2025-11-17T12:18:34+00:00 2024-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2024-01-01 592264957 Chapters Health System Inc CHAP 8138718111 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 Todd Webb CFO 8138718111 2025-11-17 true true BRITTNEY KOCAJ P01320603 9542028600 2025-11-17 2024 2025-03-06 01:10:19Z ANDREW MOLOSKY 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 214229852 false X chaptershealth.org X 1982 FL Provides support and care for people in our community with or affected by advanced illnesses by offering a wide variety of compassionate healthcare choices through its Affiliates. 24 20 886 22 16462 71731 1074868 101194619 132524444 3834099 11830123 60000 32090 105160449 145461525 71731 30023 0 60278838 79517416 0 0 0 41066026 58173387 101416595 137720826 3743854 7740699 209994035 254389388 62123927 68375972 147870108 186013416 Chapters Health System, Inc. (CHS), through its affiliates, provides support and care for people in our community with or affected by advanced illnesses by offering a wide variety of compassionate healthcare choices. CHS also works to promote an understanding of the needs of persons with serious or life-limiting illnesses as well as the needs of its families and caregivers. CHS provides significant management duties, including without limitation, financial and accounting services, human resources, legal services, marketing services and information technology services, to its subsidiaries and wholly owned LLC's via a written management agreement. false false 106742364 30023 132528559 A. Chapters Health System, Inc. provides hospice care and services to patients and families through its hospice affiliates - LifePath Hospice, Inc., Good Shepherd Hospice, Inc., Hernando-Pasco Hospice, Inc., Hospice of Okeechobee, Inc., Cornerstone Hospice and Palliative Care Inc., Capital Hospice dba Capital Caring, and Hope Hospice and Community Service, Inc. All are not-for-profit hospice programs certified by the Federal Medicare Program and provide a wide range of palliative and supportive care services to help terminally ill patients, their families, and their loved ones. In addition, Chapters Health System is the sole member and operates three additional LLC's - Chapters Health Palliative Care, LLC; Chapters Health Pharmacy, LLC, and Chapters Health Staffing, LLC. Chapters Health System provides significant management duties, including without limitation, financial and accounting services, human resources, legal and marketing services, information technology services, to its subsidiaries and wholly owned LLC's via a written Management Agreement. The amount of these services is reflected in the statement of revenue as Shared Services Revenue and Management Fee Income. 106742364 true true false true false false false false false true true false false true true true false true false false false false false false false false false false true true true false false false false false false false false true false false false false false true true true true false false true 921 0 true 886 true true true false false false false false false false false false true false X 24 20 true false false false false false false true true false false false true true true true true true true false true true FL X Todd Webb 8138718111 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 Andrew Molosky PRESIDENT/CEO/VICE CHAIR 22.0 26.0 X X 1594079 0 663374 Jerry Eugene Fogarty Secretary 2.0 0 X X 0 0 0 Randall Woodruff CHAIR 2.0 5.5 X X 0 23459 0 Wendy Terry Treasurer 2.0 2.0 X X 0 0 0 William Becker Jr Immediate Past Chair 2.0 2.0 X X 0 23459 0 BILL NOVELLI BOARD MEMBER 2.0 8.0 X 0 0 0 Charles Idelson BOARD MEMBER 2.0 4.0 X 0 0 0 CLIFFORD RHOADES BOARD MEMBER 2.0 2.0 X 0 0 0 Dr Michael Howell BOARD MEMBER 2.0 2.0 X 0 0 0 Dr Stephen Autry BOARD MEMBER 2.0 2.0 X 0 0 0 Dr Tige Buchanan BOARD MEMBER 2.0 2.0 X 0 0 0 Heath Nailos BOARD MEMBER 2.0 4.0 X 0 0 0 James Joiner BOARD MEMBER 2.0 2.0 X 0 0 0 James Novell BOARD MEMBER 2.0 0 X 0 0 0 Mary Beth Reardon BOARD MEMBER 2.0 0 X 0 0 0 Peggy Rodebush BOARD MEMBER 2.0 1.5 X 0 0 0 Philip D Wegman BOARD MEMBER 2.0 0 X 0 0 0 Phillip Walker BOARD MEMBER 2.0 0 X 0 0 0 Robert Adrid BOARD MEMBER 2.0 0 X 0 0 0 SANDY STILWELL BOARD MEMBER 2.0 0 X 0 0 0 Scott Gerken BOARD MEMBER 2.0 4.0 X 0 0 0 Tom Koutsoumpas Former PRESIDENT & CEO of Capital Caring / BOARD