CAMILLUS HEALTH CONCERN INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CAMILLUS HEALTH CONCERN INC (EIN 65-0063921)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-14
- IRS object ID
- 201221359349305202
- Schema version
- 2010v3.4
- 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) |
|---|---|---|
| Timestamp | 2012-05-14T14:47:37-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1185 AVENUE OF THE AMERICAS | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100362602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650063921 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMILLUS HEALTH CONCERN INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAMI | NameControl |
| Phone | 3053741065 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 NW 5TH STREET POBOX 012408 | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33101 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RAPHAEL MIESZALA | Name |
| Title | DIRECTOR | Title |
| Phone | 3053741065 | Phone |
| Date Signed | 2012-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARTIN GREIF | Name |
| Phone | 2123721000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RAYMOND J KAYAL SR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 NW 5TH STREET POBOX 012408 | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3880502 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | CAMILLUSHOUSE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | CAMILLUS HEALTH CONCERN, INC. IS A NOT-FOR-PROFIT ORGANIZATION INCORPORATED IN THE STATE OF FLORIDA FOR THE PURPOSE OF PROVIDING READILY ACCESSIBLE PRIMARY HEALTHCARE AND RELATED SERVICES TO THE HOMELESS AND INDIGENT POPULATIONS OF MIAMI DADE COUNTY, FLORIDA. THE CENTER SERVED APPROXIMATELY 3,965 PATIENTS WHO HAD A TOTAL OF APPROXIMATELY 25,418 VISITS FOR THE YEAR ENDED 6/30/11. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 66 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3763506 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3285766 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 388257 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 418909 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 19993 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4247 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 209980 | OtherRevenuePriorYear |
| Other Revenue Current Year | 171580 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4381736 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3880502 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3199016 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2944403 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 984628 | OtherExpensePriorYear |
| Other Expenses Current Year | 968490 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4183644 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3912893 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 198092 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -32391 | RevenuesLessExpensesCY |
| Total Assets BOY | 1702087 | TotalAssetsBOY |
| Total Assets EOY | 1627719 | TotalAssetsEOY |
| Total Liabilities BOY | 339562 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 297585 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1362525 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1330134 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF CAMILLUS HEALTH CONCERN IS TO PROVIDE CHRISTIAN HOSPITALITY AND RESPECT FOR LIFE THROUGH DIRECT SERVICE OF BEHAVIORAL HEALTH AND HEALTH CARE TO PERSONS WHO ARE POOR AND HOMELESS IN SOUTH FLORIDA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1493502 | Expense |
| Revenue | 273317 | Revenue |
| Description | PRIMARY CARE SERVICES: ADULT PRIMARY HEALTH SERVICES ENCOMPASS THE FULL RANGE OF SERVICES, INCLUDING PREVENTIVE CARE, EPISODIC CARE FOR ACUTE ILLNESS, CHRONIC DISEASE MANAGEMENT, AND SPECIALTY AND SURGICAL REFERRALS AS NEEDED. PEDIATRIC PRIMARY HEALTH SERVICES INCLUDE IMMUNIZATIONS, HEALTH MAINTENANCE, DISEASE PREVENTION, AND EDUCATION. WOMEN'S PREVENTIVE HEALTH SERVICES FOCUS ON HEALTH MAINTENANCE AND PREVENTION, PROVIDING CERVICAL AND BREAST CANCER SCREENINGS. IN FY 2011, SERVICES WERE PROVIDED TO 3,491 PATIENTS FOR A TOTAL OF 13,769 VISITS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 381635 | Expense |
| Revenue | 99780 | Revenue |
| Description | MENTAL HEALTH SERVICES: MENTAL HEALTH SERVICES INCLUDE INDIVIDUAL AND GROUP COUNSELING BY PSYCHOLOGY INTERNS AND OTHER MENTAL HEALTH STAFF, AND A PSYCHIATRIC SERVICE THAT PROVIDES MEDICATION MANAGEMENT. THE MENTAL HEALTH SERVICES ARE FULLY INTEGRATED WITH THE PRIMARY HEALTH CARE AND CASE MANAGEMENT COMPONENTS OF CHC, ENSURING CONTINUITY OF CARE FOR PATIENTS. IN FY 2011, SERVICES WERE PROVIDED TO 1,020 USERS FOR A TOTAL OF 5,171 VISITS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 250341 | Expense |
| Revenue | 45251 | Revenue |
| Description | ORAL HEALTH SERVICES: ORAL HEALTH SERVICES INCLUDE PREVENTIVE AND BASIC SERVICES, INCLUDING DENTAL HYGIENE AND EDUCATION, TEMPORARY RESTORATIONS (FILLINGS), GUM TREATMENT, X-RAYS, AND EXTRACTIONS, AS WELL AS DENTURES. IN FY 2011, SERVICES WERE PROVIDED TO 861 PATIENTS FOR A TOTAL OF 2,722 VISITS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 817688 | Expense |
| Revenue | 561 | Revenue |
| Description | CASE MANAGEMENT (SOCIAL SERVICES) A FULL RANGE OF CASE MANAGEMENT SERVICES INCLUDES HOUSING PLACEMENT, EMPLOYMENT REFERRALS, SUPPORTIVE COUNSELING, AND ASSISTANCE IN ACCESSING BENEFITS.TRANSPORTATION TO FACILITATE ACCESS TO CARE, TRANSPORTATION SERVICES INCLUDES VAN TRANSPORTATION, TAXI, AND TOKENS FOR THE BUS AND METRO RAIL. PATIENT SERVICES: PATIENT SERVICES REPRESENTATIVES GUIDE PATIENTS TO EVERY STAGE OF THE PROCESS WHILE AT CHC. THEY ALSO HANDLE THE REGISTRATION PROCESS, MEDICAL RECORDS, AND PATIENT ACCOUNTS.OCCUPANCY (OCCUP): OCCUPANCY INCLUDES THE COST OF THE MAINTENANCE, SERVICE, AND UPKEEP OF THE CHC BUILDING. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 817688 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 561 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 2943166 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 66 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSE ZIRENA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3055774840 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 NW 5TH STREET | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33128 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (62 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| PAUL AHR | ||||||||
| CONSULTANT UNTIL 2/11 | 10.00 | X | 0 | 0 | 0 | |||
| ROBERT DICKINSON | ||||||||
| CHAIRMAN UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | X | ||
| ROGER CARLTON | ||||||||
| VICE CHAIRMAN UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | X | ||
| CHIP VANDENBERG | ||||||||
| TREASURER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | X | ||
| PEDRO JOSE GREER JR MD | ||||||||
| CHAIRMAN EMERITUS | 1.00 | X | 0 | 0 | 0 | X | ||
| CRYSTAL CONNOR ESQ | ||||||||
| SECRETARY UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | X | ||
| MARIA ALONSO | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| JAMES ANGLETON | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| KATE M CALLAHAN PHD | ||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | ||
| MICHAEL CARRICARTE | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| MARK S CAVALIERE | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| ALBERTO COSIO | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| PAUL DIMARE | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| MIGUEL G FARRA CPA JD | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| RENE GARCIA | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| ALAN GREER ESQ | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARY HELEN HAYDAN EDD | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| ROD A HILDEBRANT | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| RONALD KOHN CCIM | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| STEVEN MARIN | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| BROTHER RICHARD MCPHEE | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| ALFREDO MESA | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| BR RAPHAEL - MICHAEL MIESZALA BGS | ||||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | ||
| DANIEL A OSMAN MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| REP YOLLY ROBERSON | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM D TALBERT III CDME | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| MARC A WILLIAMS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| FATHER EDUARDO ALVAREZ SJ | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| MARK D BLOOM | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| CHARLIE CANOVA | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| RAY CASAS | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| JOHN W CHIDSEY | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT F COTTER | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| JOHN DUBOIS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SUE GALLAGHER | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| THEODORE GELMAN | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| JULIE GRIMES | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| EUGENIO GENE HERNANDEZ | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| EDITH HUDSON | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| JACQUELINE LARRALDE-SANCHEZ | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| RAYFIELD M MCGHEE | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| MANNY MEDINA | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| JOHN T MESTEPEY | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| ALBERT R MOLINA | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM H PARKER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| REV JEREMIAH A SINGLETON | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| LEE I WEINTRAUB ESQ | ||||||||
| BOARD MEMBER UNTIL 2/11 | 1.00 | X | 0 | 0 | 0 | |||
| MARIANO H FERNANDEZ | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| THOMAS G ABRAHAM | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MSGR GABRIEL N GHANOUM | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| FLEUR SACK MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| VINCENT J VENTO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ANA M VIAMONTE ROS MD MPH | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| HIRUT KASSAYE | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 88619 | 0 | 6327 | X | |||
| THOMAS GOLDRING | ||||||||
| DIRECTOR OF FINANCE/OPERAT | 40.00 | 75478 | 0 | 6327 | X | |||
| JOSE ZIRENA | ||||||||
| DIRECTOR OF FINANCE | 40.00 | 0 | 0 | 2109 | X | |||
| ROSENDO COLLAZO | ||||||||
| DIRECTOR OF HEALTH SERVICE | 40.00 | 190053 | 0 | 6327 | X | |||
| JAVIER HIRIART | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 129777 | 0 | 6327 | X | |||
| CARMEN DE LA TORRE | ||||||||
| DENTAL DIRECTOR | 40.00 | 121547 | 0 | 6327 | X | |||
| FRANCIS QUITO | ||||||||
| PHYSICIAN | 40.00 | 115530 | 0 | 6327 | X | |||
| EUSEBIO FERNANDEZ | ||||||||
| PSYCHIATRIST | 36.00 | 120250 | 0 | 0 | X | |||
| MERIDETH DAVIS | ||||||||
| PHYSICIAN | 40.00 | 113822 | 0 | 6327 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 955076 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 46398 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 121881 | RelatedOrganizations |
| Government Grants | 3101834 | GovernmentGrants |
| All Other Contributions | 62051 | AllOtherContributions |
| Total Contributions | 3285766 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID | 900099 | 394016 | 394016 |
| MEDICARE | 900099 | 21529 | 21529 |
| SELF PAY | 900099 | 3364 | 3364 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 418909 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4247 | TotalRevenueColumn |
| Exclusion | $4,247 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 171580 | TotalRevenueColumn |
| Exclusion | $171,580 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 171580 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3880502 | TotalRevenueColumn |
| Related Or Exempt Function Income | 418909 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $175,827 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 368462 | Total |
| Program Services | 174472 | ProgramServices |
| Management And General | 193990 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2104376 | Total |
| Program Services | 1840509 | ProgramServices |
| Management And General | 263867 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296522 | Total |
| Program Services | 249738 | ProgramServices |
| Management And General | 46784 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175043 | Total |
| Program Services | 139796 | ProgramServices |
| Management And General | 35247 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8538 | Total |
| Management And General | 8538 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28500 | Total |
| Management And General | 28500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 413977 | Total |
| Program Services | 137244 | ProgramServices |
| Management And General | 276733 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211269 | Total |
| Program Services | 197810 | ProgramServices |
| Management And General | 13459 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39262 | Total |
| Program Services | 38628 | ProgramServices |
| Management And General | 634 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17021 | Total |
| Program Services | 11686 | ProgramServices |
| Management And General | 5335 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3188 | Total |
| Program Services | 2189 | ProgramServices |
| Management And General | 999 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45935 | Total |
| Program Services | 45935 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58346 | Total |
| Program Services | 13852 | ProgramServices |
| Management And General | 44494 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| EQUIPMENT RENTAL AND MA | 66572 | 62871 | 3701 |
| MISCELLANEOUS | 44524 | 19933 | 24591 |
| DUES & SUBSCRIPTIONS | 31358 | 8503 | 22855 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3912893 | Total |
| Program Services | 2943166 | ProgramServices |
| Management And General | 969727 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500 | BOY |
| EOY | 500 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 909870 | BOY |
| EOY | 907972 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 291734 | BOY |
| EOY | 162945 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39776 | BOY |
| EOY | 31013 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154039 | BOY |
| EOY | 126257 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2139338 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1866306 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180168 | BOY |
| EOY | 273032 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126000 | BOY |
| EOY | 126000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1702087 | BOY |
| EOY | 1627719 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 287000 | BOY |
| EOY | 265596 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52562 | BOY |
| EOY | 31989 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 339562 | BOY |
| EOY | 297585 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1362525 | BOY |
| EOY | 1330134 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1362525 | BOY |
| EOY | 1330134 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1702087 | BOY |
| EOY | 1627719 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -32391 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4911015 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3332207 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3434365 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3763506 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3285766 | CurrentTaxYear |
| Total | 18726859 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4911015 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3332207 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3434365 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3763506 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3285766 | CurrentTaxYear |
| Total | 18726859 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 18726859 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38805 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20840 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21107 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19993 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4247 | CurrentTaxYear |
| Total | 104992 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21028 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14489 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 172210 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 209980 | CurrentTaxYearMinus1Year |
| Current Tax Year | 171580 | CurrentTaxYear |
| Total | 589287 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 19421138 | TotalSupport |
| Gross Receipts From Admissions Etc | 2054710 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.96430 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.96540 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE | GeneralExplanation |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: ACT REVENUE | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1205897 | OtherCostOrOtherBasis |
| Depreciation | 1153739 | Depreciation |
| Book Value | 52158 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 933441 | OtherCostOrOtherBasis |
| Depreciation | 712567 | Depreciation |
| Book Value | 220874 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 273032 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PRESTIGE HEALTH CHOICES, LLC. | Description |
| Book Value | 126000 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 126000 | TotalOfBookValueProgramRelated |
| Total Revenue | 3880502 | TotalRevenue |
| Total Expenses | 3912893 | TotalExpenses |
| Excess Or Deficit For Year | -32391 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -32391 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4197151 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 316649 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 316649 | RevenueNotRptdF990 |
| Revenue Subtotal | 3880502 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3880502 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4229542 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 316649 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 316649 | ExpensesNotRptdF990 |
| Expenses Subtotal | 3912893 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 3912893 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE CENTER RECOGNIZES THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE THAN LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AND CONCLUDED THAT THE CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. GENERALLY, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR THE YEARS BEFORE 2008, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROSENDO COLLAZO | NamePerson |
| Base Compensation Filing Org | 190053 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 8364 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 198417 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERSHIP IN THE CORPORATION SHALL AT ALL TIMES BE LIMITED TO THOSE PERSONS WHO ARE THE BROTHER GENERAL AND MEMBERS OF THE GENERAL COUNCIL OF THE LITTLE BROTHERS OF THE GOOD SHEPHERD. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS SHALL APPROVE THE APPOINTMENT OF ALL DIRECTORS. THE MEMBERS MAY REMOVE ANY DIRECTOR AT ANY TIME FOR ANY REASON WHICH THE MEMBERSHIP, IN ITS SOLE DISCRETION, DEEMS TO BE IN THE BEST INTEREST OF THE CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS RESERVE TO THEMSELVES THE ARTICULATION OF AND MEDIATION OF THE OPERATING PHILOSOPHY AND MISSION STATEMENT THAT UNDERLIE THE CHARITABLE MINISTRY OF CAMILLUS HEALTH CONCERN. INCLUDED WITHIN THIS RESERVED POWER SHALL BE ALL DECISIONS REGARDING MAJOR POLICY CHANGES AND LONG RANGE PLANNING. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CAMILLUS HEALTH CONCERN DIRECTOR OF FINANCE REVIEWS THE 990 WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND THE FINANCE COMMITTEE APPROVES THE 990 PRIOR TO FILING WITH THE IRS. THE BOARD OF DIRECTORS THEN APPROVES THE 990 AS PRESENTED PER THE RECOMMENDATION OF THE FINANCE COMMITTEE. | |
| THE CONFLICT OF INTEREST POLICY IS PART OF THE ORGANIZATION BY-LAWS AND IS CONTINUALLY REVIEWED AND MONITORED ANNUALLY. AT ELECTION TIME, DIRECTORS ARE REQUIRED TO REVIEW, SIGN AND ABIDE BY THE ORGANIZATION'S BYLAWS AND POLICIES. | FORM 990, PART VI, SECTION B, LINE 12C | |
| PERIODICALLY, EXECUTIVE MANAGEMENT REVIEWS JOB FUNCTIONS AND REQUIREMENTS OF EACH POSITION TO DETERMINE AN APPROPRIATE WAGE OR SALARY RANGE. COMPENSATION IS ALSO BASED ON THE FOLLOWING FACTORS: 1. PREVAILING RATES FOR SIMILAR WORK IN OTHER NONPROFIT AND COMMERCIAL ORGANIZATIONS; 2. NATIONAL AS WELL AS LOCAL SALARY PATTERNS; 3. APPLICABLE LEGAL REQUIREMENTS; 4. STANDARDS ESTABLISHED BY PROFESSIONAL ORGANIZATIONS, AND; 5. THE FINANCIAL ABILITY OF CHC TO COMPENSATE ITS STAFF. | FORM 990, PART VI, SECTION B, LINE 15 | |
| CAMILLUS HEALTH CONCERN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMILLUS HOUSE | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 336 NW 5TH STREET | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33128 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650032862 | EIN |
| Primary Activities | PROVIDING CHRISTIAN HOSPITALITY TO PERSONS THAT ARE HOMELESS | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 7 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESTIGE HEALTH CHOICE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NW 13TH TERRACE | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33172 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450563075 | EIN |
| Primary Activity | TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITIES | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | INVESTMENT | PredominantIncomeType |
| Share Of Total Income | 23557 | ShareOfTotalIncome |
| Share Of EOY Assets | 118536 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.00853 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMILLUS HOUSE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 121881 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |