ALLIANCE HEALTH SERVICES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ALLIANCE HEALTH SERVICES INC (EIN 62-0841121)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-09-24
- IRS object ID
- 201442679349300719
- Schema version
- 2013v3.0
- 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 | 2014-09-24T12:33:40-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620841121 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALLIANCE HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALLI | BusinessNameControlTxt |
| Phone | 9013808000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6400 SHELBY VIEW DRIVE NO 101 | AddressLine1 |
| City | MEMPHIS | City |
| State | TN | State |
| ZIP Code | 38134 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER MCLEAN | PersonNm |
| Person Title | CFO / TREASURER | PersonTitleTxt |
| Phone | 9013808000 | PhoneNum |
| Signature | 2014-09-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MITCH GRAVES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6400 SHELBY VIEW DRIVE NO 101 | AddressLine1 |
| City | MEMPHIS | City |
| State | TN | State |
| ZIP Code | 38134 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,947,267 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.METHODISTHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | ALLIANCE HEALTH SERVICES, INC. ("AHS") COMPLIES WITH METHODIST LE BONHEUR HEALTHCARE STANDARDS TO PROVIDE SAFE AND EFFECTIVE TREATMENT, INCLUDING THE PERSONNEL, EQUIPMENT, SUPPLIES AND MEDICATIONS TO PATIENTS IN THEIR HOME OR HOSPICE RESIDENCE RATHER THAN THE HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 313 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $250,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $570,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,251,879 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,320,089 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$7,509 | PYInvestmentIncomeAmt |
| CY Investment Income | -$36,281 | CYInvestmentIncomeAmt |
| PY Other Revenue | $68,318 | PYOtherRevenueAmt |
| CY Other Revenue | $57,178 | CYOtherRevenueAmt |
| PY Total Revenue | $24,562,688 | PYTotalRevenueAmt |
| CY Total Revenue | $24,910,986 | 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 | $14,338,931 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,134,648 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,912,748 | PYOtherExpensesAmt |
| CY Other Expenses | $9,297,074 | CYOtherExpensesAmt |
| PY Total Expenses | $23,251,679 | PYTotalExpensesAmt |
| CY Total Expenses | $24,431,722 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,311,009 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $479,264 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,522,581 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,387,971 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,197,318 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,090,237 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,325,263 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,297,734 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION STATEMENT OF METHODIST LE BONHEUR HEALTHCARE AND ITS RELATED COMPANIES IS THE FOLLOWING: METHODIST LE BONHEUR HEALTHCARE, IN PARTNERSHIP WITH ITS MEDICAL STAFFS, WILL COLLABORATE WITH PATIENTS AND THEIR FAMILIES TO BE THE LEADER IN PROVIDING HIGH QUALITY, COST-EFFECTIVE PATIENT-AND FAMILY-CENTERED CARE. SERVICES WILL BE PROVIDED IN A MANNER WHICH SUPPORTS THE HEALTH MINISTRIES AND SOCIAL PRINCIPLES OF THE UNITED METHODIST CHURCH TO BENEFIT THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,474,164 | ExpenseAmt |
| Revenue | $21,028,726 | RevenueAmt |
| Desc | ALLIANCE HEALTH SERVICES IS A SUBSIDIARY OF THE METHODIST LE BONHEUR HEALTHCARE SYSTEM AND DEMONSTRATES COMMUNITY BENEFIT BY PARTICIPATING IN A VARIETY OF ACTIVITIES THROUGHOUT THE YEAR. ALLIANCE HEALTH SERVICES ENCOMPASSES HOME HEALTH, HOME MEDICAL EQUIPMENT, AND HOSPICE.PLEASE SEE OUR EXTENDED STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,945,115 | ExpenseAmt |
| Revenue | $3,291,363 | RevenueAmt |
| Desc | OUR LARGEST COMMUNITY INITIATIVE IS THE OPERATION OF A HOSPICE RESIDENCE. A FREE-STANDING HOSPICE RESIDENCE WITH 30-BEDS ON SIX ACRES WAS OPENED IN JUNE 2011 AS PART OF ALLIANCE HEALTH SERVICES, INC. SINCE 1979, METHODIST HOSPICE HAS PROVIDED COMPASSIONATE CARE AND SUPPORT TO INDIVIDUALS AND THEIR FAMILIES WHO ARE FACING LIFE'S FINAL JOURNEY. AS ONE OF THE FIRST HOSPICES IN THE COUNTRY TO RECEIVE MEDICARE CERTIFICATION, METHODIST HOSPICE WORKS TO HELP EASE THE END-OF-LIFE TRANSITION FOR OVER 150 FAMILIES IN THE MID-SOUTH EVERY DAY. WE'VE BUILT A PLACE-- A HOME, SO FULL OF LIGHT, LOVE AND COMPASSION THAT IT SPILLS OUTSIDE AND TOUCHES EVERYTHING THAT SURROUNDS IT. IT IS A PLACE LIKE HOME FOR THOSE WITH A SHORT TIME TO LIVE AND A PLACE FOR FAMILIES AND FRIENDS TO SHARE IN THE LAST DAYS OF A LOVED ONES LIFE. OUR RESIDENCE REPRESENTS THE VERY BEST CARE AT THE END OF LIFE--THE VERY BEST OF US AS HUMAN BEINGS. IT IS OUR WORK MADE REAL AND VISIBLE.THERE MAY COME A TIME WHEN THE CARE OF THE PATIENT IS TOO DIFFICULT TO MANAGE IN THE HOME, OR THE PATIENT HAS NO HOME TO GO TO - THAT IS WHERE THE METHODIST HOSPICE RESIDENCE CAN HELP. BUILT TO FUNCTION AS A HOSPITAL, WITH THE LOOK AND FEEL OF A HOME, THE RESIDENCE CAN MEET MOST PATIENTS' NEEDS WHEN CARE IN THE HOME IS NO LONGER POSSIBLE. OUR RESIDENCE INCLUDES THESE UNIQUE FEATURES: - COMFORTS FROM HOME ARE ENCOURAGED: PHOTOS, BEDDING, PERSONAL MEMENTOS, ETC. - BEDS MAY BE WHEELED OUTSIDE TO THE GARDEN - VIEWS OF THE WALKING PATHS AND GARDENS ABOUND FOR THOSE WHO CANNOT GO OUTSIDE - 30 BEDROOMS, FIVE OF WHICH ARE EQUIPPED TO CARE FOR INFANTS AND CHILDREN - PRIVATE BATHS AND COMFORTABLE SURROUNDINGS IN EACH BEDROOM - 24-HOUR OPEN ACCESS FOR FAMILY, FRIENDS AND PETS TO VISITTHE METHODIST HOSPICE RESIDENCE MAKES IT POSSIBLE TO PROVIDE A PLACE WHERE PATIENTS CAN EMBRACE LIFE TO THE FULLEST AND HAVE THE DIGNITY THEY DESERVE DURING THEIR FINAL STAGE OF LIFE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $19,419,279 | 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 |
| Temp Or Permanent Endowments | 0 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 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 | 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 | 313 | 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 | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | TN | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUE WAUGH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9015160656 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1211 UNION AVENUE SUITE 600 | AddressLine1 |
| City | MEMPHIS | City |
| State | TN | State |
| ZIP Code | 38104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GARY SHORB | ||||||||
| CHAIRMAN / CEO | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $1,501,939 | $654,286 | |
| CHRISTOPHER MCLEAN | ||||||||
| TREASURER | 2.00 | 48.00 | Yes (X) | Yes (X) | $0 | $1,045,559 | $170,882 | |
| NIKKI POLIS | ||||||||
| BOARD MEMBER | 2.00 | 48.00 | Yes (X) | $0 | $296,561 | $66,424 | ||
| THOMAS BRABYN | ||||||||
| SECRETARY | 2.00 | 38.00 | Yes (X) | $0 | $132,727 | $36,753 | ||
| JOHN MITCH GRAVES | ||||||||
| PRESIDENT | 48.00 | 2.00 | Yes (X) | $400,048 | $0 | $103,585 | ||
| SALLY ALDRICH | ||||||||
| DIRECTOR | 40.00 | $160,029 | $0 | $44,476 | Yes (X) | |||
| TALEKA PERRY | ||||||||
| DIRECTOR | 40.00 | $106,011 | $0 | $18,389 | Yes (X) | |||
| DOUGLAS STOVER | ||||||||
| DIRECTOR | 40.00 | $134,297 | $0 | $28,178 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $800,385 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,976,786 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,122,973 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ENCLARA HEALTH LLC | |||||
| PO BOX 105328 | ATLANTA | GA | 30348 | PHARMACY SERVICES | $408,895 |
| RICHARD KELLEY MYERS MD | |||||
| 70 RIVER HEIGHTS DR APT 304 | MEMPHIS | TN | 381036970 | PHYSICIAN SERVICES | $402,895 |
| HOSPITAL HOUSEKEEPING SYSTEMS LLC | |||||
| PO BOX 826 | SAN ANTONIO | TX | 78293 | CLEANING SERVICES | $277,472 |
| JOSEPH L WEEMS MD | |||||
| 261 BELLE MEADE LN | MEMPHIS | TN | 38117 | PHYSICIAN SERVICES | $149,053 |
| FERESHTEH VIDA ZARE MD | |||||
| 2116 BLACK OAK DRIVE | MEMPHIS | TN | 38119 | PHYSICIAN SERVICES | $125,793 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $570,000 | RelatedOrganizationsAmt |
| Total Contributions | $570,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET HOME CARE, HEALTH | 621610 | $20,982,149 | $20,982,149 |
| NET HOSPICE HOUSE | 623000 | $3,291,363 | $3,291,363 |
| RECOVERIES OF BAD DEBTS | 900099 | $46,577 | $46,577 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,320,089 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $36,281 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$36,281 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$36,281 | TotalRevenueColumnAmt |
| Exclusion | -$36,281 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER MISCELLANEOUS | 900099 | $57,091 | $57,091 |
| VENDING REVENUE | 900099 | $87 | $87 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $57,178 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,910,986 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,320,089 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,897 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,633 | TotalAmt |
| Management And General | $503,633 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,227,803 | TotalAmt |
| Program Services | $8,791,206 | ProgramServicesAmt |
| Management And General | $2,436,597 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,571 | TotalAmt |
| Program Services | $1,045,571 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,395 | TotalAmt |
| Program Services | $646,031 | ProgramServicesAmt |
| Management And General | $851,364 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,246 | TotalAmt |
| Program Services | $859,406 | ProgramServicesAmt |
| Management And General | $840 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,186 | TotalAmt |
| Management And General | $5,186 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,898,393 | TotalAmt |
| Program Services | $1,541,158 | ProgramServicesAmt |
| Management And General | $357,235 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860 | TotalAmt |
| Program Services | $860 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,212,330 | TotalAmt |
| Program Services | $4,987,736 | ProgramServicesAmt |
| Management And General | $224,594 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,709 | TotalAmt |
| Program Services | $37,584 | ProgramServicesAmt |
| Management And General | $88,125 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $636,859 | TotalAmt |
| Program Services | $313,813 | ProgramServicesAmt |
| Management And General | $323,046 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,324 | TotalAmt |
| Program Services | $507,461 | ProgramServicesAmt |
| Management And General | $37,863 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,141 | TotalAmt |
| Program Services | $662,253 | ProgramServicesAmt |
| Management And General | $112,888 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,934 | TotalAmt |
| Program Services | $17,557 | ProgramServicesAmt |
| Management And General | $41,377 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS EXPENSES | Desc |
| Total | $38,338 | TotalAmt |
| Program Services | $8,643 | ProgramServicesAmt |
| Management And General | $29,695 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,431,722 | TotalAmt |
| Program Services | $19,419,279 | ProgramServicesAmt |
| Management And General | $5,012,443 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$14,730 | BOYAmt |
| EOY | $46,740 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,315,765 | BOYAmt |
| EOY | $3,771,877 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,161,541 | BOYAmt |
| EOY | $2,963,735 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,065 | BOYAmt |
| EOY | $48,561 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,211,129 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,722,056 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,870,547 | BOYAmt |
| EOY | $8,489,073 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,393 | BOYAmt |
| EOY | $67,985 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,522,581 | BOYAmt |
| EOY | $15,387,971 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,987,928 | BOYAmt |
| EOY | $2,047,481 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,390 | BOYAmt |
| EOY | $42,756 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,197,318 | BOYAmt |
| EOY | $2,090,237 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,325,263 | BOYAmt |
| EOY | $13,297,734 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,325,263 | BOYAmt |
| EOY | $13,297,734 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,522,581 | BOYAmt |
| EOY | $15,387,971 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $479,264 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $493,207 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $4,932,984 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $237,410 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $250,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $570,000 | CurrentTaxYearAmt |
| Total | $5,990,394 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,059,614 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,453,941 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,520,467 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,251,879 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,320,089 | CurrentTaxYearAmt |
| Total | $117,605,990 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,059,614 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,386,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,757,877 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,501,879 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,890,089 | CurrentTaxYearAmt |
| Total | $123,596,384 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $123,596,384 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | -$7,509 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$36,281 | CurrentTaxYearAmt |
| Total | -$43,790 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | -$7,509 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$36,281 | CurrentTaxYearAmt |
| Total | -$43,790 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $82,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $147,823 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $68,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $57,178 | CurrentTaxYearAmt |
| Total | $355,682 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,059,614 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,469,288 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,905,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,562,688 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,910,986 | CurrentTaxYearAmt |
| Total | $123,908,276 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99750 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99770 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| 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 | $549,587 | OtherCostOrOtherBasisAmt |
| Book Value | $549,587 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,678,513 | OtherCostOrOtherBasisAmt |
| Depreciation | $666,478 | DepreciationAmt |
| Book Value | $4,012,035 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,399,080 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,054,356 | DepreciationAmt |
| Book Value | $344,724 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,560,356 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,001,222 | DepreciationAmt |
| Book Value | $3,559,134 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,593 | OtherCostOrOtherBasisAmt |
| Book Value | $23,593 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,489,073 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $42,756 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,756 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $25,404,193 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $493,207 | OtherRevenueAmt |
| Revenue Not Reported | $493,207 | RevenueNotReportedAmt |
| Revenue Subtotal | $24,910,986 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $24,910,986 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $24,431,722 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $24,431,722 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $24,431,722 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION CONSOLIDATES ITS AUDIT WITH ITS CORPORATE PARENT AND OTHER SUBSIDIARIES OF THE PARENT. THE FOLLOWING STATEMENT REFLECTS THE FIN 48 FOOTNOTE OF THE CONSOLIDATED GROUP. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE SYSTEM AND ALL OF THE NONPROFIT AFFILIATES FOR WHICH THE SYSTEM OR ITS BOARD OF DIRECTORS IS CONTROLLING MEMBER ARE EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). AS QUALIFIED TAX-EXEMPT ORGANIZATIONS, THE SYSTEM'S NONPROFIT AFFILIATES MUST OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THEIR TAX-EXEMPT STATUS. INCOME TAX FROM THE OPERATIONS OF THE SYSTEM'S WHOLLY OWNED FOR-PROFIT SUBSIDIARY, AMBULATORY OPERATIONS, INC., AND ITS SUBSIDIARIES IS NOT SIGNIFICANT. THE SYSTEM APPLIES FASB ASC TOPIC 740 (TOPIC 740), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. TOPIC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | EQUITY TRANSFERS FROM AFFILIATES 493,207. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GARY SHORB | ||||||||||||||
| CHAIRMAN / CEO | $0 | $853,222 | $0 | $396,923 | $0 | $251,794 | $0 | $635,294 | $0 | $18,992 | $0 | $2,156,225 | $0 | $349,043 |
| CHRISTOPHER MCLEAN | ||||||||||||||
| TREASURER | $0 | $322,715 | $0 | $398,719 | $0 | $324,125 | $0 | $147,479 | $0 | $23,403 | $0 | $1,216,441 | $0 | $147,610 |
| NIKKI POLIS | ||||||||||||||
| BOARD MEMBER | $0 | $242,920 | $0 | $49,817 | $0 | $3,824 | $0 | $59,124 | $0 | $7,300 | $0 | $362,985 | $0 | $0 |
| THOMAS BRABYN | ||||||||||||||
| SECRETARY | $0 | $123,307 | $0 | $9,420 | $0 | $0 | $0 | $13,113 | $0 | $23,640 | $0 | $169,480 | $0 | $0 |
| JOHN MITCH GRAVES | ||||||||||||||
| PRESIDENT | $290,136 | $0 | $53,073 | $0 | $56,839 | $0 | $83,011 | $0 | $20,574 | $0 | $503,633 | $0 | $43,083 | $0 |
| SALLY ALDRICH | ||||||||||||||
| DIRECTOR | $144,899 | $0 | $9,438 | $0 | $5,692 | $0 | $22,021 | $0 | $22,455 | $0 | $204,505 | $0 | $0 | $0 |
| DOUGLAS STOVER | ||||||||||||||
| DIRECTOR | $123,424 | $0 | $8,873 | $0 | $2,000 | $0 | $21,711 | $0 | $6,467 | $0 | $162,475 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | PART I, LINE 3: THE BOARD OF METHODIST LE BONHEUR HEALTHCARE, A RELATED ORGANIZATION AND CORPORATE OVERSIGHT ENTITY, CONDUCTS THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR ITS OFFICERS AND KEY EMPLOYEES: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY / SURVEY - APPROVAL BY THE BOARD / COMPENSATION COMMITTEE |
| PART I, LINE 4B | THE PURPOSE OF THE METHODIST LE BONHEUR HEALTHCARE CONSOLIDATED EXECUTIVE DEFERRED COMPENSATION PLAN IS TO PROVIDE RETIREMENT BENEFITS FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES IN ADDITION TO THE BENEFITS PROVIDED THROUGH THE OTHER RETIREMENT PLANS THAT ARE SPONSORED BY THE COMPANY. IT IS INTENDED THAT THIS PLAN COMPLY WITH INTERNAL REVENUE CODE SECTION 457(F) AND QUALIFY FOR THE SHORT TERM DEFERRAL EXCEPTION TO CODE SECTION 409A. UNDER THE PLAN, CORPORATE EXECUTIVES AT OR ABOVE THE VICE PRESIDENT LEVEL ARE ELIGIBLE TO RECEIVE EXECUTIVE DEFERRED COMPENSATION CREDITS DEPENDING ON THEIR POSITION CLASSIFICATION [6%,8%,10%,12% OF BASE SALARY]. EACH PLAN YEAR, THE EXECUTIVE MUST ELECT A DEFERRED VESTING DATE TO BE APPLIED TO THE DEFERRED COMPENSATION CREDIT THAT WILL BE EARNED IN THAT PLAN YEAR. THE DEFERRED VESTING DATE IS SUBJECT TO A VESTING SCHEDULE THAT REQUIRES A MINIMUM DEFERRAL OF 5 YEARS TO BECOME VESTED. UPON REACHING AGE 55, THE MINIMUM DEFERRAL IS REDUCED TO 3 YRS. UPON REACHING AGE 60, THE MINIMUM DEFERRAL IS REDUCED TO 2 YRS. AT AGE 64, A CASH EQUIVALENT IS PROVIDED TO THE EXECUTIVE AND NO ADDITIONAL DEFERRALS ARE MADE UNDER THIS PLAN. THE PLAN IS UNFUNDED WITH ALL BENEFITS PAID FROM THE COMPANY'S GENERAL ASSETS. HOWEVER, THE EXECUTIVE IS ALLOWED TO DIRECT THE INVESTMENTS OF HIS DEFERRED COMPENSATION CREDIT IN A MENU OF INVESTMENT ALTERNATIVES MADE AVAILABLE BY THE COMPANY. UPON VESTING, A DISTRIBUTION IS PROVIDED LESS APPLICABLE TAX. IN THE CASE OF A VOLUNTARY TERMINATION OF EMPLOYMENT BY THE EXECUTIVE OR INVOLUNTARY TERMINATION OF EMPLOYMENT FOR CAUSE BY THE COMPANY, THE NON-VESTED FUNDS ARE FORFEITED. ACCELERATED VESTING (100%) IS ALLOWED UPON DEATH, DISABILITY OR AN INVOLUNTARY TERMINATION BY THE COMPANY WITHOUT CAUSE. ALLOCATIONS TO THE PLAN FROM THE ORGANIZATION FOR 2013 INCLUDE THE FOLLOWING: JOHN "MITCH" GRAVES - 36,933 ALLOCATIONS TO THE PLAN FROM RELATED ORGANIZATIONS FOR 2013 INCLUDE THE FOLLOWING: GARY SHORB - $ 99,428 CHRISTOPHER MCLEAN - 63,438 NIKKI POLIS - 29,298 |
| PART I, LINE 7 | THE MANAGEMENT INCENTIVE PLAN INTENDS TO REWARD MANAGEMENT FOR THE ACHIEVEMENT OF PERFORMANCE AGAINST A PRE-ESTABLISHED SET OF BALANCED AND CHALLENGING GOALS. THE PLAN ALSO INCLUDES A PROVISION THAT DEFERS VESTING OF A PORTION OF THE AWARD SUBJECT TO CONTINUED EMPLOYMENT (WITH A SUBSTANTIAL RISK OF FORFEITURE) TO ENCOURAGE RETENTION OF EXECUTIVES. THIS PLAN IS REVIEWED BY AN EXTERNAL THIRD-PARTY CONSULTANT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | THE ORGANIZATION HOSTS AN ANNUAL HOSPICE CELEBRATION OF LIFE, A SPECIAL SERVICE TO REMEMBER LOVED ONES WHO WERE IN OUR HOSPICE PROGRAM AND PASSED AWAY. CAMP BRAVEHEARTS, A FREE FAMILY GRIEF CAMP, IS OFFERED ANNUALLY TO HELP CHILDREN AND THEIR FAMILIES WHO HAVE LOST A LOVED ONE UNDERSTAND AND PROCESS GRIEF. THROUGH GAMES, MUSIC, AND ART, TRAINED PROFESSIONALS AND VOLUNTEERS HELP PARTICIPANTS EXPLORE THEIR EMOTIONS, THOUGHTS, AND QUESTIONS INVOLVING GRIEF AND WALK BESIDE THEM AS THEY TAKE THEIR FIRST STEPS IN THE HEALING PROCESS. ADDITIONALLY, ALLIANCE STAFF PARTICIPATED IN NUMEROUS HEALTH FAIRS THROUGHOUT THE COMMUNITY: UNIVERSITY PLACE, LEWIS SENIOR CITIZENS' CENTER, METHODIST SOUTH HOSPITAL, METHODIST FAYETTE HOSPITAL, METHODIST NORTH HOSPITAL, IMPACT BAPTIST CHURCH, LUTHERAN VILLAGE, JEWISH COMMUNITY CENTER, HORSESHOE CASINO, ROADHOUSE CASINO, GRAINGER, FUTURE ELECTRONICS, HOLLYWOOD CASINO, NIKE, FEDEX RETIREES, AND TATE COUNTY. SPEAKERS WERE PROVIDED TO A VARIETY OF CHURCHES AND SPECIAL PROGRAMS THROUGHOUT THE COMMUNITY, AS WELL AS A SLEEP DISORDER PROGRAM AND A HOSPICE SERIES ON THE LOCAL LIBRARY'S TELEVISION CHANNEL. |
| FORM 990, PART VI, SECTION A, LINE 6 | ALLIANCE HEALTH SERVICES, INC. IS A SUBSIDIARY OF METHODIST LE BONHEUR HEALTHCARE (MLH, 58-1454711),THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE MEMBER OF THE ORGANIZATION, METHODIST LE BONHEUR HEALTHCARE ELECTS ALL MEMBERS OF THE GOVERNING BODY FOR ALLIANCE HEALTH SERVICES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER SHALL, FROM TIME TO TIME, ADOPT AND PROMULGATE SUCH AMENDMENTS, AS IT SHALL DEEM APPROPRIATE TO THE BYLAWS AND TO THE GENERAL POLICIES AND GUIDELINES OF THE CORPORATION, ALL OF WHICH SHALL BE CONSISTENT WITH THE PURPOSES OF THE CORPORATION. UPON REQUEST BY THE BOARD OF DIRECTORS AND AT SUCH OTHER TIMES AS THE MEMBER MAY SELECT, THE MEMBER SHALL REVIEW THE AFFAIRS OF THE CORPORATION AND TAKE SUCH ACTION AS IT MAY DEEM APPROPRIATE IN ACCORDANCE WITH THE BYLAWS. THE FOLLOWING ITEMS, AFTER BEING REVIEWED AND ADOPTED BY THE BOARD OF DIRECTORS, SHALL BE SUBMITTED TO THE MEMBER FOR APPROVAL: - IN THE LAST MONTH OF EACH FISCAL YEAR, A LONG RANGE PLAN, ONE (1) YEAR CAPITAL IMPROVEMENT PLAN, AND A ONE (1) YEAR OPERATING BUDGET OF THE CORPORATION'S ENSUING FISCAL YEAR, AND, THEREAFTER, ANY ACTION WHICH WILL RESULT IN A SUBSTANTIAL CHANGE IN THE EXPENDITURES OR REVENUE FORECAST IN ANY SUCH PLANS OR BUDGETS; - ANY CREATION, OR SUBSTANTIVE AMENDMENT OR A CONTRACT, LEASE OR OTHER AGREEMENT OF WHICH THE CORPORATION IS A PARTY WHICH INVOLVES AN OBLIGATION, OR A POTENTIAL OBLIGATION, ON THE PART OF THE CORPORATION IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000), UNLESS SUCH TRANSACTION HAS BEEN PREVIOUSLY APPROVED WITHIN THE CAPITAL OR OPERATING BUDGETS; - ANY SALE, EXCHANGE, GIFT, MORTGAGE, OPTION, LEASE WITH A TERM IN EXCESS OF ONE YEAR, OR OTHER DISPOSITION OF ANY REAL PROPERTY (INCLUDING IMPROVEMENTS THEREON) OR INTEREST THEREIN OWNED BY THE CORPORATION, OR ANY OTHER ASSET OR ASSETS OWNED BY THE CORPORATION WITH A VALUE IN EXCESS OF FIVE HUNDRED THOUSAND DOLLARS ($500,000) EXCEPT WITH RESPECT TO TRANSACTIONS SPECIFIED AND PREVIOUSLY APPROVED WITHIN THE CAPITAL OR OPERATING BUDGETS; - ANY APPLICATION FOR A GOVERNMENT GRANT; - ANY AMENDMENT OR RESTATEMENT OF THE CORPORATE CHARTER OR ANY PLAN OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; - ANY INDEMNIFICATION OF PERSONS BY THE CORPORATION EXCEPT AS SPECIFIED IN THE BYLAWS; - ANY ACTION OR INACTION AT VARIANCE WITH THE STATED POLICIES OF THE CORPORATION WHICH POLICIES HAVE BEEN APPROVED BY THE MEMBER; AND - ANY OTHER MATTERS AS MAY BE REQUIRED BY LAW TO BE SUBMITTED TO THE MEMBER OF A NOT-FOR-PROFIT CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH INPUT FROM HUMAN RESOURCES, LEGAL, COMPLIANCE, AND FINANCE DEPARTMENTS AND EXTERNAL FINANCIAL CONSULTANTS. FINANCIAL INFORMATION IS RECONCILED TO AUDITED FINANCIAL STATEMENTS AS APPROPRIATE. THE INFORMATION TO BE DISCLOSED REGARDING COMPENSATION IS REVIEWED WITH THE COMPENSATION COMMITTEE OF THE BOARD. THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF MLH AND MANAGEMENT OF THE ORGANIZATION AS APPROPRIATE. A COPY OF THE RETURN IS PROVIDED TO EACH BOARD MEMBER VIA E-MAIL PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | METHODIST LE BONEHUR HEALTHCARE, THE PARENT ORGANIZATION, EMPLOYS A COMPLIANCE OFFICER WHO MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY FOR ALL VOTING BOARD MEMBERS AND APPLICABLE OFFICERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE BOARD OF DIRECTORS OF METHODIST LE BONHEUR HEALTHCARE, THE PARENT ORGANIZATION. AN EXTERNAL INDEPENDENT CONSULTANT ADVISES THE BOARD COMPENSATION COMMITTEE ON EXECUTIVE SALARY AND INCENTIVE COMPENSATION. BENEFITS ARE PERIODICALLY BENCHMARKED BY A SEPARATE EXTERNAL CONSULTANT AND ANY CHANGES ARE APPROVED BY THE BOARD OF DIRECTORS COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS AND IS A SUBGROUP OF THE FULL BOARD OF DIRECTORS. THE COMPENSATION CONSULTANT ANNUALLY DEVELOPS TOTAL CASH COMPENSATION COMPARISONS OF PEER NON-PROFIT SYSTEMS ESTABLISHED BY THE COMPENSATION COMMITTEE. THE COMPENSATION CONSULTANT INTERPRETS THE INFORMATION AND PROVIDES AN OPINION OF REASONABLENESS ON THE TOTAL CASH COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE APPROVES ANY CHANGES TO THE COMPENSATION AND EXECUTIVE BENEFIT STRUCTURE OF THE CEO AND OTHER TOP EXECUTIVES, OTHERWISE KNOWN AS DISQUALIFIED CANDIDATES. ALL OTHER COMPENSATION DECISIONS ARE DETERMINED BY ARRANGEMENT AS DELEGATED BY THE BOARD OF DIRECTORS. THE COMMITTEE DOCUMENTS ALL DETERMINATIONS. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT OUR WEBSITE IN THE "ABOUT US" SECTION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AUDITED IN A CONSOLIDATION WITH ITS CORPORATE PARENT, METHODIST LE BONHEUR HEALTHCARE, AND RELATED SUBSIDIARIES. INFORMATION ON FINANCIAL STATEMENTS IS AVAILABLE BY CONTACTING THE ORGANIZATION'S CORPORATE OFFICE. PLEASE SEE FORM 990, PART VI, LINE 20 FOR DETAILS. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS FOR ALL AFFILIATES OF METHODIST LE BONHEUR HEALTHCARE ARE ALSO AVAILABLE BY REQUEST. |
| PART VI, SECTION A, LINE 1B: INDEPENDENCE OF BOARD: | ALLIANCE HEALTH SERVICES IS A SUBSIDIARY OF METHODIST LE BONHEUR HEALTHCARE (MLH, 58-1454711), WHICH SERVES AS THE MEMBER OF THE ORGANIZATION. THE BOARD OF ALLIANCE HEALTH SERVICES FAILS TO MEET THE DEFINITION OF INDEPENDENCE FOR THE PURPOSE OF THE FORM 990 DUE TO THE FACT THAT ALL OF THE DIRECTORS ARE COMPENSATED BY MLH. THE BOARD OF MLH HAS A MAJORITY OF INDEPENDENT DIRECTORS AND THROUGH ITS MEMBERSHIP HAS A CONSIDERABLE OVERLAP OF CONTROL WITH ALLIANCE HEALTH SERVICES AND ITS OTHER SUBSIDIARIES. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM AFFILIATE 493,207. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| METHODIST LE BONHEUR HEALTHCARE | |||||||||||
| 1211 UNION AVENUE SUITE 700 | MEMPHIS | TN | 38104 | 581454711 | SUPPORTING ORGANIZATION | TN | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| METHODIST HEALTHCARE - MEMPHIS HOSPITALS | |||||||||||
| 1265 UNION AVENUE | MEMPHIS | TN | 38104 | 620479367 | HOSPITALS | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-FAYETTE HOSPITAL | |||||||||||
| 214 LAKEVIEW DRIVE | SOMERVILLE | TN | 38068 | 620862334 | HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST EXTENDED CARE HOSPITAL INC | |||||||||||
| 225 SOUTH CLAYBROOK | MEMPHIS | TN | 38104 | 621518342 | HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE PRIMARY CARE ASSOCIATES | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 582078931 | OUTPATIENT HEALTHCARE | TN | 501(C)(3) | LINE 9 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES | |||||||||||
| 6400 SHELBY VIEW SUITE 101 | MEMPHIS | TN | 38134 | 621403517 | OUTPATIENT HEALTHCARE | TN | 501(C)(3) | LINE 9 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE FOUNDATION | |||||||||||
| 1211 UNION AVENUE SUITE 450 | MEMPHIS | TN | 38104 | 237320638 | FOUNDATION | TN | 501(C)(3) | LINE 11A, I | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| LE BONHEUR CHILDREN'S HOSPITAL FOUNDATION | |||||||||||
| 850 POPLAR AVENUE BLDG 2 | MEMPHIS | TN | 38105 | 621872938 | FOUNDATION | TN | 501(C)(3) | LINE 11A, I | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| LE BONHEUR COMMUNITY HEALTH AND WELL-BEING | |||||||||||
| 50 PEABODY PLACE | MEMPHIS | TN | 38103 | 621251288 | FOUNDATION | TN | 501(C)(3) | LINE 7 | 0 | LE BONHEUR CHILDREN'S FOUNDATION | |
| METHODIST HEALTHCARE-JONESBORO HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 710499625 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-DYERSBURG HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 621155084 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE CENTRAL MS MEDICAL ASSOCIATES | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 640884720 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-JACKSON HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 640794199 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-MIDDLE MISSISSIPPI HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 657 | MEMPHIS | TN | 38104 | 640698911 | INACTIVE HOSPITAL | TN | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
| METHODIST HEALTHCARE-OLIVE BRANCH HOSPITAL | |||||||||||
| 1211 UNION AVENUE SUITE 700 | MEMPHIS | TN | 38104 | 640889822 | HOSPITAL | MS | 501(C)(3) | LINE 3 | 0 | METHODIST LE BONHEUR HEALTHCARE | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| DESOTO DIAGNOSTIC IMAGING LLC | |||||||
| 9085 SANDIDGE CTR CV | OLIVE BRANCH | MS | 38654 | 621802576 | RADIOLOGY | MS | N/A |
| NORTH SURGERY CENTER LP | |||||||
| 3960 NEW COVINGTON PIKE | MEMPHIS | TN | 38128 | 621685756 | SURGERY CENTER | TN | N/A |
| METHODIST SURGERY CENTER-GERMANTOWN LP | |||||||
| 1363 S GERMANTOWN ROAD | GERMANTOWN | TN | 38138 | 621659904 | SURGERY CENTER | TN | N/A |
| HAMILTON EYE INSTITUTE SURGERY CENTER LP | |||||||
| 930 MADISON AVE 3RD FLOOR | MEMPHIS | TN | 38103 | 202873438 | SURGERY CENTER | TN | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| AMBULATORY OPERATIONS INC | |||||||||
| 1211 UNION AVENUE SUITE 600 | MEMPHIS | TN | 38104 | 621157166 | MEDICAL SERVICES | TN | N/A | C | 0 |
| SOLUS MANAGEMENT SERVICES INC | |||||||||
| 6400 SHELBY VIEW SUITE 1010 | MEMPHIS | TN | 38134 | 621361349 | HEALTH SERVICES MANAGEMENT | TN | N/A | C | 0 |
| MEMPHIS PROFESSIONAL BUILDING INC | |||||||||
| 1211 UNION AVENUE SUITE 600 | MEMPHIS | TN | 38104 | 621847544 | INVESTMENTS | TN | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |