2021-08-13T09:36:45-05:00 2020-09-30 593070669 MSL PA 201 EAST KENNEDY BOULEVARD SUITE 650 TAMPA FL 33602 990 2019-10-01 591744006 THE HOSPICE OF THE FLORIDA SUNCOAST INC HOSP 7275864432 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 SAIDA BOUHAMID CFO 7275864432 2021-08-13 VICKI L HINZ CPA P00356696 8133142600 2019 2022-09-23 18:48:47Z SUNCOAST HOSPICE RAFAEL SCIULLO 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 128099257 0 X WWW.SUNCOASTHOSPICE.ORG X 1977 FL PROVIDES HEALTH, HUMAN, & COMMUNITY SERVICES FOR THE TERMINALLY ILL AND THEIR FAMILIES. 15 14 0 918 0 0 2340778 3787987 108105807 120412475 550386 466875 117525 0 111114496 124667337 0 400000 0 0 50967079 0 0 0 0 55237085 115474117 106204164 115874117 4910332 8793220 50928711 63389122 15438795 18749629 35489916 44639493 X SUNCOAST HOSPICE'S MISSION IS TO BE THE CENTER TO IMPROVE LIFE FOR THOSE TOUCHED BY ADVANCED ILLNESS, DEATH, DYING, GRIEF, BEREAVEMENT AND OTHER END-OF-LIFE ISSUES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.SUNCOAST HOSPICE IS GUIDED BY ITS COMMITMENT TO PROVIDE CARE AND COMFORT TO INDIVIDUALS AS THEY NEAR THE END OF LIFE, LESSENING THEIR PAIN AND SUFFERING, THUS ENABLING THEM TO LIVE IN AS MUCH COMFORT AND DIGNITY AS POSSIBLE. GUIDANCE AND SUPPORT ARE PROVIDED TO CAREGIVERS/FAMILIES AS WELL AS GRIEF, SPIRITUAL, AND BEREAVEMENT COUNSELING. 0 0 79704448 103786979 HOSPICE SERVICES - SUNCOAST HOSPICE'S MISSION OF CARE FOCUSES ON PERSONS WITH ADVANCED ILLNESSES AND EXTENDS TO THOSE ACTING AS CAREGIVERS OR WORKING THROUGH GRIEF. SUNCOAST HOSPICE IS RECOGNIZED NATIONWIDE FOR ITS INNOVATIVE SERVICE DELIVERY AND ADVOCACY FOR SOCIAL CHANGE. IN ADDITION TO PROVIDING CARE IN PRIVATE HOMES, SUNCOAST HOSPICE SERVES THOSE WHO RESIDE IN NURSING HOMES, ASSISTED LIVING FACILITIES (ALFS), HOSPITALS, SUNCOAST HOSPICE CARE CENTERS; OR ANYWHERE PATIENTS CALL HOME. OF THOSE WHO DIED IN PINELLAS COUNTY IN 2019, APPROXIMATELY 53% WERE SERVED BY SUNCOAST HOSPICE. SUNCOAST HOSPICE SERVES ALL PEOPLE WITHOUT REGARD TO DIAGNOSES, AGE, RELIGIOUS, ETHNIC, SEX OR FINANCIAL CIRCUMSTANCES. OVER $1,890,000 IN UNCOMPENSATED CARE WAS PROVIDED TO INDIVIDUALS AND FAMILIES IN 2020. 19184527 16379090 THE SUNCOAST HOSPICE CARE CENTERS, ALSO KNOWN AS INPATIENT CENTERS, ARE PLACES OF REFUGE FOR OUR PATIENTS WHEN THEY SUFFER SEVERE PAIN OR EXPERIENCE ACUTE SYMPTOMS THAT CANNOT BE RESOLVED OR MANAGED IN THEIR OWN HOMES. CARE WITH COMPASSION IS PROVIDED AT THESE THREE CENTERS. EACH SUNCOAST HOSPICE CARE CENTER IS STAFFED BY MEDICAL TEAMS AVAILABLE 24-HOURS A DAY, 7-DAYS A WEEK IN SETTINGS DESIGNED EXPRESSLY FOR THE COMFORT AND CONVENIENCE OF OUR PATIENTS AND THEIR FAMILIES. OUR PATIENTS STAY IN A CENTER UNTIL THEIR PAIN AND SYMPTOMS ARE CONTROLLED ENOUGH TO ALLOW THEM TO COMFORTABLY RETURN TO THEIR RESIDENCES - THEIR CHOSEN ACTIVITIES - THEIR LIVES. EACH CENTER HAS ITS OWN DISTINCT ENVIRONMENT AND SETTING, BUT SHARES A COMMON GOAL OF CREATING A SENSE OF COMFORT, PEACE, AND TRANQUILITY. 6996462 400000 246406 OTHER PROGRAMS - OTHER IMPORTANT SUNCOAST HOSPICE SERVICES OFFERED ARE GRIEF OR BEREAVEMENT SUPPORT AND COUNSELING. WHILE STAGES OF GRIEF HAVE BEEN IDENTIFIED, NO TWO PEOPLE GRIEVE IN EXACTLY THE SAME WAY OR IN PRESCRIBED TIME FRAMES. SUNCOAST HOSPICE OFFERS GRIEF COUNSELING AND SUPPORT TO THOSE IT SERVES IN ITS HOSPICE PROGRAMS AS WELL AS TO THE ENTIRE COMMUNITY. A SPECIAL CAMP FOR CHILDREN IN GRIEF IS OFFERED EACH YEAR AS WELL AS OTHER PROGRAMS AND SESSIONS FOR YOUNGSTERS WHO ARE TRYING TO COME TO TERMS WITH THE DEATH OF SOMEONE WHO HAS BEEN CLOSE TO THEM. AS TESTAMENT TO ITS COMMITMENT TO THE PINELLAS COMMUNITY AND THE WELL-BEING OF ITS CITIZENS, SUNCOAST HOSPICE OFFERS EDUCATION AND TRAINING ON A WIDE VARIETY OF SUBJECTS AND TO VARIED AUDIENCES. 105885437 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 417 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X SAIDA BOUHAMID CFO 7275864432 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 RAFAEL J SCIULLO PRESIDENT AND CEO 1.00 44.00 X X 0 543372 28738 MITCHEL MOREL CHIEF FINANCIAL OFFICER 1.00 44.00 X 0 258496 46703 BENJAMIN HAYES CHAIR 1.00 3.00 X X 0 0 0 MARTHA LENDERMAN VICE CHAIR 1.00 0.00 X X 0 0 0 PATRICK BARMORE SECRETARY 1.00 1.00 X X 0 0 0 CHARLES WHETSTONE TREASURER 1.00 2.00 X X 0 0 0 DWYANNE BROWN DIRECTOR 1.00 0.00 X 0 0 0 DR DAVID G BUBY DIRECTOR 1.00 1.00 X 0 0 0 MARY JEAN ETTEN DIRECTOR 1.00 2.00 X 0 0 0 MICHAEL GAINES DIRECTOR 1.00 1.00 X 0 0 0 KELLI HANLEY-CRABB DIRECTOR 1.00 2.00 X 0 0 0 RUBY J HOPE DIRECTOR 1.00 0.00 X 0 0 0 BARRY HOWE DIRECTOR 1.00 0.00 X 0 0 0 KATHRYN HYER PHD DIRECTOR 1.00 1.00 X 0 0 0 DR JAMES H STEG DIRECTOR 1.00 0.00 X 0 0 0 JUDITH A WOODWORTH DIRECTOR 1.00 1.00 X 0 0 0 0 801868 75441 0 0 1 0 EMPATH HEALTH INC 5771 ROOSEVELT BLVD CLEARWATER FL 33760 MANAGEMENT FEES 16596972 PINELLAS COUNTY EMERGENCY MEDICAL SERVIC PO BOX 31074 TAMPA FL 33631 AMBULANCE SERVICES 1378011 MORTON PLANT HOSPITAL PO BOX 404817 ATLANTA GA 30384 MEDICAL SERVICES 1230264 ST ANTHONY'S HOSPITAL PO BOX 403746 ATLANTA GA 30384 MEDICAL SERVICES 1120055 LARGO MEDICAL CENTER HOSPITAL PO BOX 281309 ATLANTA GA 30384 MEDICAL SERVICES 898301 84 1748466 2039521 3787987 NET PATIENT SERVICE REVENUE 623000 120131471 120131471 OTHER PATIENT SERVICE REVENUE 623000 281004 281004 120412475 466875 466875 3431920 3431920 0 124667337 120412475 0 466875 X 400000 400000 16596972 10891568 5705404 170263 170263 31724 31724 27718 27718 80403120 77766404 2636716 879932 785067 94865 731515 577558 153957 3929392 2786596 1142796 7199 7199 174708 174708 557281 557281 80265 80265 PATIENT MEDICATION 4368110 4368110 MEDICAL SUPPLIES 3361355 3358444 2911 MEDICAL AND SMALL EQUIP 2244783 2230021 14762 BAD DEBT EXPENSE 888046 888046 1021734 812183 209551 115874117 105885437 9988680 0 7000 12000 20695079 30721396 60013 8722373 9853449 471855 549497 20618514 18742021 1647559 1876493 7773455 7948435 11611390 12367839 50928711 63389122 10373977 10848258 3315 3633808 3087110 3908734 1431010 902212 15438795 18749629 X 35395359 44530446 94557 109047 35489916 44639493 50928711 63389122 X 8793220 46242 6080 304035 X X 0 1 X 1 0 X 2547738 2491942 3252372 2340778 3787987 14420817 93884108 100810304 100924998 108105807 120412475 524137692 96431846 103302246 104177370 110446585 124200462 538558509 0 0 0 538558509 174941 97533 345965 549600 466875 1634914 174941 97533 345965 549600 466875 1634914 216225 216225 134751 152140 114088 117525 518504 96741538 103551919 104637423 111329935 124667337 540928152 0.99560 0.99520 0.00300 0.00320 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2015 AMOUNT: $ 134,751. 2016 AMOUNT: $ 152,140. 2017 AMOUNT: $ 114,088. 2018 AMOUNT: $ 117,525. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3023 3023 0 PART II-B, LINE 1: THE HOSPICE OF THE FLORIDA SUNCOAST PAID DUES TO AN ORGANIZATION WHICH USED A PORTION OF THOSE DUES FOR LOBBYING. 854002 533743 320259 19350721 18123161 1227560 413791 85117 328674 1876493 CASH AND MONEY MARKET FUNDS 122718 F DOMESTIC EQUITIES 1142807 F MUTUAL FUNDS 2641456 F CERTIFICATES OF DEPOSIT 4026384 F ACCRUED INTEREST 15070 F 7948435 DUE TO/FROM AFFILIATES 7237820 DEPOSITS 76977 NOTE RECEIVABLE FROM RELATED PARTY 5053042 12367839 INTEREST RATE SWAP AGREEMENT 301606 NOTE PAYABLE TO RELATED PARTY 448466 LEASES PAYABLE 152140 902212 X 124595976 46242 6080 -95965 -43643 124639619 27718 27718 124667337 115446399 0 115446399 27718 400000 427718 115874117 PART X, LINE 2: HOSPICE 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, HOSPICE 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. HOSPICE IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, HOSPICE IS POTENTIALLY SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES, IF ANY. HOSPICE HAD NO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED SEPTEMBER 30, 2020 OR 2019. ACCORDINGLY, THESE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: DEBT FORGIVENESS FROM AFFILIATES -130,318. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 34,353. PART XII, LINE 4B - OTHER ADJUSTMENTS: DEBT FORGIVENESS FROM AFFILIATES 400,000. 0 EMPATH COMMUNITY HEALTH LLC 5771 ROOSEVELT BLVD CLEARWATER FL 33760 462650464 501(C)(3) 400000 GENERAL SUPPORT 1 0 0 0 0 0 0 0 0 0 RAFAEL J SCIULLO PRESIDENT AND CEO 0 474972 0 60000 0 8400 0 11200 0 17538 0 572110 0 0 MITCHEL MOREL CHIEF FINANCIAL OFFICER 0 256546 0 0 0 1950 0 10014 0 36689 0 305199 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT/CEO IS DETERMINED BY EMPATH HEALTH, INC. ("EHI"), A RELATED 501(C)(3) ORGANIZATION. EHI USES THE FOLLOWING TO DETERMINE HIS COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEYS OR STUDIES - APPROVAL BY THE BOARD OF DIRECTORS/COMPENSATION COMMITTEE A PINELLAS COUNTY HEALTH FACILITIES AUTHORITY 596000800 72316MEL9 2004-12-15 21375000 SEE SUPPLEMENTAL INFORMATION 0 0 0 A 6040769 9154302 110555 61201 6374537 2783950 2006 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 SCHEDULE K, PART I, COLUMN (F) THE PURPOSE OF THIS BOND IS TO FINANCE THE HOSPICE CARE FACILITIES AND REFUND THE 1/2004 BONDS. SCHEDULE K, PART II, COLUMN A THE BONDS REPORTED ON IRS FORM 990, SCHEDULE K WERE JOINTLY ISSUED BY THE HOSPICE OF THE FLORIDA SUNCOAST AND THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST. AMOUNTS REPORTED ON SCHEDULE K, PART II, COLUMN A REPRESENT THE PORTION OF THE BONDS ALLOCATED TO THE FILING ENTITY. SCHEDULE K, PART III, COLUMN A THE BONDS REPORTED ON IRS FORM 990, SCHEDULE K WERE JOINTLY ISSUED BY THE HOSPICE OF THE FLORIDA SUNCOAST AND THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST. AMOUNTS REPORTED ON SCHEDULE K, PART III, COLUMN A REPRESENT THE COMBINED PORTION OF THE BONDS ALLOCATED TO THE FILING ENTITY. SCHEDULE K, PART IV, LINE 2C THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 12/15/2009 AND IT HAS BEEN DETERMINED THAT SUBSQUENT CALCULATIONS ARE NOT REQUIRED. FORM 990, PART VI, SECTION A, LINE 1 THE 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, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL 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 2 RAFAEL SCIULLO, MITCHEL MOREL, AND PATRICK BARMORE ARE ALL EITHER BOARD MEMBERS OF AND/OR OFFICERS OF HOSPICE SYSTEMS, INC., A RELATED, FOR-PROFIT COMPANY. FORM 990, PART VI, SECTION A, LINE 6 PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE VOTING MEMBER OF THE HOSPICE OF FLORIDA SUNCOAST, INC. (SUNCOAST HOSPICE) SHALL BE EMPATH HEALTH, INC. (EHI), A RELATED TAX-EXEMPT ORGGANIZATION. 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 7A PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE CORPORATE MEMBER, EHI, HAS THE RIGHT TO ELECT, APPOINT, OR REMOVE ANY DIRECTOR OF SUNCOAST HOSPICE WITHOUT CAUSE AT ANY TIME. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER, EHI, HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY. THE BOARD OF DIRECTORS OF SUNCOAST HOSPICE 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 SUBSTANITALLY ALL OF THE ORGANIZATION'S ASSETS; AND MERGE OR CONSOLIDATE THE ORGANIZATION WITH ANOTHER ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE 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 RECCOMMENDATION 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 12C ALL 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 15 THE 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 19 FINANCIAL 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 11G CONSULTING: PROGRAM SERVICE EXPENSES 53,014. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,014. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,545,982. MANAGEMENT AND GENERAL EXPENSES 254,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,800,769. PATIENT CARE: PROGRAM SERVICE EXPENSES 21,984,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,984,105. MEDICAL TRANSPORTATION: PROGRAM SERVICE EXPENSES 1,582,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,582,913. SALARIES AND BENEFITS ALLOCATION: PROGRAM SERVICE EXPENSES 52,600,390. MANAGEMENT AND GENERAL EXPENSES 2,381,929. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,982,319. FORM 990, PART XI, LINE 9: DEBT FORGIVENESS FOR AFFILIATES 269,682. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 34,353. FORM 990, PART XII, LINE 2C: THE 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. EMPATH HEALTH INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 263605761 HOLDING COMPANY FL 501(C)(3) LINE 12B, II N/A 0 AIDS SERVICE ASSOCIATION OF PINELLAS INC DBA EMPATH PARTNERS IN CARE 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 592862537 AIDS PREVENTION FL 501(C)(3) LINE 7 EMPATH HEALTH INC 0 THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 593176721 INACTIVE FL 501(C)(3) LINE 7 EMPATH HEALTH INC 0 THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 592252045 FUNDRAISING FL 501(C)(3) LINE 7 EMPATH HEALTH INC 0 SUNCOAST PACE INC 5771 ROOSEVELT BOULEVARD CLEARWATER FL 33760 452980257 PACE PROGRAM FL 501(C)(3) LINE 10 EMPATH HEALTH INC 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 1 1 0 1 1