Civic Intelligence

Chapters Health System Inc

EIN 59-2264957 • 501(c)3 • Temple Terrace, FL

Profile

Chapters Health System, Inc. (CHS), through its subsidiary organizations, provides support and care for people in our community with or affected by advanced illnesses by offering a wide variety of compassionate healthcare choices. CHS also works to promote an understanding of the needs of persons with serious or life-limiting illnesses as well as the needs of its families and caregivers. CHS provides significant management duties, including without limitation, financial and accounting services, human resources, legal services, marketing services and information technology services, to its subsidiaries and wholly owned LLC's via a written management agreement.

12470 Telecom Drive Suite 301Temple Terrace, FL 33637

chaptershealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

48th percentile

0.27x

Higher debt load relative to assets than 48% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

49th percentile

0.47x

Higher debt load relative to revenue than 49% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

56th percentile

5.3%

Higher net margin than 56% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

85th percentile

$2,257,453

Higher top officer pay than 85% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

88th percentile

21%

Faster asset growth than 88% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

88th percentile

38%

Faster revenue growth than 88% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$254,389,388

Up $44,395,353 (+21%) from 2023

Liabilities

Up

$68,375,972

Up $6,252,045 (+10%) from 2023

Net Assets

Up

$186,013,416

Up $38,143,308 (+26%) from 2023

Revenue

Up

$145,461,525

Up $40,301,076 (+38%) from 2023

Expenses

Up

$137,720,826

Up $36,304,231 (+36%) from 2023

Net Income

Up

$7,740,699

Up $3,996,845 (+107%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $135,181,495Liabilities 2010: $43,275,439Net Assets 2010: $91,906,0562010Assets 2011: $130,776,389Liabilities 2011: $39,269,552Net Assets 2011: $91,506,8372011Assets 2012: $136,951,098Liabilities 2012: $38,712,948Net Assets 2012: $98,238,1502012Assets 2013: $148,811,056Liabilities 2013: $40,357,144Net Assets 2013: $108,453,9122013Assets 2014: $151,486,959Liabilities 2014: $36,412,623Net Assets 2014: $115,074,3362014Assets 2015: $174,101,147Liabilities 2015: $36,664,885Net Assets 2015: $137,436,2622015Assets 2016: $181,424,592Liabilities 2016: $34,957,873Net Assets 2016: $146,466,7192016Assets 2017: $213,166,399Liabilities 2017: $50,806,769Net Assets 2017: $162,359,6302017Assets 2018: $201,294,664Liabilities 2018: $41,551,904Net Assets 2018: $159,742,7602018Assets 2019: $198,991,516Liabilities 2019: $41,424,644Net Assets 2019: $157,566,8722019Assets 2020: $208,580,355Liabilities 2020: $40,910,583Net Assets 2020: $167,669,7722020Assets 2021: $220,827,353Liabilities 2021: $43,267,695Net Assets 2021: $177,559,6582021Assets 2022: $203,815,049Liabilities 2022: $54,933,842Net Assets 2022: $148,881,2072022Assets 2023: $209,994,035Liabilities 2023: $62,123,927Net Assets 2023: $147,870,1082023Assets 2024: $254,389,388Liabilities 2024: $68,375,972Net Assets 2024: $186,013,4162024

Highlighted filing

2024

Assets$254,389,388
Liabilities$68,375,972
Net Assets$186,013,416

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $37,783,6712010Expenses 2011: $42,310,9602011Expenses 2012: $42,950,5812012Revenue 2013: $49,994,934Expenses 2013: $43,233,973Net Income 2013: $6,760,9612013Revenue 2014: $51,025,005Expenses 2014: $42,784,595Net Income 2014: $8,240,4102014Revenue 2015: $50,907,232Expenses 2015: $45,217,073Net Income 2015: $5,690,1592015Revenue 2016: $59,375,220Expenses 2016: $49,912,522Net Income 2016: $9,462,6982016Revenue 2017: $61,946,977Expenses 2017: $53,188,006Net Income 2017: $8,758,9712017Revenue 2018: $63,877,071Expenses 2018: $55,262,852Net Income 2018: $8,614,2192018Revenue 2019: $61,239,225Expenses 2019: $58,202,941Net Income 2019: $3,036,2842019Revenue 2020: $76,304,014Expenses 2020: $76,350,175Net Income 2020: -$46,1612020Revenue 2021: $114,054,008Expenses 2021: $101,782,085Net Income 2021: $12,271,9232021Revenue 2022: $90,984,417Expenses 2022: $85,405,170Net Income 2022: $5,579,2472022Revenue 2023: $105,160,449Expenses 2023: $101,416,595Net Income 2023: $3,743,8542023Revenue 2024: $145,461,525Expenses 2024: $137,720,826Net Income 2024: $7,740,6992024

Highlighted filing

2024

Revenue$145,461,525
Expenses$137,720,826
Net Income$7,740,699

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$254$68.4$186$145$138$7.74
2023Detailed filing. Detailed filing data is available for this year.$210$62.1$148$105$101$3.74
2022Detailed filing. Detailed filing data is available for this year.$204$54.9$149$91.0$85.4$5.58
2021Detailed filing. Detailed filing data is available for this year.$221$43.3$178$114$102$12.3
2020Detailed filing. Detailed filing data is available for this year.$209$40.9$168$76.3$76.4$0.05
2019Detailed filing. Detailed filing data is available for this year.$199$41.4$158$61.2$58.2$3.04
2018Detailed filing. Detailed filing data is available for this year.$201$41.6$160$63.9$55.3$8.61
2017Detailed filing. Detailed filing data is available for this year.$213$50.8$162$61.9$53.2$8.76
2016Detailed filing. Detailed filing data is available for this year.$181$35.0$146$59.4$49.9$9.46
2015Detailed filing. Detailed filing data is available for this year.$174$36.7$137$50.9$45.2$5.69
2014Detailed filing. Detailed filing data is available for this year.$151$36.4$115$51.0$42.8$8.24
2013Detailed filing. Detailed filing data is available for this year.$149$40.4$108$50.0$43.2$6.76
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$137$38.7$98.2$43.0
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$131$39.3$91.5$42.3
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$135$43.3$91.9$37.8
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 17, 2025
Return Version
2024v5.1
Gross Receipts
$214,229,852
Mission and Program Overview

Mission

Chapters Health System, Inc. (CHS), through its subsidiary organizations, provides services to relieve the suffering of persons residing in its communities affected by life-limiting illnesses and end-of-life issues so all may live as fully and comfortably as possible. (continued on Schedule O)

Provides support and care for people in our community with or affected by advanced illnesses by offering a wide variety of compassionate healthcare choices through its Affiliates.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$49,260,213$90,495,331▲ $41,235,118
Investments in Publicly Traded Securities$84,944,211$76,723,455▼ $8,220,756
Savings and Temporary Cash Investments$8,500,565$20,559,916▲ $12,059,351
Intangible Assets$16,605,428$16,397,333▼ $208,095
Prepaid Expenses and Deferred Charges$4,763,406$5,453,495▲ $690,089
Other Notes and Loans Receivable, Net$3,000,000$4,140,000▲ $1,140,000
Accounts Receivable$1,839,632$163,199▼ $1,676,433
Inventories for Sale or Use$176,210$78,997▼ $97,213
Cash and Non-Interest-Bearing Accounts$10,250$10,250→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$209,994,035$254,389,388▲ $44,395,353
Other Assets Total$40,894,120$40,367,412▼ $526,708
Liabilities
Accounts Payable and Accrued Expenses$13,684,500$20,920,325▲ $7,235,825
Mortgage Notes Payable Secured by Investment Property$20,411,437$19,398,060▼ $1,013,377
Other Liabilities$18,099,269$19,372,515▲ $1,273,246
Tax Exempt Bond Liabilities$9,161,385$8,054,425▼ $1,106,960
Deferred Revenue$767,336$630,647▼ $136,689
Total Liabilities$62,123,927$68,375,972▲ $6,252,045
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$147,870,108$186,013,416▲ $38,143,308
Total Net Assets Fund Balance$147,870,108$186,013,416▲ $38,143,308
Total Liabilities and Net Assets / Fund Balance$209,994,035$254,389,388▲ $44,395,353

