AIDS SERVICE ASSOCIATION OF PINELLAS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
AIDS SERVICE ASSOCIATION OF PINELLAS INC (EIN 59-2862537)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-15
IRS object ID
202242279349303329
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-15T13:52:46-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593070669PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MSL PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 E BROWARD BLVD SUITE 1550AddressLine1Txt
CityFORT LAUDERDALECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33394ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592862537EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AIDS SERVICE ASSOCIATION OFBusinessNameLine1Txt
Business Name Line2PINELLAS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAIDSBusinessNameControlTxt
Phone7275864432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15771 ROOSEVELT BLVDAddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33760ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSAIDA BOUHAMIDPersonNm
Person TitleCFOPersonTitleTxt
Phone7275864432PhoneNum
Signature2022-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSAIDAPersonFirstNm
Person LastBOUHAMIDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVICKI L HINZ CPAPreparerPersonNm
PTINP00356696PTIN
Phone9548478910PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1EMPATH PARTNERS IN CARE (EPIC)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRAFAEL SCIULLOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15771 ROOSEVELT BLVDAddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33760ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,612,215GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MYEPIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionSERVING THE COMMUNITY AND IMPROVING THE LIVES OF THOSE INFECTED OR AFFECTED BY HIV/AIDS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers108TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,136,742PYContributionsGrantsAmt
CY Contributions Grants$4,299,790CYContributionsGrantsAmt
PY Program Service Revenue$9,349,012PYProgramServiceRevenueAmt
CY Program Service Revenue$11,192,703CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income-$41,952CYInvestmentIncomeAmt
PY Other Revenue$51,638PYOtherRevenueAmt
CY Other Revenue$86,394CYOtherRevenueAmt
PY Total Revenue$12,537,392PYTotalRevenueAmt
CY Total Revenue$15,536,935CYTotalRevenueAmt
PY Grants And Similar Paid$5,477,639PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,491,799CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,796CYTotalFundraisingExpenseAmt
PY Other Expenses$7,273,840PYOtherExpensesAmt
CY Other Expenses$8,445,104CYOtherExpensesAmt
PY Total Expenses$12,751,479PYTotalExpensesAmt
CY Total Expenses$14,936,903CYTotalExpensesAmt
PY Revenues Less Expenses-$214,087PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$600,032CYRevenuesLessExpensesAmt
Total Assets BOY$2,378,201TotalAssetsBOYAmt
Total Assets EOY$2,880,365TotalAssetsEOYAmt
Total Liabilities BOY$1,305,167TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,207,299TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,073,034NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,673,066NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAIDS SERVICE ASSOCIATION OF PINELLAS, INC. IS A NOT-FOR-PROFIT CORPORATION ORGAINIZED AND EXISTING FOR THE PURPOSE OF PROVIDING PROGRAMS AND SERVICES TO IMPROVE THE LIVES OF ALL THOSE INFECTED AND AFFECTED BY HIV/AIDS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,028,104ExpenseAmt
Grant$1,028,104GrantAmt
Revenue$1,165,587RevenueAmt