MEMBER 2.0 8.0 X 0 585000 0 Valerie Goddard BOARD MEMBER 2.0 2.0 X 0 0 0 William Haley BOARD MEMBER 2.0 0 X 0 0 0 MICHAEL SHAPIRO Chief Medical Officer - Hospice (Through 3/2024) 2.0 48.0 X 13688 386746 46948 Nicole Romence Chief People Officer 24.0 24.0 X 427298 0 159229 Paola Delp Chief Business Development Officer 24.0 24.0 X 707432 0 21141 RHONDA G WHITE Chief Operating Officer 24.0 24.0 X 509984 0 203486 Sheri Anne Strobel Amateau Chief Information Officer 24.0 24.0 X 454183 0 70395 Tara Friedman Chief Medical Officer 24.0 24.0 X 652983 0 106634 TODD A WEBB CHIEF FINANCIAL OFFICER 20.0 28.0 X 484344 0 179971 Valerie Zolman Chief Compliance Officer 22.0 26.0 X 281000 0 82539 Jason D'Auria Senior Vice President, Operations 40.0 0.0 X 298405 0 79154 Jill Fitzpatrick Vice President, Finance 40.0 0 X 293904 0 44407 Jill Lampley VP of Finance Integration 40.0 0.0 X 292277 0 37138 Marwa El-Menshawi Vice President, Clinical Transformation 10.0 30.0 X 86527 267745 25438 STEWART Wayne STEIN MD Vice President, Medical Services 40.0 0 X 423048 0 55921 CHARLES O LEE Former Chief Administrative Officer 0.0 0.0 X 520000 0 0 David J O'Neil Former CHIEF FINANCIAL OFFICER 0.0 0.0 X 181942 0 9337 Ronald S Schonwetter MD Former Chief Medical Officer 0.0 0.0 X 290512 0 0 7511606 1286409 1785112 151 true true false AYA HEALTHCARE INC 5930 Cornerstone Ct West Suite 30 San Diego CA 92121 Services - Patient 3153160 BUCHANAN INGERSOLL & ROONEY PC 501 Grant Street Suite 200 Pittsburgh PA 15219 Services - Legal 2522141 LAKELAND REGIONAL MEDICAL CENTER INC 1324 Lakeland Hills Blvd Lakeland FL 338055448 Services - Patient 1436424 FLORIDA MEDICAL TRANSPORT 1030 Spring Villas Pt 1000 Winter Spring FL 32708 Services - Transportation 1283505 THE VILLAGES REGIONAL HOSPITAL PO Box 732816 Dallas TX 75373 Services - Patient 1250746 235 1074868 1074868 SHARED SERVICES AGREEMENT 561000 106648105 106648105 PHARMACY 446110 5680929 5680929 RENTAL INCOME FROM AFFILIATES 532000 4595559 4595559 MEDICAL STAFFING SERVICES 900099 15182088 15182088 PALLIATIVE CARE 621610 412988 412988 4775 4775 0 0 132524444 3972746 3972746 0 0 70681354 5944351 67177759 1590568 3503595 4353783 7857377 7857377 Other Income 900099 11513 11513 MSA Revenue 541610 20577 4115 16462 0 0 0 0 32090 145461525 132528559 16462 11841636 30023 30023 7045453 996738 6048715 911983 200705 711278 56389384 56389384 5119767 5119767 5796912 5796912 4253917 4253917 3466966 3466966 529912 529912 232679 232679 257492 257492 3714410 1477681 2236729 0 731813 731813 6508849 6508849 10309839 10309839 5904818 5904818 1346602 1346602 258168 258168 1378746 1378746 12336399 12336399 4037038 4037038 Drugs 2044400 2044400 Contract Cleaning 1021661 1021661 Pre-employment expense 976896 976896 Cultivation 764009 764009 2352690 2352690 0 0 137720826 106742364 30978462 0 10250 10250 8500565 20559916 1839632 163199 0 0 0 0 3000000 4140000 176210 78997 4763406 5453495 183632802 93137471 49260213 90495331 84944211 76723455 0 0 16605428 16397333 40894120 40367412 209994035 254389388 13684500 20920325 767336 630647 9161385 8054425 0 0 20411437 19398060 18099269 19372515 62123927 68375972 X 147870108 186013416 147870108 186013416 209994035 254389388 X 7740699 4398844 26003765 X false true true false X X 11 LIFEPATH HOSPICE INC 205276870 9 true 0 22783673 GOOD SHEPHERD HOSPICE INC 205276923 9 true 0 10711193 HERNANDO PASCO HOSPICE INC 592217929 9 true 0 14494358 HOSPICE OF OKEECHOBEE Inc 592831397 7 true 0 1485001 Cornerstone Health Services Inc 611798762 9 false 0 0 Cornerstone Hospice and Palliative Care Inc 592330114 9 true 0 27778271 Capital Hospice dba Capital Caring 541920770 9 false 0 13032835 Capital Caring Health 843773372 9 false 0 0 Capital Caring Advanced Illness Inc 843787656 9 false 0 0 Capital Caring Stay at Home Services Inc 843797085 7 false 0 0 Hope Hospice and Community Services Inc 592128697 7 false 0 18899965 11 0 109185296 false true false false true true false false false false false false false false false false false Schedule A, Part I, Line 12g AMOUNT OF SUPPORT Chapters Health System, Inc. provides support services to its subsidiaries and its supported organizations in the form of information technology, human resources, legal, fund raising, compliance, finance, management oversight and healthcare personnel. Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name The supporting organization, Chapters Health System, Inc. (CHS), is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the tax-exempt purposes and missions of the supported organizations. Of the eleven supported organizations, LifePath Hospice, Inc. (LPH), Good Shepherd Hospice, Inc. (GSH), Hernando Pasco Hospice, Inc. (HPH), and Hospice of Okeechobee, Inc. (HOK) are mentioned explicitly in the Articles of Incorporation of CHS, while Cornerstone Health Services, Inc. Cornerstone Hospice and Palliative Care, Inc., Capital Hospice dba Capital Caring, Capital Caring Health, Capital Caring Advanced Illness, Inc, Capital Caring Stay at Home Services, Inc, and Hope Hospice and Community Services, Inc. are included by class or purpose, as organizations within the health system that are described in section 501(c)(3) and classified as public charities, with director representation on the board of CHS. Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) CHS supports Capital Hospice dba Capital Caring (CAP) (A 509(A)(2) organization), Capital Caring Advanced Illness, Inc. (CCAI) (A 509(A)(2) organization), Capital Caring Stay at Home Services, Inc. (CCSH) (A 509(A)(1) organization) both directly and through Capital Caring Health (CCH), a supporting organization of each of the Capital entities. Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. Chapters Health Home Connect (CHHC), EIN 27-5158323, ceased operations in 2022 and was dissolved in 2024. As a result, CHHC was removed as a supported organization of CHS in 2024. Schedule A, Part IV, Section C, Line 1 Majority director detail The articles of incorporation of Chapters Health System, Inc. (CHS) identify that the organization is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the tax-exempt purposes and missions of the supported organizations. As a supporting organization, Chapters is supervised and controlled in connection with the supported organizations, and therefore is designated a Type II supporting organization. Chapters meets this classification because the management of Chapters is vested in the same persons that control and manage the supported organizations. The bylaws of each of the supported organizations require that its board of directors shall include Chapters' chief executive officer (who is a voting member of the chapters board of directors) and Chapters' chief financial officer, each of whom shall serve on the board of directors of each supported organization by virtue of and concurrent with their terms of service as officers of chapters. Ex officio, non-voting members of each supported organization include Chapters' Chief operating officer, Chief business development officer, Chief medical officer, Chief people officer, Chief compliance officer, and Chief information officer. At all times, at least one member of the board of directors of Chapters also serves as a voting member of the board of directors of each supported organization. The fact that the management of Chapters is vested in the same persons that control and manage the supported organizations allows Chapters and its supported organizations to function collectively as a health system. Chapters provides management and administrative support to the supported organizations and various clinical services that further the supported organizations' tax-exempt purpose of providing hospice and home health services to the community. The fact that the core leadership team of each of the supported organizations is also Chapters core leadership team assures that Chapters is responsive to the needs and demands of the supported organizations and that Chapters constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 232679 false true 6221 238900 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A lobbyist was hired to represent the organization before the Florida Legislature and the Executive Branch of Florida Government, including the Department of Elder Affairs and the Agency of Health Care Administration, and to provide guidance regarding interaction with legislation and agency staff on matters pertaining to specific issue advocacy, legislative and regulatory developments of concern. In addition, Dues Paid to Florida Hospice & Palliative Care Association (FHPCA) include lobbying expenses. 3493114 61436 3554550 1011599 2481515 3493114 997414 14185 1011599 976957 20457 997414 953607 23350 976957 0.0 1.0 0.0 false true true 17819322 17819322 99459125 42186275 57272850 8209943 6579049 1630894 50562531 40860817 9701714 7581881 3511330 4070551 90495331 Deferred Serp 5265428 Investment in Related Party 18168025 Deposits 2087391 Accrued interest receivable 63665 Right of Use Asset 12835153 Amounts due from related parties, net 1412539 SWAP Asset 535211 40367412 Federal Income Taxes DEFERRED SERP LIABILITIES 5265428 LEASE INCENTIVE OBLIGATION CAPITAL LEASE OBLIGATION 727210 UNCLAIMED PROPERTY 3553 SWAP LIABILITY Right of use liabilities 13376324 19372515 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds The Building Endowment fund provides funds for the necessary maintenance and facility up-keep of all Chapters Health Systems, Inc. (CHS) facilities; the Children's Endowment fund provides funds for specific equipment and staffing to meet the needs of pediatric patients, grieving children and families; The Medical Student endowment provides funds to the Medical Student Program that educates future physicians on the importance of end-of-life care. These endowments are held by Chapters Health Foundation, Inc. (CHF), a related organization, and the programs and facilities of CHF support CHS and its affiliates. Capital Caring Endowment Funds are held until they reach five million dollars at which time, with the board of trustees approval, eighty percent of any earnings can be used to fund operations and the remaining 20 percent would be added to the fund. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Chapters and the affiliate organizations, except for the CareNu entities, are exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely to be realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The applicable Forms 990 have not been subject to examination by the Internal Revenue Service or the state of Florida for the last three years. CHS does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. CHS recognizes interest and/or penalties related to income tax matters in income tax expense. CHS did not have any amounts accrued for interest and penalties at December 31, 2024 and 2023. true Emergency Employee Funds 17 30023 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds Emergency Employee Funds are paid to eligible employees through payroll. X X X X X true true false false false false false false false Andrew Molosky PRESIDENT/CEO/VICE CHAIR 866779 0 550629 0 176671 0 618259 0 45115 0 2257453 0 713591 0 Tom Koutsoumpas Former PRESIDENT & CEO of Capital Caring / BOARD MEMBER 0 0 0 0 0 585000 0 0 0 0 0 585000 0 0 CHARLES O LEE Former Chief Administrative Officer 0 0 0 0 520000 0 0 0 0 0 520000 0 0 0 David J O'Neil Former CHIEF FINANCIAL OFFICER 67908 0 54600 0 59434 0 2100 0 7237 0 191279 0 112836 0 Ronald S Schonwetter MD Former Chief Medical Officer 0 0 0 0 290512 0 0 0 0 0 290512 0 290512 0 Paola Delp Chief Business Development Officer 515817 0 123857 0 67758 0 6680 0 14461 0 728573 0 179081 0 Tara Friedman Chief Medical Officer 529856 0 110725 0 12402 0 103370 0 3264 0 759617 0 110725 0 RHONDA G WHITE Chief Operating Officer 409134 0 92000 0 8850 0 183397 0 20089 0 713470 0 92000 0 TODD A WEBB CHIEF FINANCIAL OFFICER 408773 0 66924 0 8647 0 133667 0 46304 0 664315 0 66924 0 Sheri Anne Strobel Amateau Chief Information Officer 333335 0 70125 0 50723 0 66459 0 3936 0 524578 0 110002 0 Nicole Romence Chief People Officer 348581 0 68198 0 10519 0 124362 0 34867 0 586527 0 68198 0 MICHAEL SHAPIRO Chief Medical Officer - Hospice (Through 3/2024) 13640 341019 0 44280 48 1447 0 0 1605 45343 15293 432089 0 44280 Valerie Zolman Chief Compliance Officer 231982 0 40365 0 8653 0 49615 0 32924 0 363539 0 40365 0 Jason D'Auria Senior Vice President, Operations 270035 0 27830 0 540 0 52339 0 26815 0 377559 0 27500 0 Marwa El-Menshawi Vice President, Clinical Transformation 86252 211154 0 55972 275 619 5617 17383 595 1843 92739 286971 0 40972 Jill Lampley VP of Finance Integration 280484 0 7107 0 4686 0 20992 0 16146 0 329415 0 0 0 STEWART Wayne STEIN MD Vice President, Medical Services 336567 0 50038 0 36443 0 36706 0 19215 0 478969 0 50038 0 Jill Fitzpatrick Vice President, Finance 245243 0 30987 0 17674 0 25901 0 18506 0 338311 0 30987 0 Schedule J, Part I, Line 4a Severance or change-of-control payment During the Year, Chapters Health System, Inc. paid severance to: C.Lee $520,000 During the Year, Capital Hospice paid severance to: J.Koutsoumpas $585,000 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Chapters Health System, Inc. 