JESSIE TRICE COMMUNITY HEALTH SYSTEM INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- JESSIE TRICE COMMUNITY HEALTH SYSTEM INC (EIN 59-1235617)
- Tax period
- 2013-02-01 to 2014-01-31
- Filed
- 2014-08-26
- IRS object ID
- 201433149349302518
- Schema version
- 2013v3.1
- 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 | 2014-08-26T05:12:14-00:00 | ReturnTs |
| Tax Period End | 2014-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sharpton Brunson & Company PA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SE 3rd Avenue Suite 2100 | AddressLine1 |
| City | Miami | City |
| State | FL | State |
| ZIP Code | 33131 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591235617 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JESSIE TRICE COMMUNITY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JESS | BusinessNameControlTxt |
| Phone | 3058051700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5607 NW 27th Avenue Room 1 | AddressLine1 |
| City | Miami | City |
| State | FL | State |
| ZIP Code | 33142 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | test | PersonNm |
| Person Title | chief | PersonTitleTxt |
| Signature | 2014-08-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Edward WongCPA | PreparerPersonNm |
| Phone | 3053741574 | PhoneNum |
| Preparation | 2014-08-19 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Collette Reece | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5607 NW 27th Avenue Suite 1 | AddressLine1 |
| City | Miami | City |
| State | FL | State |
| ZIP Code | 33142 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,708,901 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Operate healthcare centers located in metropolitan Miami-Dade County, Florida. Provide a broad range of health services to a largely medical underserved population. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 265 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $13,284,927 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,197,565 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,176,125 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,499,710 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,553 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,626 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $21,488,605 | PYTotalRevenueAmt |
| CY Total Revenue | $20,708,901 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,194,682 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,951,921 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,542,662 | PYOtherExpensesAmt |
| CY Other Expenses | $6,529,895 | CYOtherExpensesAmt |
| PY Total Expenses | $20,737,344 | PYTotalExpensesAmt |
| CY Total Expenses | $21,481,816 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $751,261 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$772,915 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,574,094 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,099,661 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,615,575 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,914,057 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,958,519 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,185,604 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Operate healthcare centers located in metropolitan Miami-Dade County, Florida. Provide a broad range of health services to a largely medical underserved population. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,662,153 | ExpenseAmt |
| Desc | Medical Services | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,421,397 | ExpenseAmt |
| Desc | Dental Services | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,539,020 | ExpenseAmt |
| Desc | Health Resources | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $595,964 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $17,218,534 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 265 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Collette Reece | PersonNm |
| Phone | 3058051700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5607 NW 27th Avenue Suite 1 | AddressLine1 |
| City | Miami | City |
| State | FL | State |
| ZIP Code | 33142 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Sherwood Dubose | |||||||
| Chairperson | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Ivette Klein | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Janice Ricketts | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Carla Antoinette Jones | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Thamara Labrousse | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Angel D Lightfoot | |||||||
| Secretary | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Tishria Mindingall | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Lenora Yates | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Isabella Rosette | |||||||
| Dirctor | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Roberts | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| David Williams Jr | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert L Thomas | |||||||
| Treasurer | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Terrell West | |||||||
| Director | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Irene Taylor-Wooten | |||||||
| Vice Chairperson | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Belita E Wyatt | |||||||
| COO | 040.00 | $0 | $0 | $0 | Yes (X) | ||
| Edwin Bosa-Osorio | |||||||
| Vice President | 040.00 | $103,396 | $0 | $0 | Yes (X) | ||
| Deborah George | |||||||
| Vice President | 040.00 | $156,059 | $0 | $0 | Yes (X) | ||
| Robert Aguero | |||||||
| Vice President | 040.00 | $123,000 | $0 | $0 | Yes (X) | ||
| Annie R Neasman | |||||||
| President | 040.00 | $234,792 | $0 | $0 | Yes (X) | ||
| Katrina Battle Bumpers | |||||||
| CFO | 040.00 | $0 | $0 | $0 | Yes (X) | ||
| Deborah A Rice-Lamar | |||||||
| Chief Human Resource Officer | 040.00 | $0 | $0 | $0 | Yes (X) | ||
| Fabian Thurston | |||||||
| COO | 040.00 | $0 | $0 | $0 | Yes (X) | ||
| Leroy Berensford Thompson | |||||||
| VP Behavioral Health | 040.00 | $0 | $0 | $0 | Yes (X) | ||
| Eleace Sawyers | |||||||
| VP Organizational Development | 040.00 | $0 | $0 | $0 | Yes (X) | ||
| Clementine Clinch | |||||||
| Director of administrative services | 040.00 | $0 | $0 | $0 | Yes (X) | ||
| Ruth Duval | |||||||
| VP Ancillary and Clinical Admin | 040.00 | $107,113 | $0 | $0 | Yes (X) | ||
| Quida Bridges MD | |||||||
| Physician | 040.00 | $136,000 | $0 | $0 | Yes (X) | ||
| Fatima Zafar MD | |||||||
| Physician | 040.00 | $165,300 | $0 | $0 | Yes (X) | ||
| Carol Tordi MD | |||||||
| Physician | 040.00 | $138,000 | $0 | $0 | Yes (X) | ||
| Gladys Dupuy | |||||||
| Physician | 040.00 | $280,000 | $0 | $0 | Yes (X) | ||
| Ata Atogho | |||||||
| Physician | 040.00 | $207,109 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,650,769 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Gensis Outsourcing Solutions LLC | |||||
| 15715 S Dixie Highway Suite 403 | Miami | FL | 33157 | Human Resources | $351,668 |
| Health Choice Network | |||||
| 920 SW 76th Avenue | Miami | FL | 33144 | Healthcare | $1,090,380 |
| Blue Cross Blue Shield | |||||
| PO Box 660299 | Dallas | TX | 75266 | Healthcare | $1,137,359 |
| KCI Financial Services | |||||
| PO Box 49347 | Sarasota | FL | 34230 | Benefit plan | $212,661 |
| Quest Diagnostics | |||||
| 1201 NW 16th Avenue | Miami | FL | 33125 | LAB | $378,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,770,656 | GovernmentGrantsAmt |
| All Other Contributions | $426,909 | AllOtherContributionsAmt |
| Total Contributions | $13,197,565 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Managed Care Plan | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $7,499,710 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,499,710 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,626 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,708,901 | TotalRevenueColumnAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,208,591 | TotalAmt |
| Program Services | $604,295 | ProgramServicesAmt |
| Management And General | $604,296 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,460,597 | TotalAmt |
| Program Services | $10,055,253 | ProgramServicesAmt |
| Management And General | $1,405,344 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,282,733 | TotalAmt |
| Program Services | $1,989,778 | ProgramServicesAmt |
| Management And General | $292,955 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,039,210 | TotalAmt |
| Program Services | $1,281,866 | ProgramServicesAmt |
| Management And General | $757,344 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,136 | TotalAmt |
| Program Services | $112,772 | ProgramServicesAmt |
| Management And General | $224,364 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117,267 | TotalAmt |
| Program Services | $1,043,919 | ProgramServicesAmt |
| Management And General | $73,348 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,544 | TotalAmt |
| Program Services | $47,724 | ProgramServicesAmt |
| Management And General | $80,820 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,035 | TotalAmt |
| Program Services | $791 | ProgramServicesAmt |
| Management And General | $155,244 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $711,991 | TotalAmt |
| Program Services | $464,192 | ProgramServicesAmt |
| Management And General | $247,799 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,407 | TotalAmt |
| Program Services | $29,090 | ProgramServicesAmt |
| Management And General | $149,317 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for bad debts | $451,714 | $451,162 | $552 |
| Repairs and maintenance | $423,226 | $351,119 | $72,107 |
| Telephone | $268,926 | $175,138 | $93,788 |
| Supplies | $627,690 | $589,408 | $38,282 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,749 | TotalAmt |
| Program Services | $22,027 | ProgramServicesAmt |
| Management And General | $67,722 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,481,816 | TotalAmt |
| Program Services | $17,218,534 | ProgramServicesAmt |
| Management And General | $4,263,282 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,380,833 | BOYAmt |
| EOY | $5,072,507 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $637,395 | BOYAmt |
| EOY | $983,634 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,201,116 | BOYAmt |
| EOY | $621,352 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,996 | BOYAmt |
| EOY | $476,623 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,685,531 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,898,105 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,198,134 | BOYAmt |
| EOY | $9,787,426 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $880,007 | BOYAmt |
| EOY | $1,088,313 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,613 | BOYAmt |
| EOY | $69,806 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,574,094 | BOYAmt |
| EOY | $18,099,661 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,598,024 | BOYAmt |
| EOY | $1,802,473 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,606 | BOYAmt |
| EOY | $3,282,933 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,987,945 | BOYAmt |
| EOY | $2,828,651 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,615,575 | BOYAmt |
| EOY | $7,914,057 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,258,542 | BOYAmt |
| EOY | $9,477,321 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $699,977 | BOYAmt |
| EOY | $708,283 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,958,519 | BOYAmt |
| EOY | $10,185,604 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,574,094 | BOYAmt |
| EOY | $18,099,661 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$772,915 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,042,957 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,182,923 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,319,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,762,571 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,770,656 | CurrentTaxYearAmt |
| Total | $62,078,927 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,985,867 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,095,451 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,676,133 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,176,125 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,499,710 | CurrentTaxYearAmt |
| Total | $34,433,286 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,028,824 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,278,374 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,995,953 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,938,696 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,270,366 | CurrentTaxYearAmt |
| Total | $96,512,213 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $96,512,213 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $19,687 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,553 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,626 | CurrentTaxYearAmt |
| Total | $58,866 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $19,687 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,553 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,626 | CurrentTaxYearAmt |
| Total | $58,866 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,283 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,263 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $683,845 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $426,909 | CurrentTaxYearAmt |
| Total | $1,249,607 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,067,131 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,354,657 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,039,903 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,650,094 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,708,901 | CurrentTaxYearAmt |
| Total | $97,820,686 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98660 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99050 | PublicSupportPY509Pct |
| Investment Income CY | 0.00060 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00050 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $186,528 | InvestmentCostOrOtherBasisAmt |
| Book Value | $186,528 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $14,521,020 | InvestmentCostOrOtherBasisAmt |
| Book Value | $14,521,020 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,977,983 | InvestmentCostOrOtherBasisAmt |
| Book Value | $2,977,983 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Depreciation | $7,898,105 | DepreciationAmt |
| Book Value | -$7,898,105 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,787,426 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Financial derivatives and other financial products | |
| Closely-held equity interests | |
| Government Securities | $708,283 |
| Prestige Health Choice | $380,030 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,088,313 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc |
|---|
| Federal income taxes |
| Line of Credit |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $20,708,901 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $20,708,901 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $20,708,901 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,481,816 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $21,481,816 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $21,481,816 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | false | SubstantiationRequiredInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| Deborah George | ||
| Vice President | $156,059 | $156,059 |
| Annie R Neasman | ||
| President | $234,792 | $234,792 |
| Fatima Zafar MD | ||
| Physician | $165,300 | $165,300 |
| Gladys Dupuy | ||
| Physician | $280,000 | $280,000 |
| Ata Atogho | ||
| Physician | $207,109 | $207,109 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 595,964, Grants and allocations 0, Revenue 0 Community promotion Other |
| Form 990, Part VI, Section C, Line 18 | Provided upon written request |
| Form 990, Part VI, Section B, Line 11B | Form 990 sent email pdf with attachment to management |
| Form 990, Part VI, Section B, Line 12C | Survey questions floored at monthly and quarterly Board of Directors meetings. Internal audit team tests for compliance of policies on an ongoing basis. |