2017-07-21T10:03:01-05:00 2016-09-30 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2015-10-01 311699259 Empath Choices for Care Inc EMPA 7275864432 5771 Roosevelt Boulevard Clearwater FL 33760 Mitchel Morel CFO 2017-07-20 true NICOLE BENCIK P00756195 3128997000 2015 2021-01-29 14:40:06Z RAFAEL SCIULLO 5771 Roosevelt Boulevard Clearwater FL 33760 215301 false X www.empathchoicesforcare.org X 2000 FL to educate and empower people to communicate and document their health care choices so that their wishes are honored. 11 10 2 10 0 0 143938 144421 18139 7500 0 0 -1777 62553 160300 214474 0 0 0 0 149389 151562 0 0 7680 27356 15453 176745 167015 -16445 47459 167670 212137 23400 20408 144270 191729 to educate and empower people to communicate and document their health care choices so that their wishes are honored. false false 135502 70610 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. 135502 true true false false false false false false false true false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 2 true false false false false false true true false false false false X 11 10 false false false false true true true true true false false true true true true true true false false false FL X debbie green 7275864432 5771 ROOSEVELT BLVD CLEARWATER FL 33760 Rafael Sciullo chief executive officer/president 2.0 46.0 X X 0 415196 20681 Henry j hank Foshee chairperson 2.0 0 X X 0 0 0 Barbara Hetrick vice chairperson 2.0 0 X X 0 0 0 Sr Mary McNally OSF Secretary 2.0 0 X X 0 0 0 Dennis Rep DeLoach Esq treasurer 2.0 0 X X 0 0 0 Rev Celillon Alteme DIRECTOR 2.0 0 X 0 0 0 W Daniel Doty MD DIRECTOR 2.0 0 X 0 0 0 ruby hope DIRECTOR 2.0 0 X 0 0 0 JENNIFER WHELIHAN DIRECTOR 2.0 0 X 0 0 0 Donna Ceasare director 2.0 0 X 0 0 0 James Steg director 2.0 0 X 0 0 0 Anne Hochsprung Chief Financial Officer 2.0 46.0 X 0 266594 27102 Tracy Christner EXECUTIVE DIRECTOR 40.0 0 X 64491 0 10174 64491 681790 57957 0 false true false 0 9520 120000 14901 144421 respecting choices 900099 7500 7500 0 0 0 0 7500 0 0 0 0 270 9520 827 -557 -557 settlement income 900099 63110 63110 0 0 0 0 63110 214474 70610 0 -557 0 0 74665 74665 56306 38186 12080 6040 1597 419 786 392 9797 7740 1371 686 9197 7817 920 460 4192 4192 0 0 0 0 4754 3937 749 68 2546 2445 67 34 433 293 140 3528 3528 0 0 0 0 167015 135502 23833 7680 163507 146568 1800 63110 0 0 2338 2379 0 0 0 0 0 25 80 167670 212137 19230 16851 500 815 3670 2742 23400 20408 X 142977 181729 1293 10000 144270 191729 167670 212137 47459 0 X false true X true false X 134759 157802 151869 143938 144421 732789 19554 22210 27535 18139 7500 94938 0 0 0 154313 180012 179404 162077 151921 827727 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 827727 0 0 0 0 0 0 0 0 0 10158 1112 1700 2331 63380 78681 164471 181124 181104 164408 215301 906408 0.9132 0.9688 0 0.0 X Schedule A, Part III, Line 12 Other Income 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; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2816270 4593223 602410 130611 7881292 2945549 0 -129279 0 2816270 2945549 0 278282 278282 0 2945549 2945549 0 355368 355368 0 2945549 2945939 0 544546 544936 0 2945549 0.6172 0.3747 0.0081 false true true due to affiliates 2742 2742 X 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. false false false false false false false false false Rafael Sciullo chief executive officer/president 0 406796 0 0 0 8400 0 11502 0 9179 0 435877 0 0 Anne Hochsprung Chief Financial Officer 0 261527 0 0 0 5067 0 8125 0 18977 0 293696 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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. 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. 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 HOSPICE SYSTEMS INC 5771 ROOSEVELT BLVD STE 600 CLEARWATER FL 33760 593502780 SOFTWARE SALES FL NA C Corporation false false false true false false false false false false false false true true true true true false false false