DescTHE RYAN WHITE PART A PROGRAM INCLUDES MEDICAL CASE MANAGEMENT AND MENTAL HEALTH COUNSELING. THE PROGRAM LINKS EPIC CLIENTS TO COMMUNITY SERVICES DESIGNED TO PROVIDE IMPROVED HEALTH AND ENHANCE QUALITY OF LIFE. CLIENTS ENROLLED IN THIS PROGRAM MUST PARTICIPATE IN PRIMARY CARE AND DISEASE MANAGEMENT. EPIC CLIENTS ACHIEVED A 98 PERCENT SUCCESS RATE WITH THESE REQUIREMENTS, WHICH RESULTED IN SLOWING DISEASE PROGRESSION AND ACCOUNTS FOR LOWER CHANCE OF OPPORTUNISTIC INFECTIONS, WHICH ARE DETRIMENTAL TO THOSE WITH COMPROMISED IMMUNE SYSTEMS. FURTHER, IT MEANS FEWER VISITS TO EMERGENCY ROOMS, LOWER GENERAL MEDICAL CARE COSTS (INCLUDING PRESCRIPTIONS), AND REDUCED MENTAL HEALTH ISSUES, RESULTING IN BETTER OVERALL WELLNESS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$590,035ExpenseAmt
Grant$590,035GrantAmt
Revenue$561,091RevenueAmt
DescTHE RYAN WHITE PART B PROGRAM INCLUDES MEDICAL CASE MANAGEMENT, NON-MEDICAL CASE MANAGEMENT PROGRAMS, ALONG WITH LOCAL PHARMACY SERVICES TO PROVIDE BOTH EMERGENCY HIV MEDICATIONS (17 UNDUPLICATED CLIENTS) AND NON-HIV MEDICATIONS (163 UNDUPLICATED CLIENTS). THIS PROGRAM IS A "WRAP AROUND" OF THE STATE OF FLORIDA AIDS DRUG ASSISTANCE PROGRAM (ADAP) AND IS USED TO PREVENT A LAPSE IN TREATMENT. THE PROGRAM LINKS EPIC CLIENTS TO COMMUNITY SERVICES DESIGNED TO PROVIDE IMPROVED HEALTH AND ENHANCE QUALITY OF LIFE.CLIENTS ENROLLED IN THIS PROGRAM MUST PARTICIPATE IN PRIMARY CARE AND DISEASE MANAGEMENT. EPIC CLIENTS ACHIEVED A 97 PERCENT SUCCESS RATE WITH THESE REQUIREMENTS, WHICH RESULTED IN SLOWING DISEASE PROGRESSION AND ACCOUNTS FOR LOWER CHANCE OF OPPORTUNISTIC INFECTIONS, WHICH ARE DETRIMENTAL TO THOSE WITH COMPROMISED IMMUNE SYSTEMS. FURTHER, IT MEANS FEWER VISITS TO EMERGENCY ROOMS, LOWER GENERAL MEDICAL CARE COSTS (INCLUDING PRESCRIPTIONS), AND REDUCED MENTAL HEALTH ISSUES, RESULTING IN BETTER OVERALL WELLNESS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$447,101ExpenseAmt
Grant$447,101GrantAmt
Revenue$562,951RevenueAmt
DescTHE DEPARTMENT OF HEALTH (DOH) GRANT PROVIDES HIGH IMPACT PREVENTION SERVICES, THROUGH OUTREACH, TESTING, CONDOM DISTRIBUTION, PREP, CLEAR AND HOME AND COMMUNITY BASED INTERVENTION PROGRAMS. THE PROGRAMS TARGET THOSE WHO ARE PRACTICING HIGH-RISK BEHAVIORS. CLIENTS MAY BE HIV POSITIVE OR HIGH-RISK NEGATIVE. THE PROGRAM SEEKS TO EDUCATE CLIENTS ON SAFER SEX OPTIONS AND WAYS TO REDUCE RISKY BEHAVIORS AND LINK INDIVIDUALS TO CARE.THE PROGRAM STAFF COORDINATES WITH OUR CASE MANAGEMENT PROGRAM AND OTHER COMMUNITY PROVIDERS. HIGH RISK BEHAVIORS SUCH AS SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES, SEX ADDICTION, HAVING SEX FOR MONEY, HOMELESSNESS, ETC., ARE DIRECTLY CORRELATED WITH INCREASED HIV INFECTIONS. STAFF MUST SERVICE 72 CLIENTS IN CLEAR (HIV NON-REACTIVE) AND 72 CLIENTS THROUGH THE HOME AND COMMUNITY BASED INTERVENTION (HIV REACTIVE) EACH YEAR. STAFF MUST TEST A MINIMUM OF 1,200 INDIVIDUALS THROUGH THE YEAR AS WELL AS PARTICIPATE IN A MINIMUM OF 12 OUTREACH/TESTING EVENTS IN THE CALENDAR YEAR.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$10,380,612ExpenseAmt
Grant$4,426,559GrantAmt
Revenue$8,915,496RevenueAmt
DescEPIC'S BRIGHTER SEASONS FOR CHILDREN PROGRAM: THE PROGRAM IS A GRASSROOTS CAMPAIGN STARTED OVER 20 YEARS AGO BY COMMUNITY MEMBERS WHO WANTED TO MAKE A DIFFERENCE IN THE LIVES OF CHILDREN INFECTED AND AFFECTED BY HIV/AIDS LIVING IN PINELLAS COUNTY. EPIC CURRENTLY SERVES 42 FAMILIES, WHICH INCLUDE 100 CHILDREN. EACH YEAR, BRIGHTER SEASONS PROVIDES FAMILIES WITH HOLIDAY FOOD PACKAGES AT THANKSGIVING AND CHRISTMAS, A HOLIDAY PARTY WITH SANTA, A HOLIDAY GIFT DISTRIBUTION, AND A SPRING PICNIC AND EGG HUNT. THE PROGRAM ALSO PROVIDES BACK-PACKS AT THE BEGINNING OF EACH SCHOOL YEAR, FULLY LOADED WITH NEEDED SCHOOL SUPPLIES.OUR MEDICAL CO-PAY ASSISTANCE PROGRAM HELPS CLIENTS WITH LIMITED FINANCIAL AID FOR DOCTOR VISITS, LAB WORK, AND MEDICATIONS. TO QUALIFY, A CLIENT MUST BE HIV POSITIVE, EMPLOYED, INSURED, AND RESIDE IN PINELLAS COUNTY. IN ADDITION, CLIENTS