2024-05-14T18:16:01+00:00 2023-09-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2022-10-01 592128697 HOPE HOSPICE AND COMMUNITY SERVICES INC HOPE 8138718111 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 Andrew Molosky President & CEO 2024-05-14 true Todd Webb 999009999 Brittney Kocaj P01320603 9542028600 2022 2023-04-26 12:10:37Z X Andrew Molosky 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 156696915 false X chaptershealth.org X 1981 FL 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 as possible. 12 8 1118 640 0 0 8223401 5548199 129051631 124161880 649149 4399115 -44794 373912 137879387 134483106 0 0 77497609 70234780 0 3025311 68484737 67869527 145982346 138104307 -8102959 -3621201 87257873 64388210 33913355 16730557 53344518 47657653 Hope Hospice and Community Services, Inc. ("Hope") provides hospice services that relieve the suffering of persons residing in its communities affected by life-limiting illnesses and end-of-life issues so all may live as fully and comfortably as possible. false false 82202878 73828307 THE 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 FY23, Hope SERVED 5,783 PATIENTS IN ITS COMMUNITIES AND MAINTAINS 83.6% MARKET SHARE IN THE COUNTIES IT SERVES. THE COMPANY HAS 640 TRAINED VOLUNTEERS WHOSE DONATED TIME IS VALUED AT $733,589. HOPE PROVIDED $480,000 IN CHARITY CARE IN FY23. 44581881 50333573 PLEASE REFER TO SCHEDULE O FOR INFORMATION REGARDING HOPE HOSPICE'S PACE PROGRAM. 126784759 true true false false false false false false false true false false true true true false true false false false false false false true false false false false true false false false false false true false false true false false false false true true true false false true 288 0 true 1118 true false false false false false false false false false false false false X 12 8 false false true false true true true true true false false true true true true true true false false false FL X Todd Webb 8138718111 12470 Telecom Drive Suite 301 Temple Terrace FL 33637 Andrew Molosky President/Chief Executive Officer (Starting 3/1/2023) 2.0 52.0 X X 0 1502847 734556 Bo Turbeville Past Chair 2.0 2.0 X X 0 0 0 Charles Idelson Chair 2.0 2.0 X X 0 0 0 CHARLES O LEE CHIEF ADMINSTRATIVE OFFICER (STARTING 3/1/2023) 2.0 52.0 X X 0 723863 121094 Jerry F Nichols Treasurer (through 9/2023) 2.0 2.0 X X 0 0 0 Samira Beckwith PRESIDENT/CEO 55.0 5.0 X X 619105 0 43285 Sandy Stilwell Youngquist Secretary 2.0 2.0 X X 0 0 0 TODD A WEBB CHIEF FINANCIAL OFFICER (STARTING 3/1/2023) 2.0 53.0 X X 0 452733 112408 West McCann Vice Chair 2.0 2.0 X X 0 0 0 Joe Gammons Director (through 9/2023) 2.0 2.0 X 0 0 0 Lori Shaffer Director 2.0 2.0 X 0 0 0 Rev Tim Halverson Director 2.0 2.0 X 0 0 0 Tom Giles Director 2.0 2.0 X 0 0 0 Trudi Williams Director 2.0 2.0 X 0 0 0 Adam Stanfield VICE PRESIDENT-FOUNDATION (STARTING 3/1/2023) 2.0 42.0 X 0 253254 29097 Jill Lampley CHIEF FINANCIAL OFFICER 45.0 5.0 X 289355 0 23176 Nicole Romence CHIEF PEOPLE OFFICER (STARTING 3/1/2023) 2.0 52.0 X 0 325861 148471 Paola Delp CHIEF BUSINESS DEVELOPMENT OFFICER (STARTING 3/1/2023) 2.0 52.0 X 0 701038 260652 RHONDA G WHITE CHIEF OPERATING OFFICER (STARTING 3/1/2023) 2.0 54.0 X 0 468191 117104 Sheri Anne Strobel Amateau Chief Information Officer (STARTING 3/1/2023) 2.0 52.0 X 0 319720 136205 Tara Friedman CHIEF MEDICAL OFFICER (STARTING 3/1/2023) 2.0 52.0 X 0 168961 5699 Valerie Zolman CHIEF COMPLIANCE OFFICER (STARTING 3/1/2023) 2.0 52.0 X 0 288032 71227 AMY OBJARTEL CHIEF MISSION SUPPORT 40.0 0 X 189315 0 33913 Bridget Montana Chief Operating Officer 40.0 0 X 268261 0 12042 Charlotte King CHIEF HUMAN RESOURCES 40.0 0 X 281989 0 43018 DENISE ANDERSON CHIEF COMPLIANCE OFFICER 40.0 0 X 221910 0 26278 JOHN RIVERA CHIEF INFORMATION OFFICER 40.0 0 X 182346 0 33599 LIZBETH BENACQUISTO EXECUTIVE VICE PRESIDENT 40.0 0 X 157489 0 16310 LUIS CORTES SANTIAGO CHIEF MEDICAL SERVICES 40.0 0 X 320412 0 49460 ROXANNE RILEY VP OF ORGANIZATIONAL EXCELLENCE 40.0 5.0 X 196114 0 24112 Ahmed Hassan HOSPICE PHYSICIAN 40.0 0 X 284917 0 12299 Bakthavatsalam VARDHINI HOSPICE PHYSICIAN 40.0 0 X 276154 0 45517 ROBIN ROSS PACE MEDICAL DIRECTOR 40.0 0 X 257712 0 54549 Sheeja Kanacheril HOSPICE PHYSICIAN 40.0 0 X 259308 0 56806 Susan Krieger Hospice Physician 40.0 0 X 272625 0 42130 4077012 5204499 2253007 75 false true false Lee Memorial Health System PO Box 150107 Cape Coral FL 339150107 Health Care Provider 5758339 NetSmart Technologies PO Box 713519 Philadelphia PA 19171 Medical Record / AR Collections 1615343 Lehigh Acres Health & Rehabilitation 1550 Lee Blvd Lehigh Acres FL 33936 Skilled Nursing Facility 1187050 Comfort Keepers 12480 Brantley Commons Ct Fort Myers FL 33907 Home HealthCare Services 1105306 JBM Healthcare LLC dba Executive Care 16325 S Tamiami Trail Fort Myers FL 33908 Staffing Services 987160 74 43783 358792 5145624 2355806 5548199 Hospice Patient Services 621610 124161880 124161880 0 0 0 0 124161880 865250 865250 0 0 22921188 2813167 16861234 5339256 6059954 -2526089 3533865 3533865 13500 43783 13319 181 181 Food Services Income 722210 13688 13688 Miscellaneous Income 900099 360043 360043 0 0 0 0 373731 134483106 124161880 0 4773027 3671988 3309127 288667 74194 126800 114270 9968 2562 51415088 46334328 4041902 1038858 864631 808634 34240 21757 10342424 9951771 202997 187656 3813849 3448789 291486 73574 348746 321860 26886 83355 76929 6426 168705 155699 13006 12162520 11274247 566780 321493 223837 208804 10456 4577 1408440 1283633 123802 1005 44634 41193 3441 7046573 5022018 829099 1195456 738494 681561 56933 2672795 2226937 424972 20886 758847 619142 68805 70900 Nursing Home - Room & Board 11697849 11697849 Pharmacy 10374989 10374989 Inpatient 5405261 5405261 Oxygen/DME 2721838 2721838 12012644 10705880 1294371 12393 138104307 126784759 8294237 3025311 9346592 10583363 1437368 489114 7850134 7033054 0 0 0 0 527149 468892 2236952 1145588 70458522 37906217 39820557 32552305 24883914 6837779 0 0 1155207 5278115 87257873 64388210 14913355 13698578 0 0 19000000 0 3031979 33913355 16730557 X 53078118 47429306 266400 228347 53344518 47657653 87257873 64388210 X -3621201 -2527197 461533 X false true X true true true X 4610074 10901221 14213000 8223401 5548199 43495895 0 0 4610074 10901221 14213000 8223401 5548199 43495895 0 43495895 821767 709913 710211 973372 865250 4080513 0 0 0 891744 263608 94253 285784 387262 1922651 49499059 610689353 0.8787 0.8971 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - OTHER EXCLUDED REVENUE, COLUMN A - 735213.0, COLUMN B - 156552.0, COLUMN C - 94253.0, COLUMN D - 148824.0, COLUMN E - 373762.0, COLUMN F - 1508604.0; DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 156531.0, COLUMN B - 107056.0, COLUMN C - 0.0, COLUMN D - 136960.0, COLUMN E - 13500.0, COLUMN F - 414047.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3661314 3661314 43723692 24816872 18906820 14499627 8229758 6269869 8561881 4859587 3702294 12008 12008 32552305 Right of Use Assets - Net 4122908 Deposits 1155207 5278115 Lease Liability 3031979 3031979 X 132034900 -2527197 38000 -2489197 134524097 168705 -209696 -40991 134483106 138145400 209798 209798 137935602 168705 0 168705 138104307 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization is a nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal and state income taxes. The Organization's income tax returns are subject to review and examination by federal and state authorities. The Organization is not aware of any activities that would jeopardize its tax-exempt status. The Organization is also not aware of any activities that are subject to tax as unrelated business income, excise, or other taxes. The Organization is in compliance with the income tax standard regarding the recognition and measurement of uncertain tax positions. This guidance clarifies the accounting for uncertainty in income taxes recognized in an Organization's financial statements. The implementation of this standard had no impact on the Organization's financial statements. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Net Assets Released from Restrictions - 38000 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements Fundraising Expenses - -13319 Loss on Disposal of Fixed Assets - -196377 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Loss on Disposal of Fixed Assets - 196377 Fundraising Expenses - 13319 Rounding - 102 Spring Luncheon 57283 43783 13500 11639 1680 0 0 57283 43783 13500 11639 1680 13319 181 false true false false false false false true false Samira Beckwith PRESIDENT/CEO 499571 0 56928 0 62606 0 13146 0 30139 0 662390 0 0 0 Andrew Molosky President/Chief Executive Officer (Starting 3/1/2023) 0 717850 0 250132 0 534866 0 688375 0 46181 0 2237403 0 250000 CHARLES O LEE CHIEF ADMINSTRATIVE OFFICER (STARTING 3/1/2023) 0 523726 0 193480 0 6657 0 72101 0 48993 0 844957 0 0 TODD A WEBB CHIEF FINANCIAL OFFICER (STARTING 3/1/2023) 0 330606 0 115692 0 6435 0 68253 0 44154 0 565141 0 0 Sheri Anne Strobel Amateau Chief Information Officer (STARTING 3/1/2023) 0 270844 0 40000 0 8875 0 132253 0 3952 0 455925 0 40000 Jill Lampley CHIEF FINANCIAL OFFICER 281268 0 0 0 8087 0 12471 0 10705 0 312531 0 0 0 RHONDA G WHITE CHIEF OPERATING OFFICER (STARTING 3/1/2023) 0 335777 0 126098 0 6315 0 99261 0 17843 0 585295 0 0 Paola Delp CHIEF BUSINESS DEVELOPMENT OFFICER (STARTING 3/1/2023) 0 397823 0 98000 0 205215 0 243991 0 16661 0 961689 0 98000 Tara Friedman CHIEF MEDICAL OFFICER (STARTING 3/1/2023) 0 136396 0 30000 0 2565 0 904 0 4795 0 174660 0 0 Nicole Romence CHIEF PEOPLE OFFICER (STARTING 3/1/2023) 0 305000 0 10000 0 10861 0 145995 0 2476 0 474332 0 0 Valerie Zolman CHIEF COMPLIANCE OFFICER (STARTING 3/1/2023) 0 216169 0 71863 0 0 0 38524 0 32703 0 359259 0 0 Adam Stanfield VICE PRESIDENT-FOUNDATION (STARTING 3/1/2023) 0 200304 0 34070 0 18880 0 27428 0 1668 0 282351 0 0 Charlotte King CHIEF HUMAN RESOURCES 272513 0 9476 0 0 0 12395 0 30623 0 325007 0 0 0 Bridget Montana Chief Operating Officer 268261 0 0 0 0 0 11582 0 460 0 280303 0 0 0 DENISE ANDERSON CHIEF COMPLIANCE OFFICER 221910 0 0 0 0 0 9737 0 16541 0 248188 0 0 0 ROXANNE RILEY VP OF ORGANIZATIONAL EXCELLENCE 196114 0 0 0 0 0 8657 0 15455 0 220226 0 0 0 AMY OBJARTEL CHIEF MISSION SUPPORT 189315 0 0 0 0 0 8312 0 25601 0 223228 0 0 0 JOHN RIVERA CHIEF INFORMATION OFFICER 182346 0 0 0 0 0 7998 0 25601 0 215945 0 0 0 LIZBETH BENACQUISTO EXECUTIVE VICE PRESIDENT 145703 0 0 0 11786 0 0 0 16310 0 173799 0 0 0 LUIS CORTES SANTIAGO CHIEF MEDICAL SERVICES 319666 0 0 0 746 0 13146 0 36314 0 369872 0 0 0 Ahmed Hassan HOSPICE PHYSICIAN 271534 0 0 0 13383 0 12199 0 100 0 297216 0 0 0 Bakthavatsalam VARDHINI HOSPICE PHYSICIAN 268886 0 0 0 7268 0 11819 0 33698 0 321671 0 0 0 Susan Krieger Hospice Physician 256799 0 0 0 15826 0 11891 0 30239 0 314755 0 0 0 Sheeja Kanacheril HOSPICE PHYSICIAN 259308 0 0 0 0 0 11583 0 45223 0 316114 0 0 0 ROBIN ROSS PACE MEDICAL DIRECTOR 257712 0 0 0 0 0 11604 0 42945 0 312261 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation PRIOR TO THE AFFILIATION WITH CHAPTERS HEALTH SYSTEM, INC., THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER WAS PAID BY THE ORGANIZATION. THE FOLLOWING WERE USED TO DETERMINE HER COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD, AND FORM 990 OF OTHER ORGANIZATIONS. AFTER THE AFFILIATION WITH CHAPTERS HEALTH SYSTEM, INC., THE PRESIDENT & CEO IS PAID BY CHAPTERS HEALTH SYSTEM, INC. (A RELATED ORGANIZATION). CHAPTERS HEALTH SYSTEM USED THE FOLLOWING TO DETERMINE HIS COMPENSATION: 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. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The organization HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN WHICH SOME OF THE INTERESTED PERSONS PARTICIPATE. No payments were made into the SERP plan during the year. CHS HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN WHICH SOME OF THE INTERESTED PERSONS PARTICIPATE. DURING THE YEAR, THE FOLLOWING PAYMENTS WERE MADE BY CHS INTO THE SERP PLANS OF THE PARTICIPANTS: A.MOLOSKY $315,306 P.DELP $104,287 S.STROBEL $46,897 N.ROMENCE $47,250 Schedule J, Part I, Line 7 Non-fixed payments THE DETERMINATION OF BONUS AND INCENTIVE COMPENSATION AMOUNTS REPORTED ON SCHEDULE J PART II COLUMN B(II) INCLUDE AN OBJECTIVE COMPONENT AND A DISCRETIONARY COMPONENT. BONUSES ARE AWARDED BASED ON PREDETERMINED INDIVIDUAL AND CORPORATE GOALS, AND AT THE DISCRETION OF THE INDIVIDUAL'S IMMEDIATE SUPERVISOR. BO TURBEVILLE BOARD MEMBER OF ORGANIZATION AND CEO OF ACCENT BUSINESS PRODUCTS 40300 ACCENT BUSINESS PRODUCTS PROVIDED OFFICE MACHINES UNDER LEASE AGREEMENTS, TO WHICH PAYMENTS ARE MADE MONTHLY. PAYMENTS MADE DIRECTLY TOTALED $40,300. false Joe Gammons Board Member and Principal, Office Furniture & Design Concepts 86500 The Organization purchased office furniture totaling $86,500. false X 2350749 Other X 2 5057 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - Number of Contributions Form 990, Part III, Line 4b HOPE HOSPICE'S PACE PROGRAM Through Hope PACE (A Program of All-Inclusive Care for the Elderly), aging adults can receive preventive, primary, acute, and long-term care services in Florida's Charlotte, Collier, and Lee counties. The innovative program helps seniors to continue living independently in the place they call home. Upon enrollment, participants may receive: * Primary medical and nursing care * Occupational, physical, and speech therapy * Medications and medical equipment * Laboratory and diagnostic services * All necessary prescription drugs * Skilled home care and personal care aides * Hospitalization, skilled nursing facility care, and end-of-life care * Care from medical specialists in cardiology, nephrology, ophthalmology, dermatology, orthopedics, surgery, and podiatry * Transportation to medical appointments Hope PACE currently serves approximately 500 participants who benefit from assistance with daily activities and socialization at Hope PACE Centers. Light exercise sessions help participants maintain vital body strength, improve balance, and help prevent falls. Games, crafts, gardening, and creative projects keep participants active and involved. Form 990, Part III, Line 4a Hope Hospice Narrative Hope Hospice and Community Services, Inc. provides comprehensive, coordinated health care and support for people living with serious illness and their families in Southwest Florida. Hope began providing volunteer-based hospice services in 1979 and was licensed by the state of Florida in 1984. In the following decades, Hope expanded its mission to include palliative care, pediatric care, and other supportive services, creating a continuum of person-centered care. Today, Hope serves more than 3,000 people with a variety of innovative programs and supportive community services. This comprehensive model of care has garnered the attention of health care agencies, policy makers, and associations around the country. Their continuum of care offers uninterrupted services, helping to prevent unnecessary suffering, emergency room visits, and hospitalizations. With Hope's support, families receive the help they need for the social, emotional, and practical challenges that result from serious illness. Hope's Programs and Services * Hope Hospice provides dignity, comfort, and compassion in life's closing chapter. * Hope Palliative Care helps those with serious illness as they navigate the complexities of care and treatment. Support is available from the time of diagnosis through the entire course of illness. * Hope Kids Care offers comforting care for children with complex medical conditions and their families. Grief counseling services, including Rainbow Trails Camp, are also available to every child in the community. * Hope PACE, a Program of All-Inclusive Care for the Elderly, includes medical and dental care, therapies, personal care, medications, medical supplies, and essential transportation. With Hope's help, participants can live safely in their own homes. * Hope Connections provides practical support to the seniors of Hendry and Glades counties through home-delivered meals, social centers, transportation, housekeeping, and personal care. * Hope Parkinson Program coordinates events, classes, and social opportunities for people with Parkinson's disease and their care partners. Hope helps people experience the best possible quality of life while coping with the effects of this chronic illness. * Hope Healing Hearts supports people coping with grief or emotions related to experiences of change or loss. Professional bereavement counselors provide the necessary tools to address difficult feelings and continue along the path of healing. * Hope VALOR honors veterans for their service to our country with a personalized recognition ceremony. By recognizing the unique needs of America's veterans, Hope can guide them toward a more peaceful ending. * Hope Pet Program allows furry friends to provide unconditional love, companionship, and comfort, helping people and their pets stay together throughout their journey. * Hopeful Wishes make life extra special at a unique moment. By granting heartfelt wishes, Hope can do more than provide medications and therapies - they also fulfill dreams. * Hope Therapies provide a creative outlet for relaxation and stress relief. Through art, music, or massage therapies, people may gain insight into emotions, establish new pathways for healing, and find peace of mind. The generosity of the local community helps Hope to continue expanding essential programs and services. With this important financial support, the organization is able to close the gap between the level of care covered by insurance and the exceptional, comprehensive care that the community deserves. With the continued support of generous friends, Hope can provide comforting, compassionate care to every person in need. Form 990, Part VI, Line 15a PROCESS FOR DETERMINING COMPENSATION PRIOR TO THE AFFILIATION WITH CHAPTERS HEALTH SYSTEM, INC., PRESIDENT/CEO COMPENSATION WAS ESTABLISHED AND APPROVED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE UTILIZED DATA PROVIDED BY INDEPENDENT COMPENSATION CONSULTANT STUDIES TO PROVIDE A BASIS FOR COMPARISON. ADDITIONALLY, AN APPRAISAL OF PERFORMANCE WAS ALSO DISCUSSED WITH ALL BOARD MEMBERS. THE APPROVAL OF THE PRESIDENT/CEO'S COMPENSATION WAS DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES. AFTER THE AFFILIATION WITH CHAPTERS HEALTH SYSTEM, INC., 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". CHAPTERS HEALTH SYSTEM, INC. 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 15b PROCESS FOR DETERMINING COMPENSATION PRIOR TO THE AFFILIATION WITH CHAPTERS HEALTH SYSTEM, INC., THE ORGANIZATION HAD A COMPENSATION PROGRAM WHICH APPLIED TO ALL PERSONNEL EXCEPT THE PRESIDENT/CEO. THE POLICIES AND PROCEDURES DEFINED THE GENERAL RULES OF OPERATION OF THE COMPENSATION PROGRAM AND THE PRESIDENT/CEO AND BOARD RETAINED THE AUTHORITY TO REVISE THE POLICY AS NEEDED FOR THE EFFECTIVE MANAGEMENT OF THE PROGRAM. THE COMPENSATION PROGRAM WAS INITIALLY DEVELOPED BY AN INDEPENDENT HUMAN RESOURCE CONSULTANT AND IS REVIEWED AS NEEDED. THE SALARY STRUCTURE WAS REVIEWED ANNUALLY. AFTER THE AFFILIATION WITH CHAPTERS HEALTH SYSTEM, INC., 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, COO, 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 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 documents Effective March 1, 2023, the articles of incorporation were amended to reflect the affiliation agreement between Hope Hospice and Community Services, Inc. and Chapters Health System, Inc. The amended articles of incorporation name Chapters Health System, Inc. as the sole member of the