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BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC (EIN 59-3489664)
Tax period
2011-02-01 to 2012-01-31
Filed
2012-06-04
IRS object ID
201231569349300223
Schema version
2011v1.2
Note
A later return for the same period supersedes this one.
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)
Timestamp2012-06-04T13:10:23-07:00Timestamp
Tax Period End Date2012-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TCBA Watson Rice LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 NW 165th Street Road 205AddressLine1
CityMiamiCity
StateFLState
ZIP Code331696303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593489664EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Broward Community and Family HealthBusinessNameLine1
Business Name Line2Centers IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlBROWNameControl
Phone9549670028Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15010 Hollywood BlvdAddressLine1
CityHollywoodCity
StateFLState
ZIP Code33021ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRosalyn FrazierName
TitleCEOTitle
Date Signed2012-06-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRonald ThompkinsName
Phone3059471638Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRosalyn FrazierNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15010 Hollywood BlvdAddressLine1
CityHollywoodCity
StateFLState
ZIP Code33021ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4142622GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.bcfhc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionThe organization's primary exempt purpose is to provide family oriented primary and preventive health care service to the communityActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees56TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2341185ContributionsGrantsPriorYear
Contributions Grants Current Year2840034ContributionsGrantsCurrentYear
Program Service Revenue Prior Year952388ProgramServiceRevenuePriorYear
Program Service Revenue CY1302588ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3293573TotalRevenuePriorYear
Total Revenue Current Year4142622TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1993534SalariesEtcPriorYear
Salaries Etc Current Year2579735SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1146205OtherExpensePriorYear
Other Expenses Current Year1630800OtherExpensesCurrentYear
Total Expenses Prior Year3139739TotalExpensesPriorYear
Total Expenses Current Year4210535TotalExpensesCurrentYear
Revenues Less Expenses Prior Year153834RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-67913RevenuesLessExpensesCY
Total Assets BOY828974TotalAssetsBOY
Total Assets EOY986319TotalAssetsEOY
Total Liabilities BOY245514TotalLiabilitiesBOY
Total Liabilities EOY470772TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY583460NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY515547NetAssetsOrFundBalancesEOY
Mission DescriptionThe organization's primary exempt purpose is to provide family oriented primary and preventive health care service to the communityMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3622912Expense
DescriptionBroward Community and Family Health Centers, Inc. provides family-oriented primary and preventive health care services for the community. For the fiscal year ended January 31, 2012, the number of clients served was 7,887.Description
Total Program Service Expense3622912TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
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 RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees56NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCollette ReeceNamePerson
Telephone Number3055991015TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15010 Hollywood BlvdAddressLine1
CityHollywoodCity
StateFLState
ZIP Code33021ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PATRICK THOMPSON
SEC/TREAS1.00XX000
LONNISE BALDWIN
Vice President1.00XX000
AUNDRA PENN
President1.00XX000
FELICIA BRUNSON
Director1.00X000
EMILY ROUSSEAU
Director1.00X000
REV FERNANDO MIRANDA
Director1.00X000
ELIZABETH BARNETT
Director1.00X000
Amos Farquharson
Director1.00X000
Yvette Bien-Aime
Director1.00X000
Arthur Rogers
Director1.00X000
Rosalyn Frazier
CEO50.00X159396011672
Dr Emmanuel Isaac
Physician40.0015153407650X
Kenneth Poon
Physician40.0012980805130X
Mercie Vielot
Nurse Practitioner40.0011338802963X
FieldValueIRS element (for citing)
Total Reportable Comp From Org554126TotalReportableCompFromOrg
Total Other Compensation27415TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quest Diagnostics
PO Box 530440AtlantaGA303530440Medical Lab Services233663
McKesson Medical Surgical
PO Box 740215CincinnatiOH45274Medical Supplies179909
Health Choice Network Inc
9064 SNW 13th TerDoralFL33172Fiscal and MIS315459
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants2388554GovernmentGrants
All Other Contributions451480AllOtherContributions
Total Contributions2840034TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient ServