Form 990 for tax year 2023
Filed by CAPITAL CARING ADVANCED ILLNESS SERVICES INC.
Totals
- Total revenue
- $619,028
- Total expenses
- $2,137,664
- Contributions and grants received
- $97,055
- Grants paid
- $0
- Program service revenue
- $372,515
- Investment income
- $0
- Other revenue
- $149,458
- Total assets, end of year
- $166,510
- Total liabilities, end of year
- $4,043,186
- Net assets or fund balances, end of year
- -$3,876,676
- Program services expenses (Part IX)
- $1,358,396
- Management and general expenses
- $779,268
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $1,358,396
Program services were 63.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1a · Federated campaigns
$0
-
1b · Membership dues
$0
-
1c · Fundraising events
$0
-
1d · Related organizations
$49,650
-
1e · Government grants (contributions)
$0
-
1f · All other contributions, gifts and grants
$47,405
-
1g · Noncash contributions included above
$0
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $372,515 · related or exempt $372,515
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
7c · Gain or loss
securities $0 · other assets $0
-
11a · Other revenue: MEDICARE DIRECT CONTRACTING INCOME - AIP
total $149,458 · related or exempt $149,458
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$149,458
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0 · program services $0
-
2 · Grants to domestic individuals
total $0 · program services $0
-
3 · Grants to foreign organizations and individuals
total $0 · program services $0
-
4 · Benefits paid to or for members
total $0 · program services $0
-
6 · Compensation of disqualified persons
total $0 · program services $0 · management and general $0 · fundraising $0
-
7 · Other salaries and wages
total $1,222,173 · program services $602,934 · management and general $619,239 · fundraising $0
-
8 · Pension plan contributions
total $6,299 · program services $3,108 · management and general $3,191 · fundraising $0
-
9 · Other employee benefits
total $155,857 · program services $76,889 · management and general $78,968 · fundraising $0
-
10 · Payroll taxes
total $79,404 · program services $39,172 · management and general $40,232 · fundraising $0
-
11a · Fees: management
total $0 · program services $0 · management and general $0 · fundraising $0
-
11b · Fees: legal
total $0 · program services $0 · management and general $0 · fundraising $0
-
11c · Fees: accounting
total $0 · program services $0 · management and general $0 · fundraising $0
-
11d · Fees: lobbying
total $0 · program services $0 · management and general $0 · fundraising $0
-
11e · Fees: professional fundraising services
total $0 · fundraising $0
-
11f · Fees: investment management
total $0 · program services $0 · management and general $0 · fundraising $0
-
11g · Fees: other
total $39,020 · program services $39,020 · management and general $0 · fundraising $0
-
12 · Advertising and promotion
total $0 · program services $0 · management and general $0 · fundraising $0
-
13 · Office expenses
total $8,990 · program services $5,843 · management and general $3,147 · fundraising $0
-
14 · Information technology
total $28,464 · program services $18,502 · management and general $9,962 · fundraising $0
-
15 · Royalties
total $0 · program services $0 · management and general $0 · fundraising $0
-
16 · Occupancy
total $0 · program services $0 · management and general $0 · fundraising $0
-
17 · Travel
total $9,063 · program services $4,848 · management and general $4,215 · fundraising $0
-
18 · Travel or entertainment for public officials
