FOUNDATION FOR PALM BEACH HEALTH NETWORK INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FOUNDATION FOR PALM BEACH HEALTH NETWORK INC (EIN 20-5732142)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202223199349207277
- Schema version
- 2021v4.0
- 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 | 2022-11-15T14:43:19-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550851763 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISNESKI SEARS & SLEEPER PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 SATURN ST STE 30 | AddressLine1Txt |
| City | JUPITER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33477 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205732142 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S MEDICAL CENTER | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 45TH STREET | AddressLine1Txt |
| City | WEST PALM BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33407 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LESLEY A SEARS | PersonNm |
| Person Title | CO-TREASURER | PersonTitleTxt |
| Phone | 5617472772 | PhoneNum |
| Signature | 2022-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LESLEY | PersonFirstNm |
| Person Last | SEARS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIC F SLEEPER CPA | PreparerPersonNm |
| PTIN | P01681995 | PTIN |
| Phone | 5617472772 | PhoneNum |
| Preparation | 2022-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $159,979 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $159,979 | ContributionsGiftsGrantsEtcAmt |
| Total Revenue | $159,979 | TotalRevenueAmt |
| Printing Publications Postage | $702 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $30,964 | OtherExpensesTotalAmt |
| Total Expenses | $31,666 | TotalExpensesAmt |
| Excess Or Deficit For Year | $128,313 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $232,479 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $360,792 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,952 | BOYAmt |
| EOY | $311,347 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,527 | BOYAmt |
| EOY | $49,445 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,479 | BOYAmt |
| EOY | $360,792 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,479 | BOYAmt |
| EOY | $360,792 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO PROMOTE THE HEALTH AND WELFARE OF THE COMMUNITY BY IMPROVING THE PHYSICAL COMFORT AND MENTAL WELL-BEING OF THE PATIENTS OF ST MARY'S MEDICAL CENTER. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TO PROMOTE THE HEALTH AND WELFARE OF THE COMMUNITY BY IMPROVING THE PHYSICAL COMFORT AND MENTAL WELL-BEING OF THE PATIENTS OF ST MARY'S MEDICAL CENTER. PROVIDING RESOURCES FOR CHILDREN IN THE CHILDREN'S HOSPITAL, PATIENT TRANSPORTATION, PROVIDING CLOTHING TO PATIENTS, SPIRITUAL RESOURCES, EMOTIONAL RESOURCES INCLUDING GRIEF COUNSELING, FOOD FOR FAMILIES, PROVIDING AN ENVIRONMENT CONDUCIVE TO HEALING WHILE IN THE HOSPITAL, AND MUCH MORE. | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $21,179 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $21,179 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| LESLEY A SEARS | ||
| CO-TREASURER | 1.00 | $0 |
| KIMBERLY DAVIS | ||
| PRESIDENT | 2.00 | $0 |
| AQUANNETTE THOMAS | ||
| CO-TREASURER | 5.00 | $0 |
| JESSICA CLASBY | ||
| VICE PRESIDE | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LESLEY A SEARS | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 SATURN STREET SUITE 30 | AddressLine1Txt |
| City | JUPITER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33477 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5617472772 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
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 | $21,491 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,980 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $143,680 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $128,262 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $159,979 | CurrentTaxYearAmt |
| Total | $496,392 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,491 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,980 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $143,680 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $128,262 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $159,979 | CurrentTaxYearAmt |
| Total | $496,392 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $496,392 | PublicSupportTotal170Amt |
| Total Support | $496,392 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $21,997 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES BANK SERVICE CHARGES 105 AWARDS & GRANTS 1,200 BUSINESS REGISTRATION FEE 186 MISC BUSINESS EXPENSES 2,846 BOOKS, SUBSCRIPTIONS 1,428 SUPPLIES 2,054 OFFICE SUPPLIES 583 PALM BCH CHILDRENS HOSP 10,844 MEALS 4,637 NON-INVESTMENT DEPRECIATION 7,081 TOTAL 30,964 |
| FORM 990-EZ, PART II, LINE 24 | 66,436 66,436 LESS ACCUMULATED DEPRECIATION 9,909 16,991 TOTAL 56,527 49,445 |
| FORM 990-EZ, PART III | TO PROMOTE THE HEALTH AND WELFARE OF THE COMMUNITY BY IMPROVING THE PHYSICAL COMFORT AND MENTAL WELL-BEING OF THE PATIENTS OF ST MARY'S MEDICAL CENTER. |
| FORM 990-EZ, PART III, LINE 28 | TO PROMOTE THE HEALTH AND WELFARE OF THE COMMUNITY BY IMPROVING THE PHYSICAL COMFORT AND MENTAL WELL-BEING OF THE PATIENTS OF ST MARY'S MEDICAL CENTER. PROVIDING RESOURCES FOR CHILDREN IN THE CHILDREN'S HOSPITAL, PATIENT TRANSPORTATION, PROVIDING CLOTHING TO PATIENTS, SPIRITUAL RESOURCES, EMOTIONAL RESOURCES INCLUDING GRIEF COUNSELING, FOOD FOR FAMILIES, PROVIDING AN ENVIRONMENT CONDUCIVE TO HEALING WHILE IN THE HOSPITAL, AND MUCH MORE. |