corporation. The sole member shall have and exercise such reserved rights and powers related to the corporation as set forth in the bylaws. In addition, the amended articles state that the bylaws may be amended, altered, added to or rescinded only with the approval of the sole member. Likewise, the bylaws were amended as of March 1, 2023, naming Chapters Health System, Inc. as the sole member of the corporation. In addition, the amended bylaws lay out the following: - The number, composition, qualifications, authority, and duties of the governing body's voting members; - The number, composition, qualifications, authority, and duties of the organization's officers; - The role of the sole member in governance; - The provisions to amend the bylaws; - The quorum and voting rights requirements of the governing body members; and - The policies or procedures contained within the bylaws regarding compensation, conflicts of interest, and document retention. Form 990, Part VI, Line 6 Classes of members or stockholders The organization has a Sole Member, Chapters Health System, Inc., that both elects the members of the governing body of Hope Hospice and Community Services, Inc. and also approves certain significant decisions made by the governing body of Hope Hospice and Community Services, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The 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 stockholders Without 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; (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 Florida 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 body A Copy of the Organization's Final Form 990 (Including required schedules), as ultimately filed with the IRS, was provided to each voting member of the Board of Directors prior to its filing with the IRS. 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 Hope Hospice and Community Services, 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 public The 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 balances Equity Transfer - 461533; VISITING NURSES ASSOCIATION OF SW FLORIDA INC 12470 TELECOM DRIVE SUITE 301 Temple Terrace FL 33637 596175593 TO PROVIDE HOME AND COMMUNITY BASED HEALTH CARE SERVICES. FL 501(c)(3) 10 HOPE HOSPICE & COMMUNITY SERVICES INC true LIFEPATH HOSPICE INC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 205276870 HOSPICE CARE FL 501(c)(3) 10 CHAPTERS HEALTH SYSTEM INC false 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 false CHAPTERS HEALTH HOME CONNECT INC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 275158323 LONG-TERM CARE FL 501(c)(3) 10 CHAPTERS HEALTH SYSTEM INC false CHAPTERS HEALTH FOUNDATION INC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 593467282 FOUNDATION FL 501(c)(3) 7 CHAPTERS HEALTH SYSTEM INC false 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 false 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 false 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 false 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 false CHAPTERS HEALTH SYSTEM INC 12470 TELECOM DRIVE SUITE 301 Temple Terrace FL 33637 592264957 PARENT FL 501(c)(3) Type II NA false Allcare Medical of Florida LLC 3500 King Street Suite 4 Tampa FL 32926 463626920 Medical Services FL NA N/A Assurity DCE 3535 LITTLE ROAD TRINITY FL 34655 850951162 Medical Services FL NA N/A CHAPTERS CARENU INC 12470 TELECOM DRIVE SUITE 301 TEMPLE TERRACE FL 33637 850850926 POPULATION HEALTH FL NA C Corporation false SECUR INC 4200 WEST CYPRESS STREET SUITE 690 TAMPA FL 33607 881837830 POPULATION HEALTH FL NA C Corporation false false false false false false false false false false false false false true true true false false false true Visiting Nurses Association of SW Florida Inc S 461533 Organization's Accounting Records Schedule R, Part V, Line 1s 461500 The Related Organization has ceased operations, the amount reflects Equity Transfered to the parent Organization