Income$92PYInvestmentIncomeAmt
CY Investment Income$2,132CYInvestmentIncomeAmt
PY Other Revenue$3,326,811PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$14,314,299PYTotalRevenueAmt
CY Total Revenue$34,803,260CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,913,530PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,338,504CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,529,712PYOtherExpensesAmt
CY Other Expenses$16,671,413CYOtherExpensesAmt
PY Total Expenses$11,443,242PYTotalExpensesAmt
CY Total Expenses$41,009,917CYTotalExpensesAmt
PY Revenues Less Expenses$2,871,057PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,206,657CYRevenuesLessExpensesAmt
Total Assets BOY$11,993,342TotalAssetsBOYAmt
Total Assets EOY$3,362,260TotalAssetsEOYAmt
Total Liabilities BOY$5,484,307TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,584,253TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,509,035NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$221,993NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES A FULL PROGRAM OF MEDICAL AND SUPPORTIVE SERVICES TO INDIVIDUALS AND THEIR FAMILIES LIVING IN HERNANDO, PASCO, AND CITRUS COUNTIES IN FLORIDA WHO ARE FACING THE CRISIS OF A TERMINAL ILLNESS IN THEIR LIVES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$41,009,917ExpenseAmt
Revenue$33,301,128RevenueAmt
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, CHILDREN'S BEREAVEMENT PROGRAM. CARE SERVICES ARE PROVIDED AT HOME, IN ASSISTED LIVING AND NURSING HOME ENVIRONMENTS, OR IN HOSPICE CARE CENTERS. In 2015, Hernando-Pasco Hospice served 4,088 patients in its communities. Hernando-Pasco Hospice maintains 52% market share in Hernando, Pasco and Citrus counties in 2015. The company has 745 trained volunteers whose donated time is valued at $624,729. Hernando-Pasco Hospice provided $600,000 in charity care in 2015.Desc
Total Program Service Expenses$41,009,917TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
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
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document332IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee574EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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
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 VenturefalseInvestmentInJointVentureInd
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 O'NEILBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8138718167PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112470 TELECOM DRIVEAddressLine1Txt
CityTEMPLE TERRACECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33637ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RAY VICK
VICE CHAIRMAN (PARTIAL YEAR)2.00Yes (X)Yes (X)$0$0$0
Randall Woodruff
Chair2.01.5Yes (X)Yes (X)$0$0$0
Kathy Fernandez
President/CEO (PARTIAL YEAR)2.048.0Yes (X)Yes (X)$0$726,495$150,106
Eva Allen
Secretary2.00Yes (X)Yes (X)$0$0$0
Donald Welch
Board Member (Partial Year)2.02.0Yes (X)$0$0$0
Theresa Brock
Board Member (partial year)2.01.5Yes (X)$0$0$0
Brian Corley
Board Member (Partial Year)2.00Yes (X)$0$0$0
George Germann
Board Member (Partial Year)2.01.5Yes (X)$0$0$0
Amanda Martin
Board Member2.00Yes (X)$0$0$0
William McGavern
Board Member2.00Yes (X)$0$0$0
Michael McHugh
Board Member (partial year)2.01.5Yes (X)$0$0$0
Joseph Pino
Board Member (partial year)2.00Yes (X)$0$0$0
Clarence Prevatt Jr
Board Member2.01.5Yes (X)$0$0$0
Bradley Ruben
Board Member2.00Yes (X)$0$0$0
Graham Smith
Board Member (Partial Year)2.00Yes (X)$0$0$0
Clifford Colin
Medical Director (Partial Year)40.00Yes (X)$41,250$0$0
Gary McCarragher
Medical Director40.00Yes (X)$112,991$0$853
Evelyn Passarella
Director of Compliance40.00Yes (X)$105,519$0$5,143
JAY CAWLEY
BOARD MEMBER (PARTIAL YEAR)2.00Yes (X)$0$0$0
DORIS GRASKA
BOARD MEMBER (PARTIAL YEAR)2.00Yes (X)$0$0$0
H Darrell White
Chief Legal Officer (partial year)2.046.0Yes (X)$0$288,543$221,145
Peggy Bertels
Chief Operating Officer (partial year)2.046.0Yes (X)$0$217,831$83,515
David O'Neil
Chief Financial Officer (partial year)2.046.0Yes (X)$0$339,601$193,978
Sharon Saucier
Chief Compliance & Clinical Officer (partial year)2.046.0Yes (X)$0$150,882$5,686
Ronald Schonwetter
Chief Medical Officer (partial year)2.046.0Yes (X)$0$428,226$286,330
Jaysen Roa
Executive Director (Partial Year)2.040.0Yes (X)$43,967$92,281$6,110
Thomas Barb
Executive Director (partial year)40.05.0Yes (X)$576,165$0$66,540
Walter Richard Young
CFO (partial year)40.00Yes (X)$250,952$0$865
alan Rice
DIRECTOR, MIS40.00$195,954$0$6,806Yes (X)
Thomas Uehlinger
pharmacist40.00$151,745$0$7,740Yes (X)
douglas freeman
DIRECTOR, HUMAN RESOURCES40.00$123,486$0$10,777Yes (X)
DIANE SKILES
PHARMACIST40.00$121,598$0$2,145Yes (X)
PAUL SAMSON
Director, Pharmacy and DME40.00$118,827$0$4,891Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,842,454TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,243,859TotReportableCompRltdOrgAmt
Total Other Compensation$1,052,630TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
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
Hospice and Palliative Physician Services LLC
4644 Keysville AvenueSpring HillFL34608Patient Services$1,767,579
McKesson Corporation
PO Box 848442DallasTX752848442Patient Services$936,249
McKesson Medical-Surgical
8121 10th Avenue NGolden ValleyMN55427Patient Services$564,082
Access PT Inc
10901 Pinto DriveHudsonFL34669Patient Services$536,308
Ewing and Thomas
5311 Grand BlvdNew Port RicheyFL346526482Patient Services$361,425
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Related Organizations$1,500,000RelatedOrganizationsAmt
Total Contributions$1,500,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621610BusinessCd
Total Revenue Column$33,301,128TotalRevenueColumnAmt
Related Or Exempt Func Income$33,301,128RelatedOrExemptFuncIncomeAmt

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$33,301,128TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,132TotalRevenueColumnAmt
Exclusion$2,132ExclusionAmt

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$34,803,260TotalRevenueColumnAmt
Related Or Exempt Func Income$33,301,128RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,132ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,302,636TotalAmt
Program Services$1,302,636ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,472,903TotalAmt
Program Services$18,472,903ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,713TotalAmt
Program Services$13,713ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,022,095TotalAmt
Program Services$3,022,095ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,527,157TotalAmt
Program Services$1,527,157ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$210,659TotalAmt
Program Services$210,659ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$103,389TotalAmt
Program Services$103,389ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,783,080TotalAmt
Program Services$2,783,080ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$95,206TotalAmt
Program Services$95,206ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,999,465TotalAmt
Program Services$1,999,465ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$500,777TotalAmt
Program Services$500,777ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,266,621TotalAmt
Program Services$2,266,621ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,021,644TotalAmt
Program Services$1,021,644ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$48,993TotalAmt
Program Services$48,993ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$109,066TotalAmt
Program Services$109,066ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$215,960TotalAmt
Program Services$215,960ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$151,270TotalAmt
Program Services$151,270ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DRUGS$5,107,447$5,107,447
CHEMO, RADIATION & THERAPY$963,908$963,908
PATIENT SERVICES$614,768$614,768
INPATIENT AND RESPITE$196,001$196,001

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$283,159TotalAmt
Program Services$283,159ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$41,009,917TotalAmt
Program Services$41,009,917ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$103,803BOYAmt
EOY$2,050EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,764,732BOYAmt
EOY$1,032,364EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,192,746BOYAmt
EOY$873,829EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$74,887BOYAmt
EOY$39,684EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$274,839BOYAmt
EOY$115,961EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,822,352LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,065,424LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$551,275BOYAmt
EOY$756,928EOYAmt

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$6,031,060BOYAmt
EOY$541,444EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,993,342BOYAmt
EOY$3,362,260EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,691,636BOYAmt
EOY$3,023,781EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$792,671BOYAmt
EOY$560,472EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,484,307BOYAmt
EOY$3,584,253EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,509,035BOYAmt
EOY-$516,709EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$294,716EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,509,035BOYAmt
EOY-$221,993EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,993,342BOYAmt
EOY$3,362,260EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,206,657ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$1,064,597PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$540,226OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$664,922CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$748,629CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,111,105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$232,925CurrentTaxYearMinus1YearAmt
Current Tax Year$1,500,000CurrentTaxYearAmt
Total$4,257,581TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,522,780CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,690,410CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,281,012CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,754,471CurrentTaxYearMinus1YearAmt
Current Tax Year$33,301,128CurrentTaxYearAmt
Total$179,549,801TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,187,702CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,439,039CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,392,117CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,987,396CurrentTaxYearMinus1YearAmt
Current Tax Year$34,801,128CurrentTaxYearAmt
Total$183,807,382TotalAmt

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$183,807,382PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,504CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,735CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92CurrentTaxYearMinus1YearAmt
Current Tax Year$2,132CurrentTaxYearAmt
Total$28,507TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,484CurrentTaxYearMinus4YearsAmt
Total$4,484TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,988CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,735CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92CurrentTaxYearMinus1YearAmt
Current Tax Year$2,132CurrentTaxYearAmt
Total$32,991TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,425CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,832CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,326,811CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$3,354,882TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,219,504CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,451,508CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,406,684CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,314,299CurrentTaxYearMinus1YearAmt
Current Tax Year$34,803,260CurrentTaxYearAmt
Total$187,195,255TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9819PublicSupportCY509Pct
Public Support PY5090.9836PublicSupportPY509Pct
Investment Income CY0.0002InvestmentIncomeCYPct
Investment Income PY0.0005InvestmentIncomePYPct
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 MISCELLANEOUS, COLUMN A - 870.0, COLUMN B - 590.0, COLUMN C - 550.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 2010.0; DESCRIPTION - MEDICAL TRANSCRIPT, COLUMN A - 7944.0, COLUMN B - 6835.0, COLUMN C - 11282.0, COLUMN D - 1811.0, COLUMN E - 0.0, COLUMN F - 27872.0; DESCRIPTION - FORGIVENESS OF INTERCOMPANY DEBT, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 3325000.0, COLUMN E - 0.0, COLUMN F - 3325000.0;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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$598,289OtherCostOrOtherBasisAmt
Depreciation$581,249DepreciationAmt
Book Value$17,040BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,224,063OtherCostOrOtherBasisAmt
Depreciation$4,484,175DepreciationAmt
Book Value$739,888BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$756,928TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$898
DEPOSITS$320
OTHER RECEIVABLES
BENEFICIAL INTEREST IN CHAPTERS HEALTH SYSTEM NET ASSETS$540,226
FieldValueIRS element (for citing)
Total Book Value Other Assets$541,444TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE PAYABLE$52,756
SETTLEMENT PAYABLE$507,716
FieldValueIRS element (for citing)
Total Liability$560,472TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationCHS, LPH, GSH, CHC, HPH, HPH Foundation and the Foundation have been recognized by the Internal Revenue Service (IRS) as not-for-profit corporations and are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (IRC) and also from state income taxes under the provisions of Chapter 220.13 of the Florida Income Tax Code. Palliative Care, Pharmacy, and Staffing are also deemed to be tax-exempt as limited liability companies with CHS as sole member. CHS and its affiliated entities income tax returns are subject to review and examination by federal, state and local authorities. CHS and its affiliated entities are not aware of any activities that would jeopardize its tax-exempt status. CHS and its affiliated entities are subject to tax on unrelated business income for management fees received but are not aware of any activities that are subject to excise or other taxes.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (10 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
Kathy Fernandez
President/CEO (PARTIAL YEAR)$0$444,427$0$48,205$0$233,863$0$124,329$0$25,777$0$876,601$0$48,205
H Darrell White
Chief Legal Officer (partial year)$0$265,797$0$20,212$0$2,534$0$199,375$0$21,770$0$509,688$0$20,212
Peggy Bertels
Chief Operating Officer (partial year)$0$209,428$0$0$0$8,403$0$71,550$0$11,965$0$301,346$0$0
David O'Neil
Chief Financial Officer (partial year)$0$306,533$0$21,254$0$11,814$0$162,938$0$31,040$0$533,579$0$21,254
Sharon Saucier
Chief Compliance & Clinical Officer (partial year)$0$140,956$0$5,000$0$4,926$0$0$0$5,686$0$156,568$0$0
Ronald Schonwetter
Chief Medical Officer (partial year)$0$386,295$0$30,933$0$10,998$0$254,925$0$31,405$0$714,556$0$30,526
Thomas Barb
Executive Director (partial year)$238,714$0$0$0$337,451$0$57,842$0$8,698$0$642,705$0$0$0
Walter Richard Young
CFO (partial year)$90,357$0$41,616$0$118,979$0$0$0$865$0$251,817$0$0$0
alan Rice
DIRECTOR, MIS$142,404$0$53,550$0$0$0$5,381$0$1,425$0$202,760$0$0$0
Thomas Uehlinger
pharmacist$106,047$0$31,070$0$14,628$0$0$0$7,740$0$159,485$0$0$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 OF Hernando pasco HOSPICE, INC. IS PAID BY CHAPTERS HEALTH SYSTEM, INC. (A RELATED ORGANIZATION). CHS USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS OR STUDIES, FORMS 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY THE BOARD OR COMMITTEE TO DETERMINE HER COMPENSATION. Hernando pasco HOSPICE, INC. RELIES ON CHS TO ENSURE COMPENSATION IS REASONABLE.
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following severance payments were made in 2015: Walter Richard Young - $48,979 Thomas Uehlinger - $14,628 Paul Samson - $9,780
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planCHS (a related organization) has a supplemental executive retirement plan (SERP) in which some of the interested persons participate. During 2015, the following payments were made by CHS into the SERP plans of the participants: Kathy Fernandez - $217,480 Ronald Schonwetter - $139,158 H. Darrell White - $119,128 David O'Neil - $68,767 Thomas Barb - $337,451 Walter Young - $70,000.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATIONTHE ORGANIZATION ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN ESTABLISHING A COMPENSATION CHARTER THAT DETAILS THE ORGANIZATION'S PROCEDURES FOR SETTING COMPENSATION OF THE 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 CEO AND ALL OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. 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. THE CEO OF hernando pasco hospice, INC. IS PAID BY CHAPTERS HEALTH SYSTEM, INC.
Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATIONSEE NARRATIVE FOR PART VI, LINE 15A
Form 990, Part VI, Line 1a Delegate broad authority to a committeeTHE EXECUTIVE COMMITTEE, MADE UP OF THE PRESIDENT AND CEO, CFO, CHIEF MEDICAL OFFICER, THE VICE CHAIRPERSON OF THE BOARD AND THE SECRETARY, SHALL CARRY OUT THE WORK OF THE BOARD OF DIRECTORS BETWEEN MEETINGS AND AT 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 FLORIDA LAW AND SUBJECT TO THE APPROVAL OF THE SOLE MEMBER.
Form 990, Part VI, Line 4 Significant changes to organizational documentsIN JANUARY OF 2015, THE ARTICLES OF INCORPORATION WERE AMENDED TO REFLECT THE FOLLOWING CHANGES: - THE ROLE OF THE STOCKHOLDERS OR MEMBERSHIP IN GOVERNANCE; - THE QUORUM, VOTING RIGHTS, OR VOTING APPROVAL REQUIREMENTS OF THE GOVERNING BODY MEMBERS OR THE ORGANIZATION'S STOCKHOLDERS OR MEMBERSHIP;
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 HERNANDO PASCO HOSPICE, INC. AND ALSO APPROVES CERTAIN SIGNIFICANT DECISIONS MADE BY THE GOVERNING BODY OF HERNANDO PASCO HOSPICE, INC.
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: (1) SELL, LEASE, OR DISPOSE OF ASSETS, MERGE, COMBINE OR REORGANIZE WITH ANY OTHER ENTITY, CONVERT THE ORGANIZATION'S CORPORATE STRUCTURE TO ANOTHER FORM OR ENTER INTO ANY MANAGEMENT SERVICES AGREEMENT; (2) ENTER INTO ANY LOAN FACILITY, BORROW ANY FUNDS OR PLEDGE OR HYPOTHECATE ANY OR ALL OF ITS ASSETS AS SECURITY FOR ANY BORROWING; (3) CHANGE THE CHARACTER OR NATURE OF THE ORGANIZATION'S BUSINESS TO SOMETHING OTHER THAN THE OPERATION OF A HOSPICE; (4) REMOVE OR APPOINT THE PRESIDENT AND CEO OF THE ORGANIZATION; (5) EXECUTE ANY DEED, MORTGAGE, NOTE OR BOND; (6) ADOPT OR AMEND THE ANNUAL OPERATING AND/OR CAPITAL BUDGETS PROPOSED BY THE PRESIDENT AND CEO AND THE MANAGEMENT OF THE ORGANIZATION; (7) MAKE ANY CONTRIBUTION OR DISTRIBUTION OF ASSETS OR PROPERTY TO ANY PERSON; (8) DISSOLVE, LIQUIDATE OR OTHERWISE CAUSE THE ORGANIZATION TO CEASE TO EXIST AS A FLORIDA NOT-FOR-PROFIT CORPORATION WHICH IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; (9) FORM ANY SUBSIDIARY CORPORATION; OR (10) 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 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 Hernando Pasco Hospice, Inc.' 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 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. 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 Chapters Health System net assets - 540226;
Form 990, Part XII, Line 2c Change of oversight process or selection processHERNANDO PASCO HOSPICE INC is part of the Chapters Health System, Inc. and Subsidiaries consolidated financial statements and therefore the audit is supervised by Chapters health System, Inc.'s audit committee.

Schedule R IRS990ScheduleR

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 OrganizationControlledOrganizationInd
HOSPICE FOUNDATION INC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637593467282FOUNDATIONFL501(c)(3Type IICHSfalse
CHAPTERS HEALTH SYSTEM INC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637592264957PARENTFL501(c)(3Type IINAfalse
GOOD SHEPHERD HOSPICE INC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637205276923HOSPICE CAREFL501(c)(39CHSfalse
JUDGE ALVA CARVER FOUNDATION INC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637200187631SUPPORTFL501(c)(3PFCHSfalse
CHAPTERS HEALTH home connect INC
12470 TELECOM DRIVE SUITE 300TEMPLE TERRACEFL33637275158323LONG-TERM CAREFL501(c)(39CHSfalse
LIFEPATH HOSPICE INC
12470 TELECOM DRIVE STE 300TEMPLE TERRACEFL33637205276870HOSPICE CAREFL501(c)(39CHSfalse
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 OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
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 OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd