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AIDS SERVICE ASSOCIATION OF PINELLAS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
AIDS SERVICE ASSOCIATION OF PINELLAS INC (EIN 59-2862537)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202342279349301694
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-15T11:38:47-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593070669PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MSL PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 E BROWARD BLVD SUITE 1550AddressLine1Txt
CityFORT LAUDERDALECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33394ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592862537EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AIDS SERVICE ASSOCIATION OFBusinessNameLine1Txt
Business Name Line2PINELLAS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAIDSBusinessNameControlTxt
Phone7275864432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15771 ROOSEVELT BLVDAddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33760ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSAIDA BOUHAMIDPersonNm
Person TitleCFOPersonTitleTxt
Phone7275864432PhoneNum
Signature2023-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSAIDAPersonFirstNm
Person LastBOUHAMIDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVICKI L HINZ CPAPreparerPersonNm
PTINP00356696PTIN
Phone9548478910PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1EMPATH PARTNERS IN CARE (EPIC)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJONATHAN FLEECEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15771 ROOSEVELT BLVDAddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33760ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,764,278GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MYEPIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionSERVING THE COMMUNITY AND IMPROVING THE LIVES OF THOSE INFECTED OR AFFECTED BY HIV/AIDS.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers106TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,299,790PYContributionsGrantsAmt
CY Contributions Grants$4,617,694CYContributionsGrantsAmt
PY Program Service Revenue$11,192,703PYProgramServiceRevenueAmt
CY Program Service Revenue$10,979,500CYProgramServiceRevenueAmt
PY Investment Income-$41,952PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$86,394PYOtherRevenueAmt
CY Other Revenue$154,928CYOtherRevenueAmt
PY Total Revenue$15,536,935PYTotalRevenueAmt
CY Total Revenue$15,752,122CYTotalRevenueAmt
PY Grants And Similar Paid$6,491,799PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,651,975CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$84,969CYTotalFundraisingExpenseAmt
PY Other Expenses$8,445,104PYOtherExpensesAmt
CY Other Expenses$9,303,451CYOtherExpensesAmt
PY Total Expenses$14,936,903PYTotalExpensesAmt
CY Total Expenses$15,955,426CYTotalExpensesAmt
PY Revenues Less Expenses$600,032PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$203,304CYRevenuesLessExpensesAmt
Total Assets BOY$2,880,365TotalAssetsBOYAmt
Total Assets EOY$3,172,205TotalAssetsEOYAmt
Total Liabilities BOY$1,207,299TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,702,443TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,673,066NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,469,762NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAIDS SERVICE ASSOCIATION OF PINELLAS, INC. IS A NOT-FOR-PROFIT CORPORATION ORGAINIZED AND EXISTING FOR THE PURPOSE OF PROVIDING PROGRAMS AND SERVICES TO IMPROVE THE LIVES OF ALL THOSE INFECTED AND AFFECTED BY HIV/AIDS. AIDS SERVICE ASSOCIATION OF PINELLAS, INC. PROVIDES SERVICES AND IMPROVES THE LIVES OF THOSE INFECTED AND AFFECTED BY HIV/AIDS THROUGH PREVENTION EDUCATION, DIRECT SERVICES, AND ADVOCACY. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2022, ASAP SERVED 1,903 CLIENTS THROUGH ITS MANY PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,112,634ExpenseAmt
Grant$1,112,634GrantAmt
Revenue$1,152,442RevenueAmt