ARE UNABLE TO RECEIVE THIS SERVICE IF THEY ARE ON DISABILITY, MEDICAID, OR MEDICARE ASSISTANCE PROGRAMS.EPIC PROVIDES FREE HIV TESTING FOR ANYONE AGE 13 AND UP, AS WELL AS EDUCATION AND PREVENTION PROGRAMS FOR THE ENTIRE COMMUNITY. INDIVIDUAL SUPPORT SERVICES ARE AVAILABLE FOR THOSE WHOARE AT HIGH RISK FOR ACQUIRING HIV. EPIC PROVIDES SERVICES THAT COVER HIV POSITIVE NEW BORN BABIES OR BABIES WITH AN HIV POSITIVE PARENT. PROGRAMS AND SERVICES ARE FOR ALL PEOPLE OF ALL AGES. MANY EPIC CLIENTS ARE SENIOR ADULTS.EPIC OFFERS HIV EDUCATION, PREVENTION SERVICES, TESTING, CASE MANAGEMENT, FOOD AND PERSONAL NEEDS PANTRY, A CHILDREN'S PROGRAM, SOME FINANCIAL ASSISTANCE, AND MANY OTHER OPTIONS. CASE MANAGERS HELP THEIR EPIC CLIENTS FIND AVENUES OF CARE AND OTHER RESOURCES TO HELP THEM DEAL WITH THEIR INDIVIDUAL SITUATIONS. TESTING IS PROVIDED BY CERTIFIED TESTERS AND STAFF EDUCATORS PROVIDE VITAL INFORMATION ON PREVENTION AND OTHER TOPICS. EPIC PROVIDES SUPPORT GROUPS AND COUNSELING FOR THOSE LIVING WITH HIV/AIDS AND COLLABORATES WITH OTHER AIDS ORGANIZATIONS TO PROVIDE ADDITIONAL OPTIONS. EPIC'S HOME 3050 AND 340(B) PROGRAMS MEET ALL OF AN HIV CLIENT'S HEALTH CARE NEEDS IN ONE PLACE, A TRUE ONE-STOP SHOP, SERVING OVER 1,200 CLIENTS ANNUALLY. TREATMENTS INCLUDE MEDICAL CARE, MEDICAL CASE MANAGEMENT, COUNSELING SERVICES, CARE COORDINATION, AND PHARMACEUTICAL CONSULTS. THROUGH ITS 340(B) PROGRAM, 100% OF ALL PROCEEDS, REALIZED THROUGH EPIC'S PARTNERED PHARMACY, ARE ALLOCATED BACK TO MAINTAIN AND EXPAND EPIC'S SERVICES TO THE HIV COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,380,612TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$4,426,559TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$8,915,496TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$12,445,852TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document71IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAIDA BOUHAMIDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7275864432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15771 ROOSEVELT BLVDAddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33760ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RAFAEL J SCIULLO
PRESIDENT AND CEO1.0046.00Yes (X)Yes (X)$0$628,020$43,586
SCOTT KISTLER
TRUSTEE1.00Yes (X)$0$192,756$24,630
MICHAEL RUPPAL
CHAIR1.00Yes (X)Yes (X)$0$0$0
LISA E COHEN
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
STEPHANIE MARHEFKA
SECRETARY1.00Yes (X)Yes (X)$0$0$0
CRAIG BRYANT
TREASURER1.00Yes (X)Yes (X)$0$0$0
DAVID BUBY
TRUSTEE1.001.00Yes (X)$0$0$0
KAREN GOFORTH
TRUSTEE1.00Yes (X)$0$0$0
CHARLOTTE NOBLE
TRUSTEE1.00Yes (X)$0$0$0
JULIA MCGINTY
TRUSTEE1.00Yes (X)$0$0$0
FRANK RODER
TRUSTEE1.00Yes (X)$0$0$0
RYAN YOUNG
TRUSTEE1.00Yes (X)$0$0$0
RYAN MEMOLI
TRUSTEE1.00Yes (X)$0$0$0
SAIDA BOUHAMID
CHIEF FINANCIAL OFFICER1.0046.00Yes (X)$0$317,901$51,424
JOY A WINHEIM
EXECUTIVE DIRECTOR40.00Yes (X)$0$110,586$14,542
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,249,263TotReportableCompRltdOrgAmt
Total Other Compensation$134,182TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE HOSPICE OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BLVDCLEARWATERFL33760PROGRAM SERVICES$3,232,241
EMPATH HEALTH INC
5771 ROOSEVELT BLVDCLEARWATERFL33760MANAGEMENT & PROGRAM SERVICES$1,131,123
EMPATH REAL ESTATE INC
5771 ROOSEVELT BLVDCLEARWATERFL33760FACILITY RENT$609,069
ST JOSEPHS HOSP DBA PINELLAS CARE CLINIC
4600 NORTH HABANA AVE STE 23TAMPAFL33614PROFESSIONAL SERVICES$172,107
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Fundraising$29,580FundraisingAmt
Government Grants$4,095,525GovernmentGrantsAmt
All Other Contributions$174,685AllOtherContributionsAmt
Total Contributions$4,299,790TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B PRESCRIPTION PROGRAM900099$11,094,150$11,094,150
OTHER PROGRAM SERVICE REVENUE900099$98,553$98,553
FieldValueIRS element (for citing)
Total Program Service Revenue$11,192,703TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$41,952SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$41,952SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$41,952TotalRevenueColumnAmt
Related Or Exempt Func Income-$41,952RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$65,348FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$29,580ContriRptFundraisingEventAmt
Fundraising Direct Expenses$33,328FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,020TotalRevenueColumnAmt
Exclusion$32,020ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$54,374TotalRevenueColumnAmt
Related Or Exempt Func Income$54,374RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$54,374OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,536,935TotalRevenueColumnAmt
Related Or Exempt Func Income$11,205,125RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$32,020ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,491,799TotalAmt
Program Services$6,491,799ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,035,290TotalAmt
Management And General$1,035,290ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,988TotalAmt
Management And General$5,988ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,900TotalAmt
Program Services$16,409ProgramServicesAmt
Management And General$8,491ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,162,773TotalAmt
Program Services$3,268,997ProgramServicesAmt
Management And General$890,980ManagementAndGeneralAmt
Fundraising$2,796FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,450TotalAmt
Program Services$1,450ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$88,882TotalAmt
Program Services$59,928ProgramServicesAmt
Management And General$28,954ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$730,845TotalAmt
Program Services$241,415ProgramServicesAmt
Management And General$489,430ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,578TotalAmt
Program Services$2,578ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,616TotalAmt
Program Services$3,866ProgramServicesAmt
Management And General$20,750ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,642TotalAmt
Program Services$17,119ProgramServicesAmt
Management And General$4,523ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$2,146,097$2,146,097
DIETARY$91,537$89,867$1,670
COVID-19 EXPENSES$89,773$89,773
MEDICAL & SMALL EQUIPME$8,288$6,299$1,989

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,445TotalAmt
Program Services$10,255ProgramServicesAmt
Management And General$190ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,936,903TotalAmt
Program Services$12,445,852ProgramServicesAmt
Management And General$2,488,255ManagementAndGeneralAmt
Fundraising$2,796FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$1,200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,217,176BOYAmt
EOY$1,753,145EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,007,704BOYAmt
EOY$898,385EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$36,904BOYAmt
EOY$76,277EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$277,348LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$213,237LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$110,943BOYAmt
EOY$64,111EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,974BOYAmt
EOY$87,247EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,378,201BOYAmt
EOY$2,880,365EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,132,659BOYAmt
EOY$1,207,299EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$172,508BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,305,167BOYAmt
EOY$1,207,299EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$945,699BOYAmt
EOY$1,017,253EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$127,335BOYAmt
EOY$55,781EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,073,034BOYAmt
EOY$1,673,066EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,378,201BOYAmt
EOY$2,880,365EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$600,032ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$219,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$176,444CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,045,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,136,742CurrentTaxYearMinus1YearAmt
Current Tax Year$4,256,925CurrentTaxYearAmt
Total$10,834,966TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$219,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$176,444CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,045,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,136,742CurrentTaxYearMinus1YearAmt
Current Tax Year$4,256,925CurrentTaxYearAmt
Total$10,834,966TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$10,834,966PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,554CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,157CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$838CurrentTaxYearMinus2YearsAmt
Total$12,549TotalAmt
FieldValueIRS element (for citing)
Total Support$10,847,515TotalSupportAmt
Gross Receipts Rltd Activities$20,596,089GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99880PublicSupportCY170Pct
Public Support PY1700.98520PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS - 2016 AMOUNT: $ 8,554. 2017 AMOUNT: $ 3,157. 2018 AMOUNT: $ 838.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,528OtherCostOrOtherBasisAmt
Depreciation$50,987DepreciationAmt
Book Value$16,541BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$209,820OtherCostOrOtherBasisAmt
Depreciation$162,250DepreciationAmt
Book Value$47,570BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$64,111TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,570,263TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$15,570,263RevenueSubtotalAmt
Other Revenues Not Included-$33,328OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$33,328RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,536,935TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,970,231TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$33,328OtherExpensesIncludedAmt
Expenses Not Reported$33,328ExpensesNotReportedAmt
Expenses Subtotal$14,936,903ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,936,903TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:EPIC HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE ("IRS") THAT IT IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"). IT IS ALSO EXEMPT FROM STATE INCOME TAX PURSUANT TO FLORIDA LAW. FURTHER, EPIC IS NOT A PRIVATE FOUNDATION FOR FEDERAL TAX PURPOSES AND QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER IRC SECTION 170 AS WELL AS TAX DEDUCTIBLE BEQUESTS, DEVISES, TRANSFERS OR GIFTS UNDER SECTION 2055, 2106, OR 2522. EPIC IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, EPIC IS POTENTIALLY SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES, IF ANY. EPIC HAD NO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED SEPTEMBER 30, 2021 OR 2020. ACCORDINGLY, THESE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE -33,328.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE 33,328.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINING OUT FOR LIFEEvent1Nm
Gross Receipts Event1$42,264GrossReceiptsEvent1Amt
Gross Revenue Event1$42,264GrossRevenueEvent1Amt
Rent Facility Costs Event1$1,500RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$3,146OtherDirectExpensesEvent1Amt
Event2MASQUERADE BALLEvent2Nm
Gross Receipts Event2$41,845GrossReceiptsEvent2Amt
Charitable Contri Event2$29,580CharitableContriEvent2Amt
Gross Revenue Event2$12,265GrossRevenueEvent2Amt
Non Cash Prizes Event2$3,612NonCashPrizesEvent2Amt
Rent Facility Costs Event2$7,004RentFacilityCostsEvent2Amt
Food And Beverage Event2$11,321FoodAndBeverageEvent2Amt
Entertainment Event2$1,824EntertainmentEvent2Amt
Other Direct Expenses Event2$2,192OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$10,819GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$10,819GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$2,729OthDirectExpnssOtherEventsAmt
Gross Receipts Total$94,928GrossReceiptsTotalAmt
Charitable Contributions Tot$29,580CharitableContributionsTotAmt
Gross Revenue Total Events$65,348GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$3,612NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,504RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$11,321FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,824EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$8,067OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,328DirectExpenseSummaryEventsAmt
Net Income Summary$32,020NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant Type340B PRESCRIPTION MEDICINEGrantTypeTxt
Recipient400RecipientCnt
Cash Grant$0CashGrantAmt
Non Cash Assistance$4,763,930NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistancePRESCRIPTION MEDICINENonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSEVERAL PROGRAMS HAVE BEEN ESTABLISHED TO HELP CLIENTS WITH LIMITED FINANCIAL AID FOR DOCTOR VISITS, LAB WORK, AND MEDICATIONS. TO QUALIFY, A CLIENT MUST BE HIV POSITIVE, EMPLOYED, INSURED, AND RESIDE IN PINELLAS COUNTY. IN ADDITION, CLIENTS ARE UNABLE TO RECEIVE THIS SERVICE IF THEY ARE ON DISABILITY, MEDICAID, OR MEDICARE. FUNDING IS ALSO AVAILABLE TO CLIENTS IN NEED OF PERSONAL CARE AND FOOD PANTRY ITEMS. A FUNDING LEVEL IS ESTABLISHED ANNUALLY BASED ON RESOURCES AVAILABLE AND TO ENSURE A LIMIT TO THE FINANCIAL ASSISTANCE PROVIDED. INDIVIDUAL CLIENT MAXIMUM ASSISTANCE IS ALSO ESTABLISHED ON AN ANNUAL BASIS. TO ENSURE GRANTS ARE USED FOR THEIR INTENDED PURPOSE, ALL CHECKS ARE WRITTEN OUT TO THE INTENDED VENDOR AND THE GRANT RECIPIENT SIGNS A WRITTEN AGREEMENT THAT OUTLINES THE SPECIFIC USE OF THE FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAFAEL J SCIULLO
PRESIDENT AND CEO$0$515,023$0$80,000$0$32,997$0$11,400$0$32,186$0$671,606$0$0
SAIDA BOUHAMID
CHIEF FINANCIAL OFFICER$0$265,026$0$52,875$0$0$0$26,000$0$25,424$0$369,325$0$0
SCOTT KISTLER
TRUSTEE$0$182,756$0$10,000$0$0$0$0$0$24,630$0$217,386$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE COMPENSATION OF THE PRESIDENT/CEO AND THE EXECUTIVE DIRECTOR IS DETERMINED BY EMPATH HEALTH, INC. ("EHI"), A RELATED 501(C)(3) ORGANIZATION. EHI USES THE FOLLOWING TO DETERMINE THEIR COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEYS OR STUDIES - APPROVAL BY THE BOARD OF DIRECTORS/COMPENSATION COMMITTEEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN OF THE BOARD, THE PRESIDENT/CHIEF EXECUTIVE OFFICER, THE SECRETARY, AND THE TREASURER. THE BOARD OF DIRECTORS MAY DESIGNATE, FROM ITS MEMBERS, UP TO TWO ADDITIONAL DIRECTORS TO SERVE AS MEMBERS OF THE EXECUTIVE COMMITTEE. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL OF THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT TO THE EXTENT, IF ANY, THAT SUCH AUTHORITY SHALL BE LIMITED BY A RESOLUTION ADOPTED BY A MAJORITY OF DIRECTORS IN OFFICE.
FORM 990, PART VI, SECTION A, LINE 2RAFAEL SCIULLO, SCOTT KISTLER, AND MITCHEL MOREL ARE OFFICERS OR BOARD MEMBERS OF HOSPICE SYSTEMS, INC., A RELATED, FOR-PROFIT COMPANY.
FORM 990, PART VI, SECTION A, LINE 6PURUSANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE VOTING MEMBER OF AIDS SERVICE ASSOCIATION OF PINELLAS, INC. (ASAP) SHALL BE EMPATH HEALTH, INC. (EHI), A RELATED TAX-EXEMPT ORGANIZATION. AS THE ORGANIZATION'S SOLE CORPORATE MEMBER, EHI HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE.
FORM 990, PART VI, SECTION A, LINE 7APURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE CORPORATE MEMBER, EHI, HAS THE RIGHT TO ELECT, APPOINT, OR REMOVE ANY DIRECTOR OF ASAP WITHOUT CAUSE AT ANY TIME.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE CORPORATE MEMBER, EHI, HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY. THE BOARD OF DIRECTORS OF ASAP SHALL NOT HAVE THE AUTHORITY TO MAKE SIGNIFICANT DECISIONS WITHOUT THE APPROVAL OF THE EHI BOARD. SIGNIFICANT DECISIONS INCLUDE, BUT ARE NOT LIMITED TO: THE RIGHT TO AMEND, REPEAL OR ALTER THEIR GOVERNING DOCUMENTS; SELL, LEASE OR OTHERWISE DISPOSE OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS; AND MERGE OR CONSOLIDATE THE ORGANIZATION WITH ANOTHER ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION RETAINS THE EXPERTISE OF AN INDEPENDENT TAX ADVISOR TO ASSIST IN THE PREPARATION AND REVIEW OF ITS IRS FORM 990. PRIOR TO FILING THE IRS FORM 990, MANAGEMENT AND THE INDEPENDENT TAX ADVISOR REVIEW THE TAX RETURN AND ALL REQUIRED DISCLOSURES. THE FORM 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE, CONSISTING OF INDEPENDENT DIRECTORS OF THE ORGANIZATION. THE AUDIT COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS TO ACCEPT OR REJECT THE FORM 990. THE FORM 990 IS THEN PROVIDED TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST PAID EMPLOYEES (INTERESTED PERSONS) OF THE ORGANIZATION HAVE A DUTY TO AVOID CONFLICTS OF INTEREST, BOTH REAL AND PERCEIVED, WHICH MAY NEGATIVELY IMPACT THE ORGANIZATION OR THOSE IT SERVES. THE ORGANIZATION'S INTERESTED PERSONS ARE TO BE GUIDED BY THE ORGANIZATION'S MISSION, VISION AND VALUES, AND TO SERVE PATIENTS, FAMILIES, AND THE GENERAL PUBLIC WITHOUT NEED FOR ANY PERSONAL FAVOR OR GAIN. THE ORGANIZATION'S ETHICS AND COMPLIANCE PLAN EMPHASIZES THE DUTY INTERESTED PERSONS HAVE TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT MAY BENEFIT THEIR PRIVATE INTERESTS OR RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. CONFLICTS ARE DISCLOSED ANNUALLY ON A CONFLICT OF INTEREST QUESTIONNAIRE THAT IS DISTRIBUTED TO THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. IN THE EVENT OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, INTERESTED PERSONS MUST DISCLOSE THE EXISTENCE OF THEIR FINANCIAL INTEREST AND DISCLOSE ALL MATERIAL FACTS TO THE BOARD CHAIR, CEO, OR OTHER DESIGNATED PERSONS. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS BETWEEN THE ORGANIZATION AND AN INTERESTED PERSON, THE PARTY WITH A CONFLICT OF INTEREST BUT ABSTAIN FROM ANY DISCUSSION OR VOTING ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. AT EACH BOARD MEETING, BOARD MEMBERS ARE REMINDED THAT THEY HAVE SIGNED A CONFLICT OF INTEREST DISCLOSURE AND ARE ASKED TO REVIEW THE AGENDA. AT THAT TIME, FOR THE RECORD, THEY ARE TO DISCLOSE ANY ITEMS WITH WHICH THEY MAY HAVE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS THE PRESIDENT AND CEO OF EMPATH HEALTH, INC. (EHI), A RELATED ORGANIZATION. THE CEO'S COMPENSATION IS DETERMINED BY AND PAID FOR BY EHI. THE EXECUTIVE COMMITTEE OF THE EHI BOARD MEETS ANNUALLY TO REVIEW AND APPROVE THE COMPENSATION OF THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE'S REVIEW OF CEO COMPENSATION INCLUDES INFORMATION PROVIDED IN THE MOST RECENT EXTERNAL COMPENSATION REVIEW. THE COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS IS ALSO DETERMINED BY EHI. THE COMPENSATION OF OTHER OFFICERS IS REVIEWED ON AN ANNUAL BASIS BY THE CEO OF EHI. AFTER REVIEWING OFFICER COMPENSATION, THE CEO'S RECOMMENDATIONS ARE THEN APPROVED BY EHI'S BOARD OF DIRECTORS. THESE REVIEWS ARE DOCUMENTED IN EACH EMPLOYEE'S FILE. THE REVIEW OF OTHER OFFICERS' COMPENSATION INCLUDES INFORMATION PROVIDED IN THE MOST RECENT EXTERNAL COMPENSATION REVIEW. EXTERNAL COMPENSATION REVIEWS ARE PERFORMED ACCORDING TO THE FOLLOWING PROCESS: EVERY 3-5 YEARS HUMAN RESOURCES WILL EMPLOY A WELL-RECOGNIZED, INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE MARKET RANGES FOR THE CEO OF EHI. THE REVIEW WILL INCLUDE A NATIONAL COMPARISON OF SIMILAR JOBS AT SIMILARLY SITUATED COMPANIES IN ORDER TO MAKE CERTAIN THAT THESE KEY EMPLOYEES ARE PAID WITHIN A REASONABLE AND APPROPRIATE RANGE. THE RESULTING RECOMMENDATIONS WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE TO RECOMMEND ANY MARKET-BASED CHANGES OR TO ENSURE THAT THE CURRENT COMPENSATION OF THESE INDIVIDUALS ARE CORRECT. DURING THIS REVIEW, HUMAN RESOURCES WILL ALSO GIVE THE EXECUTIVE COMMITTEE A BROAD OVERVIEW OF THE STRUCTURE OF THE FULL ORGANIZATION'S COMPENSATION SYSTEM, INCLUDING THE PHILOSOPHY AND SYSTEMS SET IN PLACE TO MANAGE IT.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO IRC SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 228,394. MANAGEMENT AND GENERAL EXPENSES 1,948. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 230,342. PATIENT CARE: PROGRAM SERVICE EXPENSES 900,731. MANAGEMENT AND GENERAL EXPENSES 10,077. FUNDRAISING EXPENSES 2,796. TOTAL EXPENSES 913,604. MEDICAL TRANSPORTATION: PROGRAM SERVICE EXPENSES 26,730. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,730. SALARIES AND BENEFITS ALLOCATION: PROGRAM SERVICE EXPENSES 2,113,142. MANAGEMENT AND GENERAL EXPENSES 878,955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,992,097.
FORM 990, PART XII, LINE 2CTHE SOLE CORPORATE MEMBER, EMPATH HEALTH, INC., IS RESPONSIBLE FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
STRATUM HEALTH SYSTEM INC
5955 RAND BLVDSARASOTAFL34238472508009PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICESFL501(C)(3)LINE 12A, IEMPATH-STRATUM INC0
TIDEWELL HOSPICE INC
5955 RAND BLVDSARASOTAFL34238591911861PROVIDE HOSPICE CAREFL501(C)(3)LINE 7STRATUM HEALTH SYSTEM INC0
TIDEWELL FOUNDATION INC
5955 RAND BLVDSARASOTAFL34238850729071PROVIDE FUNDS TO SUPPORT THE MISSION AND PROGRAMS OF TIDEWELL HOSPICEFL501(C)(3)LINE 7STRATUM HEALTH SYSTEM INC0
EMPATH HEALTH INC
5771 ROOSEVELT BLVDCLEARWATERFL33760263605761PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICESFL501(C)(3)LINE 12B, IIEMPATH-STRATUM INC0
THE HOSPICE OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BLVDCLEARWATERFL33760591744006HOSPICEFL501(C)(3)LINE 10EMPATH HEALTH INC0
THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BLVDCLEARWATERFL33760593176721INACTIVEFL501(C)(3)LINE 7EMPATH HEALTH INC0
THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BLVDCLEARWATERFL33760592252045FUNDRAISINGFL501(C)(3)LINE 7EMPATH HEALTH INC0
SUNCOAST PACE INC
5771 ROOSEVELT BLVDCLEARWATERFL33760452980257PACE PROGRAMFL501(C)(3)LINE 10EMPATH HEALTH INC0
EMPATH-STRATUM INC
5771 ROOSEVELT BLVDCLEARWATERFL33760851356625PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICESFL501(C)(3)LINE 12A, I0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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