Empath Choices for Care Inc: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- Empath Choices for Care Inc (EIN 31-1699259)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-07-21
- IRS object ID
- 201722029349300712
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-07-21T10:03:01-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive | AddressLine1Txt |
| Address Line2 | Suite 2600 | AddressLine2Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311699259 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Empath Choices for Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EMPA | BusinessNameControlTxt |
| Phone | 7275864432 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5771 Roosevelt Boulevard | 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 |
| Signature | 2017-07-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICOLE BENCIK | PreparerPersonNm |
| PTIN | P00756195 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAFAEL SCIULLO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5771 Roosevelt Boulevard | AddressLine1Txt |
| City | Clearwater | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $215,301 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.empathchoicesforcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | to educate and empower people to communicate and document their health care choices so that their wishes are honored. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $143,938 | PYContributionsGrantsAmt |
| CY Contributions Grants | $144,421 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,139 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,500 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,777 | PYOtherRevenueAmt |
| CY Other Revenue | $62,553 | CYOtherRevenueAmt |
| PY Total Revenue | $160,300 | PYTotalRevenueAmt |
| CY Total Revenue | $214,474 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | 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 | $149,389 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $151,562 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $7,680 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,356 | PYOtherExpensesAmt |
| CY Other Expenses | $15,453 | CYOtherExpensesAmt |
| PY Total Expenses | $176,745 | PYTotalExpensesAmt |
| CY Total Expenses | $167,015 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$16,445 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,459 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $167,670 | TotalAssetsBOYAmt |
| Total Assets EOY | $212,137 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,400 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,408 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $144,270 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $191,729 | NetAssetsOrFundBalancesEOYAmt |
| Mission | to educate and empower people to communicate and document their health care choices so that their wishes are honored. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $135,502 | ExpenseAmt |
| Revenue | $70,610 | RevenueAmt |
| Desc | EMPATH CHOICES FOR CARE, INC. WAS ESTABLISHED THROUGH A PARTNERSHIP OF PHYSICIANS, ELDER CARE PROVIDERS AND CONCERNED CITIZENS OF FLORIDA DEDICATED TO CHANGING THE DEATH-DEFYING, TECHNOLOGY-DRIVEN APPROACH TO END-OF-LIFE CARE TO A HOLISTIC, COMPASSIONATE ONE THAT RESPECTS HUMAN DIGNITY AND THE INDIVIDUAL'S BEST INTERESTS AND PERSONAL WISHES. EMPATH CHOICES FOR CARE, INC. OFFERS EDUCATION AND THE VEHICLES FOR ADVANCE CARE PLANNING FOR COMMUNITIES, THE GENERAL PUBLIC AND HEALTHCARE PROVIDERS. EMPATH CHOICES FOR CARE, INC. SEEKS TO CREATE COMMUNITIES PREPARED TO ADDRESS THE END OF LIFE, MEETING IT WITH DIGNITY, MEANING AND RESPECT FOR CHOICES. IT HELPS INDIVIDUALS AND FAMILIES CREATE AN ATMOSPHERE TO DISCUSS AND MAKE DECISIONS REGARDING MEDICAL PREFERENCES. EMPATH CHOICES FOR CARE, INC. PARTNERS WITH SUNCOAST HOSPICE, PHYSICIANS, ELDER CARE COUNSELORS AND CONCERNED CITIZENS TO CARRY OUT ITS MISSION. PROGRAMS ARE FOCUSED ON HELPING INDIVIDUALS COMMUNICATE AND IMPLEMENT THEIR END-OF-LIFE MEDICAL TREATMENT DECISIONS, THE PREMISE IS THAT ALL PERSONS ARE ENTITLED TO HUMANE, DIGNIFIED END-OF-LIFE CARE IN KEEPING WITH THEIR WISHES, VALUES AND SPIRITUAL BELIEFS. FURTHER, EMPATH CHOICES FOR CARE, INC. OFFERS EDUCATION TO ALL MEMBERS OF THE COMMUNITY REGARDING ADVANCE CARE PLANNING. EMPATH CHOICES FOR CARE, INC. WAS INSTRUMENTAL IN PROVIDING LEADERSHIP TO THE PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT (POLST) PROGRAM WHICH IS DESIGNED TO ENSURE THAT PATIENT WISHES TO RECEIVE OR REFUSE LIFE-SUSTAINING TREATMENTS ARE HONORED BY CONVERTING PATIENT PREFERENCES INTO ACTIONABLE MEDICAL ORDERS. EMPATH CHOICES FOR CARE, INC. IS COORDINATING THE SUCCESSFUL IMPLEMENTATION OF A FLORIDA POLST PILOT PROJECT AT SUNCOAST HOSPICE BY PROVIDING TRAINING, RESOURCE MATERIALS AND SUPPORT. WE ANTICIPATE CAPTURING DATA ON PATIENT USE, FORMS COMPLETED, PROCESS EFFICIENCY AND PATIENT WISHES HONORED. EMPATH CHOICES FOR CARE, INC. CONTINUED ITS WORK IN THE RESPECTING CHOICES FACILITATOR TRAINING. THIS IS A COURSE DESIGNED FOR HEALTHCARE PROFESSIONALS (SOCIAL WORKERS, NURSES, PHYSICIANS, CHAPLAINS) THAT TEACHES THE NECESSARY SKILLS TO INITIATE ADVANCE CARE PLANNING CONVERSATIONS, ASSIST PATIENTS IN MAKING INFORMED HEALTHCARE DECISIONS AND CREATE EFFECTIVE WRITTEN DOCUMENTS LIKE LIVING WILLS. EMPATH CHOICES FOR CARE, INC. OFFERS RESPECTING CHOICES TRAINING COURSES BOTH INTERNALLY WITH SUNCOAST HOSPICE STAFF AND EXTERNALLY WITH LOCAL CARE PARTNERS. STUDENTS COMPLETE 6 ON-LINE MODULES AND PARTICIPATE IN A FULL DAY OF CLASSROOM INSTRUCTION. | Desc |
| Total Program Service Expenses | $135,502 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | debbie green | 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 (13 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 Sciullo | |||||||
| chief executive officer/president | 2.0 | 46.0 | Yes (X) | Yes (X) | $0 | $415,196 | $20,681 |
| Henry j hank Foshee | |||||||
| chairperson | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Barbara Hetrick | |||||||
| vice chairperson | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Sr Mary McNally OSF | |||||||
| Secretary | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Dennis Rep DeLoach Esq | |||||||
| treasurer | 2.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Rev Celillon Alteme | |||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| W Daniel Doty MD | |||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| ruby hope | |||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER WHELIHAN | |||||||
| DIRECTOR | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Donna Ceasare | |||||||
| director | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| James Steg | |||||||
| director | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |
| Anne Hochsprung | |||||||
| Chief Financial Officer | 2.0 | 46.0 | Yes (X) | $0 | $266,594 | $27,102 | |
| Tracy Christner | |||||||
| EXECUTIVE DIRECTOR | 40.0 | 0 | Yes (X) | $64,491 | $0 | $10,174 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $64,491 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $681,790 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $57,957 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $9,520 | FundraisingAmt |
| Related Organizations | $120,000 | RelatedOrganizationsAmt |
| All Other Contributions | $14,901 | AllOtherContributionsAmt |
| Total Contributions | $144,421 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | respecting choices | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $7,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,500 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,500 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $270 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $9,520 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $827 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$557 | TotalRevenueColumnAmt |
| Exclusion | -$557 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | settlement income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $63,110 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,110 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $63,110 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $214,474 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,610 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$557 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,665 | TotalAmt |
| Program Services | $74,665 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,306 | TotalAmt |
| Program Services | $38,186 | ProgramServicesAmt |
| Management And General | $12,080 | ManagementAndGeneralAmt |
| Fundraising | $6,040 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,597 | TotalAmt |
| Program Services | $419 | ProgramServicesAmt |
| Management And General | $786 | ManagementAndGeneralAmt |
| Fundraising | $392 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,797 | TotalAmt |
| Program Services | $7,740 | ProgramServicesAmt |
| Management And General | $1,371 | ManagementAndGeneralAmt |
| Fundraising | $686 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,197 | TotalAmt |
| Program Services | $7,817 | ProgramServicesAmt |
| Management And General | $920 | ManagementAndGeneralAmt |
| Fundraising | $460 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,192 | TotalAmt |
| Management And General | $4,192 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,754 | TotalAmt |
| Program Services | $3,937 | ProgramServicesAmt |
| Management And General | $749 | ManagementAndGeneralAmt |
| Fundraising | $68 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,546 | TotalAmt |
| Program Services | $2,445 | ProgramServicesAmt |
| Management And General | $67 | ManagementAndGeneralAmt |
| Fundraising | $34 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433 | TotalAmt |
| Program Services | $293 | ProgramServicesAmt |
| Management And General | $140 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,528 | TotalAmt |
| Management And General | $3,528 | ManagementAndGeneralAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,015 | TotalAmt |
| Program Services | $135,502 | ProgramServicesAmt |
| Management And General | $23,833 | ManagementAndGeneralAmt |
| Fundraising | $7,680 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,507 | BOYAmt |
| EOY | $146,568 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,800 | BOYAmt |
| EOY | $63,110 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,338 | BOYAmt |
| EOY | $2,379 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25 | BOYAmt |
| EOY | $80 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,670 | BOYAmt |
| EOY | $212,137 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,230 | BOYAmt |
| EOY | $16,851 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $815 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,670 | BOYAmt |
| EOY | $2,742 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,400 | BOYAmt |
| EOY | $20,408 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,977 | BOYAmt |
| EOY | $181,729 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,293 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,270 | BOYAmt |
| EOY | $191,729 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,670 | BOYAmt |
| EOY | $212,137 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $47,459 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134,759 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $157,802 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $151,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $143,938 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,421 | CurrentTaxYearAmt |
| Total | $732,789 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,554 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,210 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,535 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,139 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,500 | CurrentTaxYearAmt |
| Total | $94,938 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $154,313 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $180,012 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $179,404 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $162,077 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $151,921 | CurrentTaxYearAmt |
| Total | $827,727 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $827,727 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,158 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,331 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,380 | CurrentTaxYearAmt |
| Total | $78,681 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $164,471 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $181,124 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $181,104 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $164,408 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $215,301 | CurrentTaxYearAmt |
| Total | $906,408 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9132 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9688 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - SPECIAL EVENTS RECEIPTS, COLUMN A - 10158.0, COLUMN B - 1112.0, COLUMN C - 1700.0, COLUMN D - 2331.0, COLUMN E - 270.0, COLUMN F - 15571.0; DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 63110.0, COLUMN F - 63110.0; | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,816,270 | BeginningYearBalanceAmt |
| Contributions | $4,593,223 | ContributionsAmt |
| Investment Earnings Or Losses | $602,410 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $130,611 | OtherExpendituresAmt |
| End Year Balance | $7,881,292 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,945,549 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | -$129,279 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| End Year Balance | $2,816,270 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,945,549 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $278,282 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $278,282 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| End Year Balance | $2,945,549 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,945,549 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $355,368 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $355,368 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| End Year Balance | $2,945,549 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,945,939 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $544,546 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $544,936 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| End Year Balance | $2,945,549 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.6172 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.3747 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0081 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | due to affiliates | Desc |
| Amt | $2,742 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,742 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | THE ENDOWMENT FUNDS ARE HELD BY THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST, INC. (A RELATED ORGANIZATION). THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO SUPPORT THE PROGRAMS AND SERVICES OF EMPATH HEALTH, INC. AND ITS AFFILIATED NOT-FOR-PROFIT ENTITIES. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | empath choices for care, INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW ARE THE FIN 48 PARAGRAPHS FROM THE FINANCIAL STATEMENTS THAT SPECIFICALLY ADDRESS THE empath choices for care, inc.: EMPATH'S AFFILIATES (EXCEPT SOLUTIONS) ARE EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL AND STATE INCOME TAXES FOR THE ENTITIES EXCEPT FOR SOLUTIONS. SOLUTIONS IS A C CORPORATION, AND IS SUBJECT TO U.S. FEDERAL INCOME TAX AND STATE INCOME TAX IN THE STATE OF FLORIDA. DUE TO ITS TAX-EXEMPT STATUS, EMPATH (EXCEPT SOLUTIONS) IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. EMPATH AND ITS NOT-FOR-PROFIT AFFILIATES' FORMS 990 HAVE NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF FLORIDA FOR THE LAST THREE YEARS. EMPATH DOES NOT EXPECT THE TOTAL OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. EMPATH RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. EMPATH DID NOT HAVE ANY AMOUNTS ACCRUED OR RECOGNIZED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2016 AND 2015. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | 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 Sciullo | ||||||||||||||
