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JESSIE TRICE COMMUNITY HEALTH SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM INC (EIN 59-1235617)
Tax period
2011-02-01 to 2012-01-31
Filed
2012-12-20
IRS object ID
201203559349300000
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)
Timestamp2012-12-20T01:33:37-06:00Timestamp
Tax Period End Date2012-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1REYNOLDS MOSS LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line120801 BISCAYNE BLVD STE 403AddressLine1
CityAVENTURACity
StateFLState
ZIP Code331801423ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591235617EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JESSIE TRICE COMMUNITY HEALTHBusinessNameLine1
Business Name Line2CENTER INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlJESSNameControl
Phone3058051700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15607 NW 27TH AVENUEAddressLine1
Address Line2ROOM/SUITE 1AddressLine2
CityMIAMICity
StateFLState
ZIP Code33142ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT AGUEROName
TitleVICE PRESIDENTTitle
Phone3058051700Phone
Date Signed2012-12-19DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameGRETA K REYNOLDSName
Phone7869235975Phone
Date Prepared2012-12-20DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonROBERT AQUERONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15607 NW 27TH AVENUEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33142ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21482831GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionOPERATE HEALTHCARE CENTERS LOCATED IN METROPOLITAN MIAMI-DADE COUNTY, FLORIDA. PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICAL UNDERSEVED POPULATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees250TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year14091163ContributionsGrantsPriorYear
Contributions Grants Current Year14762758ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6955800ProgramServiceRevenuePriorYear
Program Service Revenue CY6676133ProgramServiceRevenueCY
Investment Income Prior Year20876InvestmentIncomePriorYear
Investment Income Current Year19687InvestmentIncomeCurrentYear
Other Revenue Prior Year75283OtherRevenuePriorYear
Other Revenue Current Year24253OtherRevenueCurrentYear
Total Revenue Prior Year21143122TotalRevenuePriorYear
Total Revenue Current Year21482831TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13155724SalariesEtcPriorYear
Salaries Etc Current Year13173775SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5911621OtherExpensePriorYear
Other Expenses Current Year5887375OtherExpensesCurrentYear
Total Expenses Prior Year19067345TotalExpensesPriorYear
Total Expenses Current Year19061150TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2075777RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2421681RevenuesLessExpensesCY
Total Assets BOY10905962TotalAssetsBOY
Total Assets EOY16090742TotalAssetsEOY
Total Liabilities BOY3243846TotalLiabilitiesBOY
Total Liabilities EOY5977890TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7662116NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10112852NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOPERATE HEALTHCARE CENTERS LOCATED IN METROPOLITAN MIAMI-DADE COUNTY, FLORIDA. PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICAL UNDERSEVED POPULATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11391206Expense
DescriptionMEDICAL SERVICESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense951222Expense
DescriptionDENTAL SERVICESDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1074223Expense
DescriptionHEALTH RESOURCESDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1960251Expense
DescriptionOTHER PROGRAM SERVICE EXSPENSESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1960251TotalOfOtherProgramServiceExp
Total Program Service Expense15376902TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees250NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonROBERT AQUERONamePerson
Telephone Number3058051700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15607 NW 27TH AVENUE SUITE 1AddressLine1
CityMIAMICity
StateFLState
ZIP Code33142ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
SHERWOOD DUBOSE
CHAIRPERSON2.00X000
IVETTE KLEIN
DIRECTOR2.00X000
JANICE RICKETTS
DIRECTOR2.00X000
CARLA ANTOINETTE JONES
DIRECTOR2.00X000
THAMARA LABROUSSE
DIRECTOR2.00X000
ANGEL D LIGHTFOOT
SECRETARY2.00X000
TISHRIA MINDLNGALL
DIRECTOR2.00X000
LENORA YATES
DIRECTOR2.00X000
ISABELLA ROSETTE
DIRECTOR2.00X000
PAUL ROBERTS
DIRECTOR2.00X000
DAVID WILLIAMS JR
DIRECTOR2.00X000
ROBERT L THOMAS
TREASURER2.00X000
TERRELL WEST
DIRECTOR2.00X000
TONYA SAUTIER
DIRECTOR2.00X000
IRENE TAYLOR-WOOTEN
VICE CHAIRMA2.00X000
ANNIE R NEASMAN
PRESIDENT40.0021914000X
EDWIN BOSA-OSORIO
VICE PRESIDE40.0017050000X
DEBORAH GEORGE
VICE PRESIDE40.0016050000X
ROBERT AGUERO
VICE PRESIDE40.0011950000X
BEILTA E WYATT
COO40.0010250000X
CARLOS SZAJNET MD
PHYSICAN40.0029381500X
FATIMA ZAFAR MD
PHYSICAN40.0016530000X
JUAN F ARTEAGA MD
PHYSICAN40.0014000000X
FERNANDA L MERCADE MD
PHYSCIAN40.0013650000X
QUIDA BRIDGES MD
PHYSICIAN40.0013600000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1643755TotalReportableCompFromOrg
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
IVORY CONSTRUCTION
IVORY CONSTRUCTION7712 NW 193 ROAD7712 NW 193 ROADHIALEAHFL33015GENERAL CONTRAC2742558
HEALTH CHOICE NETWORK
HEALTH CHOICE NETWORK920 SW 76TH AVENUE920 SW 76TH AVENUEMIAMIFL33144HEALTHCARE1038895
COVENTRY HEALTH CARE
COVENTRY HEATH CAREPO BOX 7807PO BOX 7807LONDONKY40742HEALTHCARE748159
HENRY SCHEIN
HENRY SCHEIN135 DURYEA ROAD135 DURYEA ROADMEIVILLENY11747MEDICAL SUPPLIE617806
QUEST DIAGNOSTICS
OUEST DIAGNOSTICS1201 NW 16TH AVENUE1201 NW 16TH AVENUEMIAMIFL33125LAB325418
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants8888205GovernmentGrants
All Other Contributions5874553AllOtherContributions
Total Contributions14762758TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGED CARE PLANDescription
Total Revenue Column6676133TotalRevenueColumn
Related Or Exempt Function Income6676133RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6676133TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19687TotalRevenueColumn
Related Or Exempt Function Income19687RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column24253TotalRevenueColumn
Related Or Exempt Function Income24253RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue24253TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21482831TotalRevenueColumn
Related Or Exempt Function Income6720073RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1403644Total
Program Services701822ProgramServices
Management And General701822ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9836743Total
Program Services8784012ProgramServices
Management And General1052731ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1933388Total
Program Services1659040ProgramServices
Management And General274348ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1624543Total
Program Services945921ProgramServices
Management And General678622ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total354201Total
Program Services354201ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total405359Total
Program Services213847ProgramServices
Management And General191512ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1136455Total
Program Services887282ProgramServices
Management And General249173ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total95612Total
Program Services25622ProgramServices
Management And General69990ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1023Total
Management And General1023ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total439086Total
Program Services350671ProgramServices
Management And General88415ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total208987Total
Program Services33065ProgramServices
Management And General175922ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES55111548073870377
REPAIRS AND MAINTENANCE43607139037145700
PROVISION FOR BAD DEBTS397252396299953
TELEPHONE23767115401183660

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19061150Total
Program Services15376902ProgramServices
Management And General3684248ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1339092BOY
EOY2722195EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY996349BOY
EOY658404EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY792116BOY
EOY771190EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY255716BOY
EOY273884EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17127009LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6496531LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4237453BOY
EOY10630478EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY962482BOY
EOY977886EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2322754BOY
EOY56705EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10905962BOY
EOY16090742EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2010630BOY
EOY1847394EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY34760BOY
EOY362495EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1197456BOY
EOY3767001EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1000BOY
EOY1000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3243846BOY
EOY5977890EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6999684BOY
EOY9435016EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY662432BOY
EOY677836EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7662116BOY
EOY10112852EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10905962BOY
EOY16090742EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2421681ReconcilationRevenueExpenses
Reconcilation Other Changes29055ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10046772CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10530415CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11042957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14182923CurrentTaxYearMinus1Year
Current Tax Year13319820CurrentTaxYear
Total59122887Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6903061CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6496491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6985867CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5095451CurrentTaxYearMinus1Year
Current Tax Year6676133CurrentTaxYear
Total32157003Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16949833CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17026906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18028824CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19278374CurrentTaxYearMinus1Year
Current Tax Year19995953CurrentTaxYear
Total91279890Total
FieldValueIRS element (for citing)
Public Support Total50991279890PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year19687CurrentTaxYear
Total19687Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year19687CurrentTaxYear
Total19687Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25567CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29067CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38307CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year76283CurrentTaxYearMinus1Year
Current Tax Year24263CurrentTaxYear
Total193487Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16975400CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17055973CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18067131CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19354657CurrentTaxYearMinus1Year
Current Tax Year20039903CurrentTaxYear
Total91493064Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99770PublicSupportPercentage509
Prior Year Support Percentage0.99700PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis186528InvestmentCostOrOtherBasis
Book Value186528BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis14431263InvestmentCostOrOtherBasis
Other Cost Or Other Basis17127009OtherCostOrOtherBasis
Depreciation6496531Depreciation
Book Value14431263BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2509218InvestmentCostOrOtherBasis
Book Value2509218BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value-6496531BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10630478TotalOfBookValueLandBuildings
Total Of Book Value Securities977886TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOTHER LIABILITIESDescription
Amount$1,000Amount
FieldValueIRS element (for citing)
Total Of Amounts1000TotalOfAmounts
Total Revenue21482831TotalRevenue
Total Expenses19061150TotalExpenses
Excess Or Deficit For Year2421681ExcessOrDeficitForYear
Excess Or Deficit Per FS2421681ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21511886TotRevenueEtcAuditedFinclStmt
Recoveries Of Prior Year Grants29055RecoveriesOfPriorYearGrants
Revenue Not Rptd F99029055RevenueNotRptdF990
Revenue Subtotal21482831RevenueSubtotal
Total Revenue Per Form99021482831TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19061150TotExpensesEtcAuditedFinclStmt
Expenses Subtotal19061150ExpensesSubtotal
Total Expenses Per Form99019061150TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
ANNIE R NEASMAN
219140219140
EDWIN BOSA-OSORIO
170500170500
DEBORAH GEORGE
160500160500
CARLOS SZAJNET MD
293815293815
FATIMA ZAFAR MD
165300165300

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DOTHER PROGRAM SERVICE EXSPENSES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5FORM 990, PART III, LINE 4D: PROGRAM SERVICE EXPENSES: 1,540,667, GRANTS AND ALLOCATIONS:0, REVENUE:0 REHABILITATIVE AND SUBSTANCE ABUSE SERVICES FORM 990, PART III, LINE 4D: PROGRAM SERVICE EXPENSES: 419,579, GRANTS AND ALLOCATIONS: 0 REVENUE: 0 COMMUNITY PROMOTIONS FORM 990 PART XI LINE 5 ADJUSTMENT FOR IN-KIND SERVICES AND SUPPLIES FORM 990 PART VI SECTION C LINE 18 PROVIDED UPON RECEIVING REQUEST FORM 990 PART VI SECTION B LINE 11B FORM 990 SENT VIA EMAIL PDF WITH ATTACHMENT. FORM 990 PART VI SECTION B LINE 12C SURVERY QUESTIONS FLOORED AT MONTHLY AND QUARTERLY BOD MEETINGS