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$57,272,850$42,186,275$99,459,125
Equipment$9,701,714$40,860,817$50,562,531
Land$17,819,322-$17,819,322
Leasehold Improvements$1,630,894$6,579,049$8,209,943
Other Land Buildings$4,070,551$3,511,330$7,581,881
Other Assets Org$535,211--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$3,493,114-▲ $61,436-$3,554,550
2023$1,011,599-▲ $2,481,515-$3,493,114
2022$997,414-▲ $14,185-$1,011,599
2021$976,957-▲ $20,457-$997,414
2020$953,607-▲ $23,350-$976,957
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Andrew MoloskyPresident/CEO/vice ChairPT$866,779$1,390,674$2,257,453
Tara FriedmanChief Medical OfficerPT$529,856$229,761$759,617
Paola DelpChief Business Development OfficerPT$515,817$212,756$728,573
Rhonda G WhiteChief Operating OfficerPT$409,134$304,336$713,470
Todd a WebbChief Financial OfficerPT$408,773$255,542$664,315
Nicole RomenceChief People OfficerPT$348,581$237,946$586,527
Sheri Anne Strobel AmateauChief Information OfficerPT$333,335$191,243$524,578
Charles O LeeFormer Chief Administrative Officer-$520,000$520,000$520,000
STEWART Wayne STEIN MDVice President, Medical ServicesFT$336,567$142,402$478,969
Jason D'AuriaSenior Vice President, OperationsFT$270,035$107,524$377,559
Valerie ZolmanChief Compliance OfficerPT$231,982$131,557$363,539
Jill FitzpatrickVice President, FinanceFT$245,243$93,068$338,311
Jill LampleyVP of Finance IntegrationFT$280,484$48,931$329,415
Ronald S Schonwetter MDFormer Chief Medical Officer-$290,512$290,512$290,512
David J O'NeilFormer CHIEF FINANCIAL OFFICER-$67,908$123,371$191,279
Marwa El-MenshawiVice President, Clinical TransformationPT$86,252$6,487$92,739
Randall WoodruffChair--$23,459$23,459
William Becker JrImmediate Past Chair--$23,459$23,459
Michael ShapiroChief Medical Officer - Hospice (Through 3/2024)-$13,640$1,653$15,293

Board Members and Trustees

NameTitle
Tom KoutsoumpasFormer PRESIDENT & CEO of Capital Caring / BOARD MEMBER
Bill NovelliBoard Member
Charles IdelsonBoard Member
Clifford RhoadesBoard Member
Dr Michael HowellBoard Member
Dr Stephen AutryBoard Member
Dr Tige BuchananBoard Member
Heath NailosBoard Member
James JoinerBoard Member
James NovellBoard Member
Mary Beth ReardonBoard Member
Peggy RodebushBoard Member
Philip D WegmanBoard Member
Phillip WalkerBoard Member
Robert AdridBoard Member
Sandy StilwellBoard Member
Scott GerkenBoard Member
Valerie GoddardBoard Member
William HaleyBoard Member
Jerry Eugene FogartySecretary
Wendy TerryTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Aya Healthcare INCServices - Patient5930 Cornerstone Ct West Suite 30, San Diego, CA 92121$3,153,160
Buchanan Ingersoll & Rooney PCServices - Legal501 Grant Street Suite 200, Pittsburgh, PA 15219$2,522,141
Lakeland Regional Medical Center INCServices - Patient1324 Lakeland Hills Blvd, Lakeland, FL 33805-5448$1,436,424
Florida Medical TransportServices - Transportation1030 Spring Villas Pt 1000, Winter Spring, FL 32708$1,283,505
The Villages Regional HospitalServices - PatientPO Box 732816, Dallas, TX 75373$1,250,746
Revenue and Support

Revenue Composition

Contributions and Grants
$1,074,868
Program Service Revenue
$132,524,444
Investment Income
$11,830,123
Other Revenue
$32,090
Change in Net Assets
$7,740,699

Audited Revenue Reconciliation

Revenue per Audited Statements
$0
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Form 990
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$79,517,416
Other Expenses$58,173,387
Grants and Similar Amounts Paid$30,023
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$56,389,384--$56,389,384
Depreciation Depletion-$12,336,399-$12,336,399
Information Technology$10,309,839--$10,309,839
Current Officers, Directors, Trustees, and Key Employees$996,738$6,048,715-$7,045,453
Office Expenses$6,508,849--$6,508,849
Occupancy$5,904,818--$5,904,818
Other Employee Benefits$5,796,912--$5,796,912
Pension Plan Contributions$5,119,767--$5,119,767
Payroll Taxes$4,253,917--$4,253,917
Insurance-$4,037,038-$4,037,038
Fees for Services Other$1,477,681$2,236,729$0$3,714,410
Fees for Services Legal-$3,466,966-$3,466,966
All Other Expenses$2,352,690$0$0$2,352,690
Interest-$1,378,746-$1,378,746
Travel$1,346,602--$1,346,602
Comp Disqual Persons$200,705$711,278-$911,983
Other Expenses$764,009--$764,009
Advertising$731,813--$731,813
Fees for Services Accounting-$529,912-$529,912
Conferences and Meetings$258,168--$258,168
Fees for Service Investment Mgmnt Fees$257,492--$257,492
Fees for Services Lobbying-$232,679-$232,679
Grants to Domestic Individuals$30,023--$30,023
Total Functional Expenses$106,742,364$30,978,462$0$137,720,826

Audited Expense Reconciliation

Line ItemAmount
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Expenses per Audited Statements$0
Other Expense Adjustments$0
Total Expenses per Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Board MemberArchitecture Firm Providing Services for the Renovation of the New Port Richey Resource CenterNo$105,826
-Family Member of Former CFOCompensation for Services as an EmployeeNo$94,879

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capital Lease Obligation$13,376,324
Federal Income Taxes$5,265,428
Deferred Serp Liabilities$727,210
Lease Incentive Obligation$3,553
Unclaimed Property-
Swap Liability-
Right of use liabilities-

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Temple Terrace Florida2017-03-23$19,365,900To refund the outstanding balances of the series 2003, series 2004, and series 2010 bonds.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$19,365,900$19,365,900$10,932,000$0

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The compensation of all other officers and key employees is determined by the president/ceo. The president/ceo uses comparability data and an independent compensation consultant to determine the compensation. The decisions are documented in each employee's file. This process took place during the year.

Form 990, Part VI, Line 1A Delegate broad authority to A committee

The executive committee, made up of the president and ceo, chairperson of the board, vice chairperson of the board, treasurer of the board, secretary of the board, immediate past chairperson of the board and no fewer than two additional elected directors and/or elected directors of affiliate boards as appointed by the board chairperson, shall carry out the work of the board of directors between meetings and make recommendations to the board of directors for its action. The executive committee shall have all the authority of the board of directors except that the executive committee is not authorized to: (1) recommend actions or proposals required to be approved by board members; (2) fill vacancies on the board or any committee thereof; or (3) adopt, amend, supplement, restate, repeal, or rescind these bylaws.

Form 990, Part VI, Line 2 Family/business relationships amongst interested persons

David J. O'Neil, Andrew Molosky, Paola Delp, Randall Woodruff, and William Becker - Business relationship

Form 990, Part VI, Line 11B Review of form 990 by governing body

The organization retains an independent tax advisor to assist management in the preparation and review of its IRS Form 990. Prior to filing the return, management and the independent tax advisor review the return and all required schedules with the Compensation Committee of the Board of Directors. The Compensation Committee is composed of independent directors of the Company. Upon completion of its review, the Compensation Committee recommends to the Executive Committee of the Board of Directors that management be authorized to sign and file the return. Under the Company's by laws the Executive Committee has the authority to take this action on behalf of the Board of Directors. A complete copy of the Form 990 is provided to the full board prior to filing with the IRS and the Executive Committee reports its activities to the Board of Directors on a quarterly basis.

Form 990, Part VI, Line 12C Conflict of interest policy

Annually, each officer, director and key employee signs an acknowledgement and disclosure form attesting that they have read the Conflict of Interest Policy and agreeing to comply fully with its terms and conditions during their services with Chapters Health System, Inc. (CHS) and Affiliates. They further agree that if, at any time subsequent to the submission of the disclosure form, they become aware of any actual or potential conflict of interest or the information previously submitted becomes inaccurate or incomplete, they will promptly notify the CHS Board of Directors, the President and CEO of Chapters Health System, Inc., and the Affiliate Board of Directors. DETERMINATION OF AND REMEDIES FOR CONFLICTS OF INTEREST 1. Disclosure. In connection with any actual or possible conflict of interest, an interested person must disclose the existence of his or her financial interest and must be given the opportunity to disclose all material facts to the Directors (and members of committees) considering the proposed transaction or arrangement. The disclosure shall be made as soon as practicable following the realization by the interested person that an actual or possible conflict of interest exists. Ordinarily, disclosures by interested persons should be to the Chairperson of the Board. When an actual or possible conflict of interest becomes apparent in the course of a Board meeting (or committee meeting), the interested person shall immediately disclose his or her financial interest and related material facts to the presiding Director or officer at such meeting. 2. Determining Whether a Conflict of Interest Exists. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, the interested person shall leave the Board (or committee) meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board (or committee) members shall decide if a conflict of interest exists. 3. Procedures for Addressing the Conflict of Interest. (a) An interested person who has a conflict of interest may make a presentation at the Board (or committee) meeting, but after such presentation, he or she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that result in the conflict of interest. The interested person who has a conflict of interest will not be counted as present for determining a majority with respect to the vote on the transaction or arrangement that results in the conflict of interest. (b) The Chairperson of the Board (or committee) shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. (c) After exercising due diligence, the Board (or Committee) shall determine whether CHS and Affiliates can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or business entity that would not give rise to a conflict of interest. (d)If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the Board (or committee) shall determine by a majority vote of the disinterested Directors (or committee members) whether the transaction or arrangement is in the best interest of CHS and Affiliates and for its own benefit and whether the transaction is fair and reasonable to CHS and Affiliates and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. Violations of the Conflicts of Interest Policy (a) If the Board (or committee) has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform the interested person of the basis for such belief and afford the interested person an opportunity to explain the alleged failure to disclose. (b) If, after hearing the response of the interes

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The organization engaged an independent compensation consultant to assist in establishing a Compensation Charter that details the organization's procedures for setting compensation of the President/CEO and all other officers and key employees of the organization. The Compensation Charter established the Compensation Committee, the independent body responsible for establishing the compensation of the President/CEO. The Compensation Committee relies on a recent compensation study performed by an independent compensation consultant, which is done on an annual basis, that provides compensation data for similarly qualified persons in comparable organizations to support its decision-making process and reports its activities to the Board of Directors at the next regularly scheduled meeting. The Compensation Committee adequately documents its compensation determinations in the meeting minutes on a timely basis. This process took place during the year.

Form 990, Part VI, Line 19 Required documents available to the public

The Organization's Articles of Incorporation are filed with and viewable by the public at the official website of the Department of State, division of corporations. The organization's bylaws and conflict of interest policy are not made available to the public. Unaudited financial statements of the organization are filed and viewable by the public at the official website of the State, division of consumer services. In addition, the organization reports its financial performance each year in its annual report, copies of which are available to the public upon request.

Form 990, Part VIII, Line 2F Other Program Service Revenue

Other - Total Revenue: 4775, Related or Exempt Function Revenue: 4775, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Chapters Health System Inc
EIN
59-2264957
Phone
8138718111
Address
12470 Telecom Drive Suite 301, Temple Terrace, FL 33637

Signing Officer

Name
Todd Webb
Title
CFO
Phone
8138718111
Signed
2025-11-17
Discuss with paid preparer
Yes

Organization Details

Formed
1982
Legal Domicile
Fl
Voting Board Members
24
Independent Board Members
20
Employees
886
Volunteers
22

Preparer

Firm
Crowe Llp
Address
401 East Las Olas Blvd Suite 1100, Fort Lauderdale, FL 33301-4230
Preparer
Brittney Kocaj
Phone
9542028600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A PROGRAM SERVICE ACCOMPLISHMENTS

(Continued from Part III) B. LifePath Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Hillsborough County, Florida. During the year, Lifepath Hospice served 6,417 patients in its communities and maintains 61.7% market share in the counties it serves. The company has 142 trained volunteers whose donated time is valued at $607,964. Lifepath provided $2.047M in charity care. C. Good Shepherd Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Polk, Highlands, Monroe, and Hardee counties in Florida. During the year, Good Shepherd Hospice served 4,848 patients in its communities and maintains 29.0% market share in the counties it serves. The company has 94 trained volunteers whose donated time is valued at $510,662. Good Shepherd Hospice provided $1.363M in charity care. D. Hernando-Pasco Hospice, Inc. is a Medicare-certified agency that provides end-of-life care in Hernando, Pasco, Citrus, Alachua, and Pinellas counties in Florida. During the year, Hernando-Pasco Hospice served 4,850 patients in its communities and maintains 56.4% market share in the counties it serves. The company has 107 trained volunteers whose donated time is valued at $307,084. Hernando-Pasco Hospice provided $971.6K in charity care. E. Hospice of Okeechobee, Inc. is a Medicare-certified agency that provides end-of-life care in Okeechobee, Martin, and St. Lucie counties in Florida. During the year, Hospice of Okeechobee served 320 patients in its communities and maintains 5.1% market share in the counties it serves. The company has 20 trained volunteers whose donated time is valued at $12,463. Hospice of Okeechobee provided $153.3K in charity care. F. Cornerstone Hospice & Palliative Care, Inc. is a Medicare-certified agency that provides end-of-life care in Marion, Lake, Sumter, Orange, and Osceola counties in Florida and some counties in Northern Georgia. During the year, Cornerstone Hospice served 8,139 patients in its communities and maintains 33.4% market share in the counties it serves. The company has 300 trained volunteers whose donated time is valued at $848,884. Cornerstone Hospice provided $3.304M in charity care. G. Capital Hospice dba Capital Caring is a Medicare-certified agency that provides end-of-life care in Virginia, Maryland, and Washington DC. During the year, Capital Caring Hospice served 6,680 patients in its communities and maintains 36.7% market share in the counties it serves. The company has 341 trained volunteers whose donated time is valued at $593,683. Capital Caring Hospice provided $773K in charity care. H. Hope Hospice and Community Services, Inc. is a Medicare-certified agency that provides end-of-life care in Lee, Collier, Charlotte, Glades, and Hendry counties in Florida. During the year, Hope Hospice served 5,702 patients in its communities and maintains 74.6% market share in the counties it serves. The company has 127 trained volunteers whose donated time is valued at $297,557. Hope Hospice provided $158.8K in charity care. I. Chapters Health Palliative Care, LLC provides pain and palliative care consults in hospitals and other facilities in the service area. During the year, the program provided 14,217 patient visits, which included 3,520 new palliative care consults. J. Chapters Health Pharmacy, LLC is a not-for-profit subsidiary that provides medications for the hospice affiliates. Chapters Health Pharmacy improved staff efficiency with electronic medication orders, filling 99,080 prescriptions during the year. K. Chapters Health Staffing, LLC. operates a licensed health care services pool. This company provides temporary staffing of healthcare personnel to other Chapters Health System subsidiaries and enables Chapters Health System to centralize the management of clinical staff whose duties cross between multiple subsidiaries. Chapters Health Staffing staff includes physicians, nurses, respiratory therapists and managers for the oncology program, medical staff

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Change in value of split interest agreement - 252390; Net Asset Transfer - 25751375; Total - 26003765;

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

The Building Endowment fund provides funds for the necessary maintenance and facility up-keep of all Chapters Health Systems, Inc. (CHS) facilities; the Children's Endowment fund provides funds for specific equipment and staffing to meet the needs of pediatric patients, grieving children and families; The Medical Student endowment provides funds to the Medical Student Program that educates future physicians on the importance of end-of-life care. These endowments are held by Chapters Health Foundation, Inc. (CHF), a related organization, and the programs and facilities of CHF support CHS and its affiliates. Capital Caring Endowment Funds are held until they reach five million dollars at which time, with the board of trustees approval, eighty percent of any earnings can be used to fund operations and the remaining 20 percent would be added to the fund.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Chapters and the affiliate organizations, except for the CareNu entities, are exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely to be realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The applicable Forms 990 have not been subject to examination by the Internal Revenue Service or the state of Florida for the last three years. CHS does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. CHS recognizes interest and/or penalties related to income tax matters in income tax expense. CHS did not have any amounts accrued for interest and penalties at December 31, 2024 and 2023.

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IRS990/Form990PartVIISectionAGrp/PersonNm0Andrew Molosky
IRS990/Form990PartVIISectionAGrp/PersonNm1Jerry Eugene Fogarty
IRS990/Form990PartVIISectionAGrp/PersonNm2Randall Woodruff
IRS990/Form990PartVIISectionAGrp/PersonNm3Wendy Terry
IRS990/Form990PartVIISectionAGrp/PersonNm4William Becker Jr
IRS990/Form990PartVIISectionAGrp/PersonNm5BILL NOVELLI
IRS990/Form990PartVIISectionAGrp/PersonNm6Charles Idelson
IRS990/Form990PartVIISectionAGrp/PersonNm7CLIFFORD RHOADES
IRS990/Form990PartVIISectionAGrp/PersonNm8Dr Michael Howell
IRS990/Form990PartVIISectionAGrp/PersonNm9Dr Stephen Autry
IRS990/Form990PartVIISectionAGrp/PersonNm10Dr Tige Buchanan
IRS990/Form990PartVIISectionAGrp/PersonNm11Heath Nailos
IRS990/Form990PartVIISectionAGrp/PersonNm12James Joiner
IRS990/Form990PartVIISectionAGrp/PersonNm13James Novell
IRS990/Form990PartVIISectionAGrp/PersonNm14Mary Beth Reardon
IRS990/Form990PartVIISectionAGrp/PersonNm15Peggy Rodebush
IRS990/Form990PartVIISectionAGrp/PersonNm16Philip D Wegman
IRS990/Form990PartVIISectionAGrp/PersonNm17Phillip Walker
IRS990/Form990PartVIISectionAGrp/PersonNm18Robert Adrid
IRS990/Form990PartVIISectionAGrp/PersonNm19SANDY STILWELL
IRS990/Form990PartVIISectionAGrp/PersonNm20Scott Gerken
IRS990/Form990PartVIISectionAGrp/PersonNm21Tom Koutsoumpas
IRS990/Form990PartVIISectionAGrp/PersonNm22Valerie Goddard
IRS990/Form990PartVIISectionAGrp/PersonNm23William Haley
IRS990/Form990PartVIISectionAGrp/PersonNm24MICHAEL SHAPIRO
IRS990/Form990PartVIISectionAGrp/PersonNm25Nicole Romence
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IRS990/Form990PartVIISectionAGrp/PersonNm29Tara Friedman
IRS990/Form990PartVIISectionAGrp/PersonNm30TODD A WEBB
IRS990/Form990PartVIISectionAGrp/PersonNm31Valerie Zolman
IRS990/Form990PartVIISectionAGrp/PersonNm32Jason D'Auria
IRS990/Form990PartVIISectionAGrp/PersonNm33Jill Fitzpatrick
IRS990/Form990PartVIISectionAGrp/PersonNm34Jill Lampley
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IRS990/Form990PartVIISectionAGrp/PersonNm37CHARLES O LEE
IRS990/Form990PartVIISectionAGrp/PersonNm38David J O'Neil
IRS990/Form990PartVIISectionAGrp/PersonNm39Ronald S Schonwetter MD
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