Civic Intelligence

Empath Choices for Care Inc

990 • Fiscal year 2016 • EIN 31-1699259

Oct 01, 2015 to Sep 30, 2016 • Filed on Jul 20, 2017

5771 Roosevelt BoulevardClearwater, FL 33760

(727) 586-4432

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

77th percentile

0.10x

Higher debt load relative to assets than 77% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

81st percentile

0.10x

Higher debt load relative to revenue than 81% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

79th percentile

22%

Higher net margin than 79% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

100th percentile

$435,877

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 203.2% of source-year revenue.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

76th percentile

27%

Faster asset growth than 76% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

81st percentile

34%

Faster revenue growth than 81% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Up

$212,137

Up $44,467 (+27%) from 2015

Net Assets

Up

$191,729

Up $47,459 (+33%) from 2015

Liabilities

Down

$20,408

Down $2,992 (-13%) from 2015

Revenue

Up

$214,474

Up $54,174 (+34%) from 2015

Expenses

Down

$167,015

Down $9,730 (-5.5%) from 2015

Net Income

Up

$47,459

Up $63,904 (+389%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300K$200K$100K$0Assets 2011: $154,013Liabilities 2011: $14,529Net Assets 2011: $139,4842011Assets 2015: $167,670Liabilities 2015: $23,400Net Assets 2015: $144,2702015Assets 2016: $212,137Liabilities 2016: $20,408Net Assets 2016: $191,7292016

Highlighted filing

2016

Assets$212,137
Liabilities$20,408
Net Assets$191,729

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KRevenue 2011: $155,390Expenses 2011: $162,098Net Income 2011: -$6,7082011Revenue 2015: $160,300Expenses 2015: $176,745Net Income 2015: -$16,4452015Revenue 2016: $214,474Expenses 2016: $167,015Net Income 2016: $47,4592016

Highlighted filing

2016

Revenue$214,474
Expenses$167,015
Net Income$47,459
Jump To
Filing Snapshot
Filing Period
Oct 1, 2015 to Sep 30, 2016
Signed
Jul 20, 2017
Return Version
2015v3.0
Gross Receipts
$215,301
Mission and Program Overview

Mission

THE MISSION OF EMPATH CHOICES FOR CARE, INC., A FLORIDA NOT FOR PROFIT CORPORATION is to educate and empower people to communicate and document their health care choices so that their wishes are honored.

to educate and empower people to communicate and document their health care choices so that their wishes are honored.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$163,507$146,568▼ $16,939
Accounts Receivable$1,800$63,110▲ $61,310
Prepaid Expenses and Deferred Charges$2,338$2,379▲ $41
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net-$0-
Total Assets$167,670$212,137▲ $44,467
Other Assets Total$25$80▲ $55
Liabilities
Accounts Payable and Accrued Expenses$19,230$16,851▼ $2,379
Other Liabilities$3,670$2,742▼ $928
Deferred Revenue$500$815▲ $315
Total Liabilities$23,400$20,408▼ $2,992
Net Assets / Fund Balance
Unrestricted Net Assets$142,977$181,729▲ $38,752
Temporarily Rstr Net Assets$1,293$10,000▲ $8,707
Total Net Assets Fund Balance$144,270$191,729▲ $47,459
Total Liabilities and Net Assets / Fund Balance$167,670$212,137▲ $44,467

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$2,816,270$4,593,223▲ $602,410$130,611$7,881,292
2014$2,945,549$0▼ $129,279$0$2,816,270
2013$2,945,549$0▲ $278,282$0$2,945,549
2012$2,945,549$0▲ $355,368$0$2,945,549
2011$2,945,939$0▲ $544,546$0$2,945,549
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Executive DirectorFT$64,491$10,174$74,665

Board Members and Trustees

NameTitle
-chairperson
-chief executive officer/president
-vice chairperson
-director
-Chief Financial Officer
-Secretary
-treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$144,421
Program Service Revenue
$7,500
Investment Income
$0
Other Revenue
$62,553
All Other Contributions
$14,901
Change in Net Assets
$47,459
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$151,562
Other Expenses$15,453
Total Fundraising Expense$7,680
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$74,665--$74,665
Other Salaries and Wages$38,186$12,080$6,040$56,306
Other Employee Benefits$7,740$1,371$686$9,797
Payroll Taxes$7,817$920$460$9,197
Office Expenses$3,937$749$68$4,754
Fees for Services Accounting-$4,192-$4,192
Insurance-$3,528-$3,528
Travel$2,445$67$34$2,546
Pension Plan Contributions$419$786$392$1,597
Conferences and Meetings$293$140-$433
Total Functional Expenses$135,502$23,833$7,680$167,015
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$827
Fundraising Gross Income$270
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
due to affiliates$2,742
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15B COMPENSATION OF OTHER OFFICERS

Below is the process used by empath health, inc. (ehi) for determining compensation of the other officers. The compensation of the other officers of the family of programs will be reviewed on an annual basis by the executive committee of ehi. This review will include any information received from the career center when an external review has been performed per the process below. Every 3-5 years the career center will employ a well-recognized, independent compensation consultant to review the market ranges for the ceo of ehi and the other officers. The review will include a national comparison of similar jobs at similarly situated companies in order to make certain that these key employees are paid within a reasonable and appropriate range. The resulting recommendations will be reviewed as is appropriate to recommend any market-based changes or possibly just assure ourselves of the current correct positioning of compensation for these individuals. This process was last undertaken in fiscal year 2016. The process and decisions are documented in the executive committee minutes.

Form 990, Part VI, Line 15A COMPENSATION OF TOP MANAGEMENT OFFICIAL

THE TOP MANAGEMENT OFFICIAL OF THE empath choices for care, INC. IS THE PRESIDENT AND CEO OF EMPATH HEALTH, INC., A RELATED ORGANIZATION. THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS REVIEWED ON AN ANNUAL BASIS BY THE EXECUTIVE COMMITTEE OF EHI. THIS REVIEW WILL INCLUDE ANY INFORMATION RECEIVED FROM THE CAREER CENTER WHEN AN EXTERNAL REVIEW HAS BEEN PERFORMED PER THE PROCESS BELOW. EVERY 3-5 YEARS THE CAREER CENTER WILL EMPLOY A WELL-RECOGNIZED, INDEPENDENT COMPENSATION CONSULTANT TO REVIEW THE MARKET RANGES FOR THE CEO OF EHI AND THE OTHER OFFICERS. THE REVIEW WILL INCLUDE A NATIONAL COMPARISON OF SIMILAR JOBS AT SIMILARLY SITUATED COMPANIES IN ORDER TO MAKE CERTAIN THAT THESE KEY EMPLOYEES ARE PAID WITHIN A REASONABLE AND APPROPRIATE RANGE. THE RESULTING RECOMMENDATIONS WILL BE REVIEWED AS IS APPROPRIATE TO RECOMMEND ANY MARKET-BASED CHANGES OR POSSIBLY JUST ASSURE OURSELVES OF THE CURRENT CORRECT POSITIONING OF COMPENSATION FOR THESE INDIVIDUALS. THIS PROCESS WAS LAST UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2016. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES.

Form 990, Part VI, Line 6 Classes of members or stockholders

Pursuant to the organization's governing documents, the sole voting member of The EMPATH CHOICES FOR CARE, Inc. shall be EMPATH HEALTH, Inc. (EHI), a related tax-exempt organization. As the organization's sole corporate member, EHI has the right to participate in the organization's governance.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Pursuant to the organization's governing documents, the sole corporate member, EHI, has the right to elect, appoint, or remove any director of Empath Choices for Care, Inc. without cause at any time.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The sole corporate member, EHI, has the right to approve or ratify significant decisions of the organization's governing body. The board of directors of the Empath Choices for Care, Inc. shall not have the authority to make significant decisions without the approval of the EHI board. Significant decisions include but are not limited to: the right to amend, repeal or alter their governing documents; sell, lease or otherwise dispose of substantially all of the organization's assets; and merge or consolidate the organization with another organization.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The organization retains the expertise of an independent tax advisor to assist in the preparation and review of its IRS Form 990. Prior to filing the IRS Form 990, management and the independent tax advisor review the tax return and all required disclosures. The Form 990 is then reviewed by the audit committee, consisting of independent directors of the organization. The audit committee makes a recommendation to the board of directors. The Form 990 is then provided to the full board of directors for their review prior to filing with the IRS.

Form 990, Part VI, Line 12C Conflict of interest policy

All officers, directors, trustees, key employees and highest paid employees (interested persons) of the organization have a duty to avoid conflicts of interest, both real and perceived, which may negatively impact the organization or those it serves. The organization's interested persons are to be guided by the organization's mission, vision and values and to serve patients, families and the general public without need for any personal favor or gain. The organization's ethics and compliance plan emphasizes the duty interested persons have to disclose any actual or potential conflicts of interest that may benefit their private interests or result in a possible excess benefit transaction. Conflicts are disclosed annually on a conflict of interest questionnaire that is distributed to the officers, directors, key employees, and highest compensated employees. In the event of any actual or potential conflicts of interest, interested persons must disclose the existence of their financial interest and disclose all material facts to the board chair, CEO or other designated persons. If it is determined an actual conflict of interest exists between the organization and an interested person, the party with a conflict of interest must abstain from any discussion or voting on the transaction or arrangement involving the conflict of interest. At each board meeting, board members are reminded that they have signed a conflict of interest disclosure and are asked to review the agenda and, for the record, disclose any items with which they may have a conflict of interest.

Form 990, Part VI, Line 19 Required documents available to the public

Financial Statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.

Filing and Contact Details

Filer

Filer Name
Empath Choices for Care Inc
EIN
31-1699259
Phone
7275864432
Address
5771 Roosevelt Boulevard, Clearwater, FL 33760

Signing Officer

Name
Mitchel Morel
Title
CFO
Signed
2017-07-20
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
Fl
Voting Board Members
11
Independent Board Members
10
Employees
2
Volunteers
10

Preparer

Firm
Crowe Horwath Llp
Address
225 West Wacker Drive, Suite 2600, Chicago, IL 60606-1224
Preparer
Nicole Bencik
Phone
3128997000
Supplemental Narrative

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

The endowment funds are held by the hospice foundation of the florida suncoast, inc. (a related organization). The intended use of the endowment funds is to support the programs and services of empath health, inc. And its affiliated not-for-profit entities.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

empath choices for care, INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW ARE THE FIN 48 PARAGRAPHS FROM THE FINANCIAL STATEMENTS THAT SPECIFICALLY ADDRESS THE empath choices for care, inc.: EMPATH'S AFFILIATES (EXCEPT SOLUTIONS) ARE EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL AND STATE INCOME TAXES FOR THE ENTITIES EXCEPT FOR SOLUTIONS. SOLUTIONS IS A C CORPORATION, AND IS SUBJECT TO U.S. FEDERAL INCOME TAX AND STATE INCOME TAX IN THE STATE OF FLORIDA. DUE TO ITS TAX-EXEMPT STATUS, EMPATH (EXCEPT SOLUTIONS) IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. EMPATH AND ITS NOT-FOR-PROFIT AFFILIATES' FORMS 990 HAVE NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF FLORIDA FOR THE LAST THREE YEARS. EMPATH DOES NOT EXPECT THE TOTAL OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. EMPATH RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. EMPATH DID NOT HAVE ANY AMOUNTS ACCRUED OR RECOGNIZED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2016 AND 2015.

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IRS990/Desc0EMPATH CHOICES FOR CARE, INC. WAS ESTABLISHED THROUGH A PARTNERSHIP OF PHYSICIANS, ELDER CARE PROVIDERS AND CONCERNED CITIZENS OF FLORIDA DEDICATED TO CHANGING THE DEATH-DEFYING, TECHNOLOGY-DRIVEN APPROACH TO END-OF-LIFE CARE TO A HOLISTIC, COMPASSIONATE ONE THAT RESPECTS HUMAN DIGNITY AND THE INDIVIDUAL'S BEST INTERESTS AND PERSONAL WISHES. EMPATH CHOICES FOR CARE, INC. OFFERS EDUCATION AND THE VEHICLES FOR ADVANCE CARE PLANNING FOR COMMUNITIES, THE GENERAL PUBLIC AND HEALTHCARE PROVIDERS. EMPATH CHOICES FOR CARE, INC. SEEKS TO CREATE COMMUNITIES PREPARED TO ADDRESS THE END OF LIFE, MEETING IT WITH DIGNITY, MEANING AND RESPECT FOR CHOICES. IT HELPS INDIVIDUALS AND FAMILIES CREATE AN ATMOSPHERE TO DISCUSS AND MAKE DECISIONS REGARDING MEDICAL PREFERENCES. EMPATH CHOICES FOR CARE, INC. PARTNERS WITH SUNCOAST HOSPICE, PHYSICIANS, ELDER CARE COUNSELORS AND CONCERNED CITIZENS TO CARRY OUT ITS MISSION. PROGRAMS ARE FOCUSED ON HELPING INDIVIDUALS COMMUNICATE AND IMPLEMENT THEIR END-OF-LIFE MEDICAL TREATMENT DECISIONS, THE PREMISE IS THAT ALL PERSONS ARE ENTITLED TO HUMANE, DIGNIFIED END-OF-LIFE CARE IN KEEPING WITH THEIR WISHES, VALUES AND SPIRITUAL BELIEFS. FURTHER, EMPATH CHOICES FOR CARE, INC. OFFERS EDUCATION TO ALL MEMBERS OF THE COMMUNITY REGARDING ADVANCE CARE PLANNING. EMPATH CHOICES FOR CARE, INC. WAS INSTRUMENTAL IN PROVIDING LEADERSHIP TO THE PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT (POLST) PROGRAM WHICH IS DESIGNED TO ENSURE THAT PATIENT WISHES TO RECEIVE OR REFUSE LIFE-SUSTAINING TREATMENTS ARE HONORED BY CONVERTING PATIENT PREFERENCES INTO ACTIONABLE MEDICAL ORDERS. EMPATH CHOICES FOR CARE, INC. IS COORDINATING THE SUCCESSFUL IMPLEMENTATION OF A FLORIDA POLST PILOT PROJECT AT SUNCOAST HOSPICE BY PROVIDING TRAINING, RESOURCE MATERIALS AND SUPPORT. WE ANTICIPATE CAPTURING DATA ON PATIENT USE, FORMS COMPLETED, PROCESS EFFICIENCY AND PATIENT WISHES HONORED. EMPATH CHOICES FOR CARE, INC. CONTINUED ITS WORK IN THE RESPECTING CHOICES FACILITATOR TRAINING. THIS IS A COURSE DESIGNED FOR HEALTHCARE PROFESSIONALS (SOCIAL WORKERS, NURSES, PHYSICIANS, CHAPLAINS) THAT TEACHES THE NECESSARY SKILLS TO INITIATE ADVANCE CARE PLANNING CONVERSATIONS, ASSIST PATIENTS IN MAKING INFORMED HEALTHCARE DECISIONS AND CREATE EFFECTIVE WRITTEN DOCUMENTS LIKE LIVING WILLS. EMPATH CHOICES FOR CARE, INC. OFFERS RESPECTING CHOICES TRAINING COURSES BOTH INTERNALLY WITH SUNCOAST HOSPICE STAFF AND EXTERNALLY WITH LOCAL CARE PARTNERS. STUDENTS COMPLETE 6 ON-LINE MODULES AND PARTICIPATE IN A FULL DAY OF CLASSROOM INSTRUCTION.
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IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt4treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DESCRIPTION - SPECIAL EVENTS RECEIPTS, COLUMN A - 10158.0, COLUMN B - 1112.0, COLUMN C - 1700.0, COLUMN D - 2331.0, COLUMN E - 270.0, COLUMN F - 15571.0; DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 63110.0, COLUMN F - 63110.0;
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