CHAPTERS HEALTH FOUNDATION INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHAPTERS HEALTH FOUNDATION INC (EIN 59-3467282)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-02
- IRS object ID
- 202213069349303071
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-02T19:30:27-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 East Las Olas Blvd Suite 1100 | AddressLine1Txt |
| City | Fort Lauderdale | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 333014230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593467282 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chapters Health Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAP | BusinessNameControlTxt |
| Phone | 8138718111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 Telecom Drive Suite 300 | AddressLine1Txt |
| City | Temple Terrace | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33637 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Andrew Molosky | PersonNm |
| Person Title | president & ceo | PersonTitleTxt |
| Signature | 2022-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | David | PersonFirstNm |
| Person Last | ONeil | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRITTNEY KOCAJ | PreparerPersonNm |
| PTIN | P01320603 | PTIN |
| Phone | 9542028600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Andrew Molosky president & ceo | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 telecom drive suite 300 | AddressLine1Txt |
| City | temple terrace | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33637 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,914,294 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | chaptershealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | The Foundation provides the critical resources both financial and in-kind to encourage and promote the delivery of exceptional, post-acute care to those in need irrespective of personal capacity. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 38 | TotalEmployeeCnt |
| Total Volunteers | 510 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,338,495 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,424,211 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $290,606 | PYInvestmentIncomeAmt |
| CY Investment Income | $704,597 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$396,189 | PYOtherRevenueAmt |
| CY Other Revenue | $126,093 | CYOtherRevenueAmt |
| PY Total Revenue | $4,232,912 | PYTotalRevenueAmt |
| CY Total Revenue | $7,254,901 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,167,574 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,471,355 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,977,275 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,346,343 | PYOtherExpensesAmt |
| CY Other Expenses | $836,703 | CYOtherExpensesAmt |
| PY Total Expenses | $5,513,917 | PYTotalExpensesAmt |
| CY Total Expenses | $6,285,333 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,281,005 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $969,568 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,006,635 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,703,109 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,586,058 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,739,769 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,420,577 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,963,340 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission of the Chapters Health Foundation is to provide the critical resources both financial and in-kind to encourage and promote the delivery of exceptional, post-acute care to those in need irrespective of personal capacity. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,043,222 | ExpenseAmt |
| Grant | $3,471,355 | GrantAmt |
| Desc | Chapters Health Foundation Inc. is a not for profit organization that was formed to provide financial support to LifePath Hospice, Inc., (LPH) Hernando-Pasco Hospice, Inc. (HPH) Good Shepherd Hospice, Inc. (GSH) and Hospice of Okeechobee (HOK). THE ORGANIZATION ACCEPTS DONATIONS FROM THE PUBLIC. THE NET PROCEEDS OF THESE VARIOUS ACTIVITIES FLOW TO LPH, HPH, GSH, HOK TO SUPPORT ITS END-OF-LIFE HOSPICE SERVICES. | Desc |
| Total Program Service Expenses | $6,043,222 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 38 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID ONEIL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8138718167 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 TELECOM DRIVE | AddressLine1Txt |
| City | TEMPLE TERRACE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33637 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Andrew Molosky | |||||||||
| PRESIDENT/CEO/CHAIR | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $895,825 | $458,275 | ||
| David J O'Neil | |||||||||
| Chief Financial Officer | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $557,605 | $194,911 | ||
| DONNA TAYLOR | |||||||||
| Treasurer | 1.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Liz Antaya | |||||||||
| VICE CHAIR | 1.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Patricia Melech | |||||||||
| SECRETARY | 1.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sharon P Saucier | |||||||||
| Chief Clinical & Compliance Officer | 0.0 | 48.0 | Yes (X) | Yes (X) | $0 | $344,248 | $60,749 | ||
| CATHY Smith | |||||||||
| BOARD MEMBER (through 5/2021) | 1.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE GERMANN | |||||||||
| BOARD MEMBER (through 5/2021) | 1.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JASON PENROD | |||||||||
| BOARD MEMBER | 1.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| MARYANN CASSELL | |||||||||
| BOARD MEMBER (through 5/2021) | 1.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Peggy Rodebush | |||||||||
| BOARD MEMBER | 1.5 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Randall Woodruff | |||||||||
| BOARD MEMBER | 1.5 | 6.0 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Barb | |||||||||
| BOARD MEMBER (through 5/2021) | 1.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Tim Guidry | |||||||||
| BOARD MEMBER | 1.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Adam Stanfield | |||||||||
| Vice President, Development & Executive Director Foundation | 40.0 | 0 | $212,846 | $0 | $53,539 | Yes (X) | |||
| Elizabeth Anderson | |||||||||
| Director, Philanthropy | 40.0 | 0 | $110,071 | $0 | $27,459 | Yes (X) | |||
| Nena Powers | |||||||||
| Director, Annual Giving | 40.0 | 0 | $101,190 | $0 | $27,282 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $424,107 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,797,678 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $822,216 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $129,871 | FederatedCampaignsAmt |
| Fundraising | $921,617 | FundraisingAmt |
| All Other Contributions | $5,372,723 | AllOtherContributionsAmt |
| Noncash Contributions | $42,199 | NoncashContributionsAmt |
| Total Contributions | $6,424,211 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $301,792 | TotalRevenueColumnAmt |
| Exclusion | $301,792 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,272,830 | SecuritiesAmt |
| Other | $1,435,750 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,887,540 | SecuritiesAmt |
| Other | $1,418,235 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $385,290 | SecuritiesAmt |
| Other | $17,515 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $402,805 | TotalRevenueColumnAmt |
| Exclusion | $402,805 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $67,306 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $921,617 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $226,920 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$159,614 | TotalRevenueColumnAmt |
| Exclusion | -$159,614 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $3,850 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $20,431 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$16,581 | TotalRevenueColumnAmt |
| Exclusion | -$16,581 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $2,408,555 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,106,267 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $302,288 | TotalRevenueColumnAmt |
| Exclusion | $302,288 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,254,901 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $830,690 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,471,355 | TotalAmt |
| Program Services | $3,471,355 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,385 | TotalAmt |
| Program Services | $266,385 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,341,379 | TotalAmt |
| Program Services | $1,249,322 | ProgramServicesAmt |
| Management And General | $92,057 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,408 | TotalAmt |
| Program Services | $248,696 | ProgramServicesAmt |
| Management And General | $18,712 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,103 | TotalAmt |
| Program Services | $96,414 | ProgramServicesAmt |
| Management And General | $5,689 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,658 | TotalAmt |
| Management And General | $13,658 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,646 | TotalAmt |
| Management And General | $1,646 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,655 | TotalAmt |
| Management And General | $14,655 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,269 | TotalAmt |
| Program Services | $53,180 | ProgramServicesAmt |
| Management And General | $6,089 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,709 | TotalAmt |
| Program Services | $15,360 | ProgramServicesAmt |
| Management And General | $4,349 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,824 | TotalAmt |
| Program Services | $170,472 | ProgramServicesAmt |
| Management And General | $13,352 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,095 | TotalAmt |
| Program Services | $819 | ProgramServicesAmt |
| Management And General | $32,276 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,386 | TotalAmt |
| Program Services | $77,630 | ProgramServicesAmt |
| Management And General | $9,756 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,977 | TotalAmt |
| Program Services | $30,624 | ProgramServicesAmt |
| Management And General | $353 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,784 | TotalAmt |
| Program Services | $9,408 | ProgramServicesAmt |
| Management And General | $376 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $893 | TotalAmt |
| Management And General | $893 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,906 | TotalAmt |
| Management And General | $25,906 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Dues & Memberships | $79,041 | $79,041 |
| Cultivation | $241,660 | $241,660 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,200 | TotalAmt |
| Program Services | $32,856 | ProgramServicesAmt |
| Management And General | $2,344 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,285,333 | TotalAmt |
| Program Services | $6,043,222 | ProgramServicesAmt |
| Management And General | $242,111 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,548,898 | BOYAmt |
| EOY | $898,860 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,094,239 | BOYAmt |
| EOY | $4,712,797 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $934,235 | BOYAmt |
| EOY | $1,467,377 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,032 | BOYAmt |
| EOY | $168,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $438,440 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,891,705 | BOYAmt |
| EOY | $438,440 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,341,201 | BOYAmt |
| EOY | $6,988,738 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,325 | BOYAmt |
| EOY | $28,516 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,006,635 | BOYAmt |
| EOY | $14,703,109 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,140,681 | BOYAmt |
| EOY | $1,785,135 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,353 | BOYAmt |
| EOY | $12,713 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,024 | BOYAmt |
| EOY | $941,921 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,586,058 | BOYAmt |
| EOY | $2,739,769 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,433,857 | BOYAmt |
| EOY | $3,519,508 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,986,720 | BOYAmt |
| EOY | $8,443,832 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,420,577 | BOYAmt |
| EOY | $11,963,340 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,006,635 | BOYAmt |
| EOY | $14,703,109 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $969,568 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $126,221 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$553,026 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $339,770 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,320,385 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,113,529 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,338,495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,424,211 | CurrentTaxYearAmt |
| Total | $17,536,390 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $339,770 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,320,385 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,113,529 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,338,495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,424,211 | CurrentTaxYearAmt |
| Total | $17,536,390 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,080,214 | SubstantialContributorsTotAmt |
| Public Support Total170 | $16,456,176 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $193,324 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $170,020 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $181,981 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $182,819 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $301,792 | CurrentTaxYearAmt |
| Total | $1,029,936 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,254,065 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,501,969 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,811,829 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,479,711 | CurrentTaxYearAmt |
| Total | $8,047,574 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $26,613,900 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $0 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.6183 | PublicSupportCY170Pct |
| Public Support PY170 | 0.6126 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - GROSS SALES FROM INVENTORY, COLUMN A - 0.0, COLUMN B - 1213245.0, COLUMN C - 2452369.0, COLUMN D - 1785879.0, COLUMN E - 2408555.0, COLUMN F - 7860048.0; DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS AND GAMING, COLUMN A - 0.0, COLUMN B - 40820.0, COLUMN C - 49600.0, COLUMN D - 25950.0, COLUMN E - 71156.0, COLUMN F - 187526.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,040,571 | BeginningYearBalanceAmt |
| Contributions | $20,457 | ContributionsAmt |
| End Year Balance | $1,061,028 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,017,221 | BeginningYearBalanceAmt |
| Contributions | $23,350 | ContributionsAmt |
| End Year Balance | $1,040,571 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $987,153 | BeginningYearBalanceAmt |
| Contributions | $30,068 | ContributionsAmt |
| End Year Balance | $1,017,221 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $966,052 | BeginningYearBalanceAmt |
| Contributions | $21,101 | ContributionsAmt |
| End Year Balance | $987,153 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $952,006 | BeginningYearBalanceAmt |
| Contributions | $14,046 | ContributionsAmt |
| End Year Balance | $966,052 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.06 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.94 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $438,440 | OtherCostOrOtherBasisAmt |
| Book Value | $438,440 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $438,440 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| GIFT ANNUITY OBLIGATIONS | $390,202 |
| DUE TO RELATED PARTY | $551,719 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $941,921 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,605,278 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $126,221 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$114,807 | OtherRevenueAmt |
| Revenue Not Reported | $11,414 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,593,864 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $14,655 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$2,353,618 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$2,338,963 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,254,901 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,624,296 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,353,618 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,353,618 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,270,678 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $14,655 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,655 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,285,333 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | The Foundation is 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. U.S. GAAP requires that 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 of being 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. The Foundation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Foundation recognizes interest and/or penalties related to income tax matters in income tax expense. The Foundation did not have any amounts accrued for interest and penalties at December 31, 2021 and 2020. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT - -52529 UNCOLLECTIBLE PLEDGES - -62278 |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | COST OF GOODS SOLD - -2106267 FUNDRAISING DIRECT EXPENSES - -226920 GAMING DIRECT EXPENSES - -20431 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | COST OF GOODS SOLD - 2106267 FUNDRAISING DIRECT EXPENSES - 226920 GAMING DIRECT EXPENSES - 20431 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Home Runs for Hospice | Event1Nm |
| Gross Receipts Event1 | $694,095 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $694,095 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $0 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $18,595 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $19,485 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,873 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $24,631 | OtherDirectExpensesEvent1Amt |
| Event2 | Rock the Dock | Event2Nm |
| Gross Receipts Event2 | $197,152 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $149,561 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $47,591 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $7,548 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $32,320 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $17,378 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $44,967 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $97,676 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $77,961 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $19,715 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $2,247 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $6,660 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $9,683 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $4,794 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $36,739 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $988,923 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $921,617 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $67,306 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,247 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $32,803 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $61,488 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $24,045 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $106,337 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $226,920 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$159,614 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| LifePath Hospice INC | ||||||||
| 12470 Telecom Dr | Suite 300 | Temple Terrace | FL | 33637 | 205276870 | 501(C)(3) | $1,653,277 | General Support |
| Good Shepherd Hospice INC | ||||||||
| 12470 Telecom Dr | Suite 300 | Temple Terrace | FL | 33637 | 205276923 | 501(C)(3) | $433,386 | General Support |
| Hernando Pasco Hospice INC | ||||||||
| 12470 Telecom Dr | Suite 300 | Temple Terrace | FL | 33637 | 592217929 | 501(C)(3) | $1,272,365 | General Support |
| Hospice of Okeechobee | ||||||||
| 12470 Telecom Dr | Suite 300 | Temple Terrace | FL | 33637 | 592831397 | 501(C)(3) | $87,344 | General Support |
| Chapters Health System Inc | ||||||||
| 12470 Telecom DR | Suite 300 | Temple Terrace | FL | 33637 | 592264957 | 501(c)(3) | $21,355 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | Grants are made to hospice affiliates LifePath Hospice, Inc., (LPH) Hernando-Pasco Hospice, Inc. (HPH), Good Shepherd Hospice, Inc. (GSH), Hospice of Okeechobee (HOK), and Chapters Health System (CHS). The management team of the grantee organizations is also part of the management team at Chapters Health Foundation, so the Foundation is able to directly monitor use of the grant funds. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Andrew Molosky | ||||||||||||||
| PRESIDENT/CEO/CHAIR | $0 | $622,165 | $0 | $0 | $0 | $273,660 | $0 | $417,609 | $0 | $40,667 | $0 | $1,354,101 | $0 | $259,116 |
| David J O'Neil | ||||||||||||||
| Chief Financial Officer | $0 | $462,368 | $0 | $0 | $0 | $95,237 | $0 | $151,494 | $0 | $43,417 | $0 | $752,516 | $0 | $78,270 |
| Sharon P Saucier | ||||||||||||||
| Chief Clinical & Compliance Officer | $0 | $242,026 | $0 | $0 | $0 | $102,222 | $0 | $45,001 | $0 | $15,748 | $0 | $404,997 | $0 | $91,014 |
| Adam Stanfield | ||||||||||||||
| Vice President, Development & Executive Director Foundation | $208,250 | $0 | $0 | $0 | $4,596 | $0 | $53,539 | $0 | $0 | $0 | $266,385 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE PRESIDENT & CEO IS PAID BY CHAPTERS HEALTH SYSTEM, INC. (A RELATED ORGANIZATION). CHAPTERS HEALTH SYSTEM USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, FORMS 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE HIS COMPENSATION. Chapters Health Foundation, Inc. RELIES ON CHAPTERS HEALTH SYSTEM TO ENSURE COMPENSATION IS REASONABLE. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | CHS (a related organization) HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN WHICH SOME OF THE INTERESTED PERSONS PARTICIPATE. DURING THE YEAR, THE FOLLOWING PAYMENTS WERE MADE BY CHS INTO THE SERP PLANS OF THE PARTICIPANTS: A.Molosky $158,908 D.O'Neil $71,735 S.SAUCIER $37,320 A.STANFIELD $13,628 |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $2,408,555 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Selling cost | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $9,796 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Fundraising event gifts in kind and non cash prizes | Desc |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $32,403 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Securities - Publicly traded - The organization is reporting the number of contributions. Other - Fundraising event gifts in kind and non cash prizes FUNDRAISING EVENT GIFTS IN KIND AND NONCASH PRIZES - THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS FOR DETERMINING 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 in 2021. The president/CEO of CHAPTERS HEALTH FOUNDATION, INC. is paid by Chapters Health System, Inc. The form 990 instructions indicate when the CEO is not paid by the filing organization, the question should be answered "no". |
| Form 990, Part VI, Line 15b PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERS | 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 in 2021. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The Executive Committee, made up of the President and CEO, the Chairperson of the Board, Vice Chairperson of the Board, Secretary of the Board and Treasurer of the Board, 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 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 CHAPTERS HEALTH FOUNDATION, INC. AND ALSO APPROVES CERTAIN SIGNIFICANT DECISIONS MADE BY THE GOVERNING BODY OF CHAPTERS HEALTH FOUNDATION, 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 MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS AND MAY APPOINT REPLACEMENT DIRECTORS WHEN A VACANCY OCCURS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Without the written approval of the Sole Member, the Corporation shall not: 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 PURPOSE, CHARACTER OR NATURE OF THE CORPORATION'S BUSINESS TO OTHER THAN A TAX-EXEMPT, NOT FOR PROFIT CORPORATION ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT AND SUPPORT OF THE TAX-EXEMPT PURPOSES AND MISSION OF THE SOLE MEMBER and its qualifying tax-exempt affiliates, including without limitation, Chapters Health Home Connect, Inc., Hernando-Pasco Hospice, Inc., LifePath Hospice, Inc. and Good Shepherd Hospice, Inc.; D. MAKE ANY CONTRIBUTION OR DISTRIBUTION OF ASSETS OR PROPERTY TO ANY PERSON OTHER THAN THE SOLE MEMBER and its qualifying tax-exempt affiliates, including without limitation, Chapters Health Home Connect, Inc., Hernando-Pasco Hospice, Inc., LifePath Hospice, Inc. and Good Shepherd Hospice, Inc.; E. AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; F. 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. G. Elect individuals to serve on the Corporation's Board of Directors and remove individuals from such Board, with or without cause; H. Remove or appoint the Corporation's Executive Director; I. Adopt or amend the annual operating and/or capital budgets proposed by the Corporation; J. Execute any deed, mortgage, note or bond; K. Form, dissolve, liquidate, sell, merge or otherwise transfer ownership or control of any subsidiary corporation; L. Approve any decision for the Corporation to participate in the Sole Member's obligated group financing structure; and M. 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 | 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 Chapters Health Foundation, Inc. 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 | CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT - -52529; Net Asset Transfer - -438219; Uncollectible pledges - -62278; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HERNANDO PASCO HOSPICE INC | |||||||||||
| 12470 TELECOM DRIVE suite 300 | TEMPLE TERRACE | FL | 33637 | 592217929 | hospice care | FL | 501(c)(3) | 10 | CHS | false | |
| CHAPTERS HEALTH SYSTEM INC | |||||||||||
| 12470 TELECOM DRIVE suite 300 | TEMPLE TERRACE | FL | 33637 | 592264957 | PARENT | FL | 501(c)(3) | Type II | NA | false | |
| LIFEPATH HOSPICE INC | |||||||||||
| 12470 TELECOM DRIVE suite 300 | TEMPLE TERRACE | FL | 33637 | 205276870 | HOSPICE CARE | FL | 501(c)(3) | 10 | CHS | false | |
| CHAPTERS HEALTH HOME CONNECT INC | |||||||||||
| 12470 TELECOM DRIVE suite 300 | TEMPLE TERRACE | FL | 33637 | 275158323 | LONG-TERM CARE | FL | 501(c)(3) | 10 | CHS | false | |
| GOOD SHEPHERD HOSPICE INC | |||||||||||
| 12470 TELECOM DRIVE SUITE 300 | TEMPLE TERRACE | FL | 33637 | 205276923 | HOSPICE CARE | FL | 501(c)(3) | 10 | CHS | false | |
| Hospice of Okeechobee | |||||||||||
| 12470 Telecom Dr | Temple Terrace | FL | 33637 | 592831397 | Hospice Care | FL | 501(c)(3) | 7 | CHS | false | Suite 300 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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