Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 10-01-2014 , and ending 09-30-2015
BCheck if applicable:
CName of organization
EMPATH HEALTH Inc
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
5771 Roosevelt Boulevard
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Clearwater, FL33760
D Employer identification number

26-3605761
E Telephone number

G Gross receipts $ 11,928,591
F Name and address of principal officer:
Rafael Sciullo
5771 Roosevelt Boulevard
Clearwater,FL33760
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.empathhealth.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 2008
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: The mission of Empath health, Inc. is to preserve, protect and advance the mission of Suncoast Hospice and its affiliated organizations through strategic leadership, support and service.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 9
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 114
6 Total number of volunteers (estimate if necessary) ............. 6 8
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 12,435,215 11,928,576
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 0 15
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -1,167 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 12,434,048 11,928,591
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 7,781,164 7,409,859
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 4,652,884 5,262,017
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 12,434,048 12,671,876
19 Revenue less expenses. Subtract line 18 from line 12....... 0 -743,285
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 73,551,887 77,266,359
21 Total liabilities (Part X, line 26)............. 1,030,301 1,603,650
22 Net assets or fund balances. Subtract line 21 from line 20..... 72,521,586 75,662,709
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: The mission of Empath Health, Inc. is to preserve, protect and advance the mission of Suncoast Hospice and its affiliated organizations through strategic leadership, support and service. All affiliates provide high-quality care and services in a fiscally sound, yet compassionate manner.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 12,670,650 including grants of $   ) (Revenue $ 11,928,576 )
EMPATH HEALTH, INC. PROVIDES LEADERSHIP AND STRATEGIC GUIDANCE FOR SUNCOAST HOSPICE AND ITS AFFILIATED ORGANIZATIONS. QUALITY OF LIFE FOR PATIENTS AND FAMILIES IS AT THE HEART OF THE MISSION-DRIVEN STAFF AND VOLUNTEERS OF ALL SUNCOAST HOSPICE ENTITIES. THE SUPPORT AND CARE PROVIDED TO THE PEOPLE OF PINELLAS COUNTY BY SUNCOAST HOSPICE AND ITS FAMILY OF ORGANIZATIONS IS COMPREHENSIVE AND COVERS NUMEROUS AREAS OF CONCERN, SUCH AS MEDICAL CARE, VARIOUS THERAPIES, CAREGIVER GUIDANCE, SERVICES FOR CHILDREN, ASSISTANCE FOR THOSE WHO EXPERIENCE PERINATAL LOSS AND STILLBORN BIRTHS, EDUCATION AND TRAINING, HIV/AIDS SERVICES, PHARMACY, DURABLE MEDICAL EQUIPMENT, ADVANCE CARE PLANNING AND COUNTLESS OTHER INITIATIVES. CARE AND SERVICES ARE THOUGHTFULLY CONCEIVED AND OFTEN COME ABOUT FROM RECEIVING AND THEN ACTING ON DIRECT REQUESTS FROM MEMBERS OF THE PINELLAS COMMUNITY. (CONTINUED IN SCHEDULE O).
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet12,670,650
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI....................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
114
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
9
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletAnne Hochsprung

5771 Roosevelt Boulevard
Clearwater,FL33760 (727) 586-4432
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Rafael Sciullo
 
President and CEO
 40.00
.......................8.00 		X   X       415,196 0 20,681
(2) Kelli Hanley-Crabb Esq
 
Chair
 1.00
.......................2.00 		X   X       0 0 0
(3) Benjamin Hayes BSM
 
vice chair
 1.00
.......................2.00 		X   X       0 0 0
(4) Susan Brown
 
SECRETARY
 1.00
.......................3.00 		X   X       0 0 0
(5) Chad Whetstone CPA
 
treasurer
 1.00
.......................2.00 		X   X       0 0 0
(6) Patrick Barmore
 
Director
 1.00
.......................2.00 		X           0 0 0
(7) Mary Jean Etten EDD
 
Director
 1.00
.......................2.00 		X           0 0 0
(8) Michael Gaines
 
Director
 1.00
.......................2.00 		X           0 0 0
(9) Linda Plaster
 
director
 1.00
.......................1.00 		X           0 0 0
(10) Anne Hochsprung
 
Chief Financial Officer
 40.00
.......................8.00 		    X       266,594 0 27,102
(11) Scott E Kistler
 
VICE PRESIDENT
 40.00
.......................2.00 		        X   163,684 0 21,348
(12) WADE CHILDRESS
 
VICE PRESIDENT
 40.00
.......................0 		        X   170,298 0 29,973
(13) KEVIN ACHE
 
MEDICAL DOCTOR
 40.00
.......................0 		        X   214,946 0 17,304
(14) MARY WAECHTER
 
MEDICAL DOCTOR
 40.00
.......................0 		        X   200,852 0 17,289
(15) STACY ORLOFF
 
VICE PRESIDENT
 40.00
.......................0 		        X   157,496 0 26,567




Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,589,066 0 160,264
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet9
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service RevenueAmt Business Code
2a Administration fees 900099 11,573,743 11,573,743    
b patient service revenue 900099 354,833 354,833    
c
d
e
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 11,928,576
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 15     15
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss) 0 0
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss) 0 0
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See Instructions......MediumBullet 11,928,591 11,928,576 0 15
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ....    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members .... 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 729,573 729,573    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages .... 5,238,929 5,238,929    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 113,430 113,430    
9 Other employee benefits ....... 861,374 861,374    
10 Payroll taxes ........... 466,553 466,553    
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 113,223 113,223    
c Accounting ........... 4,600 4,600    
d Lobbying ........... 57,000 57,000    
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 1,660,607 1,660,607 0 0
12 Advertising and promotion .... 988,730 988,730    
13 Office expenses ....... 968,475 968,475    
14 Information technology ...... 802,176 802,176    
15 Royalties ..        
16 Occupancy ........... 157,703 156,477 1,226  
17 Travel ............ 18,333 18,333    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 120,189 120,189    
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .....        
23 Insurance .............. 38,156 38,156    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL & OTHER SUPPLIES 50,556 50,556    
b REPAIRS & MAINTENANCE 149,586 149,586    
c other expenses 34,664 34,664    
d bad debt 98,019 98,019    
e All other expenses 0 0 0 0
25 Total functional expenses. Add lines 1 through 24e 12,671,876 12,670,650 1,226 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 5,000 1 8,511
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net .............   4 236,640
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 775,287 9 615,214
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 0
b Less: accumulated depreciation ..... 10b 0 0 10c 0
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ..... 442,205 12  
13 Investments—program-related. See Part IV, line 11 ..... 72,079,381 13 76,405,994
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 250,014 15 0
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 73,551,887 16 77,266,359
Liabilities 17 Accounts payable and accrued expenses ......... 1,030,301 17 801,661
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 0 25 801,989
26 Total liabilities. Add lines 17 through 25......... 1,030,301 26 1,603,650
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 64,349,755 27 65,194,641
28 Temporarily restricted net assets ........... 3,132,328 28 5,574,210
29 Permanently restricted net assets ........... 5,039,503 29 4,893,858
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 72,521,586 33 75,662,709
34 Total liabilities and net assets/fund balances ........ 73,551,887 34 77,266,359
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
11,928,591
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
12,671,876
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-743,285
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
72,521,586
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
3,884,408
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
75,662,709
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
EMPATH HEALTH Inc
 
Employer identification number

26-3605761
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations ............................. 6
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) THE HOSPICE OF THE FLORIDA SUNCOAST INC
  		591744006   Yes   0 0
(B) THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC
  		592252045   Yes   0 0
(C) THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC
  		593176721   Yes   0 0
(D) AIDS SERVICE ASSOCIATION OF PINELLAS INC
  		592862537   Yes   0 0
(E) EMPATH CHOICES FOR CARE INC
  		311699259   Yes   0 0
(F) SUNCOAST PACE INC
  		452980257   Yes   0 0
Total : 66 0

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
No
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2014 		(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2015. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name The Articles of Incorporation state that the purposes for which Empath Health, Inc. is organized include to support, promote, maintain and make contributions to, operate for the benefit of, carry out the functions and purposes of, and otherwise coordinate, supervise and contribute to the activities of The Hospice of the Florida Suncoast, Inc., and any existing or future affiliates that further its exempt purposes.
Schedule A, Part IV, Section C, Line 1 Majority director detail AS A SUPPORTING ORGANIZATION, EMPATH IS SUPERVISED AND CONTROLLED IN CONNECTION WITH THE SUPPORTED ORGANIZATIONS, AND THEREFORE IS DESIGNATED A TYPE II SUPPORTING ORGANIZATION. EMPATH MEETS THIS CLASSIFICATION BECAUSE THE MANAGEMENT OF EMPATH IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE THE SUPPORTED ORGANIZATIONS. THE BYLAWS OF EMPATH REQUIRE THAT A MAJORITY OF ITS BOARD OF DIRECTORS SHALL BE INDIVIDUALS WHO ARE CURRENT MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPICE OF THE FLORIDA SUNCOAST, INC. (HOSPICE); AT LEAST ONE MEMBER OF THE BOARD OF DIRECTORS OF EMPATH MUST BE AN INDIVIDUAL WHO IS A CURRENT MEMBER OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST, INC. (FOUNDATION); AND AT LEAST ONE MEMBER OF THE BOARD OF DIRECTORS OF EMPATH MUST BE AN INDIVIDUAL WHO IS A CURRENT MEMBER OF THE BOARD OF DIRECTORS OF AN AFFILIATE OF EMPATH (OTHER THAN HOSPICE AND FOUNDATION). FURTHERMORE, THE BYLAWS OF EMPATH PROVIDE THAT, IN THE EVENT AN AFFILIATE DOES NOT HAVE AT LEAST ONE MEMBER OF ITS BOARD OF DIRECTORS SERVING AS A DIRECTOR OF EMPATH, THE CHAIRMAN OF THE BOARD OF SUCH AFFILIATE (OR DESIGNEE) IS ENTITLED TO PARTICIPATE IN DISCUSSION AT ANY AND ALL MEETINGS OF THE EMPATH BOARD AT WHICH THAT AFFILIATE'S INTERESTS WILL BE PART OF THE AGENDA OR WILL BE CONSIDERED.
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
EMPATH HEALTH Inc
 
Employer identification number

26-3605761
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2014

Schedule C (Form 990 or 990-EZ) 2014
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
57,000
j
Total. Add lines 1c through 1i ...............................
57,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION HIRED A LOBBYIST DURING THE YEAR ENDED SEPTEMBER 30, 2015.
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
EMPATH HEALTH Inc
 
Employer identification number

26-3605761
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 2,945,549 2,945,549 2,945,549 2,945,939 2,945,939
b Contributions ........ 0 0 0 0 0
c Net investment earnings, gains, and losses -129,279 278,282 355,368 544,546 68,599
d Grants or scholarships ..... 0 278,282 355,368 544,936 68,599
e Other expenditures for facilities
and programs ........ 		0 0 0 0 0
f Administrative expenses .... 0 0 0 0 0
g End of year balance ...... 2,816,270 2,945,549 2,945,549 2,945,549 2,945,939
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet100 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet  
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Investment in affiliated not-for-profit organizations 81,938,960 F
(2) INVESTMENT IN WHOLLY-OWNED SUBSIDIARY -5,532,966 F







Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 76,405,994
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
due to affiliates 801,989








