VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA INC (EIN 59-6175593)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-06-30
IRS object ID
201711819349300216
Schema version
2015v3.0
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)
Return2017-06-30T11:00:32-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Line16810 International Center BlvdAddressLine1Txt
CityFort MyersCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33912ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

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
Signature2017-06-30SignatureDt
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)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$1,538,798GrossReceiptsAmt
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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$361PYContributionsGrantsAmt
CY Contributions Grants$3,228CYContributionsGrantsAmt
PY Program Service Revenue$920,678PYProgramServiceRevenueAmt
CY Program Service Revenue$1,031,251CYProgramServiceRevenueAmt
PY Investment Income$1,218PYInvestmentIncomeAmt
CY Investment Income$1,805CYInvestmentIncomeAmt
PY Other Revenue$12,864PYOtherRevenueAmt
CY Other Revenue$463,686CYOtherRevenueAmt
PY Total Revenue$935,121PYTotalRevenueAmt
CY Total Revenue$1,499,970CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$621,679PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,050,189CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$528,758PYOtherExpensesAmt
CY Other Expenses$901,684CYOtherExpensesAmt
PY Total Expenses$1,150,437PYTotalExpensesAmt
CY Total Expenses$1,951,873CYTotalExpensesAmt
PY Revenues Less Expenses-$215,316PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$451,903CYRevenuesLessExpensesAmt
Total Assets BOY$1,525,433TotalAssetsBOYAmt
Total Assets EOY$2,112,389TotalAssetsEOYAmt
Total Liabilities BOY$1,735,433TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,774,292TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$210,000NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$661,903NetAssetsOrFundBalancesEOYAmt
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$1,802,750ExpenseAmt
Revenue$1,031,251RevenueAmt
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$1,802,750TotalProgramServiceExpensesAmt
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 Document4IRPDocumentCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 (14 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
Sandy Robinson
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
Rev Dr Tim Halverson
Past Chair0.51.0Yes (X)Yes (X)$0$0$0
Samira Beckwith
President / CEO5.055.0Yes (X)Yes (X)$0$477,518$37,622
Noreen DiPlacido
Board Member0.51.0Yes (X)$0$0$0
Madlyn Dornaus
Board Member0.51.0Yes (X)$0$0$0
Tom Giles
Board Member0.51.0Yes (X)$0$0$0
Larry Hart
Board Member0.51.0Yes (X)$0$0$0
Jerry Nichols
Board Member0.51.0Yes (X)$0$0$0
Luis Insignares
Board Member0.51.0Yes (X)$0$0$0
Fred Pezeshkan
Board Member0.51.0Yes (X)$0$0$0
Jill Lampley
CFO5.045.0Yes (X)$0$237,203$26,429
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$714,721TotReportableCompRltdOrgAmt
Total Other Compensation$64,051TotalOtherCompensationAmt
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
Gulf Coast Village Home Health
1333 Santa Barbara BlvdCape CoralFL33991Home Health Staff Services$223,248
Florida Rehability Inc
3981 Wellington ParkwayPalm HarborFL34684Home Health Services$108,440
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$3,228AllOtherContributionsAmt
Total Contributions$3,228TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue623990$1,013,246$1,013,246
Immunization Revenue623990$18,005$18,005

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$1,031,251TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,533TotalRevenueColumnAmt
Exclusion$1,533ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$39,100SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$38,828SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$272SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$272TotalRevenueColumnAmt
Exclusion$272ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther IncomeDesc
Business900099BusinessCd
Total Revenue Column$463,686TotalRevenueColumnAmt
Exclusion$463,686ExclusionAmt

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$463,686OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,499,970TotalRevenueColumnAmt
Related Or Exempt Func Income$1,031,251RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$465,491ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$888,345TotalAmt
Program Services$782,872ProgramServicesAmt
Management And General$105,473ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$108,463TotalAmt
Program Services$78,383ProgramServicesAmt
Management And General$30,080ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$53,381TotalAmt
Program Services$41,517ProgramServicesAmt
Management And General$11,864ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,426TotalAmt
Program Services$4,294ProgramServicesAmt
Management And General$132ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$520,967TotalAmt
Program Services$520,967ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,902TotalAmt
Program Services$18,891ProgramServicesAmt
Management And General$11ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Bad Debt$226,659$226,659
Replacement Pool$41,418$41,418
Recruiting$25,500$25,500
Medical Supplies$20,778$20,778

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$43,034TotalAmt
Program Services$41,471ProgramServicesAmt
Management And General$1,563ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,951,873TotalAmt
Program Services$1,802,750ProgramServicesAmt
Management And General$149,123ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$298,306BOYAmt
EOY$925,781EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,019,022BOYAmt
EOY$1,020,045EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$140,024BOYAmt
EOY$156,021EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$18,764BOYAmt
EOY$2,031EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,489BOYAmt
EOY$8,511EOYAmt
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$38,828BOYAmt
EOY$0EOYAmt

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$1,525,433BOYAmt
EOY$2,112,389EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$56,664BOYAmt
EOY$43,045EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,743BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,674,026BOYAmt
EOY$2,731,247EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,735,433BOYAmt
EOY$2,774,292EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$210,000BOYAmt
EOY-$661,903EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$210,000BOYAmt
EOY-$661,903EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,525,433BOYAmt
EOY$2,112,389EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$451,903ReconcilationRevenueExpnssAmt
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$2,387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$108CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$361CurrentTaxYearMinus1YearAmt
Current Tax Year$3,228CurrentTaxYearAmt
Total$6,084TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,836,241CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,082,975CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$184,211CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$920,678CurrentTaxYearMinus1YearAmt
Current Tax Year$1,031,251CurrentTaxYearAmt
Total$5,055,356TotalAmt

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$1,838,628CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,083,083CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$184,211CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$921,039CurrentTaxYearMinus1YearAmt
Current Tax Year$1,034,479CurrentTaxYearAmt
Total$5,061,440TotalAmt

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$5,061,440PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,470CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,218CurrentTaxYearMinus1YearAmt
Current Tax Year$1,533CurrentTaxYearAmt
Total$4,893TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,470CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$595CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,218CurrentTaxYearMinus1YearAmt
Current Tax Year$1,533CurrentTaxYearAmt
Total$4,893TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,864CurrentTaxYearMinus1YearAmt
Current Tax Year$5,480CurrentTaxYearAmt
Total$19,219TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,840,098CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,084,553CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$184,288CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$935,121CurrentTaxYearMinus1YearAmt
Current Tax Year$1,041,492CurrentTaxYearAmt
Total$5,085,552TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9953PublicSupportCY509Pct
Public Support PY5090.9968PublicSupportPY509Pct
Investment Income CY0.0010InvestmentIncomeCYPct
Investment Income PY0.0007InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part II, Line 17a 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 6/30/2013 Column (b) - Fiscal year ending 6/30/2014 Column (c) - 3 month period ending 9/30/2014 Column (d) - Fiscal year ending 9/30/2015 Column (e) - Fiscal year ending 9/30/2016
Schedule A, Part III, Line 12 Other IncomeDESCRIPTION - OTHER EXCLUDED REVENUE, COLUMN A - , COLUMN B - 875.0, COLUMN C - 0.0, COLUMN D - 12864.0, COLUMN E - 5480.0, COLUMN F - 19219.0;

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescIntercompany PayableDesc
Amt$2,731,247Amt
FieldValueIRS element (for citing)
Total Liability$2,731,247TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,499,706TotalRevEtcAuditedFinclStmtAmt
Other Revenue$8OtherRevenueAmt
Revenue Not Reported$8RevenueNotReportedAmt
Revenue Subtotal$1,499,698RevenueSubtotalAmt
Other Revenues Not Included$272OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$272RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,499,970TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,951,900TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$27OtherExpensesIncludedAmt
Expenses Not Reported$27ExpensesNotReportedAmt
Expenses Subtotal$1,951,873ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,951,873TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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 - 8
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statementsRealized Gains on Investments - 272
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990Rounding - 27

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
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$405,075$0$46,854$0$25,589$0$11,766$0$25,856$0$515,140$0$0
Jill Lampley
CFO$0$237,203$0$0$0$0$0$10,536$0$15,893$0$263,632$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationFormAndLineReferenceDesc
ExplanationThe 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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 Director's on June 27, 2017, 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 IX, Line 11g Other FeesConsulting Services - Total Expense: 46086, Program Service Expense: 46086, Management and General Expenses: , Fundraising Expenses: ; Occupational Therapy - Total Expense: 110340, Program Service Expense: 110340, Management and General Expenses: , Fundraising Expenses: ; Physical Therapy - Total Expense: 342033, Program Service Expense: 342033, Management and General Expenses: , Fundraising Expenses: ; Speech Therapy - Total Expense: 22508, Program Service Expense: 22508, Management and General Expenses: , Fundraising Expenses: ;
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 10/1/2015 THROUGH 9/30/2016.
Form 990, Part XII, Line 2b ORGANIZATION'S FINANCIAL STATEMENTSTHE ORGANIZATION'S FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDING 9/30/2016 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 ActivitiesTO PROVIDE EXCEPTIONAL CARE TO INDIVIDUALS AND LOVED ONES AS THEY FULFILL LIFE'S JOURNEYPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(c)(3ExemptCodeSectionTxt
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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