SUNCOAST COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SUNCOAST COMMUNITY HEALTH CENTERS INC (EIN 59-1741303)
- Tax period
- 2015-04-01 to 2016-03-31
- Filed
- 2016-12-14
- IRS object ID
- 201603499349300705
- Schema version
- 2015v2.1
- 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 | 2016-12-14T09:00:12-06:00 | ReturnTs |
| Tax Period End | 2016-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 273605969 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13577 FEATHER SOUND DR STE 400 | AddressLine1Txt |
| City | CLEARWATER | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33762 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591741303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUNCOAST COMMUNITY HEALTH CENTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SUNC | BusinessNameControlTxt |
| Phone | 8136454681 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1349 | AddressLine1Txt |
| City | RUSKIN | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33575 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT RODRIGUEZ | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8136454681 | PhoneNum |
| Signature | 2016-12-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BETTY ISLER CPA | PreparerPersonNm |
| PTIN | P00541979 | PTIN |
| Phone | 7275721400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRADLEY HERREMANS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1349 | AddressLine1Txt |
| City | RUSKIN | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33575 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,614,141 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUNCOAST-CHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY HEALTHCARE ADDRESSING THE TOTAL NEEDS OF THE INDIVIDUAL | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 433 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,265,687 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,382,685 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,145,274 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,221,455 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,044 | PYInvestmentIncomeAmt |
| CY Investment Income | -$123,384 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,750 | PYOtherRevenueAmt |
| CY Other Revenue | $8,400 | CYOtherRevenueAmt |
| PY Total Revenue | $35,421,755 | PYTotalRevenueAmt |
| CY Total Revenue | $34,489,156 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,290 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,525 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,850,499 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,659,106 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,151,815 | PYOtherExpensesAmt |
| CY Other Expenses | $13,004,658 | CYOtherExpensesAmt |
| PY Total Expenses | $30,008,604 | PYTotalExpensesAmt |
| CY Total Expenses | $32,670,289 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,413,151 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,818,867 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $33,092,103 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,560,667 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,230,415 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,475,974 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,861,688 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,084,693 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION IS COMMITTED TO IMPROVING THE LIVES OF MEDICALLY UNDERSERVED PERSONS BY INCREASING ACCESS, REDUCING DISPARITIES, AND ELIMINATING BARRIERS TO HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $20,591,750 | ExpenseAmt |
| Grant | $6,525 | GrantAmt |
| Revenue | $18,637,816 | RevenueAmt |
| Desc | MEDICAL SERVICES: SUNCOAST COMMUNITY HEALTH CENTERS, INC. PROVIDES COMPREHENSIVE MEDICAL SERVICES TO THE ENTIRE FAMILY OFFERING INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS, GYNECOLOGY, AND VARIOUS SUPPORT SERVICES USING COMMUNITY-BASED MEDICINE. OUR COMPREHENSIVE APPROACH ENSURES THAT THE WHOLE FAMILY RECEIVES OUTSTANDING CARE, MANY TIMES BY A TEAM OF TWO OR MORE PROVIDERS. FOR ADULT PATIENTS, THE CENTER PROVIDES PRIMARY CARE DELIVERED BY PHYSICIANS, NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. SERVICES INCLUDE: GENERAL WELLNESS EXAMS, ACUTE AND CHRONIC ILLNESS MANAGEMENT, IMMUNIZATIONS, LAB, PHARMACY, AND MANY OUTREACH AND SUPPORT SERVICES. OUR OBSTETRICS/GYNECOLOGY TEAM, CONSISTING OF PHYSICIANS, MIDWIVES AND NURSE PRACTITIONERS, SPECIALIZE IN COMPREHENSIVE WOMEN'S HEALTH SERVICES, FAMILY PLANNING, AND OBSTETRICS. OUR TEAM PROVIDES WOMEN'S CARE FOR ALL STAGES OF LIFE, FROM ADOLESCENT TO GERIATRIC. OUR PEDIATRICS PROGRAM CONSISTS OF A TEAM OF PEDIATRICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS. WE OFFER ROUTINE CHECK-UPS AND ACUTE CARE FOR THE COLD AND FLU AS WELL AS FAMILY IMMUNOLOGY ASSESSMENTS. ALL PATIENTS, INCLUDING CHILDREN, ADOLESCENTS AND ADULTS HAVE ACCESS TO SOCIAL SERVICES, NUTRITION AND HEALTH EDUCATION SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,292,731 | ExpenseAmt |
| Revenue | $5,305,990 | RevenueAmt |
| Desc | DENTAL SERVICES: AT SUNCOAST, WE KNOW THAT ORAL HEALTH IS VERY IMPORTANT TO YOUR OVERALL HEALTH. OUR TEAM OF DOCTORS AND DENTISTS WORK SIDE BY SIDE TO PROVIDE THE VERY BEST HEALTH CARE. WE OFFER HIGH QUALITY, AFFORDABLE, PREVENTATIVE AND RESTORATIVE ADULT DENTAL SERVICES. OUR PEDIATRIC DENTAL SERVICES INCLUDE SCREENINGS, CLEANINGS, FILLINGS AND X-RAYS. THE SUNCOAST MOBILE DENTAL PROGRAM REACHES LOW-INCOME, VULNERABLE CHILDREN WHO ARE AT THE HIGHEST RISK FOR TOOTH DECAY. TOOTH DECAY IS THE MOST COMMON CHRONIC CHILDHOOD DISEASE. THE CHILDREN WE SERVE FACE THE GREATEST BARRIERS TO ACCESS TO QUALITY DENTAL CARE. THE PARENTS OFTEN STRUGGLE TO FIND QUALITY DENTAL PREVENTION AND CARE FOR THE CHILDREN. THE SUNCOAST PROGRAM, "A SMILE EVERY MILE," PARTNERS WITH LOCAL HEADSTART CENTERS, CHILDREN'S BOARD FAMILY SUPPORT AND RESOURCE CENTERS, WIC (WOMEN INFANT AND CHILDREN), THE REDLANDS CHRISTIAN MIGRANT ASSOCIATION, AND MANY OTHERS TO BRIDGE MOBILE PREVENTIVE CARE WITH ONE OF THE MANY SUNCOAST DENTAL CLINICS. ON JULY 1, 2014, THE CENTER BEGAN IT'S PEDIATRIC DENTAL RESIDENCY PROGRAM AT THE NEW PALM RIVER COMMUNITY HEALTH CENTER. THIS PROGRAM TRAINS DENTISTS IN PEDIATRIC CARE WHILE PROVIDING DENTAL CLEANINGS AND TREATMENTS TO KIDS IN OUR COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,620,337 | ExpenseAmt |
| Revenue | $2,277,649 | RevenueAmt |
| Desc | SUPPORT SERVICES: TO PROVIDE THE HIGHEST QUALITY HEALTH CARE, WE OFFER COMPREHENSIVE SERVICES IN A CONVENIENT SETTING. MANY OF OUR CLINICS OFFER MULTIPLE SERVICES UNDER ONE ROOF. SUPPORT SERVICES INCLUDE LABORATORY, PHARMACY, DIAGNOSTIC IMAGING, IMMUNIZATIONS, HEALTH EDUCATION, SOCIAL SERVICES, FINANCIAL COUNSELING AND PRESCRIPTION ASSISTANCE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $27,504,818 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 167 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 433 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | 0 | 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 RODRIGUEZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8136454681 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2814 14TH AVE SE | AddressLine1Txt |
| City | RUSKIN | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33570 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARTHA ARELLANO | ||||||||
| CHAIRPERSON | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| NINA SHANAHAN | ||||||||
| VICE CHAIRPERSON | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| CHARLEY LEWIS | ||||||||
| SECRETARY | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| PAT ODOR | ||||||||
| TREASURER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| CARLOS GARCIA | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE HAMMOND | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA HINSON | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| NELSON RAMOS | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| GWENDOLYN SMALLEY | ||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| BRADLEY HERREMANS | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $247,503 | $0 | $16,706 | Yes (X) | |||
| ROBERT RODRIGUEZ | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $218,630 | $0 | $18,086 | Yes (X) | |||
| SONIA GOODWIN | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $130,220 | $0 | $10,775 | Yes (X) | |||
| RICHARD GYLES | ||||||||
| PEDIATRIC DENTAL DIRECTOR | 40.00 | $218,124 | $0 | $20,342 | Yes (X) | |||
| SUBHAKARARA MEDIDI | ||||||||
| MEDICAL DIRECTOR | 40.00 | $215,325 | $0 | $27,371 | Yes (X) | |||
| HARVEY VALDEZ | ||||||||
| DENTAL DIRECTOR | 40.00 | $167,149 | $0 | $16,288 | Yes (X) | |||
| TAMARA TIBBY | ||||||||
| DENTIST | 40.00 | $186,596 | $0 | $34,525 | Yes (X) | |||
| EVELYN MANINGO | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $166,724 | $0 | $14,624 | Yes (X) | |||
| BRIAN SHAUB | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $166,395 | $0 | $14,958 | Yes (X) | |||
| DANA PERRIN | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $149,740 | $0 | $20,311 | Yes (X) | |||
| EVER RIVERA | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $148,024 | $0 | $11,482 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,014,430 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $205,468 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | 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 |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| PO BOX 530440 | ATLANTA | GA | 303530458 | OUTSIDE LABORATORY | $463,018 |
| ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY | |||||
| 615 VONDERBURG DR | BRANDON | FL | 33511 | MEDICAL PROVIDER | $413,554 |
| SOUTH FLORIDA BAPTIST HOSPITAL | |||||
| 301 N ALEXANDER ST | PLANT CITY | FL | 33563 | MEDICAL PROVIDER | $227,600 |
| QUEST LABORATORIES | |||||
| PO BOX 822557 | PHILADELPHIA | PA | 19182 | OUTSIDE LABORATORY | $174,553 |
| TAMPA BAY PULMONARY MEDICINE | |||||
| 402 NOLAND DR | BRANDON | FL | 33511 | MEDICAL PROVIDER | $151,980 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,353,272 | GovernmentGrantsAmt |
| All Other Contributions | $29,413 | AllOtherContributionsAmt |
| Total Contributions | $8,382,685 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621498 | $22,178,520 | $22,178,520 |
| SPECIALIST CARE REVENUE | 621498 | $3,629,912 | $3,629,912 |
| SPECIALIST NETWORK FEES | 621498 | $245,509 | $245,509 |
| PATIENT ADVOCACY | 621498 | $63,880 | $63,880 |
| PHARMACY REVENUE | 621498 | $46,865 | $46,865 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,769 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,769 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,221,455 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,601 | TotalRevenueColumnAmt |
| Exclusion | $1,601 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,400 | 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 | $8,400 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,400 | TotalRevenueColumnAmt |
| Exclusion | $8,400 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $124,985 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$124,985 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$124,985 | TotalRevenueColumnAmt |
| Exclusion | -$124,985 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,489,156 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,221,455 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$114,984 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,525 | TotalAmt |
| Program Services | $6,525 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,046,232 | TotalAmt |
| Program Services | $353,959 | ProgramServicesAmt |
| Management And General | $692,273 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,897 | TotalAmt |
| Program Services | $50,897 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,082,741 | TotalAmt |
| Program Services | $13,062,700 | ProgramServicesAmt |
| Management And General | $2,020,041 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,076 | TotalAmt |
| Program Services | $753,796 | ProgramServicesAmt |
| Management And General | $110,280 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,442,180 | TotalAmt |
| Program Services | $1,193,319 | ProgramServicesAmt |
| Management And General | $248,861 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,172,980 | TotalAmt |
| Program Services | $979,654 | ProgramServicesAmt |
| Management And General | $193,326 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,458 | TotalAmt |
| Management And General | $13,458 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,900 | TotalAmt |
| Management And General | $79,900 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,161,622 | TotalAmt |
| Program Services | $5,659,998 | ProgramServicesAmt |
| Management And General | $501,624 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,617 | TotalAmt |
| Program Services | $6,087 | ProgramServicesAmt |
| Management And General | $44,530 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,332,066 | TotalAmt |
| Program Services | $1,865,507 | ProgramServicesAmt |
| Management And General | $466,559 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,368 | TotalAmt |
| Management And General | $212,368 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,072,994 | TotalAmt |
| Program Services | $762,002 | ProgramServicesAmt |
| Management And General | $310,992 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,077 | TotalAmt |
| Program Services | $60,576 | ProgramServicesAmt |
| Management And General | $64,501 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,567 | TotalAmt |
| Program Services | $67,327 | ProgramServicesAmt |
| Management And General | $20,240 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,126,148 | TotalAmt |
| Program Services | $1,014,425 | ProgramServicesAmt |
| Management And General | $111,723 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,396 | TotalAmt |
| Program Services | $41,186 | ProgramServicesAmt |
| Management And General | $68,210 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS & MEDICAL SUPPLIE | $1,647,034 | $1,640,449 | $6,585 |
| BAD DEBT (RECOVERIES) | -$13,589 | -$13,589 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,670,289 | TotalAmt |
| Program Services | $27,504,818 | ProgramServicesAmt |
| Management And General | $5,165,471 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,713,118 | BOYAmt |
| EOY | $8,510,031 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $746,164 | BOYAmt |
| EOY | $1,182,247 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,566,429 | BOYAmt |
| EOY | $302,983 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,861,980 | BOYAmt |
| EOY | $3,217,907 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,272 | BOYAmt |
| EOY | $175,390 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,905,202 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,511,516 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,863,165 | BOYAmt |
| EOY | $22,393,686 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,469 | BOYAmt |
| EOY | $52,443 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $500,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,506 | BOYAmt |
| EOY | $225,980 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,092,103 | BOYAmt |
| EOY | $36,560,667 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,899,295 | BOYAmt |
| EOY | $2,286,074 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $529,414 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,331,120 | BOYAmt |
| EOY | $5,660,486 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,230,415 | BOYAmt |
| EOY | $8,475,974 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,267,647 | BOYAmt |
| EOY | $28,020,813 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,594,041 | BOYAmt |
| EOY | $63,880 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,861,688 | BOYAmt |
| EOY | $28,084,693 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,092,103 | BOYAmt |
| EOY | $36,560,667 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,818,867 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,821 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,594,041 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,332,715 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,344,761 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,961,817 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,265,687 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,382,685 | CurrentTaxYearAmt |
| Total | $44,287,665 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,332,715 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,344,761 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,961,817 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,265,687 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,382,685 | CurrentTaxYearAmt |
| Total | $44,287,665 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $44,287,665 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,083 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,723 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,540 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,794 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,001 | CurrentTaxYearAmt |
| Total | $37,141 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $44,324,806 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $110,640,725 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99920 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99920 | 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 C IRS990ScheduleC
Total Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $32,670,289 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $32,670,289 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $63,880 | ContributionsAmt |
| End Year Balance | $63,880 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,079,006 | BeginningYearBalanceAmt |
| Other Expenditures | $4,079,006 | OtherExpendituresAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,287,419 | BeginningYearBalanceAmt |
| Other Expenditures | $208,413 | OtherExpendituresAmt |
| End Year Balance | $4,079,006 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,495,832 | BeginningYearBalanceAmt |
| Other Expenditures | $208,413 | OtherExpendituresAmt |
| End Year Balance | $4,287,419 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,034,148 | BeginningYearBalanceAmt |
| Contributions | $1,650,730 | ContributionsAmt |
| Other Expenditures | $189,046 | OtherExpendituresAmt |
| End Year Balance | $4,495,832 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,716,402 | OtherCostOrOtherBasisAmt |
| Book Value | $1,716,402 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,462,550 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,965,229 | DepreciationAmt |
| Book Value | $18,497,321 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,191,991 | OtherCostOrOtherBasisAmt |
| Depreciation | $778,700 | DepreciationAmt |
| Book Value | $413,291 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,534,259 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,767,587 | DepreciationAmt |
| Book Value | $1,766,672 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,393,686 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $33,670,264 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,821 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$1,821 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,672,085 | RevenueSubtotalAmt |
| Other Revenues Not Included | $817,071 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $817,071 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $34,489,156 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,670,289 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,670,289 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,670,289 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TEMPORARILY RESTRICTED NET ASSETS CONSIST OF MONIES RECEIVED UNDER PURPOSE RESTRICTIONS FOR PATIENT ADVOCACY FUNDS. |
| PART X, LINE 2: | THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER THE PROVISIONS OF 501(C)(3) OF THE INTERNAL REVENUE CODE AND CHAPTER 220.13 OF THE FLORIDA STATUTES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER HAS ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") GUIDANCE REGARDING "UNCERTAINTY FOR INCOME TAXES" AS CODIFIED IN FASB ASC 740-10. AT MARCH 31, 2016, MANAGEMENT DOES NOT BELIEVE IT HAS TAKEN ANY TAX POSITIONS THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | GOVERNMENTAL GRANTS TO ACQUIRE AND IMPROVE CAPITAL ASSETS 942,056. LOSS ON DISPOSAL OF EQUIPMENT -124,985. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRADLEY HERREMANS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $157,848 | $0 | $89,655 | $0 | $0 | $0 | $16,706 | $0 | $0 | $0 | $264,209 | $0 | $0 | $0 |
| ROBERT RODRIGUEZ | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $129,647 | $0 | $85,383 | $0 | $3,600 | $0 | $14,886 | $0 | $3,200 | $0 | $236,716 | $0 | $0 | $0 |
| RICHARD GYLES | ||||||||||||||
| PEDIATRIC DENTAL DIRECTOR | $202,225 | $0 | $15,899 | $0 | $0 | $0 | $14,832 | $0 | $5,510 | $0 | $238,466 | $0 | $0 | $0 |
| SUBHAKARARA MEDIDI | ||||||||||||||
| MEDICAL DIRECTOR | $185,431 | $0 | $26,294 | $0 | $3,600 | $0 | $15,129 | $0 | $12,242 | $0 | $242,696 | $0 | $0 | $0 |
| HARVEY VALDEZ | ||||||||||||||
| DENTAL DIRECTOR | $138,248 | $0 | $25,301 | $0 | $3,600 | $0 | $11,370 | $0 | $4,918 | $0 | $183,437 | $0 | $0 | $0 |
| TAMARA TIBBY | ||||||||||||||
| DENTIST | $180,694 | $0 | $5,902 | $0 | $0 | $0 | $12,683 | $0 | $21,842 | $0 | $221,121 | $0 | $0 | $0 |
| EVELYN MANINGO | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $149,357 | $0 | $17,367 | $0 | $0 | $0 | $11,277 | $0 | $3,347 | $0 | $181,348 | $0 | $0 | $0 |
| BRIAN SHAUB | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $157,307 | $0 | $9,088 | $0 | $0 | $0 | $11,298 | $0 | $3,660 | $0 | $181,353 | $0 | $0 | $0 |
| DANA PERRIN | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $144,374 | $0 | $5,366 | $0 | $0 | $0 | $10,651 | $0 | $9,660 | $0 | $170,051 | $0 | $0 | $0 |
| EVER RIVERA | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $147,872 | $0 | $152 | $0 | $0 | $0 | $10,086 | $0 | $1,396 | $0 | $159,506 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAN RODRIUEZ | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SON OF CFO | RelationshipDescriptionTxt |
| Transaction | $50,897 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATION FOR SERVICES PROVIDED AS CLINIC ADMINISTRATOR. JAN HAS A MASTERS IN HEALTH ADMINISTRATION. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED AND APPROVED BY SENIOR MANAGEMENT. A COPY IS THEN PROVIDED TO THE ORGANIZATION'S BOARD FOR FINAL REVIEW AND COMMENT PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT ALL OFFICERS, DIRECTORS, AND EMPLOYEES DISCLOSE ANY CONFLICTS IMMEDIATELY UPON DISCOVERY. COMPLIANCE IS CONSISTENTLY MONITORED AND REVIEWED ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING EMPLOYMENT CONTRACTS AND COMPENSATION LEVELS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. EMPLOYEE PERFORMANCE HISTORY AND INDUSTRY STANDARDS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS ARE USED TO SET COMPENSATION. THE DELIBERATION AND APPROVAL PROCESS IS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIALS STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,030,086. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,030,086. SPECIALIST CARE SERVICES: PROGRAM SERVICE EXPENSES 3,629,912. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,629,912. CONTRACTED ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 501,624. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 501,624. |