Civic Intelligence

Chapters Health System Inc.

990 • Fiscal year 2017 • EIN 59-2264957

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 08, 2018

12470 Telecom Drive Suite 300Temple Terrace, FL 33637

(813) 871-8111

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

41st percentile

0.24x

Higher debt load relative to assets than 41% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

67th percentile

0.82x

Higher debt load relative to revenue than 67% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

74th percentile

14%

Higher net margin than 74% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

80th percentile

$1,067,324

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

85th percentile

17%

Faster asset growth than 85% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

47th percentile

4.3%

Faster revenue growth than 47% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Up

$213,166,399

Up $31,741,807 (+17%) from 2016

Net Assets

Up

$162,359,630

Up $15,892,911 (+11%) from 2016

Liabilities

Up

$50,806,769

Up $15,848,896 (+45%) from 2016

Revenue

Up

$61,946,977

Up $2,571,757 (+4.3%) from 2016

Expenses

Up

$53,188,006

Up $3,275,484 (+6.6%) from 2016

Net Income

Down

$8,758,971

Down $703,727 (-7.4%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2017

Assets$213,166,399
Liabilities$50,806,769
Net Assets$162,359,630

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2017

Revenue$61,946,977
Expenses$53,188,006
Net Income$8,758,971
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 8, 2018
Return Version
2017v2.2
Gross Receipts
$116,442,780
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)

Through its subsidiaries, the organization provides services that relieve the suffering of those affected by life-limiting illnesses & end-of-life issues so all may live as fully & comfortably as possible.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$54,376,700$89,150,439▲ $34,773,739
Land, Buildings, and Equipment, Net$63,927,685$63,646,425▼ $281,260
Savings and Temporary Cash Investments$30,962,836$20,315,564▼ $10,647,272
Intangible Assets$16,397,333$16,397,333→ $0
Prepaid Expenses and Deferred Charges$3,010,294$3,455,860▲ $445,566
Pledges and Grants Receivable$170,884$1,911,502▲ $1,740,618
Investments Other Securities$1,368,275$1,482,435▲ $114,160
Accounts Receivable$251,337$341,051▲ $89,714
Inventories for Sale or Use$291,298$248,228▼ $43,070
Cash and Non-Interest-Bearing Accounts$9,050$9,050→ $0
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Loans From Officers Directors-$0-
Total Assets$181,424,592$213,166,399▲ $31,741,807
Other Assets Total$10,658,900$16,208,512▲ $5,549,612
Liabilities
Tax Exempt Bond Liabilities$19,884,785$17,801,600▼ $2,083,185
Mortgage Notes Payable Secured by Investment Property$0$15,000,000▲ $15,000,000
Other Liabilities$8,685,940$10,090,936▲ $1,404,996
Accounts Payable and Accrued Expenses$6,387,148$7,914,233▲ $1,527,085
Total Liabilities$34,957,873$50,806,769▲ $15,848,896
Net Assets / Fund Balance
Unrestricted Net Assets$143,835,818$157,998,801▲ $14,162,983
Temporarily Rstr Net Assets$1,742,511$3,458,391▲ $1,715,880
Permanently Rstr Net Assets$888,390$902,438▲ $14,048
Total Net Assets Fund Balance$146,466,719$162,359,630▲ $15,892,911
Total Liabilities and Net Assets / Fund Balance$181,424,592$213,166,399▲ $31,741,807

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$40,693,597$14,446,311$55,139,908
Equipment$8,782,636$21,571,244$30,353,880
Leasehold Improvements$3,924,365$6,339,926$10,264,291
Land$6,648,571-$6,648,571
Other Land Buildings$3,597,256-$3,597,256
Other Assets Org$9,299,636--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$952,006$14,046--$966,052
2016$938,429$13,577--$952,006
2015$750,493$181,026▲ $6,910-$938,429
2014$697,796$15,741▲ $36,956-$750,493
2013$677,948$100▲ $19,748-$697,796
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-President/CEOFT$581,448$485,876$1,067,324
-Chief Medical OfficerFT$472,015$322,207$794,222
-Chief Financial OfficerFT$406,561$285,253$691,814
-Chief Legal OfficerFT$337,050$326,463$663,513
-Chief Information OfficerFT$256,448$200,151$456,599
-Chief Integration and Business Development OfficerFT$235,122$192,865$427,987
-Chief Human Resources officerFT$247,745$151,916$399,661
-Chief Compliance & Clinical OfficerFT$299,624$75,218$374,842
-Associate Vice President - Medical SvcsFT$294,062$78,104$372,166
-Chief Operating OfficerFT$171,964$110,880$282,844
-Medical DirectorFT$258,411$23,730$282,141
-Staff PhysicianFT$202,242$37,283$239,525
-VP-developmentFT$163,350$74,759$238,109
-Nurse PractitionerFT$175,902$24,053$199,955
-Incoming President/CEO (partial Year - Starting 12/2017)FT$120,077-$120,077

Board Members and Trustees

NameTitle
-Chair
-Vice Chair
-Board Member
-Board Member (PARTIAL YEAR)
-Secretary
-Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
St Josephs Hospital IncPatient Services3986 Tampa Road, Oldsmar, FL 34677$1,708,772
RUBICON GENERAL CONTRACTORS llcConstruction Services5946 Benjamin Rd, Tampa, FL 33634$1,309,076
Lakeland Regional Medical Center IncPatient Services1324 LAKELAND HILLS BLVD, Lakeland, FL 33805$1,096,253
Florida Hospital TampaPatient Services3100 East Fletcher Avenue, Tampa, FL 33613$978,996
cmd technology group llcSoftware/licensing4830 W Kennedy Blvd Ste 600, Tampa, FL 33609$951,357
Revenue and Support

Revenue Composition

Contributions and Grants
$4,681,445
Program Service Revenue
$51,781,353
Investment Income
$4,956,410
Other Revenue
$527,769
All Other Contributions
$4,459,394
Change in Net Assets
$8,758,971

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Clothing and Household Goods-$2,407,785Selling cost
Other Non Cash Contri Table52$46,439Selling cost
Other Non Cash Contri Table14$19,446Selling cost
Securities Publicly Traded3$13,485Market value
Food Inventory8$3,792Selling cost
Other Non Cash Contri Table4$190Market value
Total Noncash Contributions81$2,491,137-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$26,737,699
Salaries, Compensation, and Employee Benefits$26,450,307
Total Fundraising Expense$1,342,749
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,817,143-$514,062$17,331,205
Depreciation Depletion$6,006,071--$6,006,071
Current Officers, Directors, Trustees, and Key Employees$474,381$4,745,134$297,479$5,516,994
Office Expenses$3,510,840-$139,213$3,650,053
Information Technology$3,298,948--$3,298,948
Occupancy$2,738,660--$2,738,660
Fees for Services Other$1,495,153$0$0$1,495,153
Pension Plan Contributions$1,431,753--$1,431,753
Payroll Taxes$1,275,331-$48,932$1,324,263
Insurance$1,311,628--$1,311,628
Interest$1,001,048--$1,001,048
Fees for Services Legal-$868,414-$868,414
Other Employee Benefits$745,816-$49,932$795,748
All Other Expenses$168,263$0$263,978$432,241
Advertising$279,069-$7,622$286,691
Fees for Services Accounting-$285,398-$285,398
Travel$241,193-$13,902$255,095
Fees for Service Investment Mgmnt Fees-$251,707-$251,707
Other Expenses$183,809--$183,809
Conferences and Meetings$166,540-$7,629$174,169
Comp Disqual Persons$50,344--$50,344
Payments to Affiliates$300--$300
Total Functional Expenses$45,694,604$6,150,653$1,342,749$53,188,006
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$56,348
Fundraising Gross Income$35,200
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Island Night$158,283$23,660$1,388$22,272
Golf Tourney$39,648$8,100$594$7,506
Total Events$221,994$35,200$56,348$-21,148
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
-FAMILY MEMBER OF DAVID O'NEIL, CFOsalary and benefitsNo$50,344

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
deferred serp liabilities$4,558,588
Amounts Due to Related Parties$2,895,544
Lease Incentive Obligation$1,082,813
Capital Lease Obligation$1,032,161
Charitable Gift Annuities$478,584
Interest Rate Swap Agreement$43,246

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$1,564,300$0

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
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 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 2017.

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

The executive committee, made up of the president and ceo, cfo, chief medical officer, the vice chairperson of the board and the secretary, 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 as may be limited by florida law and subject to the approval of the sole member.

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

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

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

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

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 2017.

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

The organization's articles of incorporation are filed with and viewable by the public at the official website of the Florida Department of State, Division of Corporations. The organization's Bylaws and conflict of interest policy are not made available to the public. Unaudited financial statements of the organization are filed and viewable by the public at the official website of the State of Florida, Division of Consumer Services. The organization is required to file its audited consolidated financial statements and other financial information with its annual Medicare cost report. This information is subject to a public records request. In addition, the organization reports its financial performance each year in its Annual Report, copies of which are available to the public upon request.

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

MANAGEMENT FEE INCOME - Total Revenue: 965792, Related or Exempt Function Revenue: 965792, 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 300, Temple Terrace, FL 33637

Signing Officer

Name
david j O'neil
Title
chief financial officer
Signed
2018-11-08
Discuss with paid preparer
Yes

Organization Details

Formed
1982
Legal Domicile
Fl
Voting Board Members
19
Independent Board Members
18
Employees
350
Volunteers
520

Preparer

Firm
Crowe Llp
Address
225 West Wacker Drive Suite 2600, Chicago, IL 60606-1224
Preparer
Nicole Bencik
Phone
3128997000
Supplemental Narrative

Additional Explanations

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

(continued from part iii) Chapters Health System provides significant management duties, including without limitation, financial and accounting services, human resources, legal and marketing services, information technology services, to its subsidiaries and wholly owned LLC's via a written Management Agreement. The amount of these services is reflected in the statement of revenue as Shared Services Revenue" and Management Fee Income. B. LifePath Hospice, Inc. LifePath Hospice is a Medicare-certified agency that provides end-of-life care in Hillsborough County, Florida. In 2017, LifePath Hospice served 7,358 patients in its community. Lifepath Hospice maintains 98.3% market share in Hillsborough County in 2017 as they are one of two hospice providers. The company has 880 trained volunteers whose donated time is valued at $2,000,000. LifePath Hospice provided $1,700,000 in charity care in 2017. C. Good Shepherd Hospice, Inc. Good Shepherd Hospice is a Medicare-certified agency that provides end-of-life care in Polk, Highlands and Hardee counties in Florida. In 2017, Good Shepherd Hospice served 3,795 patients in its communities. Good Shepherd Hospice maintains 53% market share in Polk Highlands and Hardee counties in 2017. The company has 383 trained volunteers whose donated time is valued at $603,360. Good Shepherd Hospice provided $674,000 in charity care in 2017. D. Hernando-Pasco Hospice, Inc. Hernando-Pasco Hospice is a Medicare-certified agency that provides end-of-life care in Hernando, Pasco and Citrus counties in Florida. Hernando-Pasco Hospice also provides home health services in Pasco and Pinellas counties. Hernando-Pasco Hospice affiliated with Chapters Health System, Inc. on February 1, 2015. In 2017, Hernando-Pasco Hospice served 3,509 patients in its communities. Hernando-Pasco Hospice maintains 44% market share in Hernando, Pasco and Citrus counties in 2017. The company has 450 trained volunteers whose donated time is valued at $1,300,000. Hernando-Pasco Hospice provided $237,000 in charity care in 2017. E. Chapters Health Palliative Care, LLC. Chapters Health Palliative Care provides pain and palliative care consults in hospitals and other facilities in Hillsborough and Polk counties. In 2017, Chapters Health Palliative Care provided 7,883 patient visits, which included 2,638 new palliative care consults at three hospitals and three nursing home/rehabilitation centers. F. Chapters Health Pharmacy, LLC Chapters Health Pharmacy is a not-for-profit subsidiary that provides medications for the patients of LifePath Hospice and Good Shepherd Hospice. Chapters Health Pharmacy improved staff efficiency with electronic medication orders, filling 158,824 prescriptions in 2017. Chapters Health Pharmacy provides free delivery of medications for hospice patients, at a cost of more than $1,032,205. G. Chapters Health Staffing, LLC. Chapters Health System established a not-for-profit subsidiary, Chapters Health Staffing, LLC, in 2009. Chapters Health Staffing operates a licensed health care services pool. This company provides temporary staffing of healthcare personnel to other Chapters Health System subsidiaries and enables Chapters Health System to centralize the management of clinical staff whose duties cross between multiple subsidiaries. Chapters Health Staffing staff includes physicians, nurses, respiratory therapists and managers for the oncology program, medical staff and infusion services. H. Chapters Health System Development Department The Chapters Health System Development Department is the fundraising entity for LifePath Hospice and Good Shepherd Hospice. Through community events and fundraising activities, the Development Department raises funds to support the unfunded programs of LifePath Hospice and Good Shepherd Hospice, which include charity care, community grief support and medical student education. In 2017, a total of 24,470 donors contributed $4,537,197 to the Chapters Heath System Development Department

Form 990, Part III, Line 1 ORGANIZATION'S MISSION

(continued from part iii) chs also works to promote an understanding of the needs of persons with serious or life-limiting illnesses as well as the needs of its families and caregivers. Chs provides significant management duties, including without limitation, financial and accounting services, human resources, legal services, marketing services and information technology services, to its subsidiaries and wholly owned llc's via a written management agreement.

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

Gain on Investment in Affiliate - 114160; CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT - -130262; Transfer of Net Assets to Affiliate - 1300000; Loss on Bond Refinancing - -465116;

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.

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

CHS, LPH, GSH, CHC, HPH, HPH Foundation and the Foundation have been recognized by the Internal Revenue Service (IRS) as nonprofit corporations and are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (IRC) and also from state income taxes under the provisions of Chapter 220.13 of the Florida Income Tax Code. Palliative Care, Pharmacy, and Staffing are also deemed to be tax-exempt as limited liability companies with CHS as sole member. CHS AND ITS AFFILIATED ENTITIES INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. CHS AND ITS AFFILIATED ENTITIES ARE NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. CHS AND ITS AFFILIATED ENTITIES ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME FOR MANAGEMENT FEES RECEIVED BUT ARE NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO EXCISE OR OTHER TAXES.

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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt22290709
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt23477921
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt24309469
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt25552028
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt31266960
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt350
IRS990/Form990PartVIISectionAGrp/TitleTxt0President/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt5board member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt7board member

Document Assets

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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