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 A City of Temple Terrace Florida 596000439 2017-03-23 19365900 TO REFUND THE OUTSTANDING BALANCES OF THE SERIES 2003, SERIES 2004, AND SERIES 2010 BONDS. false false false A 10932000 0 19365900 0 0 0 0 0 0 0 19365900 0 2017 true false true true A false false false false false false 0.0 0.0 0.0 false false 0 false true A false false false true true false 0.0 false false false 0 false false true A true Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: City of Temple Terrace, Florida n/a Schedule K, Part IV, Line 2c COLUMN A Issuer name: City of Temple Terrace, Florida The calculation for computing no rebate due was performed on 03/23/2022 JOHN C O'NEIL FAMILY MEMBER OF FORMER CFO 94879 COMPENSATION FOR SERVICES AS AN EMPLOYEE false Philip Wegman BOARD MEMBER 105826 ARCHITECTURE FIRM PROVIDING SERVICES FOR THE RENOVATION OF THE NEW PORT RICHEY RESOURCE CENTER false Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (Continued from Part III) B. LifePath Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Hillsborough County, Florida. During the year, Lifepath Hospice served 6,417 patients in its communities and maintains 61.7% market share in the counties it serves. The company has 142 trained volunteers whose donated time is valued at $607,964. Lifepath provided $2.047M in charity care. C. Good Shepherd Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Polk, Highlands, Monroe, and Hardee counties in Florida. 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. D. Hernando-Pasco Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Hernando, Pasco, Citrus, Alachua, and Pinellas counties in Florida. During the year, Hernando-Pasco Hospice served 4,850 patients in its communities and maintains 56.4% market share in the counties it serves. The company has 107 trained volunteers whose donated time is valued at $307,084. Hernando-Pasco Hospice provided $971.6K in charity care. E. Hospice of Okeechobee, Inc. is a Medicare-certified agency that provides end-of-life care in Okeechobee, Martin, and St. Lucie counties in Florida. During the year, Hospice of Okeechobee served 320 patients in its communities and maintains 5.1% market share in the counties it serves. The company has 20 trained volunteers whose donated time is valued at $12,463. Hospice of Okeechobee provided $153.3K in charity care. F. Cornerstone Hospice & Palliative Care, Inc. is a Medicare-certified agency that provides end-of-life care in Marion, Lake, Sumter, Orange, and Osceola counties in Florida and some counties in Northern Georgia. During the year, Cornerstone Hospice served 8,139 patients in its communities and maintains 33.4% market share in the counties it serves. The company has 300 trained volunteers whose donated time is valued at $848,884. Cornerstone Hospice provided $3.304M in charity care. G. Capital Hospice dba Capital Caring is a Medicare-certified agency that provides end-of-life care in Virginia, Maryland, and Washington DC. During the year, Capital Caring Hospice served 6,680 patients in its communities and maintains 36.7% market share in the counties it serves. The company has 341 trained volunteers whose donated time is valued at $593,683. Capital Caring Hospice provided $773K in charity care. H. Hope Hospice and Community Services, Inc. is a Medicare-certified agency that provides end-of-life care in Lee, Collier, Charlotte, Glades, and Hendry counties in Florida. During the year, Hope Hospice served 5,702 patients in its communities and maintains 74.6% market share in the counties it serves. The company has 127 trained volunteers whose donated time is valued at $297,557. Hope Hospice provided $158.8K in charity care. I. Chapters Health Palliative Care, LLC provides pain and palliative care consults in hospitals and other facilities in the service area. During the year, the program provided 14,217 patient visits, which included 3,520 new palliative care consults. J. Chapters Health Pharmacy, LLC is a not-for-profit subsidiary that provides medications for the hospice affiliates. Chapters Health Pharmacy improved staff efficiency with electronic medication orders, filling 99,080 prescriptions during the year. K. Chapters Health Staffing, LLC. operates a licensed health care services pool. This company provides temporary staffing of healthcare personnel to other Chapters Health System subsidiaries and enables Chapters Health System to centralize the management of clinical staff whose duties cross between multiple subsidiaries. Chapters Health Staffing staff includes physicians, nurses, respiratory therapists and managers for the oncology program, medical staff and infusion services. L. Chapters Health Foundation is the fundraising entity of Chapters Health System. Through community events and fundraising activities, the Foundation raises funds to support the unfunded programs of the Affiliates which include charity care, community grief support and medical student education. During the year, a total of 7,203 donors contributed $5.918M to the Chapters Heath Foundation through capital campaigns, memorials, realized planned gifts, special events and other gifts. Form 990, Part VI, Line 15b Process to establish compensation of other employees The compensation of all other officers and key employees is determined by the president/ceo. The president/ceo uses comparability data and an independent compensation consultant to determine the compensation. The decisions are documented in each employee's file. This process took place during the year. Form 990, Part VI, Line 1a Delegate broad authority to a committee The executive committee, made up of the president and ceo, chairperson of the board, vice chairperson of the board, treasurer of the board, secretary of the board, immediate past chairperson of the board and no fewer than two additional elected directors and/or elected directors of affiliate boards as appointed by the board chairperson, shall carry out the work of the board of directors between meetings and make recommendations to the board of directors for its action. The executive committee shall have all the authority of the board of directors except that the executive committee is not authorized to: (1) recommend actions or proposals required to be approved by board members; (2) fill vacancies on the board or any committee thereof; or (3) adopt, amend, supplement, restate, repeal, or rescind these bylaws. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons David J. O'Neil, Andrew Molosky, Paola Delp, Randall Woodruff, and William Becker - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body The organization retains an independent tax advisor to assist management in the preparation and review of its IRS Form 990. Prior to filing the return, management and the independent tax advisor review the return and all required schedules with the Compensation Committee of the Board of Directors. The Compensation Committee is composed of independent directors of the Company. Upon completion of its review, the Compensation Committee recommends to the Executive Committee of the Board of Directors that management be authorized to sign and file the return. Under the Company's by laws the Executive Committee has the authority to take this action on behalf of the Board of Directors. A complete copy of the Form 990 is provided to the full board prior to filing with the IRS and the Executive Committee reports its activities to the Board of Directors on a quarterly basis. Form 990, Part VI, Line 12c Conflict of interest policy Annually, each officer, director and key employee signs an acknowledgement and disclosure form attesting that they have read the Conflict of Interest Policy and agreeing to comply fully with its terms and conditions during their services with Chapters Health System, Inc. (CHS) and Affiliates. They further agree that if, at any time subsequent to the submission of the disclosure form, they become aware of any actual or potential conflict of interest or the information previously submitted becomes inaccurate or incomplete, they will promptly notify the CHS Board of Directors, the President and CEO of Chapters Health System, Inc., and the Affiliate Board of Directors. DETERMINATION OF AND REMEDIES FOR CONFLICTS OF INTEREST 1. Disclosure. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts to the Directors (and members of committees) considering the proposed transaction or arrangement. The disclosure shall be made as soon as practicable following the realization by the interested person that an actual or possible conflict of interest exists. Ordinarily, disclosures by interested persons should be to the Chairperson of the Board. When an actual or possible conflict of interest becomes apparent in the course of a Board meeting (or committee meeting), the interested person shall immediately disclose his or her financial interest and related material facts to the presiding Director or officer at such meeting. 2. Determining Whether a Conflict of Interest Exists. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, the interested person shall leave the Board (or committee) meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board (or committee) members shall decide if a conflict of interest exists. 3. Procedures for Addressing the Conflict of Interest. (a) An interested person who has a conflict of interest may make a presentation at the Board (or committee) meeting, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that result in the conflict of interest. The interested person who has a conflict of interest will not be counted as present for determining a majority with respect to the vote on the transaction or arrangement that results in the conflict of interest. (b) The Chairperson of the Board (or committee) shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. (c) After exercising due diligence, the Board (or Committee) shall determine whether CHS and Affiliates can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or business entity that would not give rise to a conflict of interest. (d)If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board (or committee) shall determine by a majority vote of the disinterested Directors (or committee members) whether the transaction or arrangement is in the best interest of CHS and Affiliates and for its own benefit and whether the transaction is fair and reasonable to CHS and Affiliates and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. Violations of the Conflicts of Interest Policy (a) If the Board (or committee) has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform the interested person of the basis for such belief and afford the interested person an opportunity to explain the alleged failure to disclose. (b) If, after hearing the response of the interested person and making such further investigation as may be warranted under the circumstances, the Board (or committee) determines that the interested person has in fact failed to disclose an actual or possible conflict of interest, it shall take such action as it determines to be appropriate, including corrective and disciplinary action. RECORD OF PROCEEDINGS The minutes of the Board (and each committee) shall contain: 1. The name of each person who disclosed or otherwise was found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the Board's (or committee's) decision as to whether a conflict of interest in fact existed. 2. The names of the persons who were present for discussions and votes relating to the transaction or arrangement, the content of the discussion, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. PERIODIC REVIEWS To ensure that CHS and Affiliates operate in a manner consistent with their charitable purposes and that it does not engage in activities that could jeopardize their status as organizations exempt from federal income tax, periodic reviews shall be conducted. CHS and Affiliates may, but need not, use an outside advisor to conduct a periodic review. The periodic review shall include, at a minimum, the following subjects: 1. Whether compensation arrangements and benefits are reasonable and are the results of arm's-length bargaining. 2. Whether agreements to provide health care and agreements with other health care providers, employees and third party payers further the charitable purposes of CHS and Affiliates and do not result in private inurement or impermissible private benefit. Form 990, Part VI, Line 15a Process to establish compensation of top management official The organization engaged an independent compensation consultant to assist in establishing a Compensation Charter that details the organization's procedures for setting compensation of the President/CEO and all other officers and key employees of the organization. The Compensation Charter established the Compensation Committee, the independent body responsible for establishing the compensation of the President/CEO. The Compensation Committee relies on a recent compensation study performed by an independent compensation consultant, which is done on an annual basis, that provides compensation data for similarly qualified persons in comparable organizations to support its decision-making process and reports its activities to the Board of Directors at the next regularly scheduled meeting. The Compensation Committee adequately documents its compensation determinations in the meeting minutes on a timely basis. This process took place during the year. Form 990, Part VI, Line 19 Required documents available to the public The Organization's Articles of Incorporation are filed with and viewable by the public at the official website of the Department of State, division of corporations. The organization's bylaws and conflict of interest policy are not made available to the public. Unaudited financial statements of the organization are filed and viewable by the public at the official website of the State, division of consumer services. In addition, the organization reports its financial performance each year in its annual report, copies of which are available to the public upon request. Form 990, Part VIII, Line 2f Other Program Service Revenue Other - Total Revenue: 4775, Related or Exempt Function Revenue: 4775, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in value of split interest agreement - 252390; Net Asset Transfer - 25751375; Total - 26003765; CHAPTERS HEALTH PALLIATIVE CARE LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 205620723 PALLIATIVE FL 412987 128221 CHAPTERS HEALTH SYSTEM INC CHAPTERS HEALTH PHARMACY LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 208607458 PHARMACY FL 5680929 850769 CHAPTERS HEALTH SYSTEM INC CHAPTERS HEALTH STAFFING LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 264146328 STAFFING FL 15182088 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE Florida LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE North Florida LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE South Florida LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE Central Florida LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE East Florida LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE West Florida LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE California LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE Nevada LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE DC LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE Oregon LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE Maryland LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE Virginia LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health PACE Georgia LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 PACE FL 0 0 CHAPTERS HEALTH SYSTEM INC Absolom Health LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 Inactive FL 0 0 CHAPTERS HEALTH SYSTEM INC Chapters Health West LLC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 Healthcare Holding Company FL 0 0 CHAPTERS HEALTH SYSTEM INC Lifepath Hospice Inc 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 205276870 Hospice Care FL 501(c)(3) 10 Chapters Health System Inc true Good Shepherd Hospice Inc 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 205276923 Hospice Care FL 501(c)(3) 10 Chapters Health System Inc true Chapters Health Foundation Inc 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 593467282 Foundation FL 501(c)(3) 7 Chapters Health System Inc true Hernando Pasco Hospice Inc 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 592217929 Hospice Care FL 501(c)(3) 10 Chapters Health System Inc true Hospice of Okeechobee Inc 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 592831397 Hospice Care FL 501(c)(3) 7 Chapters Health System Inc true Cornerstone Hospice and Palliative Care Inc 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 592330114 Hospice Care FL 501(c)(3) 10 Chapters Health System Inc true Cornerstone Health Services Inc 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 611798762 Palliative Care FL 501(c)(3) 10 Chapters Health System Inc true Capital Hospice dba Capital Caring 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 541920770 Hospice Care VA 501(c)(3) 10 Capital Caring Health true 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