total $0 · program services $0 · management and general $0 · fundraising $0
-
19 · Conferences, conventions and meetings
total $6,560 · program services $2,622 · management and general $3,938 · fundraising $0
-
20 · Interest
total $0 · program services $0 · management and general $0 · fundraising $0
-
21 · Payments to affiliates
total $0 · program services $0 · management and general $0 · fundraising $0
-
22 · Depreciation, depletion and amortization
total $0 · program services $0 · management and general $0 · fundraising $0
-
23 · Insurance
total $0 · program services $0 · management and general $0 · fundraising $0
-
24a · Other expenses: AIP EXPENSE
total $441,519 · program services $441,519 · fundraising $0
-
24b · Other expenses: RESERVE FOR UNCOLLECTIBLE ACCOUNTS
total $116,273 · program services $116,273
-
24c · Other expenses: BANK FEES
total $16,376 · management and general $16,376
-
24d · Other expenses: MEDICAL SUPPLIES
total $7,666 · program services $7,666
-
24e · All other expenses
total $0 · program services $0 · management and general $0 · fundraising $0
-
26 · Joint costs (an allocation of the lines above)
total $0 · program services $0 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $0 · end of year $0
-
2 · Savings and temporary cash investments
beginning of year $0 · end of year $0
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $182,665 · end of year $110,920
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
end of year $0
-
9 · Prepaid expenses and deferred charges
end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$0
-
10b · Land, buildings and equipment: accumulated depreciation
$0
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $0
-
15 · Other assets
beginning of year $23,576 · end of year $55,590
-
17 · Accounts payable and accrued expenses
beginning of year $4,338 · end of year $5,824
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $2,559,943 · end of year $4,037,362
-
27 · Net assets without donor restrictions
beginning of year -$2,393,025 · end of year -$3,992,746
-
28 · Net assets with donor restrictions
beginning of year $34,985 · end of year $116,070
Mission and programs · 2023
Mission
THE MISSION OF CAPITAL CARING ADVANCED ILLNESS SERVICES IS TO PROVIDE HOME BASED PRIMARY CARE FOR THOSE FACING SERIOUS ILLNESS OR DISABILITY THROUGH DIRECT SUPPORT OF PATIENTS AND THEIR FAMILIES.
Activities or mission (Part I)
THE MISSION OF CAPITAL CARING ADVANCED ILLNESS SERVICES, INC. IS TO PROVIDE PATIENTS, THEIR FAMILIES AND CAREGIVERS WITH COMPREHENSIVE, HIGH-QUALITY ADVANCED ILLNESS CARE, OVER TIME AND ACROSS DIFFERENT SETTINGS OF CARE. ADVANCED ILLNESS CARE INCLUDES PALLIATIVE AND PRIMARY CARE SERVICES, AS WELL AS MENTAL AND BEHAVIORAL HEALTH AND SOCIAL DETERMINANTS OF HEALTH SERVICES AND SUPPORTS.
-
CAPITAL CARING ADVANCED ILLNESS SERVICES, INC. (CCAIS) PROVIDES PRIMARY CARE AT HOME SERVICES (PCH). UNDER PCH, CCAIS SERVES ELDERS, AGED 65 AND OLDER, WHO ARE HOME-LIMITED OR OTHERWISE BENEFIT FROM RECEIVING MOST OF THEIR CARE IN THE HOME DUE TO AN ADVANCED ILLNESS OR DISABILITY. CCAI PROVIDES SOCIAL WORK SUPPORT TO PATIENTS AND THEIR FAMILIES TO FIND RESOURCES, ASSIST WITH LIFE TRANSITIONS, AND PROVIDE COUNSELING AND CAREGIVER SUPPORT. CCAI OFFERS 24/7 ON-CALL MEDICAL STAFF BY PHONE WHO PROVIDE AFTER-HOURS ADVICE TO PATIENTS AND FAMILIES. THE GOAL OF CCAI IS TO PROVIDE PEACE OF MIND FOR PATIENTS AND FAMILIES AND ALLOW PATIENTS TO SAFELY AGE IN PLACE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. FOR THE YEAR ENDING DECEMBER 31, 2023, CCAI SERVED 439 PATIENTS AND PERFORMED 3,727 PATIENT VISITS.
