TRENTON MEDICAL CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- TRENTON MEDICAL CENTER INC (EIN 59-2871302)
- Tax period
- 2021-06-01 to 2022-05-31
- Filed
- 2022-10-28
- IRS object ID
- 202233019349301343
- 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 | 2022-10-28T13:45:11-05:00 | ReturnTs |
| Tax Period End | 2022-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592145410 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POWELL & JONES CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1359 SW MAIN BLVD | AddressLine1Txt |
| City | LAKE CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 320256685 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592871302 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRENTON MEDICAL CENTER INC | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A PALMS MEDICAL GROUP | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TREN | BusinessNameControlTxt |
| Phone | 3524634501 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23343 NW COUNTY RD 236 | AddressLine1Txt |
| City | HIGH SPRINGS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32643 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANITA REMBERT | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3524634501 | PhoneNum |
| Signature | 2022-10-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANITA | PersonFirstNm |
| Person Last | REMBERT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD POWELL | PreparerPersonNm |
| PTIN | P01426180 | PTIN |
| Phone | 3867554200 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANITA REMBERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23343 NW COUNTY RD 236 | AddressLine1Txt |
| City | HIGH SPRINGS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32643 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $51,939,000 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://PALMSMG.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | PALMS MEDICAL GROUP IS A NOT-FOR-PROFIT HEALTHCARE PROVIDER COMMITTED TO BRING QUALITY, AFFORDABLE PRIMARY CARE AND PREVENTIVE SERVICES TO THE COMMUNITIES WE SERVE. IN ADDITION TO PRIMARY CARE, PALMS OFFERS PEDIATRIC CARE, MENTAL HEALTH, AND DENTAL SERVICES, AS WELL AS COMPLEMENTARY ALTERNATIVE MEDICINE SUCH AS CHIROPRACTIC CARE. MANY OF OUR LOCATIONS HAVE LABS, X-RAY EQUIPMENT AND A PHARMACY UNDER ONE ROOF, SAVING PATIENTS TIME AND MONEY. AS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, PALMS ACCEPTS MOST PUBLIC AND PRIVATE INSURANCE INCLUDING MEDICARE AND MEDICAID PATIENTS. PALMS OFFERS A SLIDING FEE SCALE BASED ON INCOME. NO ONE IS DENIED MEDICAL CARE BECAUSE OF LACK OF INSURANCE OR INCOME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,758,880 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,276,870 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $33,739,080 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $39,674,846 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,920 | PYInvestmentIncomeAmt |
| CY Investment Income | $63,190 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,036,042 | PYOtherRevenueAmt |
| CY Other Revenue | $924,094 | CYOtherRevenueAmt |
| PY Total Revenue | $48,564,922 | PYTotalRevenueAmt |
| CY Total Revenue | $51,939,000 | 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 | $23,654,676 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,573,301 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,610,221 | PYOtherExpensesAmt |
| CY Other Expenses | $15,773,229 | CYOtherExpensesAmt |
| PY Total Expenses | $35,264,897 | PYTotalExpensesAmt |
| CY Total Expenses | $40,346,530 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,300,025 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,592,470 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $47,999,382 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,420,086 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,514,230 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,342,464 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $44,485,152 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $56,077,622 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PALMS MEDICAL GROUP IS A NOT-FOR-PROFIT HEALTHCARE PROVIDER COMMITTED TO BRING QUALITY, AFFORDABLE PRIMARY CARE AND PREVENTIVE SERVICES TO THE COMMUNITIES WE SERVE. IN ADDITION TO PRIMARY CARE, PALMS OFFERS PEDIATRIC CARE, MENTAL HEALTH, AND DENTAL SERVICES, AS WELL AS COMPLEMENTARY ALTERNATIVE MEDICINE SUCH AS CHIROPRACTIC CARE. MANY OF OUR LOCATIONS HAVE LABS, X-RAY EQUIPMENT AND A PHARMACY UNDER ONE ROOF, SAVING PATIENTS TIME AND MONEY. AS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, PALMS ACCEPTS MOST PUBLIC AND PRIVATE INSURANCE INCLUDING MEDICARE AND MEDICAID PATIENTS. PALMS OFFERS A SLIDING FEE SCALE BASED ON INCOME. NO ONE IS DENIED MEDICAL CARE BECAUSE OF LACK OF INSURANCE OR INCOME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $31,332,303 | ExpenseAmt |
| Revenue | $40,662,130 | RevenueAmt |
| Desc | PALMS MEDICAL GROUP IS A NOT-FOR-PROFIT HEALTHCARE PROVIDER COMMITTED TO BRING QUALITY, AFFORDABLE PRIMARY CARE AND PREVENTIVE SERVICES TO THE COMMUNITIES WE SERVE. IN ADDITION TO PRIMARY CARE, PALMS OFFERS PEDIATRIC CARE, MENTAL HEALTH, AND DENTAL SERVICES, AS WELL AS COMPLEMENTARY ALTERNATIVE MEDICINE SUCH AS CHIROPRACTIC CARE. MANY OF OUR LOCATIONS HAVE LABS, X-RAY EQUIPMENT AND A PHARMACY UNDER ONE ROOF, SAVING PATIENTS TIME AND MONEY. AS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, PALMS ACCEPTS MOST PUBLIC AND PRIVATE INSURANCE INCLUDING MEDICARE AND MEDICAID PATIENTS. PALMS OFFERS A SLIDING FEE SCALE BASED ON INCOME. NO ONE IS DENIED MEDICAL CARE BECAUSE OF LACK OF INSURANCE OR INCOME. | Desc |
| Total Program Service Expenses | $31,332,303 | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | 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 |
| Employee | 0 | EmployeeCnt |
| 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 |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 | ANITA REMBERT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3524634501 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 640 | AddressLine1Txt |
| City | TRENTON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32693 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SARAH CATALANOTTO | ||||||||
| CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSH ELDER | ||||||||
| VICE CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHUCK HATCH | ||||||||
| SECRETARY | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JUAN HENLEY | ||||||||
| TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GAIL OSTEEN | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| CLIF BRADLEY | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA SNODGRASS | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| LINDA WALKER | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| MARILYN THOMPSON | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JOE COLORIO | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| RON ST JOHN | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| ANITA REMBERT | ||||||||
| CEO | 40.00 | Yes (X) | $510,930 | $0 | $0 | |||
| BRUCE THOMAS | ||||||||
| CMO | 40.00 | Yes (X) | $422,185 | $0 | $0 | |||
| STANLEY JONES | ||||||||
| DENTAL DIRECTOR | 40.00 | $257,252 | $0 | $0 | Yes (X) | |||
| MARY VALLETA | ||||||||
| PHYSICIAN | 40.00 | $283,032 | $0 | $0 | Yes (X) | |||
| HANS CANCEL-VILLAMIL | ||||||||
| PHYSICIAN | 40.00 | $245,839 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,719,238 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UMR | |||||
| 115 W WAUSAU AVE | WAUSAU | WI | 54401 | INSURANCE/CLAIMS RELATED | $2,111,842 |
| NEXTGEN HEALTHCARE INC | |||||
| 18111 VON KARMAN AVE SUITE 800 | IRVINE | CA | 92612 | EHR SYSTEM | $1,879,527 |
| MCKESSON MEDICAL SURGICAL | |||||
| 401 GILLS DRIVE SUITE 100 | ORLANDO | FL | 32824 | MEDICAL SUPPLIES | $1,400,468 |
| MCKESSON | |||||
| 1515 KENDRICK LANE | LAKELAND | FL | 33805 | MEDICAL SUPPLIES | $1,000,148 |
| FLORIDA PHONE SYSTEMS INC | |||||
| 1722 NW 80TH BLVD STE 46 | GAINESVILLE | FL | 32606 | NETWORKING/PHONE REPAIR | $813,218 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,276,870 | GovernmentGrantsAmt |
| Total Contributions | $11,276,870 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621110 | $32,757,438 | $32,757,438 |
| OTHER PROGRAM REVENUE | 621110 | $6,917,408 | $6,917,408 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $39,674,846 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,190 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,190 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $924,094 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $924,094 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $924,094 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,939,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,662,130 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,054,104 | TotalAmt |
| Program Services | $18,183,361 | ProgramServicesAmt |
| Management And General | $1,870,743 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,633 | TotalAmt |
| Program Services | $563,190 | ProgramServicesAmt |
| Management And General | $93,443 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,522,490 | TotalAmt |
| Program Services | $1,697,285 | ProgramServicesAmt |
| Management And General | $825,205 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,340,074 | TotalAmt |
| Program Services | $1,237,411 | ProgramServicesAmt |
| Management And General | $102,663 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,842 | TotalAmt |
| Management And General | $53,842 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,899 | TotalAmt |
| Management And General | $25,899 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,108 | TotalAmt |
| Management And General | $38,108 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $690,605 | TotalAmt |
| Management And General | $690,605 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,929 | TotalAmt |
| Program Services | $58,454 | ProgramServicesAmt |
| Management And General | $148,475 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,222 | TotalAmt |
| Management And General | $27,222 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,027 | TotalAmt |
| Management And General | $68,027 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $822,110 | TotalAmt |
| Management And General | $822,110 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,824 | TotalAmt |
| Program Services | $12,245 | ProgramServicesAmt |
| Management And General | $177,579 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $7,388,430 | $7,200,401 | $188,029 |
| PROFESSIONAL SERVICES | $2,925,657 | $1,441,894 | $1,483,763 |
| REPAIRS AND MAINTENANCE | $1,652,712 | $336,779 | $1,315,933 |
| TELEPHONE | $722,410 | $318,704 | $403,706 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $961,454 | TotalAmt |
| Program Services | $282,579 | ProgramServicesAmt |
| Management And General | $678,875 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,346,530 | TotalAmt |
| Program Services | $31,332,303 | ProgramServicesAmt |
| Management And General | $9,014,227 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,519,069 | BOYAmt |
| EOY | $23,704,318 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,150,146 | BOYAmt |
| EOY | $13,182,079 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,293,188 | BOYAmt |
| EOY | $3,478,884 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,762 | BOYAmt |
| EOY | $592,290 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,181 | BOYAmt |
| EOY | $234,717 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,967,803 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,792,983 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,391,036 | BOYAmt |
| EOY | $22,174,820 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,052,978 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,999,382 | BOYAmt |
| EOY | $64,420,086 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,514,230 | BOYAmt |
| EOY | $8,342,464 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,514,230 | BOYAmt |
| EOY | $8,342,464 | 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 | $44,485,152 | BOYAmt |
| EOY | $56,077,622 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,485,152 | BOYAmt |
| EOY | $56,077,622 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,999,382 | BOYAmt |
| EOY | $64,420,086 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $11,592,470 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,546,636 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,667,764 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,035,926 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,758,880 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,276,870 | CurrentTaxYearAmt |
| Total | $40,286,076 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,546,636 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,667,764 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,035,926 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,758,880 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,276,870 | CurrentTaxYearAmt |
| Total | $40,286,076 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $40,286,076 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,869 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $90,881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $288,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,920 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63,190 | CurrentTaxYearAmt |
| Total | $475,653 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $40,761,729 | TotalSupportAmt |
| Public Support CY170 | 0.98830 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98820 | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $687,165 | OtherCostOrOtherBasisAmt |
| Book Value | $687,165 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,209,333 | OtherCostOrOtherBasisAmt |
| Book Value | $23,209,333 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,911,091 | OtherCostOrOtherBasisAmt |
| Book Value | $2,911,091 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,160,214 | OtherCostOrOtherBasisAmt |
| Book Value | $3,160,214 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Depreciation | $7,792,983 | DepreciationAmt |
| Book Value | -$7,792,983 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,174,820 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $51,939,000 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $51,939,000 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $51,939,000 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $40,346,530 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $40,346,530 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $40,346,530 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS BEEN GRANTED AN EXEMPTION FROM INCOME TAXES UNDER INTERNAL REVENUE CODE, SECTION 501(3)(C), AS A NON-PROFIT ORGANIZATION. AS REQUIRED BY INTERNAL REVENUE SERVICE REGULATIONS, THE ORGANIZATION ANNUALLY FILES A FORM 990, "RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX" WITH THE INTERNAL REVENUE SERVICE. THE RETURNS FILED FOR 2015 THROUGH 2020 ARE SUBJECT TO REVIEW AND ADJUSTMENT BY THE INTERNAL REVENUE SERVICE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANITA REMBERT | ||||||||||||||
| CEO | $457,791 | $0 | $53,139 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $510,930 | $0 | $0 | $0 |
| BRUCE THOMAS | ||||||||||||||
| CMO | $362,549 | $0 | $59,636 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $422,185 | $0 | $0 | $0 |
| MARY VALLETA | ||||||||||||||
| PHYSICIAN | $272,318 | $0 | $10,714 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $283,032 | $0 | $0 | $0 |
| STANLEY JONES | ||||||||||||||
| DENTAL DIRECTOR | $224,669 | $0 | $32,583 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $257,252 | $0 | $0 | $0 |
| HANS CANCEL-VILLAMIL | ||||||||||||||
| PHYSICIAN | $238,527 | $0 | $7,312 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $245,839 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF DIRECTORS ESTABLISHES GOALS AND OBJECTIVES FOR THE CEO TO ACHIEVE AND THE EXECUTIVE COMMITTEE OF THE BOARD COMPLETES A REVIEW OF THE CEO'S SALARY AND PERFORMANCE FOR THE PAST YEAR. INCLUDED IN THIS REVIEW IS DATA OBTAINED FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) SALARY COMPENSATION DATA, OTHER FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS AND AN INDEPENDENT COMPENSATION STUDY FOR CEO, OTHER TOP MANAGEMENT OFFICERS, KEY EMPLOYEES AND STAFF. THE EXECUTIVE COMMITTEE MAKES A RECOMMENDATION FOR THE TERMS OF THE CEO'S EMPLOYMENT AGREEMENT FOR THE NEXT YEAR. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 ALONG WITH THE AUDITED FINANCIAL STATEMENTS ARE PROVIDED TO THE GOVERNING BOARD AT A DATE PRIOR TO A DESIGNATED BOARD MEETING FOR THEIR REVIEW. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S BYLAWS, PERSONNEL POLICIES, AND OPERATING MANUAL (POLICIES AND PROCEDURES), AS WELL AS FINANCIAL STATEMENTS AND ANNUAL AUDIT ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE LOCATED IN HIGH SPRINGS, FLORIDA, OR WRITTEN REQUEST VIA WEBSITE OR MAIL. |