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Nonprofiteer
← CAPITAL HOSPICE

Form 990 for tax year 2023

Filed by CAPITAL HOSPICE.

Totals

Total revenue
$91,933,948
Total expenses
$95,057,628
Contributions and grants received
$4,861,517
Grants paid
$7,675
Program service revenue
$86,478,047
Investment income
$191,663
Other revenue
$402,721
Total assets, end of year
$78,721,422
Total liabilities, end of year
$41,219,972
Net assets or fund balances, end of year
$37,501,450
Program services expenses (Part IX)
$76,758,677
Management and general expenses
$17,330,234
Fundraising expenses
$968,717
Program service expenses (Part III)
$76,758,677

Program services were 80.7% 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

    $143,000

  • 1d · Related organizations

    $88,924

  • 1e · Government grants (contributions)

    $25,000

  • 1f · All other contributions, gifts and grants

    $4,604,593

  • 1g · Noncash contributions included above

    $118,062

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $86,478,047 · related or exempt $83,549,216 · unrelated business $2,928,831

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $299,308 · excluded $299,308

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $584,140 · other assets $20,500

  • 7b · Less cost or other basis and sales expenses

    securities $526,413 · other assets $185,871

  • 7c · Gain or loss

    securities $57,727 · other assets -$165,371

  • 7d · Net gain or loss

    total -$107,645 · excluded -$107,645

  • 8a · Fundraising events: gross income

    $170,300

  • 8a · Fundraising events: contributions included on line 1c

    $143,000

  • 8b · Fundraising events: direct expenses

    $276,641

  • 8c · Net income from fundraising events

    total -$106,341 · excluded -$106,341

  • 10a · Gross sales of inventory

    $234,491

  • 10c · Net income from sales of inventory

    total $234,491 · excluded $234,491

  • 11a · Other revenue: CONTRACT STAFF REVENUE

    total $267,867 · unrelated business $267,867

  • 11b · Other revenue: ADMINISTRATIVE FEES

    total $6,704 · excluded $6,704

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $274,571

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $7,675 · program services $7,675

  • 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

  • 5 · Compensation of officers, directors and key employees

    total $2,843,968 · program services $205,238 · management and general $2,469,644 · fundraising $169,086

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $41,423,757 · program services $36,728,358 · management and general $4,450,550 · fundraising $244,849

  • 8 · Pension plan contributions

    total $227,376 · program services $186,368 · management and general $38,919 · fundraising $2,089

  • 9 · Other employee benefits

    total $6,786,084 · program services $5,665,126 · management and general $1,057,466 · fundraising $63,492

  • 10 · Payroll taxes

    total $3,324,269 · program services $2,773,515 · management and general $519,670 · fundraising $31,084

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $269,196 · program services $0 · management and general $269,196 · fundraising $0

  • 11c · Fees: accounting

    total $81,479 · program services $0 · management and general $81,479 · 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 $235 · program services $0 · management and general $235 · fundraising $0

  • 11g · Fees: other

    total $19,499,637 · program services $18,649,185 · management and general $718,745 · fundraising $131,707

  • 12 · Advertising and promotion

    total $1,011,497 · program services $14,634 · management and general $993,531 · fundraising $3,332

  • 13 · Office expenses

    total $1,984,720 · program services $532,783 · management and general $1,386,395 · fundraising $65,542

  • 14 · Information technology

    total $2,394,877 · program services $522,628 · management and general $1,782,437 · fundraising $89,812

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $4,008,150 · program services $1,892,841 · management and general $2,003,448 · fundraising $111,861

  • 17 · Travel

    total $1,026,559 · program services $886,448 · management and general $140,095 · fundraising $16

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $25,307 · program services $19,227 · management and general $6,080 · fundraising $0

  • 20 · Interest

    total $894,433 · program services $3,860 · management and general $872,512 · fundraising $18,061

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $1,033,266 · program services $979,475 · management and general $35,839 · fundraising $17,952

  • 23 · Insurance

    total $585,152 · program services $544,505 · management and general $31,880 · fundraising $8,767

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $7,125,140 · program services $7,115,849 · management and general $9,291 · fundraising $0

  • 24b · Other expenses: UNCOLLECTIBLE INTEREST

    total $180,376 · program services $0 · management and general $180,376 · fundraising $0

  • 24c · Other expenses: AIP EXPENSE

    total $133,843 · program services $0 · management and general $133,843 · fundraising $0

  • 24d · Other expenses: RECRUITMENT ADVERTISING

    total $92,440 · program services $10,568 · management and general $81,732 · fundraising $140

  • 24e · All other expenses

    total $98,192 · program services $20,394 · management and general $66,871 · fundraising $10,927

  • 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 $6,566 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $4,416,212 · end of year $7,181,928