DescTHE RYAN WHITE PART A PROGRAM INCLUDES MEDICAL CASE MANAGEMENT AND MENTAL HEALTH COUNSELING. THE PROGRAM LINKS EPIC 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. EPIC CLIENTS ACHIEVED A 98 PERCENT SUCCESS RATE WITH THESE REQUIREMENTS, WHICH RESULTED IN SLOWING DISEASE PROGRESSION AND ACCOUNTS FOR LOWER CHANCE OF OPPORTUNISTIC INFECTIONS, WHICH ARE DETRIMENTAL TO THOSE WITH COMPROMISED IMMUNE SYSTEMS. FURTHER, IT MEANS FEWER VISITS TO EMERGENCY ROOMS, LOWER GENERAL MEDICAL CARE COSTS (INCLUDING PRESCRIPTIONS), AND REDUCED MENTAL HEALTH ISSUES, RESULTING IN BETTER OVERALL WELLNESS. RYAN WHITE PART A MEDICAL CASE MANAGEMENT SERVED 1,367 UNDUPLICATED CLIENTS OVER TEH PAST YEAR AND PART A MENTAL HEALTH COUNSELING SERVED 53 UNDUPLICATED CLIENTS OVER THE PAST YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$638,547ExpenseAmt
Grant$638,547GrantAmt
Revenue$554,763RevenueAmt
DescTHE RYAN WHITE PART B PROGRAM INCLUDES MEDICAL CASE MANAGEMENT, NON-MEDICAL CASE MANAGEMENT PROGRAMS, ALONG WITH LOCAL PHARMACY SERVICES TO PROVIDE BOTH EMERGENCY HIV MEDICATIONS (18 UNDUPLICATED CLIENTS) AND NON-HIV MEDICATIONS (182 UNDUPLICATED CLIENTS). THIS PROGRAM IS A "WRAP AROUND" OF THE STATE OF FLORIDA AIDS DRUG ASSISTANCE PROGRAM (ADAP) AND IS USED TO PREVENT A LAPSE IN TREATMENT. THE PROGRAM LINKS EPIC 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. EPIC CLIENTS ACHIEVED A 97 PERCENT SUCCESS RATE WITH THESE REQUIREMENTS, WHICH RESULTED IN SLOWING DISEASE PROGRESSION AND ACCOUNTS FOR LOWER CHANCE OF OPPORTUNISTIC INFECTIONS, WHICH ARE DETRIMENTAL TO THOSE WITH COMPROMISED IMMUNE SYSTEMS. FURTHER, IT MEANS FEWER VISITS TO EMERGENCY ROOMS, LOWER GENERAL MEDICAL CARE COSTS (INCLUDING PRESCRIPTIONS), AND REDUCED MENTAL HEALTH ISSUES, RESULTING IN BETTER OVERALL WELLNESS. MEDICAL CASE MANAGEMENT SERVED 537 UNDUPLICATED CLIENTS OVER THE PAST YEAR AND RYAN WHITE PART B NON-MEDICAL CASE MANAGEMENT SERVED 1,200 UNDUPLICATED CLIENTS OVER THE PAST YEAR.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$483,861ExpenseAmt
Grant$483,861GrantAmt
Revenue$556,603RevenueAmt
DescTHE DEPARTMENT OF HEALTH (DOH) GRANT PROVIDES HIGH IMPACT PREVENTION SERVICES, THROUGH OUTREACH, TESTING, CONDOM DISTRIBUTION, PREP, CLEAR AND HOME AND COMMUNITY BASED INTERVENTION PROGRAMS. THE PROGRAMS TARGET THOSE WHO ARE PRACTICING HIGH-RISK BEHAVIORS. CLIENTS MAY BE HIV POSITIVE OR HIGH-RISK NEGATIVE. THE PROGRAM SEEKS TO EDUCATE CLIENTS ON SAFER SEX OPTIONS AND WAYS TO REDUCE RISKY BEHAVIORS AND LINK INDIVIDUALS TO CARE.THE PROGRAM STAFF COORDINATES WITH OUR CASE MANAGEMENT PROGRAM 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. STAFF MUST SERVICE 72 CLIENTS IN CLEAR (HIV NON-REACTIVE) AND 72 CLIENTS THROUGH THE HOME AND COMMUNITY BASED INTERVENTION (HIV REACTIVE) EACH YEAR. STAFF MUST TEST A MINIMUM OF 1,200 INDIVIDUALS THROUGH THE YEAR AS WELL AS PARTICIPATE IN A MINIMUM OF 12 OUTREACH/TESTING EVENTS IN THE CALENDAR YEAR.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$11,234,101ExpenseAmt
Grant$4,416,932GrantAmt
Revenue$8,814,955RevenueAmt
DescEPIC'S BRIGHTER SEASONS FOR CHILDREN PROGRAM: THE PROGRAM IS A GRASSROOTS CAMPAIGN STARTED OVER 20 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. EPIC CURRENTLY SERVES 42 FAMILIES, WHICH INCLUDE 100 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.OUR MEDICAL CO-PAY ASSISTANCE 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 ASSISTANCE PROGRAMS.EPIC 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. EPIC PROVIDES SERVICES THAT COVER HIV POSITIVE NEW BORN BABIES OR BABIES WITH AN HIV POSITIVE PARENT. PROGRAMS AND SERVICES ARE FOR ALL PEOPLE OF ALL AGES. MANY EPIC CLIENTS ARE SENIOR ADULTS.EPIC 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 EPIC 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. EPIC PROVIDES SUPPORT GROUPS AND COUNSELING FOR THOSE LIVING WITH HIV/AIDS AND COLLABORATES WITH OTHER AIDS ORGANIZATIONS TO PROVIDE ADDITIONAL OPTIONS.EPIC'S HOME 3050 AND 340(B) PROGRAMS MEET ALL OF AN HIV CLIENT'S HEALTH CARE NEEDS IN ONE PLACE, A TRUE ONE-STOP SHOP, SERVING OVER 1,200 CLIENTS ANNUALLY. TREATMENTS INCLUDE MEDICAL CARE, MEDICAL CASE MANAGEMENT, COUNSELING SERVICES, CARE COORDINATION, AND PHARMACEUTICAL CONSULTS. THROUGH ITS 340(B) PROGRAM, 100% OF ALL PROCEEDS, REALIZED THROUGH EPIC'S PARTNERED PHARMACY, ARE ALLOCATED BACK TO MAINTAIN AND EXPAND EPIC'S SERVICES TO THE HIV COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$11,234,101TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$4,416,932TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$8,814,955TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$13,469,143TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document87IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAIDA BOUHAMIDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7275864432PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15771 ROOSEVELT BLVDAddressLine1Txt
CityCLEARWATERCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33760ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RAFAEL J SCIULLO
CHIEF EXECUTIVE OFFICER6.0041.00Yes (X)Yes (X)$0$909,978$59,885
JONATHAN FLEECE
PRESIDENT6.0041.00Yes (X)Yes (X)$0$910,629$52,399
SAIDA BOUHAMID
CHIEF FINANCIAL OFFICER1.0046.00Yes (X)$0$426,247$44,537
JOY A WINHEIM
EXECUTIVE DIRECTOR40.000.00Yes (X)$0$112,763$20,947
LISA E COHEN
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
CRAIG BRYANT
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
STEPHANIE MARHEFKA
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
RYAN MEMOLI
TREASURER1.000.00Yes (X)Yes (X)$0$0$0
DAVID BUBY
TRUSTEE2.001.00Yes (X)$0$0$0
JOAN CHRISTIE
TRUSTEE2.001.00Yes (X)$0$0$0
KAREN GOFORTH
TRUSTEE1.000.00Yes (X)$0$0$0
JULIA MCGINTY
TRUSTEE1.000.00Yes (X)$0$0$0
CHARLOTTE NOBLE
TRUSTEE1.000.00Yes (X)$0$0$0
FRANK RODER
TRUSTEE1.000.00Yes (X)$0$0$0
RYAN YOUNG
TRUSTEE1.000.00Yes (X)$0$0$0
SCOTT KISTLER
TRUSTEE1.001.00Yes (X)$0$250,127$55,177
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,609,744TotReportableCompRltdOrgAmt
Total Other Compensation$232,945TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMPATH HEALTH INC
5771 ROOSEVELT BLVDCLEARWATERFL33760MANAGEMENT & PROGRAM SERVICES$1,096,566
CARDINAL HEALTH
11210 MCKINLEY DRTAMPAFL33612PROFESSIONAL SERVICES$210,952
ST JOSEPHS HOSP DBA PINELLAS CARE CLINIC
4600 NORTH HABANA AVE STE 23TAMPAFL33614PROFESSIONAL SERVICES$158,868
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$4,533,123GovernmentGrantsAmt
All Other Contributions$84,571AllOtherContributionsAmt
Total Contributions$4,617,694TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B PRESCRIPTION PROGRAM$10,803,277$10,803,277
OTHER PROGRAM SERVICE REVENUE$176,223$176,223
FieldValueIRS element (for citing)
Total Program Service Revenue$10,979,500TotalProgramServiceRevenueAmt
Fundraising Gross Income$67,821FundraisingGrossIncomeAmt
Fundraising Direct Expenses$12,156FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,665TotalRevenueColumnAmt
Exclusion$55,665ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Total Revenue Column$99,263TotalRevenueColumnAmt
Related Or Exempt Func Income$99,263RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$99,263OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,752,122TotalRevenueColumnAmt
Related Or Exempt Func Income$11,078,763RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$55,665ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,651,975TotalAmt
Program Services$6,651,975ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,049,096TotalAmt
Management And General$1,049,096ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$30,471TotalAmt
Program Services$24,343ProgramServicesAmt
Management And General$5,998ManagementAndGeneralAmt
Fundraising$130FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,601,226TotalAmt
Program Services$2,770,326ProgramServicesAmt
Management And General$790,321ManagementAndGeneralAmt
Fundraising$40,579FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$835TotalAmt
Program Services$835ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$114,857TotalAmt
Program Services$65,321ProgramServicesAmt
Management And General$48,742ManagementAndGeneralAmt
Fundraising$794FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,989,583TotalAmt
Program Services$1,477,565ProgramServicesAmt
Management And General$474,229ManagementAndGeneralAmt
Fundraising$37,789FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,640TotalAmt
Program Services$11,573ProgramServicesAmt
Management And General$3,989ManagementAndGeneralAmt
Fundraising$2,078FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,562TotalAmt
Program Services$8,606ProgramServicesAmt
Management And General$13,956ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,917TotalAmt
Program Services$22,996ProgramServicesAmt
Management And General$4,921ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$2,152,339$2,151,014$1,325
DIETARY$166,952$166,542$410
TRAINING$54,940$54,812$128
MISCELLANEOUS$49,285$48,835$450

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$25,748TotalAmt
Program Services$14,400ProgramServicesAmt
Management And General$7,749ManagementAndGeneralAmt
Fundraising$3,599FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,955,426TotalAmt
Program Services$13,469,143ProgramServicesAmt
Management And General$2,401,314ManagementAndGeneralAmt
Fundraising$84,969FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,200BOYAmt
EOY$1,200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,753,145BOYAmt
EOY$1,783,628EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$898,385BOYAmt
EOY$1,171,078EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$76,277BOYAmt
EOY$83,271EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$364,384LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$235,798LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$64,111BOYAmt
EOY$128,586EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$87,247BOYAmt
EOY$4,442EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,880,365BOYAmt
EOY$3,172,205EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,207,299BOYAmt
EOY$1,135,264EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$567,179EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,207,299BOYAmt
EOY$1,702,443EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,017,253BOYAmt
EOY$1,413,635EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,781BOYAmt
EOY$56,127EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,673,066BOYAmt
EOY$1,469,762EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,880,365BOYAmt
EOY$3,172,205EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$203,304ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$176,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,045,582CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,136,742CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,256,925CurrentTaxYearMinus1YearAmt
Current Tax Year$4,617,694CurrentTaxYearAmt
Total$15,233,387TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$176,444CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,045,582CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,136,742CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,256,925CurrentTaxYearMinus1YearAmt
Current Tax Year$4,617,694CurrentTaxYearAmt
Total$15,233,387TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$15,233,387PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,157CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$838CurrentTaxYearMinus3YearsAmt
Total$3,995TotalAmt
FieldValueIRS element (for citing)
Total Support$15,237,382TotalSupportAmt
Gross Receipts Rltd Activities$31,674,852GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.99880PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS - 2017 AMOUNT: $ 3,157. 2018 AMOUNT: $ 838.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,528OtherCostOrOtherBasisAmt
Depreciation$60,787DepreciationAmt
Book Value$6,741BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$296,856OtherCostOrOtherBasisAmt
Depreciation$175,011DepreciationAmt
Book Value$121,845BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$128,586TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO/FROM AFFILIATES, NETDesc
Amt$567,179Amt
FieldValueIRS element (for citing)
Total Liability$567,179TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,764,278TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$15,764,278RevenueSubtotalAmt
Other Revenues Not Included-$12,156OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$12,156RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,752,122TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,967,582TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$12,156OtherExpensesIncludedAmt
Expenses Not Reported$12,156ExpensesNotReportedAmt
Expenses Subtotal$15,955,426ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$15,955,426TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:EPIC HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE ("IRS") THAT IT IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION 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, EPIC 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. EPIC IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, EPIC IS POTENTIALLY SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES, IF ANY. EPIC HAD NO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED SEPTEMBER 30, 2022 OR 2021. ACCORDINGLY, THESE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE -12,156.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE 12,156.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINING OUT FOR LIFEEvent1Nm
Gross Receipts Event1$35,983GrossReceiptsEvent1Amt
Gross Revenue Event1$35,983GrossRevenueEvent1Amt
Non Cash Prizes Event1$174NonCashPrizesEvent1Amt
Rent Facility Costs Event1$2,061RentFacilityCostsEvent1Amt
Entertainment Event1$3,356EntertainmentEvent1Amt
Other Direct Expenses Event1$42OtherDirectExpensesEvent1Amt
Event2SOFAEvent2Nm
Gross Receipts Event2$31,838GrossReceiptsEvent2Amt
Gross Revenue Event2$31,838GrossRevenueEvent2Amt
Non Cash Prizes Event2$187NonCashPrizesEvent2Amt
Rent Facility Costs Event2$2,160RentFacilityCostsEvent2Amt
Food And Beverage Event2$778FoodAndBeverageEvent2Amt
Entertainment Event2$2,873EntertainmentEvent2Amt
Other Direct Expenses Event2$525OtherDirectExpensesEvent2Amt
Gross Receipts Total$67,821GrossReceiptsTotalAmt
Gross Revenue Total Events$67,821GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$361NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$4,221RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$778FoodAndBeverageTotalEventsAmt
Entertainment Total Events$6,229EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$567OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$12,156DirectExpenseSummaryEventsAmt
Net Income Summary$55,665NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant Type340B PRESCRIPTION MEDICINEGrantTypeTxt
Recipient400RecipientCnt
Non Cash Assistance$6,651,975NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistancePRESCRIPTION MEDICINENonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSEVERAL PROGRAMS HAVE BEEN ESTABLISHED TO HELP 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. FUNDING IS ALSO AVAILABLE TO CLIENTS IN NEED OF PERSONAL CARE AND FOOD PANTRY ITEMS. A FUNDING LEVEL IS ESTABLISHED ANNUALLY BASED ON RESOURCES AVAILABLE AND TO ENSURE A LIMIT TO THE FINANCIAL ASSISTANCE PROVIDED. INDIVIDUAL CLIENT MAXIMUM ASSISTANCE IS ALSO ESTABLISHED ON AN ANNUAL BASIS. TO ENSURE GRANTS ARE USED FOR THEIR INTENDED PURPOSE, ALL CHECKS ARE WRITTEN OUT TO THE INTENDED VENDOR AND THE GRANT RECIPIENT SIGNS A WRITTEN AGREEMENT THAT OUTLINES THE SPECIFIC USE OF THE FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAFAEL J SCIULLO
CHIEF EXECUTIVE OFFICER$0$819,429$0$0$0$90,549$0$26,000$0$33,885$0$969,863$0$0
JONATHAN FLEECE
PRESIDENT$0$698,800$0$0$0$211,829$0$26,000$0$26,399$0$963,028$0$0
SAIDA BOUHAMID
CHIEF FINANCIAL OFFICER$0$388,899$0$0$0$37,348$0$26,000$0$18,537$0$470,784$0$0
SCOTT KISTLER
TRUSTEE$0$241,127$0$0$0$9,000$0$26,000$0$29,177$0$305,304$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE 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 COMMITTEEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE 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, SECTION A, LINE 2RAFAEL SCIULLO AND SCOTT KISTLER ARE OFFICERS OR BOARD MEMBERS OF HOSPICE SYSTEMS, INC., A RELATED, FOR-PROFIT COMPANY.
FORM 990, PART VI, SECTION A, LINE 6PURUSANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE VOTING MEMBER OF AIDS SERVICE ASSOCIATION OF PINELLAS, INC. (ASAP) SHALL BE EMPATH HEALTH, INC. (EHI), A RELATED TAX-EXEMPT ORGANIZATION. AS THE ORGANIZATION'S SOLE CORPORATE MEMBER, EHI HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE.
FORM 990, PART VI, SECTION A, LINE 7APURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE SOLE CORPORATE MEMBER, EHI, HAS THE RIGHT TO ELECT, APPOINT, OR REMOVE ANY DIRECTOR OF ASAP WITHOUT CAUSE AT ANY TIME.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE CORPORATE MEMBER, EHI, HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY. THE BOARD OF DIRECTORS OF ASAP SHALL NOT HAVE THE AUTHORITY TO MAKE SIGNIFICANT DECISIONS WITHOUT THE APPROVAL OF THE EHI BOARD. SIGNIFICANT DECISIONS INCLUDE, BUT ARE NOT LIMITED TO: THE RIGHT TO AMEND, REPEAL OR ALTER THEIR GOVERNING DOCUMENTS; SELL, LEASE OR OTHERWISE DISPOSE OF SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS; AND MERGE OR CONSOLIDATE THE ORGANIZATION WITH ANOTHER ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BUPON 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 12CALL 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 15THE 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 19FINANCIAL 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 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 247,620. MANAGEMENT AND GENERAL EXPENSES 1,119. FUNDRAISING EXPENSES 9,000. TOTAL EXPENSES 257,739. PATIENT CARE: PROGRAM SERVICE EXPENSES 17,577. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 31,579. TOTAL EXPENSES 49,156. MEDICAL TRANSPORTATION: PROGRAM SERVICE EXPENSES 13,531. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,531. SALARIES AND BENEFITS ALLOCATION: PROGRAM SERVICE EXPENSES 2,491,598. MANAGEMENT AND GENERAL EXPENSES 789,202. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,280,800.
FORM 990, PART XII, LINE 2CTHE SOLE CORPORATE 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
STRATUM HEALTH SYSTEM INC
5955 RAND BLVDSARASOTAFL34238472508009PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICESFL501(C)(3)LINE 12A, IEMPATH-STRATUM INC0
TIDEWELL HOSPICE INC
5955 RAND BLVDSARASOTAFL34238591911861PROVIDE HOSPICE CAREFL501(C)(3)LINE 7STRATUM HEALTH SYSTEM INC0
TIDEWELL FOUNDATION INC
5955 RAND BLVDSARASOTAFL34238850729071PROVIDE FUNDS TO SUPPORT THE MISSION AND PROGRAMS OF TIDEWELL HOSPICEFL501(C)(3)LINE 7STRATUM HEALTH SYSTEM INC0
EMPATH HEALTH INC
5771 ROOSEVELT BLVDCLEARWATERFL33760263605761PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICESFL501(C)(3)LINE 12B, IIEMPATH-STRATUM INC0
THE HOSPICE OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BLVDCLEARWATERFL33760591744006HOSPICEFL501(C)(3)LINE 10EMPATH HEALTH INC0
THE HOSPICE INSTITUTE OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BLVDCLEARWATERFL33760593176721INACTIVEFL501(C)(3)LINE 7EMPATH HEALTH INC0
THE HOSPICE FOUNDATION OF THE FLORIDA SUNCOAST INC
5771 ROOSEVELT BLVDCLEARWATERFL33760592252045FUNDRAISINGFL501(C)(3)LINE 7EMPATH HEALTH INC0
SUNCOAST PACE INC
5771 ROOSEVELT BLVDCLEARWATERFL33760452980257PACE PROGRAMFL501(C)(3)LINE 10EMPATH HEALTH INC0
EMPATH-STRATUM INC
5771 ROOSEVELT BLVDCLEARWATERFL33760851356625PROVIDE A COMPREHENSIVE CONTINUUM OF SERVICESFL501(C)(3)LINE 12A, I0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd