PANCARE OF FLORIDA INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- PANCARE OF FLORIDA INC (EIN 91-2189932)
- Tax period
- 2023-12-01 to 2024-11-30
- Filed
- 2025-10-15
- IRS object ID
- 202542889349302669
- Schema version
- 2023v6.0
- 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 | 2025-10-15T14:55:38-05:00 | ReturnTs |
| Tax Period End | 2024-11-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 994625061 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRI ADVISORS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2583 HUNTCLIFF LANE | AddressLine1Txt |
| City | PANAMA CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32405 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-12-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912189932 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PANCARE OF FLORIDA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PANC | BusinessNameControlTxt |
| Phone | 8507475599 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 EAST 11TH STREET | AddressLine1Txt |
| City | PANAMA CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT THOMPSON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8507475599 | PhoneNum |
| Signature | 2025-10-14 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANN MYERS SALE CPA | PreparerPersonNm |
| PTIN | P00851179 | PTIN |
| Phone | 8507856153 | PhoneNum |
| Preparation | 2025-10-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT THOMPSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 EAST 11TH STREET | AddressLine1Txt |
| City | PANAMA CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,961,457 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | PANCAREFL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES MEDICAL AND DENTAL SERVICES ON A SLIDING SCALE FOR NORTHWEST FLORIDA COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 427 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,670,768 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,922,851 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,362,482 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,385,099 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32,168 | PYInvestmentIncomeAmt |
| CY Investment Income | $552,530 | CYInvestmentIncomeAmt |
| PY Other Revenue | $135,082 | PYOtherRevenueAmt |
| CY Other Revenue | $100,977 | CYOtherRevenueAmt |
| PY Total Revenue | $38,200,500 | PYTotalRevenueAmt |
| CY Total Revenue | $45,961,457 | 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 | $20,956,464 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,154,629 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,277,069 | PYOtherExpensesAmt |
| CY Other Expenses | $21,948,991 | CYOtherExpensesAmt |
| PY Total Expenses | $36,233,533 | PYTotalExpensesAmt |
| CY Total Expenses | $45,103,620 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,966,967 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $857,837 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,473,362 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,784,350 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,461,881 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,753,930 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,011,481 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,030,420 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE A COMPREHENSIVE SYSTEM OF QUALITY HEALTH CARE SERVICES WHICH IS EASILY ACCESSED BY ALL PERSONS AND FAMILIES WITHIN OUR SERVICE AREAS THROUGH AN EFFICIENT, COMMUNITY-BASED NETWORK OF CARING PROFESSIONALS WHO ASSURE THE DIGNITY AND RESPECT OF EACH INDIVIDUAL THEY SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,693,444 | ExpenseAmt |
| Revenue | $7,197,102 | RevenueAmt |
| Desc | MEDICAL SERVICES: PROVIDE COMPREHENSIVE PRIMARY MEDICAL CARE SERVICES TO PATIENTS. THESE SERVICES INCLUDE PREVENTIVE CARE, TREATMENT OF ACUTE ILLNESSES, MANAGEMENT OF CHRONIC CONDITIONS, HEALTH SCREENINGS, VACCINATIONS, AND REFERRALS TO SPECIALTY CARE WHEN NEEDED. TOTAL ENCOUNTERS: 69,234. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,538,497 | ExpenseAmt |
