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FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS (EIN 59-2559163)
Tax period
2011-04-01 to 2012-03-31
Filed
2012-10-02
IRS object ID
201202769349300915
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-02T12:29:21-05:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN591945170EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11713 MAHAN DRIVEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592559163EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FLORIDA ASSOCIATION OF COMMUNITY HEALTHBusinessNameLine1
Business Name Line2CENTERS INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFLORNameControl
Phone8509421822Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12340 HANSEN LANEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANDREW BEHRMANName
TitlePRESIDENT & CEOTitle
Phone8509421822Phone
Date Signed2012-09-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameL THOMAS COXName
PTINP00108148PTIN
Phone8508788777Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANDREW BEHRMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12340 HANSEN LANEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1829851GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FACHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE ACCESS TO QUALITY HEALTH SERVICES BY BRINGING TOGETHER AGENCIES, LEGISLATORS AND KEY PERSONS ABLE TO AFFECT HEALTH CARE SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body42NbrVotingMembersGoverningBody
Nbr Independent Voting Members42NbrIndependentVotingMembers
Total Nbr Employees11TotalNbrEmployees
Total Nbr Volunteers42TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1013556ContributionsGrantsPriorYear
Contributions Grants Current Year1101993ContributionsGrantsCurrentYear
Program Service Revenue Prior Year696068ProgramServiceRevenuePriorYear
Program Service Revenue CY727483ProgramServiceRevenueCY
Investment Income Prior Year857InvestmentIncomePriorYear
Investment Income Current Year375InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1710481TotalRevenuePriorYear
Total Revenue Current Year1829851TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY30000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year951692SalariesEtcPriorYear
Salaries Etc Current Year1042726SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year592558OtherExpensePriorYear
Other Expenses Current Year676479OtherExpensesCurrentYear
Total Expenses Prior Year1544250TotalExpensesPriorYear
Total Expenses Current Year1749205TotalExpensesCurrentYear
Revenues Less Expenses Prior Year166231RevenuesLessExpensesPriorYear
Revenues Less Expenses CY80646RevenuesLessExpensesCY
Total Assets BOY1172742TotalAssetsBOY
Total Assets EOY1225205TotalAssetsEOY
Total Liabilities BOY608480TotalLiabilitiesBOY
Total Liabilities EOY530407TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY564262NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY694798NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE ACCESS TO QUALITY HEALTH SERVICES BY BRINGING TOGETHER AGENCIES, LEGISLATORS AND KEY PERSONS ABLE TO AFFECT HEALTH CARE SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1031239Expense
Grants30000Grants
Revenue727483Revenue
DescriptionEXEMPT PURPOSE ACCOMPLISHED THROUGH CONFERENCES, MEETINGS AND EDUCATIONAL PROGRAMS OF FLORIDA MEMBER ORGANIZATIONS AND PRIMARY CARE ADVOCACY ON MEMBERS' BEHALF.Description
Total Program Service Expense1031239TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees11NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members42NbrVotingGoverningBodyMembers
Number Independent Voting Members42NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DON PORTERFIELD CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8509421822TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12340 HANSEN LANEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
MIKE HILL
DIRECTOR1.00X000
MARIO JARDON
DIRECTOR1.00X000
ANNIE R NEASMAN
DIRECTOR1.00X000
RENEE POLLARD
DIRECTOR1.00X000
BOB LINDER
DIRECTOR1.00X000
LISA GURRI
DIRECTOR1.00X000
JACQUELINE LOBBAN-MARSAN
DIRECTOR1.00X000
RAYMOND J KAYAL
DIRECTOR1.00X000
RICK SICLARI
DIRECTOR1.00X000
LESLIE SMITH
DIRECTOR1.00X000
GAYE WILLIAMS
DIRECTOR1.00X000
STEVEN D WEINMAN
DIRECTOR1.00X000
BARBARA J SNELL
DIRECTOR1.00X000
COL BRODES HARTLEY JR RET
DIRECTOR1.00X000
DON TURNER
DIRECTOR1.00X000
JOHN TERRY MYLES
DIRECTOR1.00X000
FRANK MAZZEO
DIRECTOR1.00X000
LAURA SPENCER
DIRECTOR1.00X000
MICHAEL GERVASI
DIRECTOR1.00X000
TERESA GOODMAN
DIRECTOR1.00X000
KERRIE JONES CLARK
DIRECTOR1.00X000
CALEB DAVIS
DIRECTOR1.00X000
WALTER 'MICKEY' PRESHA
DIRECTOR1.00X000
KATHRYN ABBATE
DIRECTOR1.00X000
ELIZABETH CALLAGHAN
DIRECTOR1.00X000
JOEL MONTGOMERY
DIRECTOR1.00X000
KATHY WILKES
DIRECTOR1.00X000
GWENDOLYN WARREN
DIRECTOR1.00X000
KIM SCHUKNECHT
DIRECTOR1.00X000
VIANCA MCCLUSKEY
DIRECTOR1.00X000
MARSHA LINDEMAN
DIRECTOR1.00X000
LINDA STONE
DIRECTOR1.00X000
KATHLEEN PATNEAU
DIRECTOR1.00X000
BRAD HERREMANS
DIRECTOR1.00X000
VICKI SOULE
DIRECTOR1.00X000
ANITA RIELS
DIRECTOR1.00X000
ROSALYN FRAZIER
CHAIR1.00000X
BAKARI BURNS
VICE CHAIR1.00000X
JR RICHARDS
TREASURER1.00000X
PAT MABE
SECRETARY1.00000X
EVERETT KELLY
PARLIAMENTARIAN1.00000X
CHARLES BOTTOMS
PAST CHAIR1.00000X
ANDREW BEHRMAN
PRESIDENT/CEO50.0027538400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org275384TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants1101993GovernmentGrants
Total Contributions1101993TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBERSHIP DUES900099507525507525
CONFERENCES AND MEETIN900099212263212263
MISCELLANEOUS90009976957695
FieldValueIRS element (for citing)
Total Program Service Revenue727483TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column375TotalRevenueColumn
Exclusion$375ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1829851TotalRevenueColumn
Related Or Exempt Function Income727483RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$375ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total30000Total
Program Services30000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total281463Total
Program Services197024ProgramServices
Management And General84439ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total612024Total
Program Services420178ProgramServices
Management And General191846ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total23167Total
Program Services7493ProgramServices
Management And General15674ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total56613Total
Program Services48353ProgramServices
Management And General8260ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total69459Total
Program Services56818ProgramServices
Management And General12641ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12845Total
Program Services12845ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17395Total
Program Services8974ProgramServices
Management And General8421ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total26052Total
Management And General26052ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1875Total
Program Services1875ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5871Total
Program Services5871ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total32796Total
Program Services24863ProgramServices
Management And General7933ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23538Total
Program Services22144ProgramServices
Management And General1394ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total30220Total
Program Services15590ProgramServices
Management And General14630ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total95079Total
Program Services81866ProgramServices
Management And General13213ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total252752Total
Program Services52057ProgramServices
Management And General200695ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total23639Total
Management And General23639ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19231Total
Program Services16346ProgramServices
Management And General2885ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5138Total
Program Services5138ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
EDUCATION9850098500
EQUIPMENT RENTAL1053310533
MEMBERSHIP APPRECIATION81018101
DUES AND SUBSCRIPTIONS73157315

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5599Total
Program Services5170ProgramServices
Management And General429ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1749205Total
Program Services1031239ProgramServices
Management And General717966ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY700346BOY
EOY72550EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY512982EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY55363BOY
EOY155618EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY359EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis567714LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec120021LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY417033BOY
EOY447693EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY36003EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1172742BOY
EOY1225205EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY118590BOY
EOY134246EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY105168BOY
EOY22639EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY384722BOY
EOY373522EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY608480BOY
EOY530407EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY564262BOY
EOY694798EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY564262BOY
EOY694798EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1172742BOY
EOY1225205EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses80646ReconcilationRevenueExpenses
Reconcilation Other Changes49890ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1256848CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1664622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1133801CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1013556CurrentTaxYearMinus1Year
Current Tax Year1101993CurrentTaxYear
Total6170820Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1256848CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1664622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1133801CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1013556CurrentTaxYearMinus1Year
Current Tax Year1101993CurrentTaxYear
Total6170820Total
FieldValueIRS element (for citing)
Public Support Total1706170820PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6462CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2484CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1090CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year857CurrentTaxYearMinus1Year
Current Tax Year375CurrentTaxYear
Total11268Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5121CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8944CurrentTaxYearMinus1Year
Current Tax Year7695CurrentTaxYear
Total39437Total
FieldValueIRS element (for citing)
Total Support6221525TotalSupport
Gross Receipts From Admissions Etc2707362GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99190PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99090PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals127621FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals127621FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1621584FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1749205FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals237460FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals59365FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3225536CurrentYearMinus3
Current Year Minus2228102CurrentYearMinus2
Current Year Minus1227213CurrentYearMinus1
Current Year237460CurrentYear
Total918311Total
FieldValueIRS element (for citing)
Lobbying Ceiling$1,377,467LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus377275CurrentYearMinus3
Current Year Minus261746CurrentYearMinus2
Current Year Minus1143508CurrentYearMinus1
Current Year127621CurrentYear
Total410150Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus356384CurrentYearMinus3
Current Year Minus257026CurrentYearMinus2
Current Year Minus156803CurrentYearMinus1
Current Year59365CurrentYear
Total229578Total
FieldValueIRS element (for citing)
Grassroots Ceiling$344,367GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis49890OtherCostOrOtherBasis
Book Value49890BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis451821OtherCostOrOtherBasis
Depreciation72762Depreciation
Book Value379059BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis66003OtherCostOrOtherBasis
Depreciation47259Depreciation
Book Value18744BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings447693TotalOfBookValueLandBuildings
Total Revenue1829851TotalRevenue
Total Expenses1749205TotalExpenses
Excess Or Deficit For Year80646ExcessOrDeficitForYear
Prior Period Adjustments49890PriorPeriodAdjustments
Total Adjustments49890TotalAdjustments
Excess Or Deficit Per FS130536ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1829851TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1829851RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901829851TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1749205TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1749205ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901749205TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ASSOCIATION UTILIZES THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF MARCH 31, 2012, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. FEDERAL RETURNS ARE AVAILABLE FOR EXAMINATION BY THE INTERNAL REVENUE SERVICE GENERALLY FOR THREE YEARS AFTER FILED.
NET ASSETS AT THE END OF FISCAL 2011 HAVE BEEN ADJUSTED TO CORRECT AN ERROR MADE IN FISCAL 2011. AN ADJUSTMENT WAS MADE IN THE PRIOR YEAR TO DISPOSE OF SEVERAL ASSETS THAT WERE CONTRIBUTED TO DIFFERENT CENTERS. AN ASSET WAS INCORRECTLY DISPOSED AND ACCUMULATED DEPRECIATION WAS OVERSTATED BY THE AMOUNT OF $49,890. THE CHANGE IN UNRESTRICTED NET ASSETS FOR FISCAL 2011 REMAINS UNAFFECTED AS A RESULT OF THE PRIOR PERIOD ADJUSTMENT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
BREVARD HEALTH ALLIANCE
3661 S BABCOCK STMELBOURNEFL32901900068515501(C)(3)10000N/AHEALTH DISPARITIES COLLABORATIVE DEPARTMENT OF HEALTH DISEASE AND STROKE PREVENTION PROGRAM
PALMS MEDICAL GROUP
911 S MAIN STREETTRENTONFL32693592871302501(C)(3)10000N/AHEALTH DISPARITIES COLLABORATIVE DEPARTMENT OF HEALTH DISEASE AND STROKE PREVENTION PROGRAM
FAMILY MEDICAL & DENTAL CENTERS
1302 RIVER STREETPALATKAFL32177591792958501(C)(3)10000N/AHEALTH DISPARITIES COLLABORATIVE DEPARTMENT OF HEALTH DISEASE AND STROKE PREVENTION PROGRAM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE FLORIDA DEPARTMENT OF HEALTH AWARDED THE ASSOCIATION A GRANT FOR HEALTH DISPARITIES COLLABORATIVE DEPARTMENT OF HEALTH DISEASE & STROKE PREVENTION PROGRAM THAT WAS TO BE RE-AWARDED TO THREE QUALIFIED FEDERALLY QUALIFIED HEALTH CENTERS IN FLORIDA. THE ASSOCIATION PUT THE ANNOUNCEMENT AND APPLICATION ON ITS WEB SITE AND ALL THE CEOS WERE NOTIFIED OF THE AVAILABILITY OF THE MINI GRANTS AT A MEETING. THREE FEDERALLY QUALIFIED HEALTH CENTERS SUBMITTED THEIR APPLICATIONS AND THE ASSOCIATION AWARDED EACH $10,000.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonANDREW BEHRMANNamePerson
Base Compensation Filing Org204539BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org30000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org40845OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org275384TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationTHE ASSOCIATION PROVIDES AN APARTMENT FOR ANDREW BEHRMAN. THE RENT WAS $11,580 IN 2011.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE TAX PREPARER AND ORGANIZATION REVIEW FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 18AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:PRIOR PERIOD ADJUSTMENTS: 49,890.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990 PART XII LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT
FORM 990, PART XI, LINE 5NET ASSETS AT THE END OF FISCAL 2011 HAVE BEEN ADJUSTED TO CORRECT AN ERROR MADE IN FISCAL 2011. AN ADJUSTMENT WAS MADE IN THE PRIOR YEAR TO DISPOSE OF SEVERAL ASSETS THAT WERE CONTRIBUTED TO DIFFERENT CENTERS. AN ASSET WAS INCORRECTLY DISPOSED AND ACCUMULATED DEPRECIATION WAS OVERSTATED BY THE AMOUNT OF $49,890. THE CHANGE IN UNRESTRICTED NET ASSETS FOR FISCAL 2011 REMAINS UNAFFECTED AS A RESULT OF THE PRIOR PERIOD ADJUSTMENT.CHANGES IN NET ASSETS: PRIOR PERIOD ADJUSTMENTS