2024-12-20T15:58:13-06:00 2023-09-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2022-10-01 872762760 EMPATH HOME HEALTH DIVISION INC EMPA 9415525900 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 SAIDA BOUHAMID CHIEF FINANCIAL OFFICER 7275864432 2024-12-20 1 1 VICKI L HINZ CPA P00356696 4077405400 2022 2024-10-15 13:58:12Z X JONATHAN FLEECE 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 192282 0 X WWW.EMPATHHEALTH.ORG X 2021 FL EMPATH HOME HEALTH DIVISION PROVIDES HOMEBOUND PATIENTS HEALTHCARE SERVICES THAT CAN IMPROVE QUALITY OF LIFE FOR THEM AND THEIR CAREGIVERS. 11 11 0 11 0 0 0 192282 0 0 192282 0 0 0 0 0 266026 266026 -73744 107669 260550 -152881 EMPATH HOME HEALTH DIVISION PROVIDES HOMEBOUND PATIENTS HEALTHCARE SERVICES THAT CAN IMPROVE QUALITY OF LIFE FOR THEM AND THEIR CAREGIVERS. 0 0 192684 192282 THE AGENCY FOCUSES ON DELIVERING HOME HEALTHCARE AS COMPASSIONATE CARE WITH EXCELLENCE. EMPATH HOME HEALTH DIVISION PROVIDES SKILLED NURSING CARE SUCH AS WOUND CARE, POST-SURGICAL CARE, AND PATIENT EDUCATION, AS WELL AS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES AND OTHER RELATED SERVICES. 192684 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X SAIDA BOUHAMID CFO 9415525900 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 RAFAEL J SCIULLO FORMER PRESIDENT 1.00 47.00 X 0 694975 72264 JONATHAN FLEECE PRESIDENT/CEO 1.00 47.00 X 0 624034 60277 SAIDA BOUHAMID CFO 1.00 47.00 X 0 452197 50184 CHRISTY HENDRICKS CHIEF LEGAL OFFICER 1.00 47.00 X 0 180995 16558 LINDA M DE MELLO CHAIR 1.00 3.00 X X 0 0 0 PATRICK BARMORE DIRECTOR 1.00 1.00 X 0 0 0 DANIEL A DEEMS MD PHD DIRECTOR 1.00 2.00 X 0 0 0 KAREN FORDHAM DIRECTOR 1.00 1.00 X 0 0 0 STEPHEN W HALL DIRECTOR 1.00 1.00 X 0 0 0 MARTHA LENDERMAN DIRECTOR 1.00 1.00 X 0 0 0 JILL C MCCRORY DIRECTOR 1.00 0.00 X 0 0 0 FERMIN MIRANDA DIRECTOR 1.00 1.00 X 0 0 0 LINDA PLASTER DIRECTOR 1.00 2.00 X 0 0 0 STEVEN ROSKAMP DIRECTOR 1.00 0.00 X 0 0 0 JAKE SORG DIRECTOR 1.00 1.00 X 0 0 0 0 1952201 199283 0 1 1 0 0 PATIENT SERVICE REVENU 621610 192282 192282 192282 192282 192282 0 0 X 3120 3120 231420 163435 67985 2276 1402 874 25937 25774 163 985 985 MEDICAL SUPPLIES 2073 2073 RECRUITMENT 215 215 266026 192684 73342 0 88213 13261 6195 0 6195 0 107669 0 260550 0 260550 X -152881 0 -152881 0 107669 X -73744 -79137 X X 0 1 X 1 0 X 0 0 0 192282 X 6195 6195 6195 DUE TO AFFILIATES 260550 260550 X PART X, LINE 2: WITH THE EXCEPTION OF SOLUTIONS WHICH HAS NO CURRENT OPERATIONS, ALL THE EMPATH HEALTH ENTITIES ARE EXEMPT FROM INCOME TAXES ON INCOME FROM ACTIVITIES IN FURTHERANCE OF THEIR CHARITABLE MISSIONS UNDER SECTION 501(C)(3) AND 501(C)(2) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. EMPATH HEALTH HAS RECEIVED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE ("IRS") THAT IT IS EXEMPT FROM FEDERAL INCOME TAX AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("IRC"). IT IS ALSO EXEMPT FROM STATE INCOME TAX PURSUANT TO FLORIDA LAW. FURTHER, EMPATH HEALTH IS NOT A PRIVATE FOUNDATION FOR FEDERAL TAX PURPOSES AND QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER IRC SECTION 170 AS WELL AS TAX DEDUCTIBLE BEQUESTS, DEVISES, TRANSFERS OR GIFTS UNDER SECTION 2055, 2106, OR 2522. EMPATH HEALTH IS ANNUALLY REQUIRED TO FILE RETURNS OF ORGANIZATIONS EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, EMPATH HEALTH IS POTENTIALLY SUBJECT TO INCOME TAX ON NET INCOME DERIVED FROM ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES, IF ANY. EMPATH HEALTH HAD NO UNRELATED BUSINESS INCOME TAX DURING THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. SOLUTIONS HAS A SIGNIFICANT NET OPERATING LOSS CARRYFORWARD, AND THE RESULTING DEFERRED TAX ASSET HAS BEEN FULLY RESERVED AS IT IS UNLIKELY TO EVER BE REALIZED. ACCORDINGLY, THESE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. 0 0 0 0 0 0 0 0 0 RAFAEL J SCIULLO FORMER PRESIDENT 0 549338 0 135000 0 10637 0 47500 0 24764 0 767239 0 0 JONATHAN FLEECE PRESIDENT/CEO 0 549965 0 50000 0 24069 0 27000 0 33277 0 684311 0 0 SAIDA BOUHAMID CFO 0 396809 0 32522 0 22866 0 27000 0 23184 0 502381 0 0 CHRISTY HENDRICKS CHIEF LEGAL OFFICER 0 155009 0 5626 0 20360 0 5917 0 10641 0 197553 0 0 PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT/CEO AND THE EXECUTIVE DIRECTOR IS DETERMINED BY EMPATH HEALTH, INC. ("EHI"), A RELATED 501(C)(3) ORGANIZATION. EHI USES THE FOLLOWING TO DETERMINE THEIR COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEYS OR STUDIES - APPROVAL BY THE BOARD OF DIRECTORS/COMPENSATION COMMITTEE FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION AND BEFORE SUBMISSION, THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER ALONG WITH A SUMMARY OF IMPORTANT HIGHLIGHTS, NOTING THE PAGE NUMBERS AND LINES FOR ITEMS OF PARTICULAR IMPORTANCE TO REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST PAID EMPLOYEES (INTERESTED PERSONS) OF THE ORGANIZATION HAVE A DUTY TO AVOID CONFLICTS OF INTEREST, BOTH REAL AND PERCEIVED, WHICH MAY NEGATIVELY IMPACT THE ORGANIZATION OR THOSE IT SERVES. THE ORGANIZATION'S INTERESTED PERSONS ARE TO BE GUIDED BY THE ORGANIZATION'S MISSION, VISION AND VALUES, AND TO SERVE PATIENTS, FAMILIES, AND THE GENERAL PUBLIC WITHOUT NEED FOR ANY PERSONAL FAVOR OR GAIN. THE ORGANIZATION'S ETHICS AND COMPLIANCE PLAN EMPHASIZES THE DUTY INTERESTED PERSONS HAVE TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT MAY BENEFIT THEIR PRIVATE INTERESTS OR RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. CONFLICTS ARE DISCLOSED ANNUALLY ON A CONFLICT OF INTEREST QUESTIONNAIRE THAT IS DISTRIBUTED TO THE OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES. IN THE EVENT OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, INTERESTED PERSONS MUST DISCLOSE THE EXISTENCE OF THEIR FINANCIAL INTEREST AND DISCLOSE ALL MATERIAL FACTS TO THE BOARD CHAIR, CEO, OR OTHER DESIGNATED PERSONS. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS BETWEEN THE ORGANIZATION AND AN INTERESTED PERSON, THE PARTY WITH A CONFLICT OF INTEREST BUT ABSTAIN FROM ANY DISCUSSION OR VOTING ON THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. AT EACH BOARD MEETING, BOARD MEMBERS ARE REMINDED THAT THEY HAVE SIGNED A CONFLICT OF INTEREST DISCLOSURE AND ARE ASKED TO REVIEW THE AGENDA. AT THAT TIME, FOR THE RECORD, THEY ARE TO DISCLOSE ANY ITEMS WITH WHICH THEY MAY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS THE PRESIDENT AND CEO OF EMPATH HEALTH, INC. (EHI), A RELATED ORGANIZATION. THE CEO'S COMPENSATION IS DETERMINED BY AND PAID FOR BY EHI. THE EXECUTIVE COMMITTEE OF THE EHI BOARD MEETS ANNUALLY TO REVIEW AND APPROVE THE COMPENSATION OF THE PRESIDENT AND CEO. THE EXECUTIVE COMMITTEE'S REVIEW OF CEO COMPENSATION INCLUDES INFORMATION PROVIDED IN THE MOST RECENT EXTERNAL COMPENSATION REVIEW. THE COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS IS ALSO DETERMINED BY EHI. THE COMPENSATION OF OTHER OFFICERS IS REVIEWED ON AN ANNUAL BASIS BY THE CEO OF EHI. AFTER REVIEWING OFFICER COMPENSATION, THE CEO'S RECOMMENDATIONS ARE THEN APPROVED BY EHI'S BOARD OF DIRECTORS. THESE REVIEWS ARE DOCUMENTED IN EACH EMPLOYEE'S FILE. THE REVIEW OF OTHER OFFICERS' COMPENSATION INCLUDES INFORMATION PROVIDED IN THE MOST RECENT EXTERNAL COMPENSATION REVIEW. EXTERNAL COMPENSATION REVIEWS ARE PERFORMED ACCORDING TO THE FOLLOWING PROCESS: EVERY 3-5 YEARS HUMAN RESOURCES WILL EMPLOY A WELL-RECOGNIZED, INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE MARKET RANGES FOR THE CEO OF EHI. THE REVIEW WILL INCLUDE A NATIONAL COMPARISON OF SIMILAR JOBS AT SIMILARLY SITUATED COMPANIES IN ORDER TO MAKE CERTAIN THAT THESE KEY EMPLOYEES ARE PAID WITHIN A REASONABLE AND APPROPRIATE RANGE. THE RESULTING RECOMMENDATIONS WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE TO RECOMMEND ANY MARKET-BASED CHANGES OR TO ENSURE THAT THE CURRENT COMPENSATION OF THESE INDIVIDUALS ARE CORRECT. DURING THIS REVIEW, HUMAN RESOURCES WILL ALSO GIVE THE EXECUTIVE COMMITTEE A BROAD OVERVIEW OF THE STRUCTURE OF THE FULL ORGANIZATION'S COMPENSATION SYSTEM, INCLUDING THE PHILOSOPHY AND SYSTEMS SET IN PLACE TO MANAGE IT. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO IRC SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 630. MANAGEMENT AND GENERAL EXPENSES 13,982. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,612. SALARIES AND BENEFITS ALLOCATION: PROGRAM SERVICE EXPENSES 162,805. MANAGEMENT AND GENERAL EXPENSES 54,003. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 216,808. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER -79,137. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S SOLE MEMBER, EMPATH HEALTH, INC., IS RESPONSIBLE FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. STRATUM HEALTH SYSTEM INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 472508009 PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICES FL 501(C)(3) LINE 12A, I EMPATH-STRATUM INC 0 THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 592252045 FUNDRAISING FL 501(C)(3) LINE 7 EMPATH HEALTH INC 0 TIDEWELL HOSPICE INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 591911861 PROVIDE HOSPICE CARE FL 501(C)(3) LINE 7 STRATUM HEALTH SYSTEM INC 0 THE HOSPICE OF THE FLORIDA SUNCOAST INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 591744006 HOSPICE FL 501(C)(3) LINE 10 EMPATH HEALTH INC 0 THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 593176721 INACTIVE FL 501(C)(3) LINE 7 EMPATH HEALTH INC 0 SUNCOAST PACE INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 452980257 PACE PROGRAM FL 501(C)(3) LINE 10 EMPATH HEALTH INC 0 TIDEWELL FOUNDATION INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 850729071 PROVIDE FUNDS TO SUPPORT THE MISSION AND PROGRAMS OF TIDEWELL HOSPICE FL 501(C)(3) LINE 7 STRATUM HEALTH SYSTEM INC 0 AIDS SERVICE ASSOCIATION OF PINELLAS INC DBA EMPATH PARTNERS IN CARE (EPIC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 592862537 AIDS PREVENTION FL 501(C)(3) LINE 7 EMPATH HEALTH INC 0 EMPATH-STRATUM INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 851356625 PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICES FL 501(C)(3) LINE 12A, I 0 EMPATH HOSPICE DIVISION INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 881853133 INACTIVE FL 501(C)(3) LINE 7 EMPATH-STRATUM INC 0 EMPATH HEALTH INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 263605761 PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICES FL 501(C)(3) LINE 12B, II EMPATH-STRATUM INC 0 EMPATH ELDER SERVICES DIVISION INC DBA EMPATH COMPLETE CARE 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 999999999 INACTIVE - APPLIED FOR FL 501(C)(3) LINE 7 EMPATH-STRATUM INC 0 EMPATH COMMUNITY SERVICES DIVISION INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 999999999 INACTIVE - APPLIED FOR FL 501(C)(3) LINE 7 EMPATH-STRATUM INC 0 EMPATH MEDICAL SERVICES DIVISION INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 999999999 INACTIVE - APPLIED FOR FL 501(C)(3) LINE 7 EMPATH-STRATUM INC 0 HOSPICE OF MARION COUNTY FOUNDATION INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 922461222 PROVIDE FUNDS TO SUPPORT THE MISSION AND PROGRAMS OF HOSPICE OF MARION COUNT FL 501(C)(3) LINE 12A, I EMPATH-STRATUM INC 0 HOSPICE OF MARION COUNTY INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 592214796 PROVIDES END-OF-LIFE CARE AND SERVICES FL 501(C)(3) LINE 10 EMPATH-STRATUM INC 0 HEAL AT HOME HEALTHCARE LLC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 471364127 IN HOME HEALTH CARE FL N/A 0 HOSPICE SYSTEMS INC 6310 CAPITAL DRIVE LAKEWOOD RANCH FL 34202 593502780 INACTIVE FL N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1