2023-11-15T10:03:27-06:00 2022-12-31 113266576 GRASSI & CO CPA'S PC 750 THIRD AVENUE 28TH FLOOR NEW YORK NY 10017 990EZ 2022-01-01 843773372 CAPITAL CARING HEALTH CAPI 7035382066 3180 FAIRVIEW PARK DRIVE FALLS CHURCH VA 22042 JOSEPH MURRAY CFO 7035382066 2023-11-14 1 JOSEPH MURRAY 999009999 0 JAIME RAPPS P01462990 2126616166 2023-11-14 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X WWW.CAPITALCARING.COM X X 0 X 0 556 556 -556 -865 0 -1421 X 4635 5920 0 255000 4635 260920 5500 262341 -865 -1421 X CAPITAL CARING HEALTH (CCH) WAS FORMED ON 11/27/2019 TO BE A TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATION PURSUANT TO REG. SEC. 1.509(A)4( I)(4)(B). CCH IS THE SOLE MEMBER OF 3 SUPPORTED ORGANIZATIONS;CAPITAL HOSPICE, D/B/A CAPITAL CARING, EXEMPT UNDER SEC. 501(C)(3), CAPITAL CARING ADVANCED ILLNESS SERVICES, INC. AND CAPITAL CARING STAY AT HOME SERVICES, INC., WHICH EACH HAVE APPLIED FOR EXEMPT STATUS UNDER SEC. 501(C)(3). CAPITAL CARING HEALTH'S (CCHS) ACTIVITIES INCLUDE BENEFITTING, SUPPORTING OR FURTHERING THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC MISSIONS OF THE SUPPORTED ORGANIZATIONS, BY PROMOTING, FACILITATING AND ENHANCING THE DELIVERY OF QUALITY, EFFICIENT, EFFECTIVE AND ECONOMICAL HEALTH CARE AND RELATED SERVICES TO, AND IMPROVING AND ENHANCING THE GENERAL HEALTH AND WELLBEING OF, THE COMMUNITIES SERVED FROM TIME TO TIME BY THE SUPPORTED ORGANIZATIONS. CAPITAL CARING HEALTH (CCH) PROVIDED GOVERNANCE AND MANAGEMENT SUPPORT TO BENEFIT ITS THREE SUPPORTED ORGANIZATIONS DURING 2022. 0 556 556 TOM KOUTSOUMPAS PRESIDENT/CEO 1.00 0 0 0 LYNN MENTO BOARD CHARI 1.00 0 0 0 REV DR TYRONE PITTS BOARD VICE CHAIR 1.00 0 0 0 ANGELA WEBB INTERIM TREASURER 1.00 0 0 0 JOHN ADAMS BOARD MEMBER 1.00 0 0 0 CLIFFORD E BARNES BOARD MEMBER 1.00 0 0 0 JEANNINE ENGLISH BOARD MEMBER 1.00 0 0 0 BILL NOVELLI BOARD MEMBER 1.00 0 0 0 DIANE TY BOARD MEMBER 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THE ORGANIZATION 3180 FAIRVIEW PARK DRIVE SUITE 500 FALLS CHURCH VA 22042 7035382066 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X X 3 CAPITAL HOSPICE 541920770 9 1 0 0 CAPITAL CARING STAY AT HOME SERVICES INC 843797085 7 1 0 0 CAPITAL CARING ADVANCED ILLNESS SERVICES INC 843797085 7 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION D, LINE 3: THE ORGANIZATION'S SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS AT ALL TIMES DURING THE TAX YEAR. EACH OF THE SUPPORTED ORGANIZATIONS SHARE NUMEROUS COMMON OFFICERS AND DIRECTORS WITH THE SUPPORTING ORGANIZATION. SPECIFICALLY, THE INDIVIDUALS WHO SERVE AS PRESIDENT/CEO, BOARD CHAIR, BOARD VICE CHAIR, AND TREASURER OF EACH SUPPORTED ORGANIZATION ALSO SERVE IN THOSE SAME POSITIONS FOR THE SUPPORTING ORGANIZATION. THERE ARE ALSO FIVE COMMON BOARD MEMBERS WHO SERVE ON THE BOARDS OF EACH SUPPORTED ORGANIZATION AS WELL AS THE BOARD OF THE SUPPORTING ORGANIZATION. PART IV, SECTION E, LINE 3A: THE SUPPORTING ORGANIZATION IS THE SOLE MEMBER OF EACH SUPPORTED ORGANIZATION, AND, AS SUCH, HAS THE POWER TO APPOINT ALL DIRECTORS OF EACH SUPPORTED ORGANIZATION. PART IV, SECTION E, LINE 3B: AS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS, THE CORPORATION EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF THE SUPPORTED ORGANIZATION AND A MAJORITY OF THE OFFICERS, DIRECTORS, OR TRUSTEES OF THE SUPPORTED ORGANIZATIONS IS APPOINTED OR ELECTED, DIRECTLY OR INDIRECTLY, BY THE GOVERNING BODY, MEMBERS OF THE GOVERNING BODY, OR OFFICERS (ACTING IN THEIR OFFICIAL CAPACITY) OF THE CORPORATION. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: BANK FEES. AMOUNT: 556. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: INTERCOMPANY RECEIVABLE. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 255,000. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: RECEIVABLE FROM RELATED PARTIES CAPITAL HOSPICE. BEG. OF YEAR AMOUNT: 500. END OF YEAR AMOUNT: 0. DESCRIPTION: RECEIVABLE FROM RELATED PARTIES CAPITAL CARING STAY AT HOME SERVICES. BEG. OF YEAR AMOUNT: 5,000. END OF YEAR AMOUNT: 183,528. DESCRIPTION: RECEIVABLE FROM RELATED PARTIES CAPITAL CARING ADVANCED ILLNESS. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 10,500. DESCRIPTION: RECEIVABLE FROM RELATED PARTIES PCA LLC. BEG. OF YEAR AMOUNT: 0. END OF YEAR AMOUNT: 68,313. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.