VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA INC (EIN 59-6175593)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-05-07
IRS object ID
201821279349301337
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-07T13:00:28-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CliftonLarsonAllen LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112800 University Drive Suite 210AddressLine1Txt
CityFort MyersCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33907ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN596175593EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Visiting Nurses Association of SW Florida IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVISIBusinessNameControlTxt
Phone2393374848PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19470 HealthPark CircleAddressLine1Txt
CityFort MyersCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33908ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJill LampleyPersonNm
Person TitleCFOPersonTitleTxt
Signature2018-05-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMartin Redovan CPAPreparerPersonNm
PTINP01281045PTIN
Phone2392269900PhoneNum
Preparation2016-05-24PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Samira BeckwithBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19470 HealthPark CircleAddressLine1Txt
CityFort MyersCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33908ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,281,530GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.visitingnurseswfl.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTo improve the quality of life for every person we serve by providing compassionate care, and extraordinary service.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,228PYContributionsGrantsAmt
CY Contributions Grants$93CYContributionsGrantsAmt
PY Program Service Revenue$1,031,251PYProgramServiceRevenueAmt
CY Program Service Revenue$1,278,916CYProgramServiceRevenueAmt
PY Investment Income$1,805PYInvestmentIncomeAmt
CY Investment Income$1,171CYInvestmentIncomeAmt
PY Other Revenue$463,686PYOtherRevenueAmt
CY Other Revenue$1,350CYOtherRevenueAmt
PY Total Revenue$1,499,970PYTotalRevenueAmt
CY Total Revenue$1,281,530CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,050,189PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,482,468CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$901,684PYOtherExpensesAmt
CY Other Expenses$262,138CYOtherExpensesAmt
PY Total Expenses$1,951,873PYTotalExpensesAmt
CY Total Expenses$1,744,606CYTotalExpensesAmt
PY Revenues Less Expenses-$451,903PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$463,076CYRevenuesLessExpensesAmt
Total Assets BOY$2,112,389TotalAssetsBOYAmt
Total Assets EOY$3,130,157TotalAssetsEOYAmt
Total Liabilities BOY$2,774,292TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,255,136TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$661,903NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,124,979NetAssetsOrFundBalancesEOYAmt
MissionTo improve the quality of life for every person we serve by providing compassionate care, and extraordinary service.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,553,065ExpenseAmt
Revenue$1,278,916RevenueAmt
DescFor more than 40 years, Visiting Nurses of Southwest Florida (VNA) has provided exceptional home health and private duty nursing care. Volunteers established the Organization in 1966 in cooperation with the Lee County Public Health Department. VNA is Medicare-certified under Florida License #HHN 21277096 and serves Charlotte, Collier, DeSoto, Hendry, Lee, and Sarasota counties. Additionally, the Organization is accredited by the Community Health Accreditation Program (CHAP), the national leader in improving the quality of care in the home care industry. Care is provided in private residences or any place a person calls home. Services include skilled nursing care and home health aides as well as medication management, caregiver education, disease management, wound care, personal care, and physical, occupational, and speech therapies. As a not-for-profit, the Organization's primary focus is the health and wellbeing of its participants.Desc
Total Program Service Expenses$1,553,065TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jill LampleyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2393374848PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19470 HealthPark CircleAddressLine1Txt
CityFort MyersCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33908ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Bo Turbeville
Chair0.51.0Yes (X)Yes (X)$0$0$0
Jerry Nichols
Vice Chair0.51.0Yes (X)Yes (X)$0$0$0
Richard Ackert
Secretary0.51.0Yes (X)Yes (X)$0$0$0
Charles Idelson
Treasurer0.51.0Yes (X)Yes (X)$0$0$0
Sandy Robinson
Past Chair0.51.0Yes (X)Yes (X)$0$0$0
Samira Beckwith
President / CEO5.055.0Yes (X)Yes (X)$0$529,888$38,682
Larry Hart
Board Member0.51.0Yes (X)$0$0$0
Tom Giles
Board Member0.51.0Yes (X)$0$0$0
Madlyn Dornaus
Board Member0.51.0Yes (X)$0$0$0
Noreen DiPlacido
Board Member0.51.0Yes (X)$0$0$0
Rev Dr Tim Halverson
Board Member0.51.0Yes (X)$0$0$0
Joe Gammons
Board Member0.51.0Yes (X)$0$0$0
Bob Simpson
Board Member0.51.0Yes (X)$0$0$0
Sandy Stilwell
Board Member0.51.0Yes (X)$0$0$0
West McCann
Board Member0.51.0Yes (X)$0$0$0
Jill Lampley
Chief Financial Officer5.045.0Yes (X)$0$245,864$28,247
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$775,752TotReportableCompRltdOrgAmt
Total Other Compensation$66,929TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Florida Rehability Inc
3981 Wellington ParkwayPalm HarborFL34684Home Health Services$317,702
Gulf Coast Village Home Health
1333 Santa Barbara BlvdCape CoralFL33991Home Health Staff Services$118,216
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$93AllOtherContributionsAmt
Total Contributions$93TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue623990$1,275,361$1,275,361
Immunization Revenue623990$3,555$3,555

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,278,916TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,171TotalRevenueColumnAmt
Exclusion$1,171ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther IncomeDesc
Business900099BusinessCd
Total Revenue Column$1,350TotalRevenueColumnAmt
Exclusion$1,350ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,350OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,281,530TotalRevenueColumnAmt
Related Or Exempt Func Income$1,278,916RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,521ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,227,070TotalAmt
Program Services$1,077,534ProgramServicesAmt
Management And General$149,536ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$179,352TotalAmt
Program Services$153,779ProgramServicesAmt
Management And General$25,573ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$76,046TotalAmt
Program Services$61,077ProgramServicesAmt
Management And General$14,969ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,979TotalAmt
Program Services$5,794ProgramServicesAmt
Management And General$185ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$124,281TotalAmt
Program Services$124,281ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,697TotalAmt
Program Services$15,687ProgramServicesAmt
Management And General$10ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$367TotalAmt
Program Services$367ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,259TotalAmt
Program Services$1,259ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Repairs & Maintenance$9,987$9,677$310
Dues & Subscriptions$7,037$7,037
Bad Debt$60,366$60,366
Medical Supplies$12,331$12,331

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,834TotalAmt
Program Services$23,876ProgramServicesAmt
Management And General$958ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,744,606TotalAmt
Program Services$1,553,065ProgramServicesAmt
Management And General$191,541ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$925,781BOYAmt
EOY$1,933,160EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,020,045BOYAmt
EOY$1,021,065EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$156,021BOYAmt
EOY$162,034EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,031BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,511BOYAmt
EOY$13,898EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,112,389BOYAmt
EOY$3,130,157EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,045BOYAmt
EOY$49,796EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,731,247BOYAmt
EOY$4,205,340EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,774,292BOYAmt
EOY$4,255,136EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$661,903BOYAmt
EOY-$1,124,979EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$661,903BOYAmt
EOY-$1,124,979EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,112,389BOYAmt
EOY$3,130,157EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$463,076ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$108CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$361CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,228CurrentTaxYearMinus1YearAmt
Current Tax Year$93CurrentTaxYearAmt
Total$3,790TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,082,975CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$184,211CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$920,678CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,031,251CurrentTaxYearMinus1YearAmt
Current Tax Year$1,278,916CurrentTaxYearAmt
Total$4,498,031TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,083,083CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$184,211CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$921,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,034,479CurrentTaxYearMinus1YearAmt
Current Tax Year$1,279,009CurrentTaxYearAmt
Total$4,501,821TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,501,821PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$595CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,533CurrentTaxYearMinus1YearAmt
Current Tax Year$1,171CurrentTaxYearAmt
Total$4,594TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$595CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,533CurrentTaxYearMinus1YearAmt
Current Tax Year$1,171CurrentTaxYearAmt
Total$4,594TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$875CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,864CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,480CurrentTaxYearMinus1YearAmt
Current Tax Year$1,350CurrentTaxYearAmt
Total$20,569TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,084,553CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$184,288CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$935,121CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,041,492CurrentTaxYearMinus1YearAmt
Current Tax Year$1,281,530CurrentTaxYearAmt
Total$4,526,984TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9944PublicSupportCY509Pct
Public Support PY5090.9953PublicSupportPY509Pct
Investment Income CY0.0010InvestmentIncomeCYPct
Investment Income PY0.0010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part III Fiscal Years Identified Because of Short YearPublic Support is measured using a 5-year computation period that includes the current and four prior tax years (including short years). The Organization changed its tax year in 2014 to September 30th, resulting in a short year period. The chart below clarifies the information presented in Schedule A, Part III: Column (a) - Fiscal year ending 6/30/2014 Column (b) - 3 month period ending 9/30/2014 Column (c) - Fiscal year ending 9/30/2015 Column (d) - Fiscal year ending 9/30/2016 Column (e) - Fiscal year ending 9/30/2017
Schedule A, Part III, Line 12 Other IncomeDESCRIPTION - OTHER EXCLUDED REVENUE, COLUMN A - 875.0, COLUMN B - 0.0, COLUMN C - 12864.0, COLUMN D - 5480.0, COLUMN E - 1350.0, COLUMN F - 20569.0;

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescIntercompany PayableDesc
Amt$4,205,340Amt
FieldValueIRS element (for citing)
Total Liability$4,205,340TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,281,500TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$30OtherRevenueAmt
Revenue Not Reported-$30RevenueNotReportedAmt
Revenue Subtotal$1,281,530RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,281,530TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,744,600TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$6OtherExpensesIncludedAmt
Expenses Not Reported-$6ExpensesNotReportedAmt
Expenses Subtotal$1,744,606ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,744,606TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Organization is a nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal and state income taxes. The Organization's income tax returns are subject to review and examination by federal and state authorities. The Organization is not aware of any activities that would jeopardize its tax-exempt status. The Organization is also not aware of any activities that are subject to tax as unrelated business income, excise, or other taxes. The Organization is in compliance with the income tax standard regarding the recognition and measurement of uncertain tax positions. This guidance clarifies the accounting for uncertainty in income taxes recognized in an Organization's financial statements. The implementation of this standard had no impact on the Organization's financial statements.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990Rounding - -30
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990Rounding - -6

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Samira Beckwith
President / CEO$0$452,222$0$46,854$0$30,812$0$11,793$0$26,889$0$568,570$0$0
Jill Lampley
Chief Financial Officer$0$245,864$0$0$0$0$0$10,941$0$17,306$0$274,111$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe Organization relies on the related Organization, Hope Hospice to establish the Compensation of the top Management Official. Hope Hospice uses all of the methods listed in Question #3.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe following contributed to a nonqualified retirement 457(f) plan: Samira Beckwith 18,000; Jill Lampley 18,000

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2a Number of Employees Reported on Form W-3The Salaries, Benefits and Taxes reported on Page 10, Part IX, Lines 5 through 10 are paid by the Related Entity, Hope Hospice and Community Services, Inc.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeDuring the tax year, the Board of Directors delegated broad authority to act on its behalf to an Executive Committee composed of the Chair, Vice Chair, Secretary, and Treasurer. The Executive Committee is authorized to handle any matters referred to it by the Board of Directors. In addition, it is authorized all powers of the Board during the interval between meetings of the Board, except and excluding purchase, sale, lease or encumbering of real property.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsCHARLES IDELSON, SAMIRA BECKWITH, RICHARD ACKERT - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing bodyA copy of the Organization's final Form 990 (including required schedules), as ultimately filed with the IRS, was provided to each voting member of the Board of Directors prior to its filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policyAll Board members and employees are provided a copy of the Conflict of Interest Policy. Employees are required to sign a "Conflict of Interest Disclosure Statement" at the time of hire and to update the information if changes occur. Board Members sign a "Conflict of Interest Disclosure Statement" annually and when changes occur. Records of disclosure statements are maintained by the CEO. During Board Meetings, voting Members are required to disclose whether they have a Conflict of Interest on the issue at hand. If a conflict is identified, the Member is excluded from voting on the issue.
Form 990, Part VI, Line 19 Required documents available to the publicAll requests for documents must be approved by the President / CEO or Treasurer prior to release. The information will be prepared and clearly marked "Audited" or "Un-Audited", as appropriate. The purpose and the intended use of the requested material and the source of the request should be made clear.
Form 990, Part XII, Line 2a ORGANIZATION'S FINANCIAL STATEMENTSTHE ORGANIZATIONS FINANCIAL STATEMENTS WERE COMPILED BY AN INDEPENDENT AUDITOR AS A PART OF THE PREPARATION OF THE MEDICARE COST REPORT FOR THE FISCAL YEAR 10/1/2016 THROUGH 9/30/2017.
Form 990, Part XII, Line 2b ORGANIZATION'S FINANCIAL STATEMENTSTHE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING 9/30/2017 WERE INCLUDED AS A PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF THE RELATED PARTY, HOPE HOSPICE OF SOUTHWEST FLORIDA, INC., AND WERE AUDITED BY AN INDEPENDENT AUDITING FIRM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HOPE HOSPICE & COMMUNITY SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19470 HEALTHPARK CIRCLEAddressLine1Txt
CityFORT MYERSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33908ZIPCd
FieldValueIRS element (for citing)
EIN592128697EIN
Primary ActivitiesHealthCare Service OrganizationPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOPE HOSPICE & COMMUNITY SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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