Expenses $1,358,396 · Revenue $521,973
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Andrew Molosky
PRESIDENT/CEO (Starting 5/2023)
- Total calculated
- $2,545,351
- From this org
- $0
- From related orgs
- $1,576,179
- Other
- $969,172
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $840,771 related
- Bonus
- $0 + $562,200 related
- Other
- $0 + $173,208 related
- Deferred
- $0 + $915,327 related
- Nontaxable benefits
- $0 + $53,845 related
- Filer's total
- $0 + $2,545,351 related
-
Angela WebbANGELA WEBB
Treasurer
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Lynn MentoLYNN MENTO
Secretary
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Rev Dr Tyrone PittsREV DR TYRONE PITTS
Vice Chair
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Rhonda G WhiteRHONDA G WHITE
Chief Operating Officer (starting 5/2023)
- Total calculated
- $660,960
- From this org
- $0
- From related orgs
- $469,677
- Other
- $191,283
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $368,600 related
- Bonus
- $0 + $92,400 related
- Other
- $0 + $8,677 related
- Deferred
- $0 + $170,170 related
- Nontaxable benefits
- $0 + $21,113 related
- Filer's total
- $0 + $660,961 related
-
Todd A WebbTODD A WEBB
CHIEF FINANCIAL OFFICER (starting 5/2023)
- Total calculated
- $583,668
- From this org
- $0
- From related orgs
- $399,506
- Other
- $184,162
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $330,189 related
- Bonus
- $0 + $60,719 related
- Other
- $0 + $8,598 related
- Deferred
- $0 + $137,439 related
- Nontaxable benefits
- $0 + $46,722 related
- Filer's total
- $0 + $583,667 related
-
Tom Koutsoumpas
PRESIDENT/CEO/CHAIR
- Total calculated
- $723,985
- From this org
- $0
- From related orgs
- $715,765
- Other
- $8,220
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $322,533 related
- Bonus
- $0
- Other
- $0 + $393,232 related
- Deferred
- $0 + $6,486 related
- Nontaxable benefits
- $0 + $1,734 related
- Filer's total
- $0 + $723,985 related
-
Bill NovelliBILL NOVELLI
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 8 related
-
Clifford BarnesCLIFFORD BARNES
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Diane TyDIANE TY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Jeannine EnglishJEANNINE ENGLISH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
John AdamsJOHN ADAMS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Tom NelsonTOM NELSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 6 related
-
Charles O LeeCHARLES O LEE
Chief Administrative Officer (through 6/2023)
- Total calculated
- $626,226
- From this org
- $0
- From related orgs
- $576,964
- Other
- $49,262
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $217,999 related
- Bonus
- $0 + $62,001 related
- Other
- $0 + $296,964 related
- Deferred
- $0 + $6,594 related
- Nontaxable benefits
- $0 + $42,667 related
- Filer's total
- $0 + $626,226 related
-
Michael ShapiroMICHAEL SHAPIRO
Chief Medical Officer - Hospice (starting 5/2023)
- Total calculated
- $455,686
- From this org
- $0
- From related orgs
- $355,760
- Other
- $99,926
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $354,226 related
- Bonus
- $0 + $327 related
- Other
- $0 + $1,208 related
- Deferred
- $0 + $51,084 related
- Nontaxable benefits
- $0 + $48,842 related
- Filer's total
- $0 + $455,686 related
-
Nicole Romence
Chief People Officer (starting 5/2023)
- Total calculated
- $602,958
- From this org
- $0
- From related orgs
- $439,073
- Other
- $163,885
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $312,966 related
- Bonus
- $0 + $115,718 related
- Other
- $0 + $10,390 related
- Deferred
- $0 + $142,792 related
- Nontaxable benefits
- $0 + $21,093 related
- Filer's total
- $0 + $602,959 related
-
Paola Delp
Chief Business Development Officer (Starting 5/2023)
- Total calculated
- $920,302
- From this org
- $0
- From related orgs
- $680,764
- Other
- $239,538
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $498,181 related
- Bonus
- $0 + $130,553 related
- Other
- $0 + $52,030 related
- Deferred
- $0 + $226,028 related
- Nontaxable benefits
- $0 + $13,510 related
- Filer's total
- $0 + $920,302 related
-
Sheri Anne Strobel Amateau
Chief Information Officer (starting 5/2023)
- Total calculated
- $550,759
- From this org
- $0
- From related orgs
- $407,547
- Other
- $143,212
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $321,514 related
- Bonus
- $0 + $77,245 related
- Other
- $0 + $8,788 related
- Deferred
- $0 + $138,289 related
- Nontaxable benefits
- $0 + $4,923 related
- Filer's total
- $0 + $550,759 related
-
Tara Friedman
Chief Medical Officer (Starting 5/2023)
- Total calculated
- $733,645
- From this org
- $0
- From related orgs
- $521,450
- Other
- $212,195
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $511,328 related
- Bonus
- $0
- Other
- $0 + $10,122 related
- Deferred
- $0 + $193,269 related
- Nontaxable benefits
- $0 + $18,926 related
- Filer's total
- $0 + $733,645 related
-
Valerie Zolman
Chief Compliance Officer (starting 5/2023)
- Total calculated
- $406,248
- From this org
- $0
- From related orgs
- $285,280
- Other
- $120,968
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $231,306 related
- Bonus
- $0 + $51,717 related
- Other
- $0 + $2,258 related
- Deferred
- $0 + $90,709 related
- Nontaxable benefits
- $0 + $30,259 related
- Filer's total
- $0 + $406,248 related
-
Heidi Young
Associate Chief Medical Officer
- Total calculated
- $340,423
- From this org
- $303,868
- From related orgs
- $0
- Other
- $36,555
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $303,868
- Bonus
- $0
- Other
- $0
- Deferred
- $3,374
- Nontaxable benefits
- $33,181
- Filer's total
- $340,423
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
- Prior to the affiliation with Chapters Health System, Inc., compensation for the organization's President & CEO was paid by Capital Hospice (a related organization). Capital Hospice used the following methods to determine the President and CEO's compensation: a compensation committee, independent compensation consultant, form 990 of other organizations, compensation survey or study, and approval by the board or compensation committee. After the affiliation with Chapters Health System, Inc., the President & CEO is paid by Chapters Health System, Inc. (a related organization). Chapters Health System used the following to determine his compensation: a compensation committee, independent compensation consultant, compensation survey or study, forms 990 of other organizations, and approval by the board or compensation committee to determine his compensation.
- Schedule J, Part I, Line 4a Severance or change-of-control payment
- During the Year, Chapters Health System, Inc. paid severance to: C.Lee $291,429 D.Forman $331,937 J.Koutsoumpas $360,000
- Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
- Chapters Health System, Inc. (a related organization) has a supplemental executive retirement plan (SERP) in which some of the interested persons participate. During the year, the following payments were made by Chapters Health System, Inc. into the SERP plans of the participants: A.Molosky $354,797 P.Delp $94,737 T.Friedman $77,250 D.O'Neil $57,628 R.White $70,067 N.Romence $67,867 S.Strobel $60,036 T. Webb $60,512 V.Zolman $43,270
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(c)(3) · Parent · FL
Directly controlled by NA
-
Chapters Health Foundation Inc
501(c)(3) · Foundation · FL
Directly controlled by Chapters Health System Inc
-
Chapters Health Home Connect Inc
501(c)(3) · Long term Care · FL
Directly controlled by Chapters Health System Inc
-
Cornerstone Hospice and Palliative Care Inc
501(c)(3) · Hospice Care · FL
Directly controlled by Chapters Health System Inc
-
Cornerstone Health Services Inc
501(c)(3) · Palliative Care · FL
Directly controlled by Chapters Health System Inc
-
501(c)(3) · Hospice Care · FL
Directly controlled by Chapters Health System Inc
-
501(c)(3) · Hospice Care · FL
Directly controlled by Chapters Health System Inc
-
501(c)(3) · Hospice Care · FL
Directly controlled by Chapters Health System Inc
-
501(c)(3) · Hospice Care · FL
Directly controlled by Chapters Health System Inc
-
Capital Hospice dba Capital Caring
501(c)(3) · Hospice Care · VA
Directly controlled by Capital Caring Health
-
501(c)(3) · Medical Support Services · VA
Directly controlled by Chapters Health System Inc
-
Capital Caring Stay at Home Services Inc
501(c)(3) · At home medical services · VA
Directly controlled by Capital Caring Health
-
Hope Hospice and Community Services Inc
501(c)(3) · Hospice Care · FL
Directly controlled by Chapters Health System Inc
-
Visiting Nurses Association of SW Florida Inc
501(c)(3) · Medical Support Services · FL
Directly controlled by Hope Hospice & Community Services Inc
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
ADVANCED ILLNESS PARTNERS LLC
Related · MEDICARE DIRECT CONTRACT MEDICAL SERVICES · DE · 42.86% owned · share of income $14,509 · share of assets $1,296,621 · general or managing partner
Directly controlled by CAPITAL CARING
-
Assurity DCE LLC
N/A · Medical Services · FL
Directly controlled by NA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
Chapters CareNu Inc
C Corporation · Population Health · FL
Directly controlled by NA
-
SECUR Inc
C Corporation · Licensed Health Plan · FL
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 5 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202433109349301753
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