Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 3,178,018 | 3,338,444 | 4,528,310 | 3,945,521 | 6,030,460 | 21,020,753 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 3,178,018 | 3,338,444 | 4,528,310 | 3,945,521 | 6,030,460 | 21,020,753 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 4,256,484 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 16,764,269 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,178,018 | 3,338,444 | 4,528,310 | 3,945,521 | 6,030,460 | 21,020,753 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,875,825 | 1,914,278 | 2,520,918 | 2,149,763 | 2,626,810 | 11,087,594 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 245,152 | 327,927 | 460,346 | 487,543 | 583,457 | 2,104,425 |
| 11 | Total support Add lines 7 through 10. | 34,212,772 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 6 VOLUNTEERS | TIDEWELL VOLUNTEERS PROVIDE RESPITE CARE AND PATIENT SUPPORT FOR PATIENTS/FAMILIES IN THEIR HOMES, HOSPITALS, HOSPICE HOUSES, LONG TERM CARE AND ASSISTED LIVING FACILITIES. VOLUNTEERS ALSO RUN ERRANDS AND DELIVER SUPPLIES. ADMINISTRATIVE VOLUNTEERS FILE, COLLATE, ANSWER PHONES AND PROVIDE DATA-ENTRY ASSISTANCE. VOLUNTEERS ARE ACTIVE IN GRIEF SUPPORT PROGRAMS AND COMPLEMENTARY SERVICES SUCH AS PET, ART, MUSIC, HORTICULTURE, MASSAGE AND OTHER QUALITY-OF-LIFE THERAPIES. |
| FORM 990, PART VI, SECTION A, LINE 4 | ITEMIZED CHANGES TO TIDEWELL HOSPICE, INC. BYLAWS 1. NOW FIFTH AMENDED AND RESTATED BYLAWS OF TIDEWELL HOSPICE, INC. CHANGED TITLE AND HEADER ON EACH PAGE. 2. FOOTER CHANGED FROM "1735574 7" TO "1375574 10". 3. ALL REFERENCES TO THE "CORPORATION" CHANGED TO "THI". 4. PAGE 3, ARTICLE 4.3, LINE 1: CHANGED "NOMINATING" TO "GOVERNANCE". 5. PAGE 3, ARTICLE 4.5, LINE 1: CHANGED "CORPORATION" TO "CORPORATION". 6. PAGE 3, ARTICLE 4.7, SECTION A, LINE 1: CHANGED "NOMINATING" TO "GOVERNANCE" COMMITTEE. 7. PAGE 5, ARTICLE 5.4: REMOVED SECTION FROM THE TIDEWELL HOSPICE BYLAWS AND ADDED IT TO THE TIDEWELL HEALTH SYSTEMS, INC. BYLAWS. 8. PAGE 6, ARTICLE 6.2, LINE 5: CHANGED "JUNE" TO "ANNUAL" MEETING. 9. PAGE 6, ARTICLE 6.3, LINE 1: CHANGED "JULY OF" TO "THE MONTH IMMEDIATELY FOLLOWING THE ANNUAL MEETING". 10. PAGE 7, ARTICLE 9.1, LINE 2: ADDED "OF TIDEWELL HEALTH SYSTEMS, INC. IN CONSULTATION WITH THE BOARD OF TRUSTEES OF THI TO SERVE AS CHIEF EXECUTIVE OFFICER OF THI" AFTER "BOARD OF TRUSTEES". 11. PAGE 7, ARTICLE 9.1, LINE 4: ADDED "TIDEWELL HOSPICE, INC." AFTER "TO THE CONTROL OF". 12. PAGE 7, ARTICLE 9.3, LINE 2: ADDED "OF TIDEWELL HEALTH SYSTEMS, INC. WITH SUCH INPUT AS IT DEEMS NECESSARY AND APPROPRIATE PROVIDED BY THE BOARD OF TRUSTEES OF THI" AFTER "BOARD OF TRUSTEES". 13. PAGE 8, ARTICLE 10, SECTION A, FINANCE AND BUILDING AND PROPERTY MANAGEMENT COMMITTEE: REMOVED BUILDING AND PROPERTY MANAGEMENT COMMITTEE AND MOVED IT TO THE TIDEWELL REAL ESTATE, LLC. 14. PAGE 8, ARTICLE 10, SECTION A, FINANCE AND BUILDING AND PROPERTY MANAGEMENT COMMITTEE, ITEM #3: REMOVED COMMITTEE FROM TIDEWELL HOSPICE, INC. BYLAWS AND ADD IT TO THE TIDEWELL REAL ESTATE, LLC. 15. PAGE 8, ARTICLE 10, SECTION B, AUDIT COMMITTEE: REMOVED ENTIRE SECTION FROM TIDEWELL HOSPICE, INC. BYLAWS AND ADDED IT TO TIDEWELL HEALTH SYSTEMS, INC. BYLAWS. 16. PAGE 9, ARTICLE 10, SECTION C, GOVERNANCE COMMITTEE, ITEM #2: REMOVED ENTIRE SECTION FROM TIDEWELL HOSPICE, INC. BYLAWS AND ADDED IT TO TIDEWELL HEALTH SYSTEMS, INC. BYLAWS. 17. PAGE 9, ARTICLE 10, SECTION D, PLANNING AND BUSINESS DEVELOPMENT COMMITTEE: REMOVED ENTIRE SECTION FROM TIDEWELL HOSPICE, INC. BYLAWS AND ADDED TO TIDEWELL HEALTH SYSTEMS, INC. BYLAWS. 18. PAGE 10, ARTICLE 10, SECTION E, CORPORATE COMPLIANCE, QUALITY ASSURANCE PERFORMANCE IMPROVEMENT ("QAPI") AND GOVERNMENT RELATIONS COMMITTEE: REMOVED "GOVERNMENT RELATIONS" FROM COMMITTEE NAME ALONG WITH EVERY REFERENCE TO "GOVERNMENT RELATIONS" THEREAFTER. THIS REPORT WILL NOW BE GIVEN DURING CEO OPERATIONS REPORT AT EACH TIDEWELL HOSPICE BOARD OF TRUSTEES MEETING. 19. PAGE 10, ARTICLE 10, SECTION E, CORPORATE COMPLIANCE, QUALITY ASSURANCE PERFORMANCE IMPROVEMENT ("QAPI") AND GOVERNMENT RELATIONS COMMITTEE, ITEM #2: REMOVED ENTIRE SECTION FROM TIDEWELL HOSPICE, INC. BYLAWS. 20. PAGE 11, ARTICLE 11.1, LINE 2: REMOVED "DURING THE MONTH OF JUNE AND ADDED "WITH" PRIOR TO "THE SPECIFIC ". 21. PAGE 12, ARTICLE 13.2, LINE 3: ADDED "OF TIDEWELL HEALTH SYSTEMS, INC." AFTER "AUDIT COMMITTEE". 22. PAGE 16: REMOVED THOMAS T. STUHLEY'S NAME AND REPLACED IT WITH MICHAEL R. USELTON'S NAME AS BOARD CHAIRPERSON. 23. PAGE 16: REMOVED JONATHAN D. FLEECE'S NAME AND REPLACED IT WITH WAYNE B. GOFF NAME AS GOVERNANCE COMMITTEE CHAIRPERSON. |
| FORM 990, PART VI, SECTION B, LINE 11 | UPON COMPLETION AND BEFORE SUBMISSION, THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND BY A SUB COMMITTEE OF THE BOARD OF TRUSTEES. THE FINANCE COMMITTEE WILL THEN REPORT TO THE FULL BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD OF TRUSTEES AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. BOARD MEMBERS SIGN A STATEMENT ANNUALLY. POSSIBLE CONFLICTS ARE REVIEWED OR RESOLVED BY NON INTERESTED PARTIES OF THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | EACH YEAR A MARKET ANALYSIS IS PERFORMED. ANALYSIS IS CROSSED REFERENCED WITH NATIONAL COMPENSATION PUBLICATION FOR VALIDATION. THE INFORMATION DERIVED FROM THIS PROCESS IS PRESENTED TO THE PERSONNEL COMMITTEE, A SUB COMMITTEE OF THE BOARD OF TRUSTEES. FULL BOARD OF TRUSTEES' APPROVAL IS REQUIRED IN ORDER TO ADJUST COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | TIDEWELL HOSPICE MAKES ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. EACH REQUEST IS EVALUATED BY THE CFO AND A COPY OF THE REQUESTED DOCUMENT IS MADE AND MAILED TO THE REQUESTER. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS OF THE COMMUNITY FOUNDATION OF SARASOTA COUNTY, INC. 317,139. ROUNDING 3. |
| FORM 990, PART XII, LINE 2C AUDIT REVIEW PROCESS | THERE WAS NO CHANGE TO THE AUDIT REVIEW PROCESS OVER THE PRIOR YEAR |
| Software ID: | |
| Software Version: |