| chief executive officer/president | $0 | $406,796 | $0 | $0 | $0 | $8,400 | $0 | $11,502 | $0 | $9,179 | $0 | $435,877 | $0 | $0 |
| Anne Hochsprung | ||||||||||||||
| Chief Financial Officer | $0 | $261,527 | $0 | $0 | $0 | $5,067 | $0 | $8,125 | $0 | $18,977 | $0 | $293,696 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | 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, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE HIS COMPENSATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15b COMPENSATION OF OTHER OFFICERS | BELOW IS THE PROCESS USED BY EMPATH HEALTH, INC. (EHI) FOR DETERMINING COMPENSATION OF THE OTHER OFFICERS. THE COMPENSATION OF THE OTHER OFFICERS OF THE FAMILY OF PROGRAMS WILL BE REVIEWED ON AN ANNUAL BASIS BY THE EXECUTIVE COMMITTEE OF EHI. THIS REVIEW WILL INCLUDE ANY INFORMATION RECEIVED FROM THE CAREER CENTER WHEN AN EXTERNAL REVIEW HAS BEEN PERFORMED PER THE PROCESS BELOW. EVERY 3-5 YEARS THE CAREER CENTER WILL EMPLOY A WELL-RECOGNIZED, INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE MARKET RANGES FOR THE CEO OF EHI AND THE OTHER OFFICERS. 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 AS IS APPROPRIATE TO RECOMMEND ANY MARKET-BASED CHANGES OR POSSIBLY JUST ASSURE OURSELVES OF THE CURRENT CORRECT POSITIONING OF COMPENSATION FOR THESE INDIVIDUALS. THIS PROCESS WAS LAST UNDERTAKEN IN FISCAL YEAR 2016. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. |
| Form 990, Part VI, Line 15a COMPENSATION OF TOP MANAGEMENT OFFICIAL | THE TOP MANAGEMENT OFFICIAL OF THE empath choices for care, INC. IS THE PRESIDENT AND CEO OF EMPATH HEALTH, INC., A RELATED ORGANIZATION. THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS REVIEWED ON AN ANNUAL BASIS BY THE EXECUTIVE COMMITTEE OF EHI. THIS REVIEW WILL INCLUDE ANY INFORMATION RECEIVED FROM THE CAREER CENTER WHEN AN EXTERNAL REVIEW HAS BEEN PERFORMED PER THE PROCESS BELOW. EVERY 3-5 YEARS THE CAREER CENTER WILL EMPLOY A WELL-RECOGNIZED, INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE MARKET RANGES FOR THE CEO OF EHI AND THE OTHER OFFICERS. 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 AS IS APPROPRIATE TO RECOMMEND ANY MARKET-BASED CHANGES OR POSSIBLY JUST ASSURE OURSELVES OF THE CURRENT CORRECT POSITIONING OF COMPENSATION FOR THESE INDIVIDUALS. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2016. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Pursuant to the organization's governing documents, the sole voting member of The EMPATH CHOICES FOR CARE, Inc. 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, Line 7a Members or stockholders electing members of governing body | Pursuant to the organization's governing documents, the sole corporate member, EHI, has the right to elect, appoint, or remove any director of Empath Choices for Care, Inc. without cause at any time. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | 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 the Empath Choices for Care, Inc. 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, Line 11b Review of form 990 by governing body | 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. 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, Line 12c Conflict of interest policy | 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 an actual conflict of interest exists between the organization and an interested person, the party with a conflict of interest must 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 and, for the record, disclose any items with which they may have a conflict of interest. |
| Form 990, Part VI, Line 19 Required documents available to the public | Financial Statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| EMPATH HEALTH INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 263605761 | HOLDING CO. | FL | 501(c)(3 | Type II | NA | false |
| AIDS SERVICE ASSOCIATION OF PINELLAS INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 592862537 | AIDS PREVENTION | FL | 501(c)(3 | 7 | EHI | false |
| THE HOSPICE OF THE FLORIDA SUNCOAST INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 591744006 | HOSPICE | FL | 501(c)(3 | 9 | EHI | false |
| THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 593176721 | HOSPICE RESOURCES | FL | 501(c)(3 | 7 | EHI | false |
| THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC | ||||||||||
| 5771 ROOSEVELT BLVD | CLEARWATER | FL | 33760 | 592252045 | FUNDRAISING | FL | 501(c)(3 | 7 | EHI | false |
| SUNCOAST PACE INC | ||||||||||
| 5771 ROOSEVELT Blvd | CLEARWATER | FL | 33760 | 452980257 | PACE PROGRAM | FL | 501(c)(3 | 9 | EHI | false |
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 STE 600 | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33760 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593502780 | EIN |
| Primary Activities | SOFTWARE SALES | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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