Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 4,444,662 | 5,346,952 | 425,060 | 6,175,741 | 9,324,936 | 25,717,351 |
| 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 | 4,444,662 | 5,346,952 | 425,060 | 6,175,741 | 9,324,936 | 25,717,351 |
| 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).. | 1,150,810 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 24,566,541 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 4,444,662 | 5,346,952 | 425,060 | 6,175,741 | 9,324,936 | 25,717,351 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 439,559 | 487,623 | 122,538 | 571,215 | 655,444 | 2,276,379 |
| 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.).. | 33,555 | 414,766 | 12,462 | 33,277 | 323,060 | 817,120 |
| 11 | Total support. Add lines 7 through 10 | 28,810,850 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) |
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| 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) |
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| 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): |
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| 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 | ||||
| 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 |
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| 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 2018 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-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| PART II, SHORT YEAR EXPLANATION: | DUE TO A CHANGE IN FISCAL YEAR-END, THE REPORTING PERIOD FOR A PREVIOUS FORM 990 FILED BY THE ORGANIZATION WAS A SHORT YEAR BEGINNING 07/01/2017 AND ENDING 09/30/2017. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| 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. VALUE OF VOLUNTEER HOURS - $1,873,260 |
| FORM 990, PART VI, SECTION A, LINE 2 | SANDY BUCHANAN, STRATUM HEALTH SYSTEM TRUSTEE AND KIMBERLIE BUCHANAN, TIDEWELL HOSPICE TRUSTEE ARE SISTER IN-LAWS. STEVE HALL, STRATUM HEALTH SYSTEM AND TIDEWELL HOSPICE TRUSTEE IS THE NEPHEW OF LORI DENGLER, TIDEWELL HOSPICE ARNP (NOT KEY EMPLOYEE). |
| FORM 990, PART VI, SECTION A, LINE 4 | ON JUNE 3, 2019 THE BOARD OF TRUSTEES APPROVED THE ORGANIZATION'S EIGHTH AMENDED AND RESTATED BYLAWS, WHICH WERE THEN SUPERCEDED ON AUGUST 26, 2019 BY THE ORGANIZATION'S NINTH AMENDED AND RESTATED BYLAWS. THE FOLLOWING LANGUAGE WAS ADDED TO ARTICLE 6.3, TERM OF OFFICERS: NOTWITHSTANDING THE FOREGOING AND IN ADDITION TO THE ONE-YEAR EXTENSION PERMITTED BY SECTION 4.2 HEREOF, IN THE EVENT OF A MATERIAL CHANGE IN LEADERSHIP (AS HEREAFTER DEFINED) OCCURRING IN THE SECOND YEAR OF THEN THEN CURRENT CHAIR'S TERM, THE CHAIR MAY SERVE FOR AN ADDITIONAL ONE (1) YEAR PERIOD AT THE DISCRETION OF THE BOARD. IN THE EVENT OF FILLING THE VACANCY OF ANY OFFICER POSITION PRIOR TO AN ANNUAL MEETING, THE OFFICIAL TERM OF SUCH OFFICER POSITION SHALL NOT COMMENCE UNTIL THE FIRST DATE OF THE FISCAL YEAR IMMEDIATELY FOLLOWING THE ANNUAL MEETING, ASSUMING THAT THE APPLICABLE OFFICER IS RE-ELECTED AT SUCH ANNUAL MEETING. FOR PURPOSES OF THIS SECTION 6.3, A "MATERIAL CHANGE IN LEADERSHIP" SHALL MEAN: (I) ANY CHANGE IN THE IDENTITY OF THE INDIVIDUAL SERVING AS THE CHIEF EXECUTIVE OFFICER OF STRATUM HEALTH SYSTEM; (II) THE TEMPORARY OR PERMANENT DISABILITY OF THE CHIEF EXECUTIVE OFFICER OF STRATUM HEALTH SYSTEM; OR (III) THE OCCURRENCE OF A CHANGE OF CONTROL (AS HEREAFTER DEFINED). FOR PURPOSES OF THIS SECTION 6.3, A "CHANGE OF CONTROL" MEANS: (A) THE SALE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF STRATUM HEALTH SYSTEM AND/OR TIDEWELL HOSPICE, WHETHER BY MERGER, CONSOLIDATION OR SALE OF ASSETS TO ANY INDIVIDUAL, ENTITY OR GROUP, INCLUDING, BUT NOT LIMITED TO, ANOTHER HOSPICE OR HOSPICE RELATED ORGANIZATION; (B) A TRANSACTION IN WHICH STRATUM HEALTH SYSTEM OR TIDEWELL HOSPICE AND/OR A RELATED EMPLOYER (AS SUCH TERM IS DEFINED IN SECTION 414 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED) EMERGES NO LONGER AS THE DOMINANT ENTITY; (C) THE OCCURRENCE OF A CHANGE IN WHICH ANY PERSON OR ENTITY ACHIEVES THE ABILITY, DIRECTLY OR INDIRECTLY, TO APPOINT 50% OR MORE OF THE BOARD OF TRUSTEES OF STRATUM HEALTH SYSTEM AND/OR TIDEWELL HOSPICE; OR (D) A CHANGE IN THE MANAGEMENT OR CONTROL OF STRATUM HEALTH SYSTEM AND/OR TIDEWELL HOSPICE BY WAY OF AN AGREEMENT ENTERED INTO BY STRATUM HEALTH SYSTEM AND/OR TIDEWELL HOSPICE WITH ANOTHER ORGANIZATION TO PROVIDE MANAGEMENT SERVICES TO STRATUM HEALTH SYSTEM, TIDEWELL HOSPICE OR ANY SUCCESSOR ORGANIZATION. IN THE NINTH AMENDED AND RESTATED BYLAWS, THE FINANCE COMMITTEE WAS RE-NAMED AS THE FINANCE AND INVESTMENT COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 11B | UPON COMPLETION AND BEFORE SUBMISSION, THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER ALONG WITH A SUMMARY OF IMPORTANT HIGHLIGHTS, NOTING THE PAGE NUMBERS AND LINES FOR ITEMS OF PARTICULAR IMPORTANCE TO REVIEW. |
| 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 CROSS REFERENCED WITH NATIONAL COMPENSATION PUBLICATION FOR VALIDATION. THE INFORMATION DERIVED FROM THIS PROCESS IS PRESENTED TO THE PERSONNEL COMMITTEE, A SUBCOMMITTEE 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. 431,760. LOSS ON INVESTMENT K-1 ACTIVITY 25,512. |
| FORM 990, PART XII, LINE 2C AUDIT REVIEW PROCESS | THERE WAS NO CHANGE TO THE AUDIT REVIEW PROCESS OVER THE PRIOR YEAR. |
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