  • 3 · Pledges and grants receivable

    beginning of year $843,865 · end of year $2,164,543

  • 4 · Accounts receivable

    beginning of year $12,348,618 · end of year $10,616,982

  • 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

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,330,358 · end of year $971,671

  • 10a · Land, buildings and equipment: cost or other basis

    $39,611,551

  • 10b · Land, buildings and equipment: accumulated depreciation

    $20,682,425

  • 10c · Land, buildings and equipment, net

    beginning of year $19,437,479 · end of year $18,929,126

  • 11 · Investments: publicly traded securities

    beginning of year $3,176,898 · end of year $3,336,654

  • 12 · Investments: other securities

    beginning of year $20,212 · end of year $16,373

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    end of year $7,200,000

  • 15 · Other assets

    beginning of year $27,766,510 · end of year $28,304,145

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,768,137 · end of year $14,842,462

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $5,000,000 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $429,554 · end of year $384,522

  • 25 · Other liabilities

    beginning of year $27,500,752 · end of year $25,992,988

  • 27 · Net assets without donor restrictions

    beginning of year $13,701,842 · end of year $30,666,314

  • 28 · Net assets with donor restrictions

    beginning of year $6,946,433 · end of year $6,835,136

Mission and programs · 2023

Mission

THE MISSION OF CAPITAL HOSPICE IS TO IMPROVE CARE FOR THOSE FACING LIFE-LIMITING ILLNESSES THROUGH DIRECT SUPPORT OF PATIENTS AND THEIR FAMILIES, PUBLIC EDUCATION AND ADVOCACY.

Activities or mission (Part I)

Provides hospice and palliative care services that 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 as possible.

  • CAPITAL HOSPICE PROVIDES EXPERT MEDICAL, EMOTIONAL, SPIRITUAL AND PRACTICAL CARE AND SUPPORT TO PATIENTS WITH SERIOUS, PROGRESSIVE ILLNESS AND THEIR FAMILIES 24 HOURS A DAY, SEVEN DAYS A WEEK TO PATIENTS WHEREVER THEY LIVE BY QUALIFIED PHYSICIANS, NURSES, NURSES' AIDES, SOCIAL WORKERS, NON-DENOMINATIONAL CHAPLAINS AND OTHER PROFESSIONALS. IT IS THE OBJECTIVE OF CAPITAL HOSPICE TO PROVIDE CARE TO ANYONE MEDICALLY ELIGIBLE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. CAPITAL HOSPICE PROVIDED SERVICES TO 30,303 PATIENTS DURING 2023 AND PROVIDED 370,245 PATIENT DAYS OF CARE. CAPITAL HOSPICE HAD COSTS RELATED TO SERVICES AND SUPPLIES UNDER ITS CHARITY CARE POLICY OF APPROXIMATELY $1,741,000 IN 2023.

    Expenses $63,959,084 · Grants $7,675 · Revenue $79,735,335

  • THE ADLER CENTER FOR CARING INPATIENT UNIT AND THE WASHINGTON HOME CAPITAL CARING HEALTH INPATIENT CENTER AT SIBLEY MEMORIAL HOSPITAL, PROVIDE CARE FOR THOSE PATIENTS THAT REQUIRE CONSTANT MONITORING AND WHOSE PAIN AND SYMPTOMS CAN'T BE ADEQUATELY MANAGED AT HOME. IT IS THE GOAL OF THE ADLER CENTER FOR CARING AND THE WASHINGTON HOME CAPITAL CARING HEALTH AT SIBLEY MEMORIAL HOSPITAL INPATIENT UNITS TO MAKE OUR PATIENTS AS SYMPTOM FREE AND AS COMFORTABLE AS POSSIBLE. THE ADLER CENTER FOR CARING INPATIENT CENTER PROVIDED CARE TO 1,805 PATIENTS AND HAD 2,984 PATIENT DAYS OF CARE IN 2023. THE WASHINGTON HOME CAPITAL CARING HEALTH INPATIENT UNIT AT SIBLEY MEMORIAL HOSPITAL PROVED CARE TO 1,504 PATIENTS AND HAD 2,650 PATIENT DAYS OF CARE IN 2023.

    Expenses $8,265,189 · Revenue $1,721,604

  • CAPITAL PALLIATIVE CARE CONSULTANTS PROVIDES PHYSICIAN SERVICES TO OUR HOSPICE PATIENTS, AND TO NON-HOSPICE ELIGIBLE PATIENTS WHO ARE IN NEED OF SYMPTOM MANAGEMENT. IT IS THE OBJECTIVE OF CAPITAL PALLIATIVE CARE CONSULTANTS TO PROVIDE PHYSICIAN SERVICES TO ALL PATIENTS IN NEED OF SYMPTOM MANAGEMENT, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. CAPITAL PALLIATIVE CARE CONSULTANTS PROVIDED 78,973 PATIENT VISITS DURING 2023.

    Expenses $4,534,404 · Revenue $2,092,277

As filed on the 2023 return.

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 Webb

    Treasurer

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • Lynn Mento

    Secretary

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • Rev Dr Tyrone Pitts

    Vice Chair

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • Rhonda 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 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 (through 5/2023) / CHAIR

    Total calculated
    $723,985
    From this org
    $715,765
    From related orgs
    $0
    Other
    $8,220
    Hours/week
    30 + 10 related

    Schedule J breakdown matched by us

    Base
    $322,533
    Bonus
    $0
    Other
    $393,232
    Deferred
    $6,486
    Nontaxable benefits
    $1,734
    Filer's total
    $723,985

  • Bill Novelli

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 8 related

  • Clifford Barnes

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • Diane Ty

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • Jeannine English

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • John Adams

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • Tom Nelson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • Charles 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

  • Joseph Murray

    Chief Financial Officer

    Total calculated
    $284,688
    From this org
    $280,383
    From related orgs
    $0
    Other
    $4,305
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $280,383
    Bonus
    $0
    Other
    $0
    Deferred
    $2,389
    Nontaxable benefits
    $1,916
    Filer's total
    $284,688

  • Michael 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

  • Kimberly Grove

    Vice President, Operations - Capital Caring, CHS

    Total calculated
    $302,036
    From this org
    $267,194
    From related orgs
    $0
    Other
    $34,842
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $267,194
    Bonus
    $0
    Other
    $0
    Deferred
    $2,035
    Nontaxable benefits
    $32,808
    Filer's total
    $302,036

  • Linda Maurano

    Chief of Clinical Operations

    Total calculated
    $235,419
    From this org
    $232,956
    From related orgs
    $0
    Other
    $2,463
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,956
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $2,463
    Filer's total
    $235,419

  • Matthew Kestenbaum

    Chief Medical Officer

    Total calculated
    $296,715
    From this org
    $261,903
    From related orgs
    $0
    Other
    $34,812
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $261,903
    Bonus
    $0
    Other
    $0
    Deferred
    $2,801
    Nontaxable benefits
    $32,011
    Filer's total
    $296,715

  • Melissa Ring

    Chief Performance and Compliance Officer (Through 12/2023)

    Total calculated
    $179,084
    From this org
    $166,145
    From related orgs
    $0
    Other
    $12,939
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,530
    Bonus
    $0
    Other
    $24,615
    Deferred
    $765
    Nontaxable benefits
    $12,174
    Filer's total
    $179,084

  • Steve Cone

    Chief of Communications, Marketing & Philanthropy

    Total calculated
    $213,054
    From this org
    $200,881
    From related orgs
    $0
    Other
    $12,173
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,881
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $12,173
    Filer's total
    $213,054

  • Elizabeth Phan

    HPM Physician

    Total calculated
    $342,696
    From this org
    $328,088
    From related orgs
    $0
    Other
    $14,608
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $328,088
    Bonus
    $0
    Other
    $0
    Deferred
    $3,568
    Nontaxable benefits
    $11,040
    Filer's total
    $342,696

  • Emily Albelda

    HPM Physician

    Total calculated
    $270,644
    From this org
    $265,514
    From related orgs
    $0
    Other
    $5,130
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,514
    Bonus
    $0
    Other
    $0
    Deferred
    $4,881
    Nontaxable benefits
    $249
    Filer's total
    $270,644

  • Jason Sobel

    Senior Medical Director

    Total calculated
    $330,306
    From this org
    $296,668
    From related orgs
    $0
    Other
    $33,638
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $296,668
    Bonus
    $0
    Other
    $0
    Deferred
    $2,175
    Nontaxable benefits
    $31,463
    Filer's total
    $330,306

  • Ray Garcia

    HPM Physician

    Total calculated
    $293,479
    From this org
    $286,802
    From related orgs
    $0
    Other
    $6,677
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $276,299
    Bonus
    $10,000
    Other
    $503
    Deferred
    $2,938
    Nontaxable benefits
    $3,738
    Filer's total
    $293,478

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, the company paid severance to: J.Koutsoumpas $360,000 M.Ring $24,615 During the Year, Chapters Health System, Inc. paid severance to: C.Lee $291,429 D.Forman $331,937
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.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • CAPITAL PALLIATIVE CARE CONSULTANTS

    PALLIATIVE CARE · VA · income $699,271 · assets $5,259,713

    Directly controlled by CAPITAL HOSPICE

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • ADVANCED ILLNESS PARTNERS LLC

    N/A · MEDICARE DIRECT CONTRACTED MEDICAL SERVICES · DE

    Directly controlled by NA

  • 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
13 November 2024
IRS schema version
2023v5.1
Source object
202403189349302370

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