VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
VISITING NURSES ASSOCIATION OF SOUTHWEST FLORIDA INC (EIN 59-6175593)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-05-25
IRS object ID
201611469349300101
Schema version
2014v6.0
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)
Return2016-05-25T07:00:30-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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
Signature2016-05-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMartin Redovan CPAPreparerPersonNm
PTINP01281045PTIN
Phone2392269900PhoneNum
Preparation2015-05-19PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

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$935,121GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.visitingnurseswfl.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTo provide the highest quality home and community based health care services to all people in our community as far as the resources of the VNA allow.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$361CYContributionsGrantsAmt
PY Program Service Revenue$184,211PYProgramServiceRevenueAmt
CY Program Service Revenue$920,678CYProgramServiceRevenueAmt
PY Investment Income$77PYInvestmentIncomeAmt
CY Investment Income$1,218CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$12,864CYOtherRevenueAmt
PY Total Revenue$184,288PYTotalRevenueAmt
CY Total Revenue$935,121CYTotalRevenueAmt
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$141,931PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$621,679CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$118,487PYOtherExpensesAmt
CY Other Expenses$528,758CYOtherExpensesAmt
PY Total Expenses$260,418PYTotalExpensesAmt
CY Total Expenses$1,150,437CYTotalExpensesAmt
PY Revenues Less Expenses-$76,130PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$215,316CYRevenuesLessExpensesAmt
Total Assets BOY$1,039,707TotalAssetsBOYAmt
Total Assets EOY$1,525,433TotalAssetsEOYAmt
Total Liabilities BOY$1,051,738TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,735,433TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$12,031NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$210,000NetAssetsOrFundBalancesEOYAmt
MissionTo provide the highest quality home and community based health care services to all people in our community as far as the resources of the VNA allow.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$995,864ExpenseAmt
Revenue$920,678RevenueAmt
DescTHE VISITING NURSES ASSOCIATION IS A FULL SERVICE HOME HEALTH CARE AGENCY. OUR SERVICES INCLUDE DISEASE MANAGEMENT, WOUND CARE, PATIENT TEACHING AND HOME HEALTH AIDE SERVICES. WE PROVIDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND RESPIRATORY SERVICES, AS WELL AS EVALUATIONS BY OUR SOCIAL WORKER. WE ARE ALSO FIGHTING THE SPREAD OF INFLUENZA IN THE COMMUNITY THROUGH OUR INFLUENZA VACCINE PROGRAM.Desc
Total Program Service Expenses$995,864TotalProgramServiceExpensesAmt
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 Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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
Chair0.501.00Yes (X)Yes (X)$0$0$0
Sandy Robinson
Vice Chair0.501.00Yes (X)Yes (X)$0$0$0
Richard Ackert
Secretary0.501.00Yes (X)Yes (X)$0$0$0
Charles Idelson
Treasurer0.501.00Yes (X)Yes (X)$0$0$0
Rev Dr Tim Halverson
Past Chair0.501.00Yes (X)Yes (X)$0$0$0
Samira Beckwith
President / CEO5.0055.00Yes (X)Yes (X)$0$456,519$12,122
Larry Hart
Board Member0.501.00Yes (X)$0$0$0
Tom Giles
Board Member0.501.00Yes (X)$0$0$0
Madlyn Dornaus
Board Member0.501.00Yes (X)$0$0$0
Fred Pezeshkan
Board Member0.501.00Yes (X)$0$0$0
Ron Smalley
Board Member0.501.00Yes (X)$0$0$0
Linda Uhler
Board Member0.501.00Yes (X)$0$0$0
Luis Insignares
Board Member0.501.00Yes (X)$0$0$0
Jerry Nichols
Board Member0.501.00Yes (X)$0$0$0
Noreen DiPlacido
Board Member0.501.00Yes (X)$0$0$0
Jill Lampley
CFO5.0045.00Yes (X)$0$227,863$18,530
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$684,382TotReportableCompRltdOrgAmt
Total Other Compensation$30,652TotalOtherCompensationAmt
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
VaxServe
12566 Collections Center DrChicagoIL60693Immunization Supplies$136,808
Gulf Coast Village Home Health
1333 Santa Barbara BlvdCape CoralFL33991Home Health Staff Services$134,517
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$361AllOtherContributionsAmt
Total Contributions$361TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue623990$741,341$741,341
Immunization Revenue623990$179,337$179,337

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$920,678TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,218TotalRevenueColumnAmt
Exclusion$1,218ExclusionAmt

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$12,864TotalRevenueColumnAmt
Exclusion$12,864ExclusionAmt

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$12,864OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$935,121TotalRevenueColumnAmt
Related Or Exempt Func Income$920,678RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,082ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$512,387TotalAmt
Program Services$430,316ProgramServicesAmt
Management And General$82,071ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$79,076TotalAmt
Program Services$44,058ProgramServicesAmt
Management And General$35,018ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$30,216TotalAmt
Program Services$19,900ProgramServicesAmt
Management And General$10,316ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,720TotalAmt
Management And General$5,720ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$329,980TotalAmt
Program Services$329,980ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,386TotalAmt
Program Services$18,755ProgramServicesAmt
Management And General$631ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$98TotalAmt
Management And General$98ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$915TotalAmt
Management And General$915ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Immunization$99,598$99,598
Dues & Subscriptions$8,851$8,851
Medical Supplies$12,033$12,033
Repairs & Maintenance$6,354$6,354

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$45,823TotalAmt
Program Services$41,224ProgramServicesAmt
Management And General$4,599ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,150,437TotalAmt
Program Services$995,864ProgramServicesAmt
Management And General$154,573ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$527,993BOYAmt
EOY$298,306EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$305,477BOYAmt
EOY$1,019,022EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$88,929BOYAmt
EOY$140,024EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$93,408BOYAmt
EOY$18,764EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,419BOYAmt
EOY$10,489EOYAmt
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$21,481BOYAmt
EOY$38,828EOYAmt

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$1,039,707BOYAmt
EOY$1,525,433EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,220BOYAmt
EOY$56,664EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$17,364BOYAmt
EOY$4,743EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$991,154BOYAmt
EOY$1,674,026EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,051,738BOYAmt
EOY$1,735,433EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$12,031BOYAmt
EOY-$210,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$12,031BOYAmt
EOY-$210,000EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,039,707BOYAmt
EOY$1,525,433EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$215,316ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$17,347NetUnrlzdGainsLossesInvstAmt
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$388CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,387CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$108CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$361CurrentTaxYearAmt
Total$3,244TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,504,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,836,241CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,082,975CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$184,211CurrentTaxYearMinus1YearAmt
Current Tax Year$920,678CurrentTaxYearAmt
Total$5,528,231TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,504,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,838,628CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,083,083CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$184,211CurrentTaxYearMinus1YearAmt
Current Tax Year$921,039CurrentTaxYearAmt
Total$5,531,475TotalAmt

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$5,531,475PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$719CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,470CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$595CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77CurrentTaxYearMinus1YearAmt
Current Tax Year$1,218CurrentTaxYearAmt
Total$4,079TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$719CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,470CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$595CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77CurrentTaxYearMinus1YearAmt
Current Tax Year$1,218CurrentTaxYearAmt
Total$4,079TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$875CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$12,864CurrentTaxYearAmt
Total$13,739TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,505,233CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,840,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,084,553CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$184,288CurrentTaxYearMinus1YearAmt
Current Tax Year$935,121CurrentTaxYearAmt
Total$5,549,293TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9968PublicSupportCY509Pct
Public Support PY5090.9986PublicSupportPY509Pct
Investment Income CY0.0007InvestmentIncomeCYPct
Investment Income PY0.0012InvestmentIncomePYPct
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 6/30/2012 Column (b) - Fiscal year ending 6/30/2013 Column (c) - Fiscal year ending 6/30/2014 Column (d) - 3 month period ending 9/30/2014 Column (e) - Fiscal year ending 9/30/2015
Schedule A, Part III, Line 12 Other IncomeDESCRIPTION - OTHER EXCLUDED REVENUE, COLUMN A - , COLUMN B - , COLUMN C - 875.0, COLUMN D - 0.0, COLUMN E - 12864.0, COLUMN F - 13739.0;

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescIntercompany PayableDesc
Amt$1,674,026Amt
FieldValueIRS element (for citing)
Total Liability$1,674,026TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$952,400TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$17,300NetUnrealizedGainsInvstAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$17,300RevenueNotReportedAmt
Revenue Subtotal$935,100RevenueSubtotalAmt
Other Revenues Not Included$21OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$21RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$935,121TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,150,400TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,150,400ExpensesSubtotalAmt
Other Expenses Not Included$37OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$37ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,150,437TotalExpensesPerForm990Amt

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 4(b) Other revenues in form 990 not in audited financial statementsRounding - 21
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsRounding - 37

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$391,284$0$46,854$0$18,381$0$0$0$12,122$0$468,641$0$0
Jill Lampley
CFO$0$219,587$0$0$0$8,276$0$0$0$18,530$0$246,393$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 May 24, 2016, 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: 44810, Program Service Expense: 44810, Management and General Expenses: , Fundraising Expenses: ; Occupational Therapy - Total Expense: 56710, Program Service Expense: 56710, Management and General Expenses: , Fundraising Expenses: ; Physical Therapy - Total Expense: 214970, Program Service Expense: 214970, Management and General Expenses: , Fundraising Expenses: ; Speech Therapy - Total Expense: 13490, Program Service Expense: 13490, 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 10/1/2014 THROUGH 9/30/2015.
Form 990, Part XII, Line 2b ORGANIZATION'S FINANCIAL STATEMENTSTHE ORGANIZATIONS FINANCIAL STATEMENTS FOR THE FISCAL YEAR WERE INCLUDED AS A PART OF THE YEAR ENDING 9/30/2015 AS 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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