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 801,989
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 15,820,916
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b 7,917
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 3,884,408
e Add lines 2a through 2d ..................... 2e 3,892,325
3 Subtract line 2e from line 1..................... 3 11,928,591
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 0
c Add lines 4a and 4b....................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 11,928,591
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 12,679,793
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a 7,917
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 0
e Add lines 2a through 2d...................... 2e 7,917
3 Subtract line 2e from line 1..................... 3 12,671,876
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 0
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 12,671,876
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
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 HEALTH, INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW ARE THE FIN 48 PARAGRAPHS FROM THE FINANCIAL STATEMENTS THAT SPECIFICALLY ADDRESS EMPATH HEALTH, 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, 2015 and 2014.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET INCOME FROM AFFILIATED NOT-FOR-PROFIT ENTITIES - 9859579 NET LOSS FROM SUBSIDIARY - -5975171
Schedule D (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
EMPATH HEALTH Inc
 
Employer identification number

26-3605761
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Rafael Sciullo
  President and CEO 		(i)
(ii)		 406,796
...............................
0 		0
...............................
0 		8,400
...............................
0 		11,502
...............................
0 		9,179
...............................
0 		435,877
...............................
0 		0
...............................
0
2Anne Hochsprung
  Chief Financial Officer 		(i)
(ii)		 261,527
...............................
0 		0
...............................
0 		5,067
...............................
0 		8,125
...............................
0 		18,977
...............................
0 		293,696
...............................
0 		0
...............................
0
3Scott E Kistler
  VICE PRESIDENT 		(i)
(ii)		 163,684
...............................
0 		0
...............................
0 		0
...............................
0 		4,853
...............................
0 		16,495
...............................
0 		185,032
...............................
0 		0
...............................
0
4WADE CHILDRESS
  VICE PRESIDENT 		(i)
(ii)		 170,298
...............................
0 		0
...............................
0 		0
...............................
0 		5,336
...............................
0 		24,637
...............................
0 		200,271
...............................
0 		0
...............................
0
5KEVIN ACHE
  MEDICAL DOCTOR 		(i)
(ii)		 214,946
...............................
0 		0
...............................
0 		0
...............................
0 		6,633
...............................
0 		10,671
...............................
0 		232,250
...............................
0 		0
...............................
0
6MARY WAECHTER
  MEDICAL DOCTOR 		(i)
(ii)		 200,852
...............................
0 		0
...............................
0 		0
...............................
0 		5,843
...............................
0 		11,446
...............................
0 		218,141
...............................
0 		0
...............................
0
7STACY ORLOFF
  VICE PRESIDENT 		(i)
(ii)		 157,496
...............................
0 		0
...............................
0 		0
...............................
0 		4,983
...............................
0 		21,584
...............................
0 		184,063
...............................
0 		0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Schedule J (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
EMPATH HEALTH Inc
 
Employer identification number

26-3605761
Return Reference Explanation
Form 990, Part III, Line 4a Program Description (CONTINUED FROM ABOVE) EMPATH CHOICES FOR CARE, INC. EMPATH CHOICES FOR CARE, INC. IS ESTABLISHED THROUGH A PARTNERSHIP OF PHYSICIANS, ELDER CARE PROVIDERS & 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 & THE INDIVIDUAL'S BEST INTERESTS & PERSONAL WISHES. EMPATH CHOICES FOR CARE, INC. OFFERS EDUCATION & THE VEHICLES FOR ADVANCE CARE PLANNING FOR COMMUNITIES, THE GENERAL PUBLIC & 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 & 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 & 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 & SUPPORT. WE ANTICIPATE CAPTURING DATA ON PATIENT USE, FORMS COMPLETED, PROCESS EFFICIENCY & 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 & CREATE EFFECTIVE WRITTEN DOCUMENTS LIKE LIVING WILLS. EMPATH CHOICES FOR CARE, INC. OFFERS RESPECTING CHOICES TRAINING COURSES BOTH INTERNALLY WITH SUNCOAST HOSPICE STAFF & EXTERNALLY WITH LOCAL CARE PARTNERS. STUDENTS STUDENTS COMPLETE 6 ON-LINE MODULES & PARTICIPATE IN A FULL DAY OF CLASSROOM INSTRUCTION. NUMBER OF STUDENTS - 355 NUMBER OF LIVING WILLS - 3871 SUNCOAST PACE. SUNCOAST PACE (PROGRAM OF THE ALL-INCLUSIVE CARE FOR THE ELDERLY) PROVIDES A FULL RANGE OF HOME AND HEALTH CARE SERVICES TO SENIORS 55 YEARS OF AGE OR OLDER. PACE ALLOWS ITS PARTICIPANTS TO CONTINUE TO LIVE IN THEIR HOMES AND MAINTAIN THEIR INDEPENDENCE. THE PROGRAM OFFERS PRIMARY & SPECIALTY MEDICAL CARE, ADULT DAY CENTER SERVICES, HOSPITALIZATION & EMERGENCY CARE, NUTRITIOUS MEALS, IN-HOME SUPPORT AND CARE, PHYSICAL OCCUPATIONAL & SPEECH THERAPIES, TRANSPORTATION AND PHARMACY SERVICES. N ADDITION TO MEDICAL SERVICES AND THERAPIES, THERE ARE NUMEROUS ACTIVITIES AND OPPORTUNITIES TO SOCIALIZE. ITS GOAL IS TO KEEP THE MEN AND WOMEN IT SERVES LIVING SAFELY IN THEIR OWN HOMES OR TOGETHER WITH THEIR FAMILIES FOR AS LONG AS POSSIBLE, MAINTAINING INDEPENDENCE AND QUALITY OF LIFE. AT SEPTEMBER 30, 2015, 222 PARTICIPANTS WERE BEING SERVED BY THIS PROGRAM. AIDS SERVICE ASSOCIATION OF PINELLAS, INC. (ASAP) THE RYAN WHITE PART A PROGRAM INCLUDES MEDICAL CASE MANAGEMENT, MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE COUNSELING. THE PROGRAM LINKS ASAP 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. ASAP CLIENTS ACHIEVED A 98 PERCENT SUCCESS RATE WITH THESE REQUIREMENTS. THAT RESULTED IN SLOWING DISEASE PROGRESSION AND ACCOUNTS FOR LOWER CHANCE OF OPPORTUNISTIC INFECTIONS, WHICH ARE EXTREMELY DETRIMENTAL TO THOSE WITH COMPROMISED IMMUNE SYSTEMS. FURTHER, IT MEANS FEWER VISITS TO EMERGENCY ROOMS, LOWER GENERAL MEDICAL CARE COSTS (INCLUDING PRESCRIPTIONS), REDUCED MENTAL HEALTH ISSUES, RESULTING IN BETTER OVERALL WELLNESS. RYAN WHITE PART A MEDICAL CASE MANAGEMENT SERVED 488 UNDUPLICATED CLIENTS OVER THE PAST YEAR, PART A MENTAL HEALTH COUNSELING SERVED 132 UNDUPLICATED CLIENTS OVER THE PAST YEAR AND PART A SUBSTANCE ABUSE COUNSELING SERVED 82 UNDUPLICATED CLIENTS OVER THE PAST YEAR. THE RYAN WHITE PART B PROGRAM INCLUDES MEDICAL CASE MANAGEMENT AND NON-MEDICAL CASE MANAGEMENT PROGRAMS. THE PROGRAM LINKS ASAP 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. ASAP CLIENTS ACHIEVED A 95 PERCENT SUCCESS RATE WITH THESE REQUIREMENTS. THAT RESULTED IN SLOWING DISEASE PROGRESSION AND ACCOUNTS FOR LOWER CHANCE OF OPPORTUNISTIC INFECTIONS, WHICH ARE EXTREMELY DETRIMENTAL TO THOSE WITH COMPROMISED IMMUNE SYSTEMS. FURTHER, IT MEANS FEWER VISITS TO EMERGENCY ROOMS, LOWER GENERAL MEDICAL CARE COSTS (INCLUDING PRESCRIPTIONS), REDUCED MENTAL HEALTH ISSUES, RESULTING IN BETTER OVERALL WELLNESS. MEDICAL CASE MANAGEMENT SERVED 250 UNDUPLICATED CLIENTS OVER THE PAST YEAR AND RYAN WHITE PART B NON MEDICAL CASE MANAGEMENT SERVED 1,345 UNDUPLICATED CLIENTS OVER THE PAST YEAR. THE DEPARTMENT OF HEALTH (DOH) GRANT PROVIDES COMPREHENSIVE RISK COUNSELING, SERVICES AND VIDEO OPPORTUNITIES FOR INNOVATIVE CONDOM EDUCATION AND SAFER SEX. THE PROGRAMS TARGET THOSE WHO ARE PRACTICING HIGH-RISK BEHAVIORS. CLIENTS MAY BE HIV+ OR HIGH-RISK NEGATIVE. THE PROGRAM SEEKS TO EDUCATE CLIENTS ON SAFER SEX OPTIONS AND WAYS TO REDUCE RISKY BEHAVIORS. THE PROGRAM STAFF COORDINATES SERVICES AND REFERRALS WITH ASAP'S TESTING AND OUTREACH PROGRAMS, CASE MANAGEMENT SERVICES 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. A TOTAL OF 41 CLIENTS IN THE CRCS PROGRAM GRADUATED AND 100% OF THOSE PARTICIPATING IN VOICES CLASSES COMPLETED EVALUATIONS SHOWING A 66% INCREASE IN KNOWLEDGE. ASAP PROVIDED SERVICES TO 101 UNDUPLICATED CLIENTS THROUGH THE CRCS PROGRAM AND 118 UNDUPLICATED CLIENTS THROUGH VOICES.
Form 990, Part III, Line 4a Program description (continued from above) OTHER PROGRAM HIGHLIGHTS FOR 2014 INCLUDE: BRIGHTER SEASONS FOR CHILDREN ASAP'S BRIGHTER SEASONS OR CHILDREN PROGRAM IS A GRASSROOTS CAMPAIGN STARTED OVER 15 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. WE CURRENTLY SERVE OVER 50 FAMILIES WHICH INCLUDE MORE THAN 125 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. MEDICAL CO-PAY ASSISTANCE PROGRAM THIS 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. COLLABORATIVE FELLOWSHIP DINNER THIS 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, UP-DATES ON MEDICATIONS, SERVICES AND DEVELOPMENTS IN THE HIV/AIDS COMMUNITY. ASAP 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. ASAP PROVIDES SERVICES THAT COVER HIV+ NEW BORN BABIES OR BABIES WITH AN HIV+ PARENT. PROGRAMS AND SERVICES ARE FOR ALL PEOPLE OF ALL AGES. MANY ASAP CLIENTS ARE SENIOR ADULTS. ASAP 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 ASAP 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. ASAP PROVIDES SUPPORT GROUPS AND COUNSELING FOR THOSE LIVING WITH HIV/AIDS AND COLLABORATES WITH OTHER AIDS ORGANIZATIONS TO PROVIDE ADDITIONAL OPTIONS. ASAP'S HOME 3050 AND 340B PROGRAMS MEET ALL OF A HIV CLIENT'S HEALTH CARE NEEDS IN ONE PLACE, A TRUE ONE STOP SHOP, SERVING OVER 900 CLIENTS ANNUALLY. TREATMENT INCLUDES MEDICAL CARE, MEDICAL CASE MANAGEMENT, COUNSELING SERVICES, CARE COORDINATION, AND PHARMACEUTICAL CONSULTS. THROUGH ITS 340B PROGRAM, 100% OF ALL PROCEEDS REALIZED THROUGH ASAP'S PARTNERED PHARMACY, ARE ALLOCATED BACK TO MAINTAIN AND EXPAND ASAP'S SERVICES TO THE HIV COMMUNITY. SUNCOAST HOSPICE INSTITUTE THIS PRACTICE-BASED EDUCATION CENTER OFFERS RESOURCES AND TRAINING PERTAINING TO EXCELLENCE, INNOVATION AND RESEARCH. ITS FOCUS ON THE DELIVERY OF COMPASSIONATE, HIGH QUALITY HOSPICE CARE IS DESIGNED TO PROMOTE EXCELLENCE AND EXPERTISE IN END-OF-LIFE CARE. OF PRIMARY FOCUS AT SUNCOAST HOSPICE INSTITUTE ARE INTERACTIVE WEB-BASED COURSES, LEARNING MANAGEMENT SYSTEM AND E-RESOURCE LIBRARY. A BLEND OF WEB-BASED INTERACTIVE TECHNOLOGIES WILL BRIDGE THE GAP BETWEEN FORMAL CLASSROOM AND INFORMAL OR SOCIAL LEARNING, WHICH OCCURS IN ORGANIZATIONS AND WILL CONTRIBUTE TO FURTHER DEVELOPMENT OF HOSPICE WORKFORCE TALENT AND COMPETENCY.
Form 990, Part III, Line 4a PROGRAM DESCRIPTION (continued from above) HOSPICE SERVICES - FOUNDED 37 YEARS AGO BY VOLUNTEERS, SUNCOAST HOSPICE'S MISSION OF CARE FOCUSES ON PERSONS WITH CHRONIC OR SERIOUS ILLNESSES AND EXTENDS TO THOSE ACTING AS CAREGIVERS OR WORKING THROUGH GRIEF OR TRAUMA. SUNCOAST HOSPICE IS RECOGNIZED NATIONWIDE FOR ITS INNOVATIVE SERVICE DELIVERY, ADVOCACY FOR SOCIAL CHANGE, TECHNOLOGICAL DEVELOPMENT IN THE AREA OF PATIENT RECORDS, AS WELL AS OTHER TECHNOLOGY-RELATED INNOVATIONS. IN ADDITION TO PROVIDING CARE IN PRIVATE HOMES AND APARTMENTS, SUNCOAST HOSPICE SERVES THOSE WHO RESIDE IN NURSING HOMES, ASSISTED LIVING FACILITIES (ALFS) ITS OWN CARE CENTERS, HOSPITALS AND OTHER SETTINGS. OF THOSE WHO DIED IN PINELLAS COUNTY LAST YEAR, APPROXIMATELY 70% WERE SERVED BY SUNCOAST HOSPICE. SUNCOAST HOSPICE SERVES ALL PEOPLE WITHOUT REGARD TO DIAGNOSES, AGE, RELIGIOUS, ETHNIC OR FINANCIAL CIRCUMSTANCES. APPROXIMATELY $1 MILLION IN UNCOMPENSATED CARE WAS PROVIDED TO INDIVIDUALS AND FAMILIES LAST YEAR. LAST YEAR, SUNCOAST HOSPICE SERVED approximately 8,000 PATIENTS BY 1,100 STAFF MEMBERS FOR A TOTAL OF MORE THAN 456,000 PATIENT DAYS. SUNCOAST HOSPICE IS HOLISTIC IN ITS APPROACH, HELPING TO GUIDE PATIENTS AND FAMILIES AND SUPPORTING THEM IN THEIR DECISION MAKING. DESPITE GROWTH IN STATURE AND SIZE, SUNCOAST HOSPICE REMAINS A COMMUNITY ORGANIZATION WITH ITS LEADERSHIP AND STAFF EVER MINDFUL OF WHAT ITS COMMUNITY WANTS IN A HOSPICE PROVIDER. BECAUSE OF ITS STRONG COMMUNITY CONNECTION, SUNCOAST HOSPICE HAS ALWAYS HAD VIBRANT VOLUNTEER PROGRAMS AND ACTIVITIES. VOLUNTEERS, NOW 1,287 STRONG, BRING A RICH ARRAY OF IDEAS, TALENT AND EXPERIENCE TO THE ORGANIZATION. LAST YEAR ALONE, VOLUNTEERS CONTRIBUTED over 215,000 HOURS OF SERVICE IN SUPPORT OF SUNCOAST'S MISSION. SUNCOAST HOSPICE RELIES ON A SOLID TEAM CONCEPT IN ITS SERVICE DELIVERY. PATIENT AND FAMILY CARE TEAMS CONSIST OF PHYSICIANS, NURSES, AIDES, PHYSICAL THERAPISTS, NURSE PRACTITIONERS, CHAPLAINS, SOCIAL WORKERS AND VOLUNTEERS. AT THE CENTER OF EACH TEAM ARE THE PATIENTS AND THEIR FAMILIES WHO MAY CHOOSE TO ACCEPT OR DECLINE VARIOUS CARE OPTIONS OPEN TO THEM. PATIENT AND FAMILY CARE TEAMS MAY INCLUDE PHYSICAL AND OCCUPATIONAL THERAPISTS AND PALLIATIVE ARTS SPECIALISTS AND SUCH OPTIONS AS MASSAGE, THERAPEUTIC TOUCH, PET THERAPY, REIKI, HUMOR THERAPY AND MORE. PATIENTS MAY CHOOSE TO AVAIL THEMSELVES OF THE SERVICES OFFERED ACCORDING TO THEIR OWN NEEDS, WANTS AND BELIEF SYSTEMS. FAMILIES OFTEN REMARK THAT THE PATIENT AND FAMILY CARE TEAMS FIT REMARKABLY WELL INTO THEIR HOMES AND LIVES. MANY HAVE SAID THAT CARE IS MORE THAN JUST A WORD TO SUNCOAST HOSPICE STAFF AND VOLUNTEERS, NOTING THE WILLINGNESS TO GO THE EXTRA MILE ON BEHALF OF PATIENTS AND FAMILIES. AS THE HUSBAND OF ONE PATIENT SAID OF SUNCOAST HOSPICE - YOU ALWAYS FIND A WAY TO SAY YES. CARE AND SERVICE MAY BE COVERED BY MEDICARE, MEDICAID, INSURANCE PROVIDERS OR PRIVATE FUNDS. NO ONE IN NEED OF END-OF-LIFE CARE IS TURNED AWAY. THE SUNCOAST HOSPICE CARE CENTERS, ALSO KNOWN AS INPATIENT CENTERS, ARE PLACES OF REFUGE FOR OUR PATIENTS WHEN THEY SUFFER SEVERE PAIN OR EXPERIENCE ACUTE SYMPTOMS THAT CANNOT BE RESOLVED OR MANAGED IN THEIR OWN HOMES. CARE WITH COMPASSION IS PROVIDED AT THESE THREE CENTERS. EACH SUNCOAST HOSPICE CARE CENTER IS STAFFED BY EXPERT MEDICAL TEAMS AVAILABLE 24 HOURS A DAY 7 DAYS A WEEK IN SETTINGS DESIGNED EXPRESSLY FOR THE COMFORT AND CONVENIENCE OF OUR PATIENTS AND THEIR FAMILIES. OUR PATIENTS STAY IN SUNCOAST HOSPICE CARE CENTERS UNTIL THEIR PAIN AND SYMPTOMS ARE RESOLVED AND CONTROLLED ENOUGH TO ALLOW THEM TO COMFORTABLY RETURN TO THEIR RESIDENCES - THEIR CHOSEN ACTIVITIES - THEIR LIVES. EACH CENTER HAS ITS OWN DISTINCT ENVIRONMENT AND SETTING BUT SHARES A COMMON GOAL OF CREATING A SENSE OF COMFORT, PEACE AND TRANQUILITY. OUR CARE CENTERS OFFER CARE WITH DIGNITY IN PRIVATE ROOMS WITH OUTDOOR VIEWS. ROOMS ARE DECORATED IN SOFT COLORS AND FURNISHINGS FOCUS ON AESTHETICS AS WELL AS FUNCTION. SPECIALLY TRAINED VOLUNTEERS GREET NEW PATIENTS AND FAMILIES, HELPING TO BECOME ACCLIMATED AND OFFERING COMPANIONSHIP AND ASSISTANCE. LAST YEAR, APPROXIMATELY 3,200 INDIVIDUALS AND THEIR FAMILIES WERE SERVED AT ONE OF THE SUNCOAST HOSPICE CARE CENTERS. PALLIATIVE CARE PROGRAMS - PALLIATIVE CARE SERVICES INCLUDE: -VISITS FROM REGISTERED PHYSICIANS, NURSES, NURSE PRACTITIONERS, HOME HEALTH AIDES AND TRAINED VOLUNTEERS; -COUNSELING WITH SOCIAL WORKERS AND CHAPLAINS FOR PATIENTS AND FAMILY MEMBERS; -PALLIATIVE ARTS SUCH AS MASSAGE, THERAPEUTIC TOUCH, AROMATHERAPY, EXPRESSIVE ARTS, REIKI, PET THERAPY, HUMOR THERAPY;-ADVANCE CARE PLANNING ASSISTANCE;-HELP WITH ACCESSING COMMUNITY RESOURCES AND FINANCIAL ASSISTANCE RESOURCES;-CAREGIVER EDUCATION; AND-PAIN AND SYMPTOM MANAGEMENT CONSULTS IN COLLABORATION WITH COMMUNITY HOSPITALS AND NURSING HOMES. during the year more than 1,700 patients were served and approximately $350,000 in uncompensated care was provided to individuals. OTHER PROGRAMS- IMPORTANT AMONG THE PROGRAMS AND SERVICES SUNCOAST HOSPICE AND ITS FAMILY OF PROGRAMS OFFER IS GRIEF OR BEREAVEMENT SUPPORT AND COUNSELING. WHILE STAGES OF GRIEF HAVE BEEN IDENTIFIED, NO TWO PEOPLE GRIEVE IN EXACTLY THE SAME WAY OR IN PRESCRIBED TIME FRAMES. SUNCOAST HOSPICE OFFERS GRIEF COUNSELING AND SUPPORT TO THOSE IT SERVES IN ITS HOSPICE PROGRAMS, AS WELL AS TO THE ENTIRE COMMUNITY. SUNCOAST HOSPICE COUNSELORS ARE CALLED UPON TO HELP PEOPLE AFFECTED BY TRAUMATIC DEATHS, SUCH AS ACCIDENTS OR SUICIDES, AS WELL AS GRIEF EXPERIENCED WHEN CRIME IS THE CAUSE FOR LOSS OF LIFE. A SPECIAL CAMP FOR CHILDREN IN GRIEF IS OFFERED EACH YEAR, AS WELL AS OTHER PROGRAMS AND SESSIONS FOR YOUNGSTERS WHO ARE TRYING TO COME TO TERMS WITH THE DEATH OF SOMEONE WHO HAS BEEN CLOSE TO THEM.
Form 990, Part III, Line 4a PROGRAM DISCRIPTION (continued from above) AS TESTAMENT TO ITS COMMITMENT TO THE PINELLAS COMMUNITY AND THE WELL-BEING OF ITS CITIZENS, SUNCOAST HOSPICE OFFERS EDUCATION AND TRAINING ON A WIDE VARIETY OF SUBJECTS AND TO VARIED AUDIENCES. SOME OF THE OFFERINGS ARE FOR CONTINUING EDUCATION CREDITS, WHILE OTHERS ARE SIMPLY TO INFORM AND ENLIGHTEN AUDIENCES. TRAINING IS ALSO AVAILABLE FOR POTENTIAL VOLUNTEERS AS WELL AS VOLUNTEERS WISHING TO HELP OUT IN AREAS THAT REQUIRE LENGTHIER, SPECIALTY-TARGETED COURSES. TRAINING AND GUIDANCE IS ALSO PROVIDED FOR THOSE WHO ACT AS CAREGIVERS FOR FAMILY MEMBERS OR FRIENDS. SUNCOAST HOSPICE STAFF MEMBERS DEMONSTRATE HANDS-ON PRACTICES AND TEACH CARE TECHNIQUES, WHICH INCLUDE SELF-CARE FOR CAREGIVERS. SUCH TRAINING IS OPEN TO THE COMMUNITY. THERE IS PERHAPS NO MORE DIFFICULT, HEARTBREAKING CHALLENGE IN LIFE THAN HAVING A CHILD DIAGNOSED WITH A SERIOUS, LIFE-THREATENING ILLNESS. FAMILY DYNAMICS CHANGE - SIBLINGS MAY FEEL LEFT OUT AS PARENTS DEVOTE TIME AND ATTENTION TO THE SICK CHILD AND EXTENDED FAMILY MEMBERS MAY FEEL HELPLESS IN ATTEMPTS TO BE SUPPORTIVE. PROGRAMS AND SERVICES COVER THE SPAN FROM NEWBORN TO AGE 21. YOUNGSTERS MAY RECEIVE CARE FROM STEPPING STONES 4 KIDS IN THEIR OWN HOMES OR ANYWHERE ELSE THAT MEETS THEIR NEEDS. FOCUS IS ON BRINGING COMFORT TO THE CHILDREN AND PROVIDING MUCH-NEEDED SUPPORT FOR THEIR FAMILIES. SERVICES INCLUDE MEDICAL CARE AND SYMPTOM RELIEF, NURSING CARE, HOME HEALTH AIDES AND PALLIATIVE ARTS, SUCH AS PET THERAPY, MASSAGE THERAPY, MUSIC THERAPY AND MORE. FAMILIES ARE SUPPORTED WITH VISITS FROM TRAINED VOLUNTEERS, FAMILY FUN NIGHTS FOR THE WHOLE FAMILY, ASSISTANCE WITH DIFFICULT DECISIONS AND EMOTIONAL AND SPIRITUAL COUNSELING. CHILDREN'S PROGRAMS PROVIDE EXCELLENT, SPECIAL COUNSELING FOR YOUNGSTERS AND OTHER FAMILY MEMBERS WHO NEED HELP TO FIND HEALING AFTER THE DEATH OF A CHILD OR OTHER FAMILY MEMBER. IN ADDITION, SPECIAL PERINATAL CARE IS AVAILABLE FOR FAMILIES WITH PREGNANCIES THAT CANNOT BE CARRIED TO TERM OR THOSE WHOSE PREGNANCIES END IN THE TRAGEDY BEARING A STILLBORN CHILD. EVERY EFFORT IS MADE TO HELP FAMILIES FIND THEIR WAYS TOWARD HEALING FOLLOWING SUCH INCIDENTS, INCLUDING SPECIAL COMPASSIONATE TOUCHES SUCH AS UNBELIEVABLY TINY, ULTRA SOFT BABY CLOTHES FOR PARENTS TO WRAP THEIR LITTLE ONES IN RIGHT AFTER BIRTH OR FOR BURIAL. SUNCOAST HOSPICE'S SPEAKERS NETWORK IS MADE UP OF STAFF AND VOLUNTEERS WHO PROVIDE PRESENTATIONS REGARDING ALL ASPECTS OF HOSPICE AND PALLIATIVE CARE. SUNCOAST HOSPICE SPEAKERS ARE WILLING PRESENTERS FOR NEIGHBORHOOD ASSOCIATIONS, CIVIC GROUPS, PROFESSIONAL ASSOCIATIONS, FAITH COMMUNITIES, NURSING HOMES, CHAMBERS OF COMMERCE AND OTHER AUDIENCES. SPEAKERS COVER A WIDE RANGE OF TOPICS FROM THE BASICS OF HOSPICE AND PALLIATIVE CARE TO VOLUNTEER OPPORTUNITIES, SPECIAL EVENTS, CHILDREN'S PROGRAMS, PALLIATIVE ARTS AND MORE. IN ADDITION, THE COMMUNITY IS INVITED TO SUNCOAST HOSPICE COMMUNITY SERVICE CENTERS TO HEAR NATIONALLY KNOWN OR LOCAL SPEAKERS, ATTEND PROGRAMS OR PERHAPS MAKE USE OF THE SPECIALTY LIBRARIES AT ALL CENTERS. APPROXIMATELY 1.1 MILLION DOLLARS IN UNCOMPENSATED CARE WAS PROVIDED TO INDIVIDUALS AND FAMILIES LAST YEAR. Suncoast Hospice Foundation seeks to foster relationships to build community investments in order to provide resources to fund Empath Health, Inc. and its family of programs. Empath Health, Inc. is a not-for-profit, integrated network of care encompassing hospice, palliative home health and physician services, assistance for independent living and daycare for seniors, services for those infected oR affected by HIV, and advance care planning. Members receiving support through Suncoast Hospice Foundation include Suncoast Hospice, Suncoast PACE, Empath Choices for Care, Inc. AIDS Service Association of Pinellas (ASAP), Suncoast Hospice Institute and other programs and services of Empath Health. Suncoast Hospice Foundation fills the gap between reimbursable and non-reimbursable expenses associated with chronic or advanced illness. The Foundation assists those who are not insured; those who need more than insurance covers; those who cannot afford to pay; those who have family members affected by a patients' health condition; and those who need assistance with needs outside or in addition to their direct medical diagnosis. The Foundation seeks to provide care, compassion, comfort, and inspiration to everyone directly and indirectly affected by family members' medical needs and regardless of diagnosis, race, faith, age, or financial circumstances. Established in 1983, Suncoast Hospice Foundation has a long and trusted track-record of serving the community. Voted not-for-profit of the year in the large business category by the Clearwater Regional Chamber of Commerce in 2014, the community has shown its support for over 30 years, investing over $10,000,000 every year to support on-going operations. Community support is provided in a variety of ways including memorial tributes, estate and planned gifts, major contributions, and designated gifts for specific purposes. Its volunteer Board of Trustees oversees efforts and provides leadership in the cultivation, solicitation and stewardship of its community stakeholders. In addition to providing financial resources to assist programs and services of Empath Health, the Foundation engages in and with the community through support, volunteer engagement, and community involvement. Members of the staff and board are fully engaged in community activities through service to others, ensuring the organization knows and understands the needs of the communities in which it serves. Its social responsibility includes engagement activities such as the Hospice Beach Stroll; AIDS Walk; Hospice gala; and other annual community-based and supported events. Three Hospice Resale stores provide ways to engage volunteers in the mission of the organization; offer opportunities for families to give back through donated items; and provide the community with access to much-needed, affordable goods. In addition to annual needs, Suncoast Hospice Foundation provides for new and/or expanding programs, services, facilities, and organizational needs. Past support has included new in-patient service centers; PACE adult day care center; service centers; and technological advances. Current initiatives include HOME 3050, a medical home for persons living with HIV and their families; an endowment campaign; specialized campaigns for Choices for Care, services for pediatric patients, Integrative medicine services, and possible future capital campaigns for future expansion
Form 990, Part VI, Line 1a Delegate broad authority to a committee 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, Line 2 Family/business relationships amongst interested persons MICHAEL GAINES, RAFAEL SCIULLO, SCOTT KISTLER, LINDA PLASTER AND PATRICK BARMORE - ALL SERVE ON THE BOARD OF HOSPICE SYSTEMS, INC. A RELATED, FOR-PROFIT COMPANY - Business relationship
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 15a Process to establish compensation of top management official The executive committee of the EMPATH HEALTH, Inc. (EHI) board will meet annually to review and approve the compensation of the president and CEO. 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. 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 possibly just assure ourselves of the current correct positioning of compensation for these individuals. During this review, the career center 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. This process was last undertaken in the year ended September 30, 2015. The process and decisions are documented in the executive committee minutes.
Form 990, Part VI, Line 15b Process to establish compensation of other employees 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 the year ended September 30, 2015. The process and decisions are documented in the executive committee minutes.
Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflicts 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.
Form 990, Part IX, Line 11g Other Fees contract services - it - Total Expense: 1239348, Program Service Expense: 1239348, Management and General Expenses: , Fundraising Expenses: ; other fees for services - Total Expense: 421259, Program Service Expense: 421259, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Income from Affiliated Not-for-Profit Entities - 9859579; Net Loss from Subsidiary - -5975171;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
EMPATH HEALTH Inc
 
Employer identification number

26-3605761
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) EMPATH HOME HEALTH LLC
5771 ROOSEVELT BOULEVARD
CLEARWATER,FL33760
 PALLIATIVE HOME HEALTH SERVICES FL 0 0 EHI
 
(2) EMPATH ELDER CARE LLC
5771 ROOSEVELT BOULEVARD
CLEARWATER,FL33760
 ELDER CARE SERVICES FL 0 0 EHI
 
(3) EMPATH HEALTH SERVICES LLC
5771 ROOSEVELT BOULEVARD
CLEARWATER,FL33760
 COUNSELING SERVICES FL 0 0 EHI
 
(4) EMPATH MEDICAL SERVICES LLC
5771 ROOSEVELT BOULEVARD
CLEARWATER,FL33760
 PHYSICIAN AND ARNP SERVICES FL 0 0 EHI
 
(5) EMPATH HEALTH PHARMACEUTICALS LLC
5771 ROOSEVELT BOULEVARD
CLEARWATER,FL33760
 PHARMACEUTICAL SERVICES FL 0 0 EHI
 
(6) EMPATH COMMUNITY HEALTH LLC
5771 ROOSEVELT BOULEVARD
CLEARWATER,FL33760
59-1744006 		palliative care services FL 362,765 240,723 EHI
 
Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) THE HOSPICE OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BOULEVARD

CLEARWATER,FL33760
59-1744006 		HOSPICE FL 501(c)(3 9 EHI
 
Yes
 
(2) THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BOULEVARD

CLEARWATER,FL33760
59-2252045 		FUNDRAISING FL 501(c)(3 7 EHI
 
Yes
 
(3) THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST
5771 ROOSEVELT BOULEVARD

CLEARWATER,FL33760
59-3176721 		EDUCATION FL 501(c)(3 7 EHI
 
Yes
 
(4) AIDS SERVICE ASSOCIATION OF PINELLAS INC
5771 ROOSEVELT BOULEVARD

CLEARWATER,FL33760
59-2862537 		PREVENTION FL 501(c)(3 7 EHI
 
Yes
 
(5) EMPATH CHOICES FOR CARE INC
5771 ROOSEVELT BOULEVARD

CLEARWATER,FL33760
31-1699259 		HOSPICE RESOURCES FL 501(c)(3 9 EHI
 
Yes
 
(6) SUNCOAST PACE INC
5771 ROOSEVELT BOULEVARD

CLEARWATER,FL33760
45-2980257 		PACE PROGRAM FL 501(c)(3 9 EHI
 
Yes
 


For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HOSPICE SYSTEMS INC

5771 ROOSEVELT BOULEVARD STE 600
CLEARWATER,FL33760
59-3502780 		SOFTWARE SALES FL EHI
  		C Corporation 8,178,860 4,163,419 100 % Yes  












Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) THE HOSPICE OF THE FLORIDA SUNCOAST INC

 Q 10,508,125 FMV
(2) hospice systems inc

 Q 493,921 fmv
(3) THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST

 Q 270,581 FMV
(4) THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC

 Q 91,894 FMV
(5) AIDS SERVICE ASSOCIATION OF PINELLAS INC

 Q 201,305 FMV
(6) suncoast pace inc

 M 511,291 FMV
(7) hospice systems inc

 M 493,921 fmv
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


Software ID: 14000329
Software Version: 2014v1.0