PANCARE OF FLORIDA INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PANCARE OF FLORIDA INC (EIN 91-2189932)
- Tax period
- 2021-12-01 to 2022-11-30
- Filed
- 2024-02-15
- IRS object ID
- 202440469349301109
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-02-15T07:11:00-06:00 | ReturnTs |
| Tax Period End | 2022-11-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721396621 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2583 HUNTCLIFF LANE | AddressLine1Txt |
| City | PANAMA CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-12-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912189932 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PANCARE OF FLORIDA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PANC | BusinessNameControlTxt |
| Phone | 8507475599 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 EAST 11TH STREET | AddressLine1Txt |
| City | PANAMA CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT THOMPSON | PersonNm |
| Person Title | COO | PersonTitleTxt |
| Phone | 8507475599 | PhoneNum |
| Signature | 2024-02-14 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROBERT | PersonFirstNm |
| Person Last | THOMPSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANN MYERS SALE CPA | PreparerPersonNm |
| PTIN | P00851179 | PTIN |
| Phone | 8507856153 | PhoneNum |
| Preparation | 2024-02-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT THOMPSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 EAST 11TH STREET | AddressLine1Txt |
| City | PANAMA CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $38,965,659 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | PANCAREFL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES MEDICAL AND DENTAL SERVICES ON A SLIDING SCALE FOR NORTHWEST FLORIDA COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 458 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,634,250 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,138,301 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,620,769 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,720,082 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,969 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,579 | CYInvestmentIncomeAmt |
| PY Other Revenue | $106,308 | PYOtherRevenueAmt |
| CY Other Revenue | $103,697 | CYOtherRevenueAmt |
| PY Total Revenue | $35,364,296 | PYTotalRevenueAmt |
| CY Total Revenue | $38,965,659 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,955,430 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,400,849 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $48,317 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,572,163 | PYOtherExpensesAmt |
| CY Other Expenses | $13,966,245 | CYOtherExpensesAmt |
| PY Total Expenses | $32,527,593 | PYTotalExpensesAmt |
| CY Total Expenses | $34,367,094 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,836,703 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,598,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,966,626 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,717,167 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,509,014 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,122,433 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,457,612 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,594,734 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE A COMPREHENSIVE SYSTEM OF QUALITY HEALTH CARE SERVICES WHICH IS EASILY ACCESSED BY ALL PERSONS AND FAMILIES WITHIN OUR SERVICE AREAS THROUGH AN EFFICIENT, COMMUNITY-BASED NETWORK OF CARING PROFESSIONALS WHO ASSURE THE DIGNITY AND RESPECT OF EACH INDIVIDUAL THEY SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,623,801 | ExpenseAmt |
| Revenue | $10,080,417 | RevenueAmt |
| Desc | MEDICAL SERVICES: PROVIDE COMPREHENSIVE PRIMARY MEDICAL CARE SERVICES TO PATIENTS. THESE SERVICES INCLUDE PREVENTIVE CARE, TREATMENT OF ACUTE ILLNESSES, MANAGEMENT OF CHRONIC CONDITIONS, HEALTH SCREENINGS, VACCINATIONS, AND REFERRALS TO SPECIALTY CARE WHEN NEEDED. TOTAL ENCOUNTERS: 52,095. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,924,679 | ExpenseAmt |
| Revenue | $6,328,052 | RevenueAmt |
| Desc | DENTAL SERVICES: PROVIDE DENTAL CARE SERVICES WHICH MAY INCLUDE ROUTINE CHECK-UPS, CLEANINGS, FILLINGS, EXTRACTIONS, AND OTHER NECESSARY DENTAL TREATMENTS. TOTAL ENCOUNTERS: 32,703. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $343,129 | ExpenseAmt |
| Revenue | $273,997 | RevenueAmt |
| Desc | VISION SERVICES: SOME FQHCS HAVE VISION CLINICS OR PARTNERSHIPS WITH OPTOMETRISTS TO PROVIDE VISION CARE SERVICES. THESE SERVICES MAY INCLUDE EYE EXAMS, PRESCRIPTION OF EYEGLASSES OR CONTACT LENSES, AND REFERRALS FOR FURTHER EYE CARE IF NEEDED. TOTAL ENCOUNTERS: 1,416. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,438,514 | ExpenseAmt |
| Revenue | $5,141,313 | RevenueAmt |
| Desc | - MOBILE PROGRAMS: TO REACH UNDERSERVED POPULATIONS IN REMOTE OR RURAL AREAS AS WELL BRING HEALTHCARE SERVICES DIRECTLY TO THE SCHOOLS WITHIN THE NETWORK. MOBILE CLINICS CAN PROVIDE A RANGE OF SERVICES, INCLUDING MEDICAL CHECK-UPS, SCREENINGS, VACCINATIONS, AND BASIC TREATMENTS. TOTAL ENCOUNTERS: MEDICAL 10,151, DENTAL 11,428.- SCHOOL-BASED TELEMEDICINE PROGRAMS: COLLABORATE WITH SCHOOLS TO OFFER TELEMEDICINE SERVICES. TELEMEDICINE ALLOWS HEALTHCARE PROVIDERS TO REMOTELY ASSESS AND TREAT STUDENTS. THROUGH TELEMEDICINE, PROVIDERS CAN PERFORM REMOTE VISITS, ASSESS THE SEVERITY OF A SITUATION, AND PROVIDE INSTRUCTIONS OR REASSURANCE TO PARENTS. TOTAL ENCOUNTERS: 4,991. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,438,514 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,141,313 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $27,330,123 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 458 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT THOMPSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8507475599 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 E 11TH STREET | AddressLine1Txt |
| City | PANAMA CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| R MICHAEL HILL | ||||||||
| CEO | 40.00 | Yes (X) | $432,941 | $126,250 | $35,738 | |||
| ROBERT THOMPSON | ||||||||
| COO | 40.00 | Yes (X) | $283,713 | $70,000 | $26,134 | |||
| MARK GERSPACHER | ||||||||
| CFO (12/21 TO 1/22) | 40.00 | Yes (X) | $214,755 | $0 | $5,428 | |||
| WESLEY BERRY | ||||||||
| CFO (3/22 TO 11/22) | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| RON HARDY | ||||||||
| CHAIRMAN | 8.00 | $0 | $0 | $0 | Yes (X) | |||
| WILLIE RAMSEY | ||||||||
| VICE-CHAIRMAN | 8.00 | $0 | $0 | $0 | Yes (X) | |||
| HIEP H LE | ||||||||
| SECRETARY/TREASURER | 8.00 | $0 | $0 | $0 | Yes (X) | |||
| ROBERT ARNOLD | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DOTTIE AVERY | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MARY BREWINGTON | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| KAY DANIEL | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JUDY BRYTE | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| REV JONAS DOUGLAS | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| LUCIA ESQUIVEL | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ROGER KING | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| WARD MCDANIEL | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| LEON MILLER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MARIA POUNCEY | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DAVE RUTENBERG | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SIMEON VILCHEZ | ||||||||
| PHYSICIAN | 40.00 | $345,412 | $0 | $0 | Yes (X) | |||
| ANDREW NORTON | ||||||||
| DENTIST | 40.00 | $304,968 | $0 | $0 | Yes (X) | |||
| MICHELLE MOFFA | ||||||||
| DENTIST | 40.00 | $238,426 | $0 | $0 | Yes (X) | |||
| WADE MELVIN | ||||||||
| PHYSICIAN | 40.00 | $231,243 | $0 | $0 | Yes (X) | |||
| RHONDA WILHITE | ||||||||
| DENTIST | 40.00 | $215,732 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,267,190 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $196,250 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $67,300 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 46 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLSTATE CONSTRUCTION | |||||
| 5718 TOWER ROAD | TALLAHASSEE | FL | 32303 | CONSTRUCTION OF NEW CLINICS | $2,424,948 |
| LTC COMMUNICATIONS | |||||
| 1206 FLORIDA AVENUE | LYNN HAVEN | FL | 32444 | IT SERVICES | $975,183 |
| FLORIDA BLUE | |||||
| PO BOX 660299 | DALLAS | TX | 752660299 | EMPLYEE HEALTH PLAN | $872,992 |
| CARR RIGGS & INGRAM | |||||
| 1117 BOLL WEEVIL CIRCLE | ENTERPRISE | AL | 36330 | ACCOUNTING, AUDIT, AND TAX SERVICES | $558,123 |
| ECLINICALWORKS LLC | |||||
| 2 TECHNOLOGY DRIVE | WESTBOROUGH | MA | 01581 | EHR SOFTWARE | $469,281 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $13,646,165 | GovernmentGrantsAmt |
| All Other Contributions | $3,492,136 | AllOtherContributionsAmt |
| Noncash Contributions | $2,522,970 | NoncashContributionsAmt |
| Total Contributions | $17,138,301 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CLINIC REVENUE | 621110 | $12,789,990 | $12,789,990 |
| INSURANCE PROCEEDS | 621110 | $6,967,838 | $6,967,838 |
| PRESCRIPTIONS | 621110 | $1,862,378 | $1,862,378 |
| 340B PROGRAM | 621110 | $99,876 | $99,876 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $21,720,082 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,579 | TotalRevenueColumnAmt |
| Exclusion | $3,579 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $103,697 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $103,697 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,697 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $103,697 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,965,659 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,823,779 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,579 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,754,861 | TotalAmt |
| Program Services | $650,380 | ProgramServicesAmt |
| Management And General | $1,104,481 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,416,362 | TotalAmt |
| Program Services | $11,029,830 | ProgramServicesAmt |
| Management And General | $3,386,532 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $911,887 | TotalAmt |
| Program Services | $729,510 | ProgramServicesAmt |
| Management And General | $182,377 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,019,540 | TotalAmt |
| Program Services | $1,619,632 | ProgramServicesAmt |
| Management And General | $399,908 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,298,199 | TotalAmt |
| Program Services | $1,038,559 | ProgramServicesAmt |
| Management And General | $259,640 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,787 | TotalAmt |
| Program Services | $86,230 | ProgramServicesAmt |
| Management And General | $21,557 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,580 | TotalAmt |
| Management And General | $710,580 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $532,442 | TotalAmt |
| Program Services | $386,420 | ProgramServicesAmt |
| Management And General | $97,705 | ManagementAndGeneralAmt |
| Fundraising | $48,317 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,416 | TotalAmt |
| Program Services | $53,133 | ProgramServicesAmt |
| Management And General | $13,283 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $850,756 | TotalAmt |
| Program Services | $680,605 | ProgramServicesAmt |
| Management And General | $170,151 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,523,360 | TotalAmt |
| Program Services | $1,218,688 | ProgramServicesAmt |
| Management And General | $304,672 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $926,544 | TotalAmt |
| Program Services | $741,235 | ProgramServicesAmt |
| Management And General | $185,309 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,872 | TotalAmt |
| Program Services | $240,698 | ProgramServicesAmt |
| Management And General | $60,174 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,435 | TotalAmt |
| Program Services | $111,548 | ProgramServicesAmt |
| Management And General | $27,887 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,001 | TotalAmt |
| Program Services | $400,001 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,990 | TotalAmt |
| Program Services | $257,592 | ProgramServicesAmt |
| Management And General | $64,398 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CLINIC EXPENSES | $7,639,206 | $7,639,206 |
| OUTREACH & AWARENESS | $446,856 | $446,856 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,367,094 | TotalAmt |
| Program Services | $27,330,123 | ProgramServicesAmt |
| Management And General | $6,988,654 | ManagementAndGeneralAmt |
| Fundraising | $48,317 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,560,216 | BOYAmt |
| EOY | $4,113,806 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,679,826 | BOYAmt |
| EOY | $2,496,505 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,443,820 | BOYAmt |
| EOY | $2,100,122 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,250 | BOYAmt |
| EOY | $5,250 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,339 | BOYAmt |
| EOY | $243,497 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,491 | BOYAmt |
| EOY | $64,889 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,572,635 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,345,488 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,964,567 | BOYAmt |
| EOY | $20,227,147 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,117 | BOYAmt |
| EOY | $457,551 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $8,400 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,966,626 | BOYAmt |
| EOY | $29,717,167 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,046,226 | BOYAmt |
| EOY | $2,785,440 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612,852 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,849,936 | BOYAmt |
| EOY | $3,331,918 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,075 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,509,014 | BOYAmt |
| EOY | $6,122,433 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,457,612 | BOYAmt |
| EOY | $23,594,734 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,457,612 | BOYAmt |
| EOY | $23,594,734 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,966,626 | BOYAmt |
| EOY | $29,717,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,598,565 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$1,461,443 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,207,422 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,189,349 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,723,979 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,634,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,138,301 | CurrentTaxYearAmt |
| Total | $64,893,301 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $18,620,769 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,720,082 | CurrentTaxYearAmt |
| Total | $40,340,851 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,207,422 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,189,349 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,723,979 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,255,019 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,858,383 | CurrentTaxYearAmt |
| Total | $105,234,152 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $3,324,061 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,236,557 | CurrentTaxYearAmt |
| Total | $6,560,618 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $3,324,061 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,236,557 | CurrentTaxYearAmt |
| Total | $6,560,618 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $98,673,534 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,655 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,034 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $109,277 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107,276 | CurrentTaxYearAmt |
| Total | $222,399 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,655 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,034 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $109,277 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107,276 | CurrentTaxYearAmt |
| Total | $222,399 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $66,553 | CurrentTaxYearMinus2YearsAmt |
| Total | $66,553 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,209,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,191,383 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,792,689 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,364,296 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,965,659 | CurrentTaxYearAmt |
| Total | $105,523,104 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93510 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99730 | PublicSupportPY509Pct |
| Investment Income CY | 0.00210 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00170 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,973,072 | OtherCostOrOtherBasisAmt |
| Book Value | $5,973,072 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,945,680 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,274,932 | DepreciationAmt |
| Book Value | $9,670,748 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,653,883 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,070,556 | DepreciationAmt |
| Book Value | $4,583,327 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,227,147 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $5,075 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,075 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R MICHAEL HILL | ||||||||||||||
| CEO | $432,941 | $126,250 | $0 | $0 | $0 | $0 | $0 | $0 | $35,738 | $0 | $468,679 | $126,250 | $0 | $0 |
| ROBERT THOMPSON | ||||||||||||||
| COO | $283,713 | $70,000 | $0 | $0 | $0 | $0 | $0 | $0 | $26,134 | $0 | $309,847 | $70,000 | $0 | $0 |
| MARK GERSPACHER | ||||||||||||||
| CFO (12/21 TO 1/22) | $214,755 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,428 | $0 | $220,183 | $0 | $0 | $0 |
| SIMEON VILCHEZ | ||||||||||||||
| PHYSICIAN | $345,412 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $345,412 | $0 | $0 | $0 |
| ANDREW NORTON | ||||||||||||||
| DENTIST | $304,968 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $304,968 | $0 | $0 | $0 |
| MICHELLE MOFFA | ||||||||||||||
| DENTIST | $238,426 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $238,426 | $0 | $0 | $0 |
| WADE MELVIN | ||||||||||||||
| PHYSICIAN | $231,243 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $231,243 | $0 | $0 | $0 |
| RHONDA WILHITE | ||||||||||||||
| DENTIST | $215,732 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $215,732 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD LOOKS AT COMPARABILITY DATA WITH OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE SIMILAR SERVICES TO DETERMINE APPROPRIATE LEVELS OF COMPENSATION. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,522,970 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE TOP MANAGEMENT OFFICIALS AND BOARD MEMBERS REVIEW THE RETURN BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO FILE A CONFLICT OF INTEREST FORM AND DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD LOOKS AT COMPARABILITY DATA WITH OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE SIMILAR SERVICES TO DETERMINE APPROPRIATE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|
| BAYCARES | |||||||||
| 411 11TH STREET | PANAMA CITY | FL | 32401 | 593155410 | PRIVATE FOUNDATION | FL | 501(C)(3) | 0 | |
| BIG BEND HEALTH COUNCIL INC | |||||||||
| 403 EAST 11TH STREET | PANAMA CITY | FL | 32401 | 592261770 | COLLECT AND REPORT STATISTICAL DATA TO THE STATE OF FL RE: HEALTHCARE COSTS. | FL | 501(C)(3) | 0 | LINE 7 |
| NORTHWEST FLORIDA HEALTH COUNCIL INC | |||||||||
| 403 EAST 11TH STREET | PANAMA CITY | FL | 32401 | 592261787 | ADVOCACY OF PREENTATIVE HEALTH CARE COST CONTAINMENT AND PLANNING. | FL | 501(C)(3) | 0 | LINE 7 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BIG BEND HEALTH COUNCIL INC | ||
| C | $121,356 | ACTUAL COST |
| NORTHWEST FLORIDA HEALTH COUNCIL INC | ||
| O | $16,667 | FAIR MARKET VALUE |
| BIG BEND HEALTH COUNCIL INC | ||
| O | $179,583 | FAIR MARKET VALUE |