2020-11-10T14:30:35-06:00 2019-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2019-01-01 592264957 Chapters Health System Inc CHAP 8138718111 12470 Telecom Drive Suite 300 Temple Terrace FL 33637 David J O'Neil chief financial officer 2020-11-10 true BRITTNEY KOCAJ P01320603 9542028600 2019 2021-01-29 14:40:06Z ANDREW MOLOSKY President & CEO 12470 Telecom Drive ste 300 Temple Terrace FL 33637 71752020 false X chaptershealth.org X 1982 FL Through its subsidiaries, the organization provides services that relieve the suffering of those affected by life-limiting illnesses & end-of-life issues so all may live as fully & comfortably as possible. 15 14 335 14 0 0 1391752 10284 54036005 57185508 8158916 3884463 290398 158970 63877071 61239225 0 0 26292799 28172437 0 54092 28970053 30030504 55262852 58202941 8614219 3036284 201294664 198991516 41551904 41424644 159742760 157566872 Chapters Health System, Inc. (CHS), through its subsidiary organizations, provides services to 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. (continued on Schedule O) false false 43723823 0 57344478 A. Chapters Health System, Inc. provides hospice care and services to patients and families through its four hospice affiliates - LifePath Hospice, Inc., Good Shepherd Hospice, Inc., Hernando-Pasco Hospice, Inc. and Hospice of Okeechobee, Inc. All four are not-for-profit hospice programs certified by the Federal Medicare Program and provide a wide range of palliative and supportive care services to help terminally ill patients, their families, and their loved ones. In addition, Chapters Health System is the sole member and operates three additional LLC's - Chapters Health Palliative Care, LLC; Chapters Health Pharmacy, LLC and Chapters Health Staffing, LLC. (continued in Sch O). 43723823 true true false true false false false false true true false false false true true false true false false false false false false false false false false false true true false false false false false false false false true false false false false false true true true true false false true 859 0 true 335 true false false false false false true true false false false false false false X 15 14 false false false false false false false true true false false true true true true true true true false true true FL X David J O'Neil 8138718111 12470 Telecom Drive Suite 300 Temple Terrace FL 33637 Andrew Molosky PRESIDENT/CEO 40.0 10.0 X X 797050 0 284798 Graham Smith III Treasurer 2.0 2.0 X X 0 0 0 Lilly Ho-Pehling SECRETARY 2.0 2.0 X X 0 0 0 Randall Woodruff VICE CHAIR 2.0 3.5 X X 0 0 0 William Becker Jr CHAIR 2.0 0 X X 0 0 0 Brian Hinton BOARD MEMBER 2.0 0 X 0 0 0 CLIFFORD RHOADES BOARD MEMBER 2.0 2.0 X 0 0 0 Frank Irby BOARD MEMBER (STARTING 9/2019) 2.0 2.0 X 0 0 0 James Joiner board member 2.0 2.0 X 0 0 0 Janet Davis Board Member 2.0 2.0 X 0 0 0 Jerry Eugene Fogarty Immediate Past Chair 2.0 2.0 X 0 0 0 Mary Reardon BOARD MEMBER 2.0 2.0 X 0 0 0 Philip D Wegman Board Member 2.0 2.0 X 0 0 0 Phillip Walker BOARD MEMBER 2.0 0 X 0 0 0 Richard Lentz Board Member (Through 9/2019) 2.0 2.0 X 0 0 0 Robert Giles Jr Board Member 2.0 0 X 0 0 0 David J O'Neil Chief Financial Officer 40.0 10.0 X 554239 0 181138 DEAN FORMAN CHIEF OPERATING OFFICER 40.0 10.0 X 373475 0 100165 Donald D Evans Chief Integration and Business Development Officer (Through 1/2019) 40.0 10.0 X 171449 0 448 Paola Delp Chief Business Development Officer (Starting 11/2019) 40.0 10.0 X 33715 0 0 Ronald S Schonwetter MD Chief Medical Officer 40.0 10.0 X 610286 0 179720 Sharon P Saucier Chief Compliance & Clinical Officer 40.0 10.0 X 332749 0 76603 Sheryl J Sypek Chief Information Officer 40.0 10.0 X 357936 0 120516 Andrea Miller Medical Director 10.0 40.0 X 145217 159923 19130 Jill Fitzpatrick VP, Finance 40.0 0 X 191110 0 29901 MARY A ALFANO-TORRES MEDICAL DIRECTOR 40.0 0 X 295845 0 30845 STEWART STEIN MD Associate Vice President - Medical Svcs 40.0 0 X 334970 0 38831 SUZANNE WALL VP, Human Resources 40.0 0 X 240815 0 53681 Audra Farish Former Chief Human Resources officer 0.0 0.0 X 148220 0 0 4587076 159923 1115776 47 true true false St Josephs Hospital Inc 3001 W Martin Luther King Blvd Tampa FL 33607 PATIENT SERVICES 1909983 Simione Healthcare Consultants 4130 Whitney Avenue Hamden CT 06518 CONSULTING SERVICES 1295017 University Community Hospital PO Box 864447 Orlando FL 32886 PATIENT SERVICES 871352 The Grove Health & Rehab 124 W Norvell Bryant Hwy Hernando FL 34442 PATIENT SERVICES 860396 Lakeland Regional Medical Center 1324 Lakeland Hills Blvd Lakeland FL 338050488 PATIENT SERVICES 800570 117 10284 10284 SHARED SERVICES AGREEMENT 561000 42046088 42046088 PHARMACY 446110 7905180 7905180 RENTAL INCOME FROM AFFILIATES 532000 3472939 3472939 MEDICAL STAFFING SERVICES 900099 2144638 2144638 PALLIATIVE CARE 624100 1616663 1616663 0 0 0 0 57185508 3002710 3002710 0 0 11394548 10501076 11719 893472 -11719 881753 881753 Commission for lease negotiations 900099 143357 143357 Unclaimed property proceeds 900099 11671 11671 Medical Records 900099 3942 3942 0 0 0 0 158970 61239225 57344478 0 3884463 4174286 571530 3548664 54092 67304 67304 19306361 19306361 772641 772641 2427548 2427548 1424297 1424297 1028044 1028044 259057 259057 184627 184627 305128 305128 3016555 3016555 0 0 214370 214370 4184890 4184890 3526676 3526676 1139090 1139090 325243 325243 90520 90520 1082259 1082259 6642436 6642436 1374811 1374811 Drugs 3897017 3897017 RECRUITMENT 708058 708058 REPAIRS & MAINTENANCE 1137037 1137037 MED, OXYGEN, IV & DMW 107527 107527 807159 807159 0 0 58202941 43723823 14425026 54092 9050 15600 20490080 16763542 0 394434 367789 0 0 0 0 290472 259699 5497539 4099381 117331467 54897970 64544227 62433497 84421326 91414128 1307497 2186399 0 16397333 18511520 7942706 2939961 201294664 198991516 8102311 9538002 15212832 13379676 0 0 15000000 15000000 3236761 3506966 41551904 41424644 X 159742760 157566872 159742760 157566872 201294664 198991516 X 3036284 12694112 -17906284 X false true X true false X X 4 LIFEPATH HOSPICE INC 205276870 9 true 0 26409529 GOOD SHEPHERD HOSPICE INC 205276923 9 true 0 8387626 CHAPTERS HEALTH HOME CONNECT INC 275158323 9 true 0 254581 HERNANDO PASCO HOSPICE INC 592217929 9 true 0 10005625 4 0 45057361 true false false false false false false false false false false false false false false false Schedule A, Part I, Line 12g AMOUNT OF SUPPORT CHAPTERS HEALTH SYSTEM, INC. PROVIDES SUPPORT SERVICES TO ITS SUBSIDIARIES AND ITS SUPPORTED ORGANIZATIONS (LIFEPATH HOSPICE, INC., GOOD SHEPHERD HOSPICE, INC., CHAPTERS HEALTH home connect, INC. AND HERNANDO PASCO HOSPICE, INC.) IN THE FORM OF INFORMATION TECHNOLOGY, HUMAN RESOURCES, LEGAL, FUND RAISING, COMPLIANCE, ACCOUNTING, MANAGEMENT OVERSIGHT AND HEALTHCARE PERSONNEL. Schedule A, Part IV, Section C, Line 1 Majority director detail The articles of incorporation of Chapters Health System, Inc. ("Chapters") identify that the organization is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the tax-exempt purposes and missions of the supported organizations (LifePath Hospice, Good Shepherd Hospice, Chapters Home Health Connect, and Hernando Pasco Hospice). As a supporting organization, Chapters is supervised and controlled in connection with the supported organizations, and therefore is designated a Type II supporting organization. Chapters meets this classification because the management of Chapters is vested in the same persons that control and manage the supported organizations. The bylaws of each of the supported organizations require that the board of directors of each supported organization shall include Chapters' Chief Executive Officer, Chief Operating Officer, Chief Financial Officer, and Chief Medical Officer. The bylaws further require that the management of each supported organization shall include Chapters' Chief Legal Officer and Chief Clinical and Compliance Officer, who will serve as ex-officio nonvoting members of the governing bodies. In addition, there are other members of the supported organization governing boards who also serve as directors on the Chapters board. The fact that the management of Chapters is vested in the same persons that control and manage the supported organizations allows Chapters and its four supported organizations to function collectively as a health system. Chapters provides management and administrative support to the supported organizations and various clinical services that further the supported organizations' tax-exempt purpose of providing hospice and home health services to the community. The fact that the core leadership team of each of the supported organizations is also Chapters core leadership team assures that Chapters is responsive to the needs and demands of the supported organizations and that Chapters constitutes an integral part of and maintains a significant involvement in the operations of the supported organizations. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 184627 false true 2588 187215 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A lobbyist was hired to represent the organization before the Florida Legislature and the Executive Branch of Florida Government, including the Department of Elder Affairs and the Agency of Health Care Administration, and to provide guidance regarding interaction with legislation and agency staff on matters pertaining to specific issue advocacy, legislative and regulatory developments of concern. The organization pays annual dues to the National Hospice and Palliative Care Organization (NHPCO) for its membership. A portion of the total dues paid is indirectly related to lobbying activities. 987153 30068 1017221 966052 21101 987153 952006 14046 966052 938429 13577 952006 750493 181026 6910 938429 0.0644 0.9356 0.0 false true true 6259943 6259943 66920206 25377379 41542827 5549454 2949571 2599883 33774919 25327903 8447016 4826945 1243117 3583828 62433497 DEFERRED SERP LIABILITIES 1180502 LEASE INCENTIVE OBLIGATION 689063 CAPITAL LEASE OBLIGATION 1082511 UNCLAIMED PROPERTY 3571 SWAP LIABILITY 551319 3506966 X Schedule D, Part V, Line 4 Intended uses of endowment funds The Building Endowment fund provides funds for the necessary maintenance and facility up-keep of all Chapters Health Systems, Inc. (CHS) facilities; the Children's Endowment fund provides funds for specific equipment and staffing to meet the needs of pediatric patients, grieving children and families; The Medical Student endowment provides funds to the Medical Student Program that educates future physicians on the importance of end-of-life care. THESE ENDOWMENTS ARE HELD BY CHAPTERS HEALTH FOUNDATION, INC. (CHF), a related organization, AND THE PROGRAMS AND FACILITIES OF CHF SUPPORT CHS AND ITS AFFILIATES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Chapters and the affiliate organizations are exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. 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. CHS does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. CHS recognizes interest and/or penalties related to income tax matters in income tax expense. CHS did not have any amounts accrued for interest and penalties at December 31, 2019 and 2018. X X X X X true true false false false false false false false Andrew Molosky PRESIDENT/CEO 527455 0 255975 0 13620 0 257170 0 27628 0 1081848 0 205975 0 Audra Farish Former Chief Human Resources officer 0 0 0 0 148220 0 0 0 0 0 148220 0 0 0 Ronald S Schonwetter MD Chief Medical Officer 462922 0 135675 0 11689 0 147159 0 32561 0 790006 0 135675 0 David J O'Neil Chief Financial Officer 418632 0 124643 0 10964 0 136324 0 44814 0 735377 0 124288 0 Sheryl J Sypek Chief Information Officer 267957 0 79817 0 10162 0 88938 0 31578 0 478452 0 79817 0 DEAN FORMAN CHIEF OPERATING OFFICER 348266 0 16215 0 8994 0 88007 0 12158 0 473640 0 0 0 Sharon P Saucier Chief Compliance & Clinical Officer 322701 0 0 0 10048 0 59304 0 17299 0 409352 0 0 0 Donald D Evans Chief Integration and Business Development Officer (Through 1/2019) 9425 0 63829 0 98195 0 291 0 157 0 171897 0 161442 0 STEWART STEIN MD Associate Vice President - Medical Svcs 286867 0 45065 0 3038 0 22505 0 16326 0 373801 0 45065 0 MARY A ALFANO-TORRES MEDICAL DIRECTOR 268117 0 25152 0 2576 0 28523 0 2322 0 326690 0 12505 0 Andrea Miller Medical Director 144239 141542 0 17225 978 1156 7890 8897 1101 1242 154208 170062 0 17225 SUZANNE WALL VP, Human Resources 203060 0 35280 0 2475 0 34390 0 19291 0 294496 0 35280 0 Jill Fitzpatrick VP, Finance 167261 0 22308 0 1541 0 13394 0 16507 0 221011 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2019: A.Farish $148,220 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CHS HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN WHICH SOME OF THE INTERESTED PERSONS PARTICIPATE. DURING 2019, THE FOLLOWING PAYMENTS WERE MADE BY CHS INTO THE SERP PLANS OF THE PARTICIPANTS: D.Evans $97,613 A.Molosky $197,744 R.Schonwetter $91,385 D.O'Neil $83,768 S.Saucier $49,239 S.Sypek $53,761 D.Forman $54,932 S.Wall $17,169 A City of Temple Terrace Florida 596000439 2017-03-23 19365900 TO REFUND THE OUTSTANDING BALANCES OF THE SERIES 2003, SERIES 2004, AND SERIES 2010 BONDS. false false false A 5549700 0 19365900 0 0 0 0 0 0 0 19365900 0 2017 true false true true A false true false false 0.0 0.0 0.0 false false false A false true false false true false false false false A false JOHN C O'NEIL FAMILY MEMBER OF DAVID O'NEIL, CFO 67304 Salary and Benefits false Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (continued from part iii) Chapters Health System provides significant management duties, including without limitation, financial and accounting services, human resources, legal and marketing services, information technology services, to its subsidiaries and wholly owned LLC's via a written Management Agreement. The amount of these services is reflected in the statement of revenue as Shared Services Revenue" and Management Fee Income. B. LifePath Hospice, Inc. LifePath Hospice is a Medicare-certified agency that provides end-of-life care in Hillsborough County, Florida. In 2019, LifePath Hospice served 7,334 patients in its community. Lifepath Hospice maintains 93% market share in Hillsborough County in 2019 as they are one of two hospice providers. The company has 797 trained volunteers whose donated time is valued at $690,615. LifePath Hospice provided $1,348,000 in charity care in 2019. C. Good Shepherd Hospice, Inc. Good Shepherd Hospice is a Medicare-certified agency that provides end-of-life care in Polk, Highlands and Hardee counties in Florida. In 2019, Good Shepherd Hospice served 4,216 patients in its communities. Good Shepherd Hospice maintains 53% market share in Polk Highlands and Hardee counties in 2019. The company has 309 trained volunteers whose donated time is valued at $558,299. Good Shepherd Hospice provided $765,000 in charity care in 2019. D. Hernando-Pasco Hospice, Inc. Hernando-Pasco Hospice is a Medicare-certified agency that provides end-of-life care in Hernando, Pasco and Citrus counties in Florida. Hernando-Pasco Hospice also provides home health services in Pasco and Pinellas counties. Hernando-Pasco Hospice affiliated with Chapters Health System, Inc. on February 1, 2015. In 2019, Hernando-Pasco Hospice served 4,407 patients in its communities. Hernando-Pasco Hospice maintains 46% market share in Hernando, Pasco and Citrus counties in 2019. The company has 266 trained volunteers whose donated time is valued at $691,231. Hernando-Pasco Hospice provided $356,000 in charity care in 2019. E. Hospice of Okeechobee, Inc. Hospice of Okeechobee, Inc. 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. Hospice of Okeechobee, Inc. affiliated with Chapters Health System, Inc. on August 1, 2019. In 2019, Hospice of Okeechobee, Inc. served 96 patients in its communities. The company has 48 trained volunteers whose donated time is valued at $41,730. F. Chapters Health Palliative Care, LLC. Chapters Health Palliative Care provides pain and palliative care consults in hospitals and other facilities in Hillsborough and Polk counties. In 2019, Chapters Health Palliative Care provided 10,557 patient visits, which included 3,438 new palliative care consults at three hospitals and three nursing home/rehabilitation centers. G. Chapters Health Pharmacy, LLC Chapters Health Pharmacy is a not-for-profit subsidiary that provides medications for the patients of LifePath Hospice and Good Shepherd Hospice. Chapters Health Pharmacy improved staff efficiency with electronic medication orders, filling 171,055 prescriptions in 2019. Chapters Health Pharmacy provides free delivery of medications for hospice patients, at a cost of more than $1,112,801. H. Chapters Health Staffing, LLC. Chapters Health System established a not-for-profit subsidiary, Chapters Health Staffing, LLC, in 2009. Chapters Health Staffing operates a licensed health care services pool. This company provides temporary staffing of healthcare personnel to other Chapters Health System subsidiaries and enables Chapters Health System to centralize the management of clinical staff whose duties cross between multiple subsidiaries. Chapters Health Staffing staff includes physicians, nurses, respiratory therapists and managers for the oncology program, medical staff and infusion services. I. Chapters Health System Development Department The Chapters Health System Development Department is the fundraising entity for LifePath Hospice and Good Shepherd Hospice. Through community events and fundraising activities, the Development Department raises funds to support the unfunded programs of LifePath Hospice and Good Shepherd Hospice, which include charity care, community grief support and medical student education. In 2019, a total of 11,281 donors contributed $4,845,392 to the Chapters Heath System Development Department through capital campaigns, memorials, realized planned gifts, special events and other gifts. J. Chapters Senior Independence, Inc. (d/b/a Chapters Health Home Connect) Chapters Health Home Connect is a not for profit corporation formed in 2011. Chapters Health Home Connect's mission is to provide services for the support and care of frail elderly persons. Chapters Health Home Connect provided the aforementioned services through Chapters Health PACE (PACE) and Chapters Nursing Home Diversion (Home Diversion). DURING 2013 MANAGEMENT MADE A STRATEGIC DECISION TO DISCONTINUE THE OPERATIONS OF PACE AND HOME DIVERSION. K. CHAPTERS HEALTH FOUNDATION, INC. (f/k/a Hospice Foundation, Inc.) CHAPTERS HEALTH FOUNDATION, INC. (formerly known as Hospice Foundation, Inc.) is a not for profit organization that was originally formed solely to provide financial support to Hernando-Pasco Hospice, Inc. and is 100% controlled by Chapters Health System, Inc. Hospice Foundation Inc. affiliated with Chapters Health System, Inc. on February 1, 2015, and legally changed its name to CHAPTERS HEALTH FOUNDATION, INC. in 2018. Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED FROM PART III) CHS ALSO WORKS TO PROMOTE AN UNDERSTANDING OF THE NEEDS OF PERSONS WITH SERIOUS OR LIFE-LIMITING ILLNESSES AS WELL AS THE NEEDS OF ITS FAMILIES AND CAREGIVERS. CHS PROVIDES SIGNIFICANT MANAGEMENT DUTIES, INCLUDING WITHOUT LIMITATION, FINANCIAL AND ACCOUNTING SERVICES, HUMAN RESOURCES, LEGAL SERVICES, MARKETING SERVICES AND INFORMATION TECHNOLOGY SERVICES, TO ITS SUBSIDIARIES AND WHOLLY OWNED LLC'S VIA A WRITTEN MANAGEMENT AGREEMENT. Form 990, Part VI, Line 15b process to establish compensation of other employees the compensation of all other officers and key employees is determined by the president/ceo. the president/ceo uses COMPARABILITY DATA AND AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE COMPENSATION. THE DECISIONS ARE DOCUMENTED IN EACH EMPLOYEE'S file. THIS PROCESS TOOK PLACE DURING THE YEAR. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE, MADE UP OF THE PRESIDENT AND CEO, CHAIRPERSON OF THE BOARD, VICE CHAIRPERSON OF THE BOARD, TREASURER OF THE BOARD, SECRETARY OF THE BOARD, IMMEDIATE PAST CHAIRPERSON OF THE BOARD AND NO FEWER THAN TWO ADDITIONAL ELECTED DIRECTORS AND/OR ELECTED DIRECTORS OF AFFILIATE BOARDS AS APPOINTED BY THE BOARD CHAIRPERSON, SHALL CARRY OUT THE WORK OF THE BOARD OF DIRECTORS BETWEEN MEETINGS AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR ITS ACTION. THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE AUTHORITY OF THE BOARD OF DIRECTORS except that the Executive Committee is not authorized to: (1) recommend actions or proposals required to be approved by Board members; (2) fill vacancies on the Board or any committee thereof; or (3) adopt, amend, supplement, restate, repeal, or rescind these Bylaws. Form 990, Part VI, Line 11b Review of form 990 by governing body Chapters Health System, Inc. 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 bylaws 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. 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 or the President and CEO of Chapters Health System, 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 Chapters Health System 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 CHS's best interest and for its own benefit and whether the transaction is fair and reasonable to CHS 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 operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. CHS 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 CHS's charitable purposes and do not result in private inurement or impermissible private benefit. Form 990, Part VI, Line 15a Process to establish compensation of top management official The organization engaged an independent compensation consultant to assist in establishing a Compensation Charter that details the organization's procedures for setting compensation of the President/CEO and all other officers and key employees of the organization. The Compensation Charter established the Compensation Committee, the independent body responsible for establishing the compensation of the President/CEO. The Compensation Committee relies on a recent compensation study performed by an independent compensation consultant, which is done on an annual basis, that provides compensation data for similarly qualified persons in comparable organizations to support its decision-making process and reports its activities to the Board of Directors at the next regularly scheduled meeting. The Compensation Committee adequately documents its compensation determinations in the meeting minutes on a timely basis. This is done annually. 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. The organization is required to file its audited consolidated financial statements and other financial information with its annual Medicare cost report. This information is subject to a public records request. 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 Gain on Investment in Affiliate - 52902; Change in value of split interest agreement - -843248; Net Asset Transfer - -17115938; CHAPTERS HEALTH PALLIATIVE CARE LLC 12470 TELECOM DRIVE SUITE 300 TEMPLE TERRACE FL 33637 205620723 PALLIATIVE FL 1616663 0 CHAPTERS HEALTH SYSTEM INC CHAPTERS HEALTH PHARMACY LLC 12470 TELECOM DRIVE SUITE 300 TEMPLE TERRACE FL 33637 208607458 PHARMACY FL 7905180 259699 CHAPTERS HEALTH SYSTEM INC CHAPTERS HEALTH STAFFING LLC 12470 TELECOM DRIVE SUITE 300 TEMPLE TERRACE FL 33637 264146328 STAFFING FL 2144638 0 CHAPTERS HEALTH SYSTEM INC LIFEPATH HOSPICE INC 12470 TELECOM DRIVE SUITE 300 TEMPLE TERRACE FL 33637 205276870 HOSPICE CARE FL 501(c)(3) 10 CHAPTERS HEALTH SYSTEM INC true GOOD SHEPHERD HOSPICE INC 12470 TELECOM DRIVE SUITE 300 TEMPLE TERRACE FL 33637 205276923 HOSPICE CARE FL 501(c)(3) 10 CHAPTERS HEALTH SYSTEM INC true CHAPTERS HEALTH HOME CONNECT INC 12470 TELECOM DRIVE SUITE 300 TEMPLE TERRACE FL 33637 275158323 LONG-TERM CARE FL 501(c)(3) 10 CHAPTERS HEALTH SYSTEM INC true Chapters Health Foundation Inc 12470 TELECOM DRIVE suite 300 TEMPLE TERRACE FL 33637 593467282 Foundation FL 501(c)(3) 7 CHAPTERS HEALTH SYSTEM INC true HERNANDO PASCO HOSPICE INC 12470 TELECOM DRIVE suite 300 TEMPLE TERRACE FL 33637 592217929 HOSPICE CARE FL 501(c)(3) 10 CHAPTERS HEALTH SYSTEM INC true Hospice of Okeechobee Inc 12470 Telecom Drive Suite 300 Temple Terrace FL 33637 592831397 Hospice Care FL 501(c)(3) 10 Chapters Health System Inc true Allcare Medical of Florida LLC 3500 King Street Suite 4 Tampa FL 32926 463626920 Medical Services FL CHAPTERS HEALTH SYSTEM INC Related -380859 1683694 false 0 false 0.9 true false false false true false false false false true false true false false true false true true true LIFEPATH HOSPICE INC A 1056700 FMV GOOD SHEPHERD HOSPICE INC A 1264199 FMV HERNANDO PASCO HOSPICE Inc A 1152040 FMV LIFEPATH HOSPICE INC L 760585 FMV GOOD SHEPHERD HOSPICE INC L 213703 FMV HERNANDO PASCO HOSPICE Inc L 265608 FMV HERNANDO PASCO HOSPICE Inc O 305140 FMV CHAPTERS HEALTH HOME CONNECT Q 254581 FMV LIFEPATH HOSPICE INC Q 25352829 FMV GOOD SHEPHERD HOSPICE INC Q 7123427 FMV HERNANDO PASCO HOSPICE Inc Q 8853585 FMV CHAPTERS HEALTH FOUNDATION INC Q 300000 FMV