BEEBE PHYSICAN NETWORK INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BEEBE PHYSICAN NETWORK INC (EIN 52-2011066)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202201339349302820
- Schema version
- 2020v4.2
- 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 | 2022-05-13T12:21:32-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET STREET SUITE 700 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522011066 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEEBE PHYSICIAN NETWORK INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BEEB | BusinessNameControlTxt |
| Phone | 3026443555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 SAVANNAH ROAD | AddressLine1Txt |
| City | LEWES | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19958 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL PERNICE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3026443555 | PhoneNum |
| Signature | 2021-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PAUL | PersonFirstNm |
| Person Last | PERNICE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALYCIA SOLECKI | PreparerPersonNm |
| PTIN | P01272637 | PTIN |
| Phone | 2155614200 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEEBE MEDICAL GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES TANNER MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 SAVANNAH ROAD | AddressLine1Txt |
| City | LEWES | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19958 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,763,714 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | BEEBE PHYSICIAN NETWORK IS A COMMUNITY HEALTHCARE PROVIDER THAT PROVIDES ESSENTIAL PHYSICIAN SERVICES IN EASTERN SUSSEX COUNTY, A PHYSICAN UNDER-SERVED AREA SINCE 1976. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 537 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,028,807 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $45,230,015 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $40,791,248 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $7,943,659 | CYOtherRevenueAmt |
| PY Total Revenue | $45,230,015 | PYTotalRevenueAmt |
| CY Total Revenue | $49,763,714 | 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 | $60,776,247 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $67,821,700 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,420,970 | PYOtherExpensesAmt |
| CY Other Expenses | $14,049,094 | CYOtherExpensesAmt |
| PY Total Expenses | $74,197,217 | PYTotalExpensesAmt |
| CY Total Expenses | $81,870,794 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$28,967,202 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$32,107,080 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,808,157 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,499,418 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $240,449,257 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $268,247,598 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$222,641,100 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$254,748,180 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BEEBE PHYSICIAN NETWORK IS A COMMUNITY HEALTHCARE PROVIDER THAT PROVIDES ESSENTIAL PHYSICIAN SERVICES IN EASTERN SUSSEX COUNTY, A PHYSICAN UNDER-SERVED AREA SINCE 1976. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,821,707 | ExpenseAmt |
| Revenue | $4,561,403 | RevenueAmt |
| Desc | BEEBE PHYSICIAN NETWORK PROVIDES CONTINUOUS CARE FOR INPATIENT AND UNREFFERED PATIENTS THROUGH THE BPN HOSPITALIST PROGRAM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,045,116 | ExpenseAmt |
| Revenue | $2,556,911 | RevenueAmt |
| Desc | BEEBE PHYSICIAN NETWORK HAS FILLED THE COMMUNITY NEED WITH ACCESS OF CARE TO THE COMMUNITY AND FILLED THE VOIDS THROUGH BEEBE GASTROENTEROLOGY ASSOCIATES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,933,774 | ExpenseAmt |
| Revenue | $1,340,612 | RevenueAmt |
| Desc | BEEBE PHYSICIAN NETWORK HAS FILLED THE COMMUNITY NEED WITH ACCESS OF CARE TO THE COMMUNITY AND FILLED THE VOIDS THROUGH BEEBE VASCULAR. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $40,212,414 | ExpenseAmt |
| Revenue | $40,275,981 | RevenueAmt |
| Desc | BEEBE PHYSICIAN NETWORK OPERATES A PHYSICIAN NETWORK WHICH ASSISTS IN MEETING THE HEALTH NEEDS AND GOALS OF ALL PERSONS IN ITS SERVICE AREA WITHOUT DISCRIMINATION, AS AN INTEGRAL PART OF THE COMMUNITY OF SUSSEX COUNTY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $40,212,414 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $40,275,981 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $58,013,011 | 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 | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 537 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCIA RIGSBY-DYKES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3026453300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 431C SAVANNAH ROAD | AddressLine1Txt |
| City | LEWES | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19958 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JACQUELYN WILSON EDD | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HERBERT | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ANIS SALIBA | |||||||||
| DIRECTOR/RETIREE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIA V HALDAR END OCT 2020 | |||||||||
| DIRECTOR/PHYSICIAN/VICE CHAIR | 40.00 | 0.00 | Yes (X) | $273,074 | $0 | $24,846 | Yes (X) | ||
| ERIC J HALE | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $269,001 | $0 | $29,138 | |||
| GEORGE KLUCHNIK END MARCH 2021 | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $299,727 | $0 | $35,541 | |||
| KRISTIE ZANGARI | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $327,028 | $0 | $29,849 | |||
| BOBBY GULAB END APRIL 2021 | |||||||||
| PRESIDENT/CEO BMG/SECRETARY | 40.00 | 0.00 | Yes (X) | $480,315 | $0 | $37,731 | Yes (X) | ||
| JAMES TANNER START 2021 | |||||||||
| PHYSICIAN EXEC. CONSULTANT | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PAUL PERNICE | |||||||||
| TREASURER/BMC CFO | 4.00 | 41.00 | Yes (X) | $0 | $583,320 | $7,452 | Yes (X) | ||
| DANIEL CUOZZO | |||||||||
| CHAIRPERSON/PHYSICIAN | 40.00 | 2.00 | Yes (X) | $695,376 | $0 | $33,321 | Yes (X) | ||
| DAVID TAM MD | |||||||||
| DIRECTOR/BMC CEO | 2.00 | 42.00 | Yes (X) | $0 | $735,825 | $24,491 | Yes (X) | ||
| DELBERT KWAN | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $829,274 | $0 | $37,481 | |||
| ERCILIA ARIAS | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $457,278 | $0 | $26,664 | |||
| CHRSITOPHER WEEKS | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL COWAN END NOV 2020 | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KURT WEHBERG | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,038,021 | $0 | $26,741 | Yes (X) | |||
| RAMAKRISHNA TATINENI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $690,844 | $0 | $26,503 | Yes (X) | |||
| ERIK D STANCOFSKI | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $612,090 | $0 | $37,459 | Yes (X) | |||
| SEAN RYAN | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $611,743 | $0 | $21,999 | Yes (X) | |||
| ANTONOV BORISLAV | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $591,727 | $0 | $36,775 | Yes (X) | |||
| JEFFREY FREID | |||||||||
| FORMER DIRECTOR/ FORMER BMC CEO | 0.00 | 0.00 | $0 | $696,000 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,175,498 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,015,145 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $435,991 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 144 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | LOCUM TENANS CONTRACT LABOR | $670,079 |
| BLUE SHORE INC | |||||
| PO BOX 682 | BURTONSVILLE | MD | 20866 | CLEANING SERVICES | $376,657 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | LOCUM TENANS CONTRACT LABOR | $242,422 |
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | CONTRACT LABOR | $177,179 |
| PRESS GANEY | |||||
| PO BOX 88335 | MILWALKEE | WI | 53288 | CONSULTING | $132,388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,028,807 | GovernmentGrantsAmt |
| Total Contributions | $1,028,807 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PHYSICIAN OFFICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $40,791,248 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,791,248 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $40,791,248 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $43,497 | 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 | $43,497 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,497 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,497 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER OPERATING REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $7,900,162 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,900,162 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,900,162 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,763,714 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,734,907 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,160,536 | TotalAmt |
| Program Services | $3,672,868 | ProgramServicesAmt |
| Management And General | $487,668 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,835,172 | TotalAmt |
| Program Services | $35,565,759 | ProgramServicesAmt |
| Management And General | $17,269,413 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,025 | TotalAmt |
| Program Services | $478,489 | ProgramServicesAmt |
| Management And General | $226,536 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,186,938 | TotalAmt |
| Program Services | $5,252,919 | ProgramServicesAmt |
| Management And General | $1,934,019 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,934,029 | TotalAmt |
| Program Services | $2,136,110 | ProgramServicesAmt |
| Management And General | $797,919 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,597 | TotalAmt |
| Management And General | $90,597 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,812 | TotalAmt |
| Program Services | $12,276 | ProgramServicesAmt |
| Management And General | $13,536 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,489,232 | TotalAmt |
| Program Services | $3,916,049 | ProgramServicesAmt |
| Management And General | $1,573,183 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,129 | TotalAmt |
| Program Services | $3,129 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,979,708 | TotalAmt |
| Program Services | $2,670,747 | ProgramServicesAmt |
| Management And General | $308,961 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,461 | TotalAmt |
| Program Services | $19,730 | ProgramServicesAmt |
| Management And General | $24,731 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,944,941 | TotalAmt |
| Program Services | $3,273,091 | ProgramServicesAmt |
| Management And General | $671,850 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,523 | TotalAmt |
| Program Services | $7,338 | ProgramServicesAmt |
| Management And General | $185 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,439 | TotalAmt |
| Program Services | $1,164 | ProgramServicesAmt |
| Management And General | $275 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $805,372 | TotalAmt |
| Program Services | $479,607 | ProgramServicesAmt |
| Management And General | $325,765 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,611 | TotalAmt |
| Program Services | $367,335 | ProgramServicesAmt |
| Management And General | $97,276 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEMBERSHIP DUES | $108,777 | $88,078 | $20,699 |
| MAINTENANCE | $83,492 | $68,322 | $15,170 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,870,794 | TotalAmt |
| Program Services | $58,013,011 | ProgramServicesAmt |
| Management And General | $23,857,783 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,496,992 | BOYAmt |
| EOY | $2,355,817 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,172,591 | BOYAmt |
| EOY | $2,518,940 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,184,171 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,685,549 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,819,379 | BOYAmt |
| EOY | $8,498,622 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,195 | BOYAmt |
| EOY | $126,039 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,808,157 | BOYAmt |
| EOY | $13,499,418 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,498,317 | BOYAmt |
| EOY | $14,847,525 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $227,950,940 | BOYAmt |
| EOY | $253,400,073 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,449,257 | BOYAmt |
| EOY | $268,247,598 | 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 | -$222,641,100 | BOYAmt |
| EOY | -$254,748,180 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$222,641,100 | BOYAmt |
| EOY | -$254,748,180 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,808,157 | BOYAmt |
| EOY | $13,499,418 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$32,107,080 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
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 | $1,028,807 | CurrentTaxYearAmt |
| Total | $1,028,807 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,654,479 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,333,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,849,999 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,230,015 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,734,907 | CurrentTaxYearAmt |
| Total | $201,802,900 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,654,479 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,333,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,849,999 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,230,015 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,763,714 | CurrentTaxYearAmt |
| Total | $202,831,707 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $202,831,707 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,654,479 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,333,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,849,999 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,230,015 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,763,714 | CurrentTaxYearAmt |
| Total | $202,831,707 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| 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 | $10,002 | OtherCostOrOtherBasisAmt |
| Book Value | $10,002 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $746,143 | OtherCostOrOtherBasisAmt |
| Depreciation | $214,704 | DepreciationAmt |
| Book Value | $531,439 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,036,998 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,001,717 | DepreciationAmt |
| Book Value | $2,035,281 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,322 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,053 | DepreciationAmt |
| Book Value | $76,269 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,303,706 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,458,075 | DepreciationAmt |
| Book Value | $5,845,631 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,498,622 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO PARENT COMPANY | $248,400,402 |
| RIGHT OF USE LEASE LIABILITY | $3,857,087 |
| DEFERRED CARES ACT FICA | $1,142,584 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $253,400,073 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A MORE LIKELY THAN NOT THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KURT WEHBERG | ||||||||||||||
| PHYSICIAN | $888,119 | $0 | $145,000 | $0 | $4,902 | $0 | $2,615 | $0 | $24,126 | $0 | $1,064,762 | $0 | $0 | $0 |
| DELBERT KWAN | ||||||||||||||
| DIRECTOR/PHYSICIAN | $466,010 | $0 | $333,538 | $0 | $29,726 | $0 | $5,700 | $0 | $31,781 | $0 | $866,755 | $0 | $0 | $0 |
| DAVID TAM MD | ||||||||||||||
| DIRECTOR/BMC CEO | $0 | $646,509 | $0 | $0 | $0 | $89,316 | $0 | $4,097 | $0 | $20,394 | $0 | $760,316 | $0 | $0 |
| DANIEL CUOZZO | ||||||||||||||
| CHAIRPERSON/PHYSICIAN | $691,812 | $0 | $0 | $0 | $3,564 | $0 | $5,700 | $0 | $27,621 | $0 | $728,697 | $0 | $0 | $0 |
| RAMAKRISHNA TATINENI | ||||||||||||||
| PHYSICIAN | $360,191 | $0 | $329,411 | $0 | $1,242 | $0 | $2,172 | $0 | $24,331 | $0 | $717,347 | $0 | $0 | $0 |
| JEFFREY FREID | ||||||||||||||
| FORMER DIRECTOR/ FORMER BMC CEO | $0 | $0 | $0 | $0 | $0 | $696,000 | $0 | $0 | $0 | $0 | $0 | $696,000 | $0 | $0 |
| ERIK D STANCOFSKI | ||||||||||||||
| PHYSICIAN | $343,307 | $0 | $267,541 | $0 | $1,242 | $0 | $5,678 | $0 | $31,781 | $0 | $649,549 | $0 | $0 | $0 |
| SEAN RYAN | ||||||||||||||
| PHYSICIAN | $587,465 | $0 | $23,738 | $0 | $540 | $0 | $5,700 | $0 | $16,299 | $0 | $633,742 | $0 | $0 | $0 |
| ANTONOV BORISLAV | ||||||||||||||
| PHYSICIAN | $566,887 | $0 | $4,250 | $0 | $20,590 | $0 | $5,005 | $0 | $31,770 | $0 | $628,502 | $0 | $0 | $0 |
| PAUL PERNICE | ||||||||||||||
| TREASURER/BMC CFO | $0 | $560,611 | $0 | $0 | $0 | $22,709 | $0 | $5,700 | $0 | $1,752 | $0 | $590,772 | $0 | $0 |
| BOBBY GULAB END APRIL 2021 | ||||||||||||||
| PRESIDENT/CEO BMG/SECRETARY | $456,338 | $0 | $0 | $0 | $23,977 | $0 | $5,392 | $0 | $32,339 | $0 | $518,046 | $0 | $0 | $0 |
| ERCILIA ARIAS | ||||||||||||||
| DIRECTOR/PHYSICIAN | $430,438 | $0 | $0 | $0 | $26,840 | $0 | $5,700 | $0 | $20,964 | $0 | $483,942 | $0 | $0 | $0 |
| KRISTIE ZANGARI | ||||||||||||||
| DIRECTOR/PHYSICIAN | $322,557 | $0 | $3,500 | $0 | $971 | $0 | $5,700 | $0 | $24,149 | $0 | $356,877 | $0 | $0 | $0 |
| GEORGE KLUCHNIK END MARCH 2021 | ||||||||||||||
| DIRECTOR/PHYSICIAN | $294,296 | $0 | $5,000 | $0 | $431 | $0 | $4,884 | $0 | $30,657 | $0 | $335,268 | $0 | $0 | $0 |
| ERIC J HALE | ||||||||||||||
| DIRECTOR/PHYSICIAN | $226,357 | $0 | $41,096 | $0 | $1,548 | $0 | $3,943 | $0 | $25,195 | $0 | $298,139 | $0 | $0 | $0 |
| MARIA V HALDAR END OCT 2020 | ||||||||||||||
| DIRECTOR/PHYSICIAN/VICE CHAIR | $256,908 | $0 | $0 | $0 | $16,166 | $0 | $4,085 | $0 | $20,761 | $0 | $297,920 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | THE BOARD OF DIRECTORS OF BEEBE MEDICAL CENTER, INC. APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR. AN INDEPENDENT COMPENSATION CONSULTANT IS UTILIZED TO COMPILE SALARY INFORMATION FOR THIS POSITION. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS. |
| PART I, LINE 4A: | JEFFREY M. FRIED: 696,000 |
| PART I, LINE 7: | THE EXECUTIVE STAFF WAS NOT ELIGIBLE FOR AN INCENTIVE PROGRAM FOR CY 2020. BEEBE HEALTHCARE PROVIDED INCENTIVES TO EXECUTIVES FOR FY 21 BASED ON THE ACHIEVEMENT OF THE FINANCIAL GOAL AND AS RECOGNITION FOR THE WORK PERFORMED DURING THE COVID-10 PANDEMIC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | BEEBE MEDICAL CENTER IS THE SOLE MEMBER OF BEEBE PHYSICIAN NETWORK. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF BEEBE MEDICAL CENTER APPROVES THE DECISIONS OF THE BOARD OF DIRECTORS OF BEEBE PHYSICIAN NETWORK. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF DIRECTORS OF BEEBE MEDICAL CENTER APPROVES THE DECISIONS OF THE BOARD OF DIRECTORS OF BEEBE PHYSICIAN NETWORK. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF BEEBE MEDICAL CENTER, INC. THE RETURN IS REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, GRANT THORNTON LLP. A COPY OF THE FORM 990 WAS PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | BEEBE PHYSICIAN ADOPTED THE FORMAL WRITTEN CONFLICT OF INTEREST POLICY OF BEEBE MEDICAL CENTER, INC. CONFLICT OF INTEREST STATEMENTS ARE REQUIRED ANNUALLY FOR ALL BOARD MEMBERS, EXECUTIVES AND ALL MANAGEMENT TEAM MEMBERS. NON-MANAGEMENT TEAM MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON HIRE. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD AND AUDIT COMMITTEE FOR THE EXISTENCES OF ANY ADVERSE INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR COMPENSATION PAID BY BEEBE PHYSICIAN NETWORK, INC., SALARIES ARE CONSISTENT WITH CURRENT MGMA DATA. FOR THOSE OFFICERS COMPENSATED BY BEEBE MEDICAL CENTER, A RELATED ORGANIZATION, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS GOVERNS AND CONTROLS EXECUTIVE COMPENSATION. PAY IS DETERMINED BY COMPARING TO OTHER TAX-EXEMPT HEALTH SYSTEMS SIMILAR TO BEEBE MEDICAL CENTER IN SIZE AND COMPLEXITY LOCATED REGIONALLY AND THROUGHOUT THE UNITED STATES. PAY IS POSITIONED AT THE 50TH PERCENTILE OF BEEBE MEDICAL CENTER'S PEER GROUP. THE EXECUTIVE COMMITTEE UTILIZES A CONSULTANT FOR EXECUTIVE COMPENSATION ADVICE. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS ORGANIZING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE FOLLOWING ATTENTION AND ADDRESS: BEEBE PHYSICIAN NETWORK, INC., 1515 SAVANNAH ROAD, LEWES, DE 19958, ATTN: JONATHAN COOK, VICE PRESIDENT OF OPERATIONS. |
| FORM 990, PART XIII, LINE 3B | THE SINGLE AUDIT REPORT HAS NOT BEEN ISSUED, THE REPORT IS DUE SEPTEMBER 30, 2022 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BEEBE MEDICAL CENTER | |||||||||||
| 424 SAVANNAH ROAD | LEWES | DE | 19958 | 510067938 | HEALTHCARE | DE | 501(C)(3) | LINE 3 | N/A | 0 | |
| BEEBE MEDICAL FOUNDATION | |||||||||||
| 902 SAVANNAH ROAD | LEWES | DE | 19958 | 510319455 | FUNDRAISING | DE | 501(C)(3) | LINE 12A, I | 0 | BEEBE MEDCTR | |
| 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 | 0 | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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 | Yes (1) | TransferFromOtherOrgInd |