| Revenue | $3,707,286 | RevenueAmt |
| Desc | DENTAL SERVICES: PROVIDE DENTAL CARE SERVICES WHICH MAY INCLUDE ROUTINE CHECK-UPS, CLEANINGS, FILLINGS, EXTRACTIONS, AND OTHER NECESSARY DENTAL TREATMENTS. TOTAL ENCOUNTERS: 35,663. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,376,797 | ExpenseAmt |
| Revenue | $13,035,577 | RevenueAmt |
| Desc | PHARMACY SERVICES: SOME PROVIDE SIGNIFICANT DISCOUNTS ON MANY PRESCRIPTIONS AND MAKE MEDICATIONS AFFORDABLE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,835,946 | ExpenseAmt |
| Revenue | $5,009,925 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $8,835,946 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,009,925 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $35,444,684 | 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 | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 427 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | 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 |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT THOMPSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8507475599 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 E 11TH STREET | AddressLine1Txt |
| City | PANAMA CITY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (40 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 |
|---|---|---|---|---|---|---|---|---|
| RON HARDY | ||||||||
| CHAIRMAN | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| REV JONAS DOUGLAS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROGER KING | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVE RUTENBERG | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LUCIA ESQUIVEL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WARD MCDANIEL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDY BRYTE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KAY DANIEL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DOTTIE AVERY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT ARNOLD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LOIS MILLER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIA POUNCEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HIEP H LE | ||||||||
| SECRETARY/TREASURER | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIE RAMSEY | ||||||||
| VICE-CHAIRMAN | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT M HILL | ||||||||
| CEO / PRESIDENT | 40.00 | Yes (X) | $64,261 | $0 | $7,284 | |||
| WESLEY A BERRY | ||||||||
| CFO | 40.00 | Yes (X) | $144,350 | $0 | $9,121 | |||
| ROBERT THOMPSON | ||||||||
| COO / CLINCIAL DIRECTOR | 40.00 | Yes (X) | $402,150 | $75,000 | $41,263 | |||
| ALEXEI VERAS | ||||||||
| COO | 40.00 | Yes (X) | $156,024 | $0 | $14,042 | |||
| DESIREE N MEJIA | ||||||||
| CFO/DIRECTOR OF FINANCE | 40.00 | Yes (X) | $85,258 | $0 | $2,996 | |||
| MARY SUE MOORE | ||||||||
| ADVANCED REGISTERED NURSE | 40.00 | $179,489 | $0 | $10,769 | Yes (X) | |||
| DORCAS GOODMAN | ||||||||
| ADVANCED REGISTERED NURSE | 40.00 | $208,855 | $0 | $30,047 | Yes (X) | |||
| DENISE A MILLER | ||||||||
| ADVANCED REGISTERED NURSE | 40.00 | $159,976 | $0 | $14,398 | Yes (X) | |||
| KANYARATANA ISAAC | ||||||||
| DENTIST | 40.00 | $183,564 | $0 | $22,950 | Yes (X) | |||
| IRIS SANTOS | ||||||||
| DENTIST | 40.00 | $177,227 | $0 | $15,950 | Yes (X) | |||
| AMY L SMITH | ||||||||
| DENTIST | 40.00 | $172,184 | $0 | $10,331 | Yes (X) | |||
| ERIC M HAYNAM | ||||||||
| DENTIST | 40.00 | $176,053 | $0 | $15,845 | Yes (X) | |||
| CHARLES R FLOWERS | ||||||||
| PHARMACY MANAGER | 40.00 | $184,224 | $0 | $16,580 | Yes (X) | |||
| LORI BARTON | ||||||||
| PHARMACY MANAGER | 40.00 | $187,387 | $0 | $16,642 | Yes (X) | |||
| MICHAEL FULGHUM | ||||||||
| PHARMACIST | 40.00 | $157,936 | $0 | $14,214 | Yes (X) | |||
| PHILLIP LINSKY | ||||||||
| PHYSICIAN | 40.00 | $186,450 | $0 | $5,593 | Yes (X) | |||
| GARY PIORKOWSKI | ||||||||
| PHYSICIAN | 40.00 | $156,143 | $0 | $21,095 | Yes (X) | |||
| THOMAS W SMITH | ||||||||
| PHYSICIAN | 40.00 | $153,375 | $0 | $10,293 | Yes (X) | |||
| CRUZE E PAGAN DELGADO | ||||||||
| PHYSICIAN | 40.00 | $202,184 | $0 | $18,197 | Yes (X) | |||
| ROSA J BERNIER MD | ||||||||
| PHYSICIAN | 40.00 | $210,367 | $0 | $13,481 | Yes (X) | |||
| SHAWN SLATTERY | ||||||||
| PHYSICIAN | 40.00 | $187,559 | $0 | $16,880 | Yes (X) | |||
| MICHELLE MOFFA | ||||||||
| DENTIST | 40.00 | $253,785 | $0 | $22,841 | Yes (X) | |||
| RHONDA WILHITE | ||||||||
| DENTIST | 40.00 | $229,635 | $0 | $20,667 | Yes (X) | |||
| ANDREW NORTON | ||||||||
| DENTIST | 40.00 | $325,216 | $0 | $37,349 | Yes (X) | |||
| WADE MELVIN | ||||||||
| PHYSICIAN | 40.00 | $233,697 | $0 | $31,132 | Yes (X) | |||
| SIMEON VILCHEZ | ||||||||
| PHYSICIAN | 40.00 | $366,567 | $0 | $32,991 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,143,916 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $75,000 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $472,951 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 47 | 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 |
|---|---|---|---|---|---|
| MCKESSON CORPORATION | |||||
| 6555 STATE HWY 161 | IRVING | TX | 75039 | PHARMACY SUPPLIES | $5,971,745 |
| ALLSTATE CONSTRUCTION | |||||
| 5718 TOWER ROAD | TALLAHASSEE | FL | 32303 | CONSTRUCTION OF NEW CLINICS | $3,041,801 |
| MCKESSON MEDICAL SURGICAL | |||||
| 9954 MAYLAND DRIVE SUITE 400 | HENRICO | VA | 23233 | MEDICAL SUPPLIES | $1,196,651 |
| CARDINAL HEALTH | |||||
| 1330 ENCLAVE PARKWAY | HOUSTON | TX | 77077 | PHARMACY SUPPLIES | $1,044,826 |
| FLORIDA BLUE HEALTH | |||||
| PO BOX 660299 | DALLAS | TX | 75266 | EE HEALTH INSURANCE | $1,003,225 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,841,484 | GovernmentGrantsAmt |
| All Other Contributions | $4,081,367 | AllOtherContributionsAmt |
| Noncash Contributions | $4,043,200 | NoncashContributionsAmt |
| Total Contributions | $16,922,851 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHARMACY PATIENT SERVICE REVENUE | 621110 | $13,035,577 | $13,035,577 |
| PATIENT SERVICE REVENUE | 621110 | $12,879,444 | $12,879,444 |
| SCHOOL HEALTH SERVICES | 621110 | $2,470,078 | $2,470,078 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,385,099 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,716 | TotalRevenueColumnAmt |
| Exclusion | $88,716 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $52,828 | 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 | $52,828 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,828 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,828 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $463,814 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $463,814 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $463,814 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $463,814 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 812900 | BusinessCd |
| Total Revenue Column | $48,149 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,149 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $48,149 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,961,457 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,949,890 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $88,716 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,074,397 | TotalAmt |
| Management And General | $7,074,397 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,400,469 | TotalAmt |
| Program Services | $11,760,181 | ProgramServicesAmt |
| Management And General | $640,288 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,358,300 | TotalAmt |
| Program Services | $864,577 | ProgramServicesAmt |
| Management And General | $493,723 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,478 | TotalAmt |
| Program Services | $326,662 | ProgramServicesAmt |
| Management And General | $537,816 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,456,985 | TotalAmt |
| Program Services | $975,771 | ProgramServicesAmt |
| Management And General | $481,214 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,366,526 | TotalAmt |
| Program Services | $1,366,526 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,573 | TotalAmt |
| Program Services | $259,573 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,460,412 | TotalAmt |
| Program Services | $1,317,839 | ProgramServicesAmt |
| Management And General | $142,573 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,852 | TotalAmt |
| Program Services | $323,867 | ProgramServicesAmt |
| Management And General | $35,985 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,246 | TotalAmt |
| Program Services | $592,042 | ProgramServicesAmt |
| Management And General | $59,204 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,020,880 | TotalAmt |
| Program Services | $949,418 | ProgramServicesAmt |
| Management And General | $71,462 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,255 | TotalAmt |
| Program Services | $267,255 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,844 | TotalAmt |
| Program Services | $217,844 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,296,061 | TotalAmt |
| Program Services | $1,206,031 | ProgramServicesAmt |
| Management And General | $90,030 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,626 | TotalAmt |
| Program Services | $428,382 | ProgramServicesAmt |
| Management And General | $32,244 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $13,002,425 | $13,002,425 |
| THEFT | $1,197,367 | $1,197,367 |
| OUTREACH & AWARENESS | $192,189 | $192,189 |
| OTHER EXPENSES | $138,347 | $138,347 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,388 | TotalAmt |
| Program Services | $58,388 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,103,620 | TotalAmt |
| Program Services | $35,444,684 | ProgramServicesAmt |
| Management And General | $9,658,936 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,859,340 | BOYAmt |
| EOY | $2,758,325 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,029,986 | BOYAmt |
| EOY | $2,226,056 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,258,654 | BOYAmt |
| EOY | $3,648,681 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $459,254 | BOYAmt |
| EOY | $1,005,155 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,739 | BOYAmt |
| EOY | $112,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,416,545 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,147,856 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,983,065 | BOYAmt |
| EOY | $27,268,689 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $751,022 | BOYAmt |
| EOY | $996,153 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $766,084 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,302 | BOYAmt |
| EOY | $2,302 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,473,362 | BOYAmt |
| EOY | $38,784,350 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,847,934 | BOYAmt |
| EOY | $8,110,997 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,613,947 | BOYAmt |
| EOY | $5,642,933 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,461,881 | BOYAmt |
| EOY | $13,753,930 | 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 | $24,011,481 | BOYAmt |
| EOY | $25,030,420 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,011,481 | BOYAmt |
| EOY | $25,030,420 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,473,362 | BOYAmt |
| EOY | $38,784,350 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $857,837 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $161,102 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,723,979 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,634,250 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,121,117 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,670,768 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,922,851 | CurrentTaxYearAmt |
| Total | $79,072,965 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $18,620,769 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,100,777 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,362,482 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,385,099 | CurrentTaxYearAmt |
| Total | $91,469,127 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,723,979 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,255,019 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,221,894 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,033,250 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,307,950 | CurrentTaxYearAmt |
| Total | $170,542,092 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,324,061 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,236,557 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,591,535 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,909,932 | CurrentTaxYearAmt |
| Total | $21,062,085 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,324,061 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,236,557 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,591,535 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,909,932 | CurrentTaxYearAmt |
| Total | $21,062,085 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $149,480,007 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,157 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $109,277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $108,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,716 | CurrentTaxYearAmt |
| Total | $340,877 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,157 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $109,277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $108,559 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,716 | CurrentTaxYearAmt |
| Total | $340,877 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,553 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $1,079 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $135,082 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $564,791 | CurrentTaxYearAmt |
| Total | $767,505 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,792,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,364,296 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,331,532 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,200,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,961,457 | CurrentTaxYearAmt |
| Total | $171,650,474 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.87080 | PublicSupportCY509Pct |
| Public Support PY509 | 0.89170 | PublicSupportPY509Pct |
| Investment Income CY | 0.00200 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00190 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,075,007 | OtherCostOrOtherBasisAmt |
| Book Value | $6,075,007 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,949,417 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,147,856 | DepreciationAmt |
| Book Value | $13,801,561 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,392,121 | OtherCostOrOtherBasisAmt |
| Book Value | $7,392,121 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,268,689 | TotalBookValueLandBuildingsAmt |
| 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 ORGANIZATION UTILIZES THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF NOVEMBER 30, 2023, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT THOMPSON | ||||||||||||||
| COO / CLINCIAL DIRECTOR | $402,150 | $75,000 | $0 | $0 | $0 | $0 | $41,263 | $0 | $0 | $0 | $443,413 | $75,000 | $0 | $0 |
| SIMEON VILCHEZ | ||||||||||||||
| PHYSICIAN | $366,567 | $0 | $0 | $0 | $0 | $0 | $32,991 | $0 | $0 | $0 | $399,558 | $0 | $0 | $0 |
| ANDREW NORTON | ||||||||||||||
| DENTIST | $325,216 | $0 | $0 | $0 | $0 | $0 | $37,349 | $0 | $0 | $0 | $362,565 | $0 | $0 | $0 |
| MICHELLE MOFFA | ||||||||||||||
| DENTIST | $253,785 | $0 | $0 | $0 | $0 | $0 | $22,841 | $0 | $0 | $0 | $276,626 | $0 | $0 | $0 |
| WADE MELVIN | ||||||||||||||
| PHYSICIAN | $233,697 | $0 | $0 | $0 | $0 | $0 | $31,132 | $0 | $0 | $0 | $264,829 | $0 | $0 | $0 |
| RHONDA WILHITE | ||||||||||||||
| DENTIST | $229,635 | $0 | $0 | $0 | $0 | $0 | $20,667 | $0 | $0 | $0 | $250,302 | $0 | $0 | $0 |
| DORCAS GOODMAN | ||||||||||||||
| ADVANCED REGISTERED NURSE | $208,855 | $0 | $0 | $0 | $0 | $0 | $30,047 | $0 | $0 | $0 | $238,902 | $0 | $0 | $0 |
| ROSA J BERNIER MD | ||||||||||||||
| PHYSICIAN | $210,367 | $0 | $0 | $0 | $0 | $0 | $13,481 | $0 | $0 | $0 | $223,848 | $0 | $0 | $0 |
| CRUZE E PAGAN DELGADO | ||||||||||||||
| PHYSICIAN | $202,184 | $0 | $0 | $0 | $0 | $0 | $18,197 | $0 | $0 | $0 | $220,381 | $0 | $0 | $0 |
| KANYARATANA ISAAC | ||||||||||||||
| DENTIST | $183,564 | $0 | $0 | $0 | $0 | $0 | $22,950 | $0 | $0 | $0 | $206,514 | $0 | $0 | $0 |
| SHAWN SLATTERY | ||||||||||||||
| PHYSICIAN | $187,559 | $0 | $0 | $0 | $0 | $0 | $16,880 | $0 | $0 | $0 | $204,439 | $0 | $0 | $0 |
| LORI BARTON | ||||||||||||||
| PHARMACY MANAGER | $187,387 | $0 | $0 | $0 | $0 | $0 | $16,642 | $0 | $0 | $0 | $204,029 | $0 | $0 | $0 |
| CHARLES R FLOWERS | ||||||||||||||
| PHARMACY MANAGER | $184,224 | $0 | $0 | $0 | $0 | $0 | $16,580 | $0 | $0 | $0 | $200,804 | $0 | $0 | $0 |
| IRIS SANTOS | ||||||||||||||
| DENTIST | $177,227 | $0 | $0 | $0 | $0 | $0 | $15,950 | $0 | $0 | $0 | $193,177 | $0 | $0 | $0 |
| PHILLIP LINSKY | ||||||||||||||
| PHYSICIAN | $186,450 | $0 | $0 | $0 | $0 | $0 | $5,593 | $0 | $0 | $0 | $192,043 | $0 | $0 | $0 |
| ERIC M HAYNAM | ||||||||||||||
| DENTIST | $176,053 | $0 | $0 | $0 | $0 | $0 | $15,845 | $0 | $0 | $0 | $191,898 | $0 | $0 | $0 |
| MARY SUE MOORE | ||||||||||||||
| ADVANCED REGISTERED NURSE | $179,489 | $0 | $0 | $0 | $0 | $0 | $10,769 | $0 | $0 | $0 | $190,258 | $0 | $0 | $0 |
| AMY L SMITH | ||||||||||||||
| DENTIST | $172,184 | $0 | $0 | $0 | $0 | $0 | $10,331 | $0 | $0 | $0 | $182,515 | $0 | $0 | $0 |
| GARY PIORKOWSKI | ||||||||||||||
| PHYSICIAN | $156,143 | $0 | $0 | $0 | $0 | $0 | $21,095 | $0 | $0 | $0 | $177,238 | $0 | $0 | $0 |
| DENISE A MILLER | ||||||||||||||
| ADVANCED REGISTERED NURSE | $159,976 | $0 | $0 | $0 | $0 | $0 | $14,398 | $0 | $0 | $0 | $174,374 | $0 | $0 | $0 |
| MICHAEL FULGHUM | ||||||||||||||
| PHARMACIST | $157,936 | $0 | $0 | $0 | $0 | $0 | $14,214 | $0 | $0 | $0 | $172,150 | $0 | $0 | $0 |
| ALEXEI VERAS | ||||||||||||||
| COO | $156,024 | $0 | $0 | $0 | $0 | $0 | $14,042 | $0 | $0 | $0 | $170,066 | $0 | $0 | $0 |
| THOMAS W SMITH | ||||||||||||||
| PHYSICIAN | $153,375 | $0 | $0 | $0 | $0 | $0 | $10,293 | $0 | $0 | $0 | $163,668 | $0 | $0 | $0 |
| WESLEY A BERRY | ||||||||||||||
| CFO | $144,350 | $0 | $0 | $0 | $0 | $0 | $9,121 | $0 | $0 | $0 | $153,471 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD LOOKS AT COMPARABILITY DATA WITH OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE SIMILAR SERVICES TO DETERMINE APPROPRIATE LEVELS OF COMPENSATION. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $4,043,200 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE TOP MANAGEMENT OFFICIALS AND BOARD MEMBERS REVIEW THE RETURN BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO FILE A CONFLICT OF INTEREST FORM AND DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE TOP MANAGEMENT OFFICIALS IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD LOOKS AT COMPARABILITY DATA WITH OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE SIMILAR SERVICES TO DETERMINE APPROPRIATE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| BAYCARES | |||||||||
| 411 11TH STREET | PANAMA CITY | FL | 32401 | 593155410 | PRIVATE FOUNDATION | FL | 501(C)(3) | PF | 0 |
| BIG BEND HEALTH COUNCIL INC | |||||||||
| 403 EAST 11TH STREET | PANAMA CITY | FL | 32401 | 592261770 | COLLECT AND REPORT STATISTICAL DATA TO THE STATE OF FL RE: HEALTHCARE COSTS. | FL | 501(C)(3) | LINE 7 | 0 |
| NORTHWEST FLORIDA HEALTH COUNCIL INC | |||||||||
| 403 EAST 11TH STREET | PANAMA CITY | FL | 32401 | 592261787 | ADVOCACY OF PREVENTATIVE HEALTHCARE COST CONTAINMENT AND PLANNING. | FL | 501(C)(3) | LINE 7 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| NORTHWEST FLORIDA HEALTH COUNCIL | ||
| J | $2,625 | ACTUAL COST |
| BIG BEND HEALTH COUNCIL INC | ||
| J | $6,300 | ACTUAL COST |
| BIG BEND HEALTH COUNCIL INC | ||
| D | $2,302 | ACTUAL COST |
| BIG BEND HEALTH COUNCIL INC | ||
| O | $45,000 | ACTUAL COST |
| BAY CARES INC | ||
| B | $14,575 | ACTUAL COST |
| BAY CARES INC | ||
| J | $19,500 | ACTUAL COST |
| BAY CARES INC | ||
| D | $119,634 | ACTUAL COST |
| NORTHWEST FLORIDA HEALTH COUNCIL | ||
| O | $30,000 | ACTUAL COST |