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Empath Choices for Care Inc: Form 990EZ, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
Empath Choices for Care Inc (EIN 31-1699259)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-11
IRS object ID
201642249349201489
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-08-11T17:03:33-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker DriveAddressLine1Txt
Address Line2Suite 2600AddressLine2Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311699259EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Empath Choices for Care IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEMPABusinessNameControlTxt
Phone7275864432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15771 Roosevelt BoulevardAddressLine1Txt
CityClearwaterCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33760ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAnne HochsprungPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Signature2016-08-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNICOLE BENCIKPreparerPersonNm
PTINP00756195PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Website Addresswww.empathchoicesforcare.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$164,408GrossReceiptsAmt
Contributions Gifts Grants Etc$143,938ContributionsGiftsGrantsEtcAmt
Program Service Revenue$18,139ProgramServiceRevenueAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Fundraising Gross Income$2,331FundraisingGrossIncomeAmt
Special Events Direct Expenses$4,108SpecialEventsDirectExpensesAmt
Special Events Net Income Loss-$1,777SpecialEventsNetIncomeLossAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Other Revenue Total$0OtherRevenueTotalAmt
Total Revenue$160,300TotalRevenueAmt
Grants And Similar Amounts Paid$0GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$149,389SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$3,800FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$11,938OccupancyRentUtltsAndMaintAmt
Other Expenses Total$11,618OtherExpensesTotalAmt
Total Expenses$176,745TotalExpensesAmt
Excess Or Deficit For Year-$16,445ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$160,715NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$144,270NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$176,776BOYAmt
EOY$163,507EOYAmt

Land And Buildings LandAndBuildingsGrp

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

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$3,626BOYAmt
EOY$4,163EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$180,402BOYAmt
EOY$167,670EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,687BOYAmt
EOY$23,400EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$160,715BOYAmt
EOY$144,270EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTHE MISSION OF EMPATH CHOICES FOR CARE, INC., A FLORIDA NOT FOR PROFIT CORPORATION is to educate and empower people to communicate and document their health care choices so that their wishes are honored.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc Accomsee schedule o.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$144,079ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$144,079TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Rev Celillon Alteme
DIRECTOR2.000$0$0$0
Sr Mary McNally OSF
Secretary2.000$0$0$0
W Daniel Doty MD
DIRECTOR2.000$0$0$0
Deidra Woods
DIRECTOR2.000$0$0$0
ruby hope
DIRECTOR2.000$0$0$0
JENNIFER WHELIHAN
DIRECTOR2.000$0$0$0
Rafael Sciullo
chief executive officer/president2.000$0$0$0
Henry j hank Foshee
chairperson2.000$0$0$0
Barbara Hetrick
vice chairperson2.000$0$0$0
Dennis Rep DeLoach Esq
treasurer2.000$0$0$0
Anne Hochsprung
Chief Financial Officer2.000$0$0$0
Tracy Christner
EXECUTIVE DIRECTOR40.000$64,490$10,174$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Anne HochsprungBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15771 ROOSEVELT BLVDAddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33760ZIPCd
FieldValueIRS element (for citing)
Phone7275864432PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$124,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$134,759CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$157,802CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$151,869CurrentTaxYearMinus1YearAmt
Current Tax Year$143,938CurrentTaxYearAmt
Total$712,960TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,530CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,554CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,210CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,535CurrentTaxYearMinus1YearAmt
Current Tax Year$18,139CurrentTaxYearAmt
Total$105,968TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$143,122CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$154,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,012CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$179,404CurrentTaxYearMinus1YearAmt
Current Tax Year$162,077CurrentTaxYearAmt
Total$818,928TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$818,928PublicSupportTotal509Amt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,158CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,112CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,700CurrentTaxYearMinus1YearAmt
Current Tax Year$2,331CurrentTaxYearAmt
Total$26,416TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$154,237CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$164,471CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$181,124CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$181,104CurrentTaxYearMinus1YearAmt
Current Tax Year$164,408CurrentTaxYearAmt
Total$845,344TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9688PublicSupportCY509Pct
Public Support PY5090.9692PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.0InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - SPECIAL EVENTS RECEIPTS, COLUMN A - 11115.0, COLUMN B - 10158.0, COLUMN C - 1112.0, COLUMN D - 1700.0, COLUMN E - 2331.0, COLUMN F - 26416.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISEREvent1Nm
Gross Receipts Event1$19,508GrossReceiptsEvent1Amt
Charitable Contri Event1$17,177CharitableContriEvent1Amt
Gross Revenue Event1$2,331GrossRevenueEvent1Amt
Other Direct Expenses Event1$4,108OtherDirectExpensesEvent1Amt
Gross Revenue Event2$0GrossRevenueEvent2Amt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$19,508GrossReceiptsTotalAmt
Charitable Contributions Tot$17,177CharitableContributionsTotAmt
Gross Revenue Total Events$2,331GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$4,108OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$4,108DirectExpenseSummaryEventsAmt
Net Income Summary-$1,777NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990-EZ, Part I, Line 16 Other ExpensesTRAVEL - 2098; SEMINARS & MEETINGS - 6352; INSURANCE - 3168;
Form 990-EZ, Part II, Line 24b Other AssetsPREPAID EXPENSES OR DEFERRED CHARGES - BOY:3626,EOY:2338; GRANTS RECEIVABLE - BOY:0,EOY:1800; DUE FROM AFFILIATES - BOY:0,EOY:25;
Form 990-EZ, Part II, Line 26b Total LiabilitiesACCOUNTS PAYABLE - BOY:16743,EOY:19230; DUE TO AFFILIATES - BOY:2944,EOY:3670; DEFERRED REVENUE - BOY:0,EOY:500;
Form 990-EZ, Part III, Line 28, Description DESCRIPTION OF OTHER PROGRAM SERVICESEMPATH 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. DURING THE YEAR ENDED SEPTEMBER 30, 2015: NUMBER OF STUDENTS: 355 NUMBER OF LIVING WILLS: 3,871

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