AIDS SERVICE ASSOCIATION OF PINELLAS INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- AIDS SERVICE ASSOCIATION OF PINELLAS INC (EIN 59-2862537)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-17
- IRS object ID
- 202002309349302405
- Schema version
- 2018v3.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-17T10:55:26-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593070669 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MSL PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 E BROWARD BLVD SUITE 1550 | AddressLine1Txt |
| City | FORT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33394 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592862537 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIDS SERVICE ASSOCIATION OF | BusinessNameLine1Txt |
| Business Name Line2 | PINELLAS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AIDS | BusinessNameControlTxt |
| Phone | 7275864432 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5771 ROOSEVELT BLVD | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33760 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MITCHEL MOREL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7275864432 | PhoneNum |
| Signature | 2020-08-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | VICKI L HINZ CPA | PreparerPersonNm |
| PTIN | P00356696 | PTIN |
| Phone | 9548478910 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 68.95.178.125 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-13 | IPDt |
| IP Tm | 10:12:04 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7FC0E18F63597829422D687723989F114BEB8769 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A803762671B4C605333C5A9EE0FD2DF795ED6FD6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMPATH PARTNERS IN CARE (EPIC) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAFAEL SCIULLO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5771 ROOSEVELT BLVD | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,650,874 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYEPIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O.THE MISSION OF AIDS SERVICE ASSOCIATION OF PINELLAS, INC. IS TO SERVE THE COMMUNITY AND IMPROVE THE LIVES OF ALL THOSE AFFECTED BY HIV/AIDS THROUGH PREVENTION EDUCATION, DIRECT SERVICES, AND ADVOCACY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 44 | TotalEmployeeCnt |
| Total Volunteers | 108 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $176,444 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,045,582 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,730,701 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,496,539 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,184 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$13,394 | PYOtherRevenueAmt |
| CY Other Revenue | $101,899 | CYOtherRevenueAmt |
| PY Total Revenue | $8,893,751 | PYTotalRevenueAmt |
| CY Total Revenue | $11,641,836 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $162,153 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,308,572 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,559,170 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $85,459 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,943,324 | PYOtherExpensesAmt |
| CY Other Expenses | $9,085,743 | CYOtherExpensesAmt |
| PY Total Expenses | $8,414,049 | PYTotalExpensesAmt |
| CY Total Expenses | $11,644,913 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $479,702 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,077 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,336,227 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,113,881 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,046,388 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $827,100 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,289,839 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,286,781 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O.AIDS SERVICE ASSOCIATION OF PINELLAS, INC. IS A NOT-FOR-PROFIT CORPORATION ORGANIZED AND EXISTING FOR THE PURPOSE OF PROVIDING PROGRAMS AND SERVICES TO IMPROVE THE LIVES OF ALL THOSE INFECTED AND AFFECTED BY HIV/AIDS THROUGH PREVENTION EDUCATION, DIRECT SERVICES, AND ADVOCACY. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019, ASAP SERVED 42,049 CLIENTS THROUGH ITS MANY PROGRAMS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $877,260 | ExpenseAmt |
| Desc | SEE SCHEDULE O.THE 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. RYAN WHITE PART A MEDICAL CASE MANAGEMENT SERVED 1,430 UNDUPLICATED CLIENTS OVER THE PAST YEAR AND PART A MENTAL HEALTH COUNSELING SERVED 102 UNDUPLICATED CLIENTS OVER THE PAST YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $576,031 | ExpenseAmt |
| Revenue | $102,423 | RevenueAmt |
| Desc | SEE SCHEDULE O.THE 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 (18 UNDUPLICATED CLIENTS) AND NON-HIV MEDICATIONS (329 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. MEDICAL CASE MANAGEMENT SERVED 682 UNDUPLICATED CLIENTS OVER THE PAST YEAR AND RYAN WHITE PART B NON-MEDICAL CASE MANAGEMENT SERVED 1,200 UNDUPLICATED CLIENTS OVER THE PAST YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $127,108 | ExpenseAmt |
| Desc | SEE SCHEDULE O.THE DEPARTMENT OF HEALTH (DOH) GRANT PROVIDES HIGH IMPACT PREVENTION SERVICES, THROUGH OUTREACH, TESTING, CONDOM DISTRIBUTION, PREP, CLEAR AND HOME AND COMMUNITY BASED INTERVION 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 THROUGHT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,245,148 | ExpenseAmt |
| Revenue | $8,394,116 | RevenueAmt |
| Desc | SEE SCHEDULE O.OTHER PROGRAM HIGHLIGHTS FOR 2019 INCLUDE:EPIC'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.THE COLLABORATIVE FELLOWSHIP DINNER IS FREE TO THE COMMUNITY. CLIENTS ARE ENCOURAGED TO INVITE THEIR FRIENDS AND FAMILIES TO ATTEND. OUR GOAL IS TO PROMOTE KINSHIP, AWARENESS, AND EDUCATION IN A SAFE, ENJOYABLE ENVIRONMENT. ON A QUARTERLY BASIS, EDUCATIONAL SPEAKERS ARE BROUGHT IN TO PRESENT THE LATEST UPDATES ON MEDICATIONS, SERVICES, AND DEVELOPMENTS IN THE HIV/AIDS COMMUNITY.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 WHO ARE 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 CASEMANAGEMENT, 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $9,245,148 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $8,394,116 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $10,825,547 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 44 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MITCHEL MOREL CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7275864432 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5771 ROOSEVELT BLVD | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33760 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| RAFAEL J SCIULLO | |||||||
| PRESIDENT AND CEO | 1.00 | 44.00 | Yes (X) | Yes (X) | $0 | $457,448 | $17,734 |
| MICHAEL RUPPAL | |||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LISA E COHEN | |||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHARLOTTE NOBLE | |||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CRAIG BRYANT | |||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID BUBY | |||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN GOFORTH | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT KISTLER | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE MARHEFKA | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JULIA MCGINTY | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| FRANK RODER | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RYAN YOUNG | |||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MITCHEL MOREL | |||||||
| CHIEF FINANCIAL OFFICER | 1.00 | 44.00 | Yes (X) | $0 | $239,168 | $32,744 | |
| JOY A WINHWIM | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $0 | $100,975 | $10,385 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $797,591 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $60,863 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HOSPICE OF THE FLORIDA SUNCOAST | |||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | ADMINISTRATIVE SERVICES | $609,563 |
| ST JOSEPHS HOSPITAL | |||||
| 3050 1ST AVE SOUTH | ST PETERSBURG | FL | 33712 | MEDICAL SERVICES | $145,629 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,663,722 | GovernmentGrantsAmt |
| All Other Contributions | $381,860 | AllOtherContributionsAmt |
| Total Contributions | $3,045,582 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | 340B PRESCRIPTION PROGRAM | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,496,539 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,496,539 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,496,539 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,184 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,184 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,184 | TotalRevenueColumnAmt |
| Exclusion | -$2,184 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $108,753 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $6,854 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,899 | TotalRevenueColumnAmt |
| Exclusion | $101,899 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,641,836 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,496,539 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $99,715 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,960,936 | TotalAmt |
| Program Services | $1,811,317 | ProgramServicesAmt |
| Management And General | $100,160 | ManagementAndGeneralAmt |
| Fundraising | $49,459 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,520 | TotalAmt |
| Program Services | $32,605 | ProgramServicesAmt |
| Management And General | $2,731 | ManagementAndGeneralAmt |
| Fundraising | $1,184 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,607 | TotalAmt |
| Program Services | $354,505 | ProgramServicesAmt |
| Management And General | $62,063 | ManagementAndGeneralAmt |
| Fundraising | $4,039 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,107 | TotalAmt |
| Program Services | $128,400 | ProgramServicesAmt |
| Management And General | $9,192 | ManagementAndGeneralAmt |
| Fundraising | $3,515 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,035,726 | TotalAmt |
| Program Services | $735,365 | ProgramServicesAmt |
| Management And General | $300,361 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,221 | TotalAmt |
| Management And General | $4,221 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,022 | TotalAmt |
| Program Services | $32,271 | ProgramServicesAmt |
| Management And General | $15,751 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $865,558 | TotalAmt |
| Program Services | $829,412 | ProgramServicesAmt |
| Management And General | $13,318 | ManagementAndGeneralAmt |
| Fundraising | $22,828 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120 | TotalAmt |
| Program Services | $120 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,845 | TotalAmt |
| Program Services | $30,450 | ProgramServicesAmt |
| Management And General | $3,815 | ManagementAndGeneralAmt |
| Fundraising | $3,580 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,662 | TotalAmt |
| Management And General | $10,662 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,660 | TotalAmt |
| Program Services | $448,663 | ProgramServicesAmt |
| Management And General | $170,997 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,254 | TotalAmt |
| Program Services | $4,725 | ProgramServicesAmt |
| Management And General | $675 | ManagementAndGeneralAmt |
| Fundraising | $854 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,084 | TotalAmt |
| Program Services | $2,302 | ProgramServicesAmt |
| Management And General | $19,782 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,575 | TotalAmt |
| Program Services | $3,811 | ProgramServicesAmt |
| Management And General | $5,764 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| 340B PRESCRIPTION PROGR | $4,941,512 | $4,941,512 | |
| MEDICAL SUPPLIES | $1,455,602 | $1,455,602 | |
| TRAINING | $14,912 | $14,487 | $425 |
| ADMINISTRATIVE GRANT EX | $4,866 | $4,866 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,124 | TotalAmt |
| Management And General | $9,124 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,644,913 | TotalAmt |
| Program Services | $10,825,547 | ProgramServicesAmt |
| Management And General | $733,907 | ManagementAndGeneralAmt |
| Fundraising | $85,459 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600 | BOYAmt |
| EOY | $500 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,193,309 | BOYAmt |
| EOY | $1,086,496 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $592,473 | BOYAmt |
| EOY | $499,091 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,742 | BOYAmt |
| EOY | $14,830 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $292,772 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $175,345 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,895 | BOYAmt |
| EOY | $117,427 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,208 | BOYAmt |
| EOY | $395,537 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,336,227 | BOYAmt |
| EOY | $2,113,881 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $572,973 | BOYAmt |
| EOY | $827,100 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,415 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,046,388 | BOYAmt |
| EOY | $827,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,237,319 | BOYAmt |
| EOY | $1,181,278 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,520 | BOYAmt |
| EOY | $105,503 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,289,839 | BOYAmt |
| EOY | $1,286,781 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,336,227 | BOYAmt |
| EOY | $2,113,881 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,077 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | $19 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $534,034 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $91,437 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $219,273 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $176,444 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,045,582 | CurrentTaxYearAmt |
| Total | $4,066,770 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $534,034 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $91,437 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $219,273 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $176,444 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,045,582 | CurrentTaxYearAmt |
| Total | $4,066,770 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,066,770 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,728 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $87,570 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,554 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,157 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $838 | CurrentTaxYearAmt |
| Total | $101,847 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,168,617 | TotalSupportAmt |
| Public Support CY170 | 0.97560 | PublicSupportCY170Pct |
| Public Support PY170 | 0.88290 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS - 2014 AMOUNT: $ 1,728. 2015 AMOUNT: $ 87,570. 2016 AMOUNT: $ 8,554. 2017 AMOUNT: $ 3,157. 2018 AMOUNT: $ 838. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,200 | OtherCostOrOtherBasisAmt |
| Book Value | $51,200 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,528 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,582 | DepreciationAmt |
| Book Value | $27,946 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,044 | OtherCostOrOtherBasisAmt |
| Depreciation | $135,763 | DepreciationAmt |
| Book Value | $38,281 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $117,427 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $390,458 |
| OTHER ASSETS | $5,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $395,537 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,650,874 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,650,874 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$9,038 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$9,038 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,641,836 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,653,932 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | -$19 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $9,038 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $9,019 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,644,913 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,644,913 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT EPIC IS EXEMPT FROM FEDERAL INCOME TAXES AND IS QUALIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). ACCORDINGLY, THESE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE -6,854. LOSS ON DISPOSAL OF FIXED ASSETS -2,184. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSE 6,854. LOSS ON DISPOSAL OF FIXED ASSETS 2,184. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | STRIKE OUT FOR AIDS | Event1Nm |
| Gross Receipts Event1 | $21,755 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $21,755 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $3,790 | OtherDirectExpensesEvent1Amt |
| Event2 | DINING OUT FOR LIFE | Event2Nm |
| Gross Receipts Event2 | $48,571 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $48,571 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $7,779 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $35,686 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $35,686 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $77,403 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $106,012 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $106,012 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $88,972 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $88,972 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $17,040 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|
| PERSONAL CARE AND FOOD PANTRY | 6260 | $48,829 | COST | FOOD AND PERSONAL CARE PRODUCTS | |
| BUS PASSES | 65 | $325 | COST | BUS PASSES | |
| INSURANCE CO-PAYS | 1018 | $79,420 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SEVERAL 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAFAEL J SCIULLO | ||||||||||||||
| PRESIDENT AND CEO | $0 | $457,448 | $0 | $0 | $0 | $0 | $0 | $8,250 | $0 | $9,484 | $0 | $475,182 | $0 | $0 |
| MITCHEL MOREL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $239,168 | $0 | $0 | $0 | $0 | $0 | $7,560 | $0 | $25,184 | $0 | $271,912 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE COMPENSATION OF THE PRESIDENT AND CEO IS DETERMINED BY EMPATH HEALTH, INC. ("EHI"), A RELATED ORGANIZATION. EHI USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE TO DETERMINE HIS COMPENSATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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, 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 6 | PURUSANT 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 7A | PURSUANT 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 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 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 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 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 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 XII, LINE 2C | THE SOLE CORPORATE MEMBER, EMPATH HEALTH, INC., IS RESPONSIBLE FOR THE OVERSIGHT OF THE COMPILATION 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 (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| EMPATH HEALTH INC | |||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 263605761 | HOLDING COMPANY | FL | LINE 12B, II | 0 | |
| THE HOSPICE OF THE FLORIDA SUNCOAST INC | |||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 591744006 | HOSPICE | FL | LINE 10 | Yes (1) | EMPATH HEALTH INC |
| THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC | |||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 593176721 | EDUCATION | FL | LINE 7 | Yes (1) | EMPATH HEALTH INC |
| THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC | |||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 592252045 | FUNDRAISING | FL | LINE 7 | Yes (1) | EMPATH HEALTH INC |
| SUNCOAST PACE INC | |||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 452980257 | PACE PROGRAM | FL | LINE 10 | Yes (1) | EMPATH HEALTH INC |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE SYSTEMS INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5771 ROOSEVELT BLVD | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593502780 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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