NORTH FLORIDA MEDICAL CENTERS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTH FLORIDA MEDICAL CENTERS INC (EIN 59-1915144)
- Tax period
- 2021-04-01 to 2022-03-31
- Filed
- 2022-09-06
- IRS object ID
- 202242499349300709
- 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 | 2022-09-06T09:50:27-04:00 | ReturnTs |
| Tax Period End | 2022-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592907578 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holland & Reilly | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 North Fern Creek Ste 200 | AddressLine1Txt |
| City | Orlando | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591915144 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North Florida Medical Centers Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2804 Remington Green Circle | AddressLine1Txt |
| City | Tallahassee | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lane M Lunn | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8502986040 | PhoneNum |
| Signature | 2022-07-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Lane | PersonFirstNm |
| Person Last | Lunn | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Thomas F Reilly | PreparerPersonNm |
| PTIN | P00147922 | PTIN |
| Phone | 4078946803 | PhoneNum |
| Preparation | 2022-09-06 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lane M Lunn | PrincipalOfficerNm |
| Gross Receipts | $18,753,953 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nfmc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | To increase access to quality healthcare and improve the overall health of the community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 231 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,615,351 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,621,251 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,771,127 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,074,844 | CYProgramServiceRevenueAmt |
| PY Investment Income | $85,078 | PYInvestmentIncomeAmt |
| CY Investment Income | -$8,729 | CYInvestmentIncomeAmt |
| PY Other Revenue | $61,217 | PYOtherRevenueAmt |
| CY Other Revenue | $66,587 | CYOtherRevenueAmt |
| PY Total Revenue | $19,532,773 | PYTotalRevenueAmt |
| CY Total Revenue | $18,753,953 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,339,366 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,724,844 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,924,993 | PYOtherExpensesAmt |
| CY Other Expenses | $5,919,807 | CYOtherExpensesAmt |
| PY Total Expenses | $15,264,359 | PYTotalExpensesAmt |
| CY Total Expenses | $17,644,651 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,268,414 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,109,302 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,957,444 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,539,952 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,514,780 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,004,117 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,442,664 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,535,835 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To increase access to quality healthcare and improve the overall health of the community. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $11,226,166 | ExpenseAmt |
| Revenue | $6,844,153 | RevenueAmt |
| Desc | NFMC operates ten medical centers in North Florida providing. The following services are provided: general primary care, diagnostic laboratory, urgent medical care, family planning, HIV testing, immunizations, gynecological care, hearing screening, nutritional care, vision screening, health education, translation services, and community outreach to the underserved, uninsured, low-income, and indigent of North Florida. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,664,943 | ExpenseAmt |
| Revenue | $1,230,691 | RevenueAmt |
| Desc | NFMC operates three dental centers in North Florida. NFMC provides preventive, restorative, and emergency dental care services to the underserved, uninsured, low-income, and indigent of North Florida. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $13,891,109 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 57 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 231 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Victoria Wiggins | PersonNm |
| Phone | 8502986040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2804 Remington Green Circle | AddressLine1Txt |
| City | Tallahassee | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32308 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| Patrick Brown | ||||||||
| Chief Medical Officer | 40.00 | 0.00 | Yes (X) | $245,289 | $0 | $21,519 | ||
| Jeffrey Wasserman | ||||||||
| Provider | 40.00 | 0.00 | $223,128 | $0 | $20,182 | Yes (X) | ||
| Lane M Lunn | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $191,966 | $0 | $35,770 | ||
| Bogden Maliszewski | ||||||||
| Provider | 40.00 | 0.00 | $195,009 | $0 | $18,473 | Yes (X) | ||
| Christian Hernandez Nazario | ||||||||
| Provider | 40.00 | 0.00 | $183,626 | $0 | $17,525 | Yes (X) | ||
| Russell Robinson | ||||||||
| Provider | 40.00 | 0.00 | $188,556 | $0 | $9,154 | Yes (X) | ||
| Victori Chou | ||||||||
| Provider | 40.00 | 0.00 | $154,190 | $0 | $13,756 | Yes (X) | ||
| Victoria Wiggins | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $138,842 | $0 | $14,732 | ||
| Frank Williams | ||||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Benjamin Harris | ||||||||
| Board member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Barbara Coulthurst | ||||||||
| Board treasurer | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Patrick Williams | ||||||||
| Board member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Dee Mayhann | ||||||||
| Board secretary | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Grayson Shepard | ||||||||
| Board member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Champee Kemp | ||||||||
| Board chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Ella Mae Parrish | ||||||||
| Vice chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Stan Johnson | ||||||||
| Board member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Anne Tucker | ||||||||
| Board member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Perla Palomo | ||||||||
| Board member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Berta Jean Kemp | ||||||||
| Board member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,520,606 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $151,111 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | eClinicalWorks LLC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 Technology Dr | AddressLine1Txt |
| City | Westborough | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | software | ServicesDesc |
| Compensation | $368,127 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,700,405 | GovernmentGrantsAmt |
| All Other Contributions | $1,920,846 | AllOtherContributionsAmt |
| Total Contributions | $10,621,251 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient fees | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $8,074,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,074,844 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,074,844 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,556 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,556 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $66,587 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal | $66,587 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,587 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,587 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$57,285 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$57,285 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$57,285 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$57,285 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,753,953 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,132,702 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $740,622 | TotalAmt |
| Program Services | $311,922 | ProgramServicesAmt |
| Management And General | $428,700 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,100,607 | TotalAmt |
| Program Services | $7,232,499 | ProgramServicesAmt |
| Management And General | $1,868,108 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,083 | TotalAmt |
| Program Services | $255,273 | ProgramServicesAmt |
| Management And General | $71,810 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $931,528 | TotalAmt |
| Program Services | $718,420 | ProgramServicesAmt |
| Management And General | $213,108 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $625,004 | TotalAmt |
| Program Services | $491,118 | ProgramServicesAmt |
| Management And General | $133,886 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,016 | TotalAmt |
| Management And General | $9,016 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,716 | TotalAmt |
| Management And General | $66,716 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,834 | TotalAmt |
| Program Services | $594,711 | ProgramServicesAmt |
| Management And General | $74,123 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,412 | TotalAmt |
| Program Services | $515,462 | ProgramServicesAmt |
| Management And General | $80,950 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,140 | TotalAmt |
| Program Services | $242,469 | ProgramServicesAmt |
| Management And General | $242,671 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,499 | TotalAmt |
| Program Services | $72,756 | ProgramServicesAmt |
| Management And General | $26,743 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $691,831 | TotalAmt |
| Program Services | $552,693 | ProgramServicesAmt |
| Management And General | $139,138 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,994 | TotalAmt |
| Program Services | $79,618 | ProgramServicesAmt |
| Management And General | $29,376 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $1,777,638 | $1,650,129 | $127,509 |
| Repairs and maintenance | $619,199 | $474,518 | $144,681 |
| Electronic claims processing | $405,485 | $397,424 | $8,061 |
| Dues and licenses | $304,381 | $252,280 | $52,101 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,662 | TotalAmt |
| Program Services | $49,817 | ProgramServicesAmt |
| Management And General | $36,845 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,644,651 | TotalAmt |
| Program Services | $13,891,109 | ProgramServicesAmt |
| Management And General | $3,753,542 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,032,414 | BOYAmt |
| EOY | $6,658,129 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,988 | BOYAmt |
| EOY | $49,145 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,275 | BOYAmt |
| EOY | $652,904 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,152,917 | BOYAmt |
| EOY | $1,310,831 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $367,485 | BOYAmt |
| EOY | $347,608 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $315,189 | BOYAmt |
| EOY | $394,083 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,735,810 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,463,362 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,659,120 | BOYAmt |
| EOY | $13,272,448 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,847,659 | BOYAmt |
| EOY | $1,635,081 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,397 | BOYAmt |
| EOY | $219,723 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,957,444 | BOYAmt |
| EOY | $24,539,952 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,280,980 | BOYAmt |
| EOY | $1,220,542 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,233,800 | BOYAmt |
| EOY | $2,783,575 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,514,780 | BOYAmt |
| EOY | $4,004,117 | 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 | $19,278,816 | BOYAmt |
| EOY | $20,360,109 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,848 | BOYAmt |
| EOY | $175,726 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,442,664 | BOYAmt |
| EOY | $20,535,835 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,957,444 | BOYAmt |
| EOY | $24,539,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,109,302 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$16,131 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,003,516 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,987,253 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,537,521 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,615,351 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,621,251 | CurrentTaxYearAmt |
| Total | $46,764,892 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,003,516 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,987,253 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,537,521 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,615,351 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,621,251 | CurrentTaxYearAmt |
| Total | $46,764,892 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $46,764,892 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,134 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $69,384 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $133,337 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $146,295 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $57,858 | CurrentTaxYearAmt |
| Total | $467,008 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $47,231,900 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $33,663,819 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99010 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98890 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,927,844 | OtherCostOrOtherBasisAmt |
| Book Value | $1,927,844 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,519,803 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,539,434 | DepreciationAmt |
| Book Value | $8,980,369 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $781,030 | OtherCostOrOtherBasisAmt |
| Depreciation | $612,604 | DepreciationAmt |
| Book Value | $168,426 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,469,916 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,250,336 | DepreciationAmt |
| Book Value | $1,219,580 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,037,217 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,988 | DepreciationAmt |
| Book Value | $976,229 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,272,448 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Corp bonds mutual fund CD | Desc |
| Book Value | $1,635,081 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,635,081 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deposits | $25,271 |
| Receivable - other | $186,192 |
| Accrued interest income | $8,260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $219,723 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $18,737,822 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$16,131 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$16,131 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,753,953 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $18,753,953 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,644,651 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $17,644,651 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $17,644,651 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| Patrick Brown | |||
| Chief Medical Officer | $245,289 | $21,519 | $266,808 |
| Victori Chou | |||
| Provider | $154,190 | $13,756 | $167,946 |
| Lane M Lunn | |||
| CEO | $191,966 | $35,770 | $227,736 |
| Victoria Wiggins | |||
| CFO | $138,842 | $14,732 | $153,574 |
| Bogden Maliszewski | |||
| Provider | $195,009 | $18,473 | $213,482 |
| Christian Hernandez Nazario | |||
| Provider | $183,626 | $17,525 | $201,151 |
| Russell Robinson | |||
| Provider | $188,556 | $9,154 | $197,710 |
| Jeffrey Wasserman | |||
| Provider | $223,128 | $20,182 | $243,310 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Committee meeting documentation Part VI line 8b | Each committee reviews and submits its recommendation on whatever the subject matter is to the Board for discussion/approval as necessary. |
| Form 990 governing body review Part VI line 11 | Senior accountant reviews Form 990 for accuracy and comparison to the detailed trial balance. The CFO then reviews and submits the Form 990 to the board of directors for its review and approval prior to the annual filing. |
| Conflict of interest policy compliance Part VI line 12c | Each board member and all officers are required to read and sign a Conflict of Interest form. |
| CEO executive director top management comp Part VI line 15a | The CEOs compensation is reviewed each year by a compensation committee composed of selected board members using various compensation surveys for comparison purposes. |
| Other officer or key employee compensation Part VI line 15b | For other officers or key employees, the CEO uses a variety of surveys for comparability. |
| Governing documents etc available to public Part VI line 19 | No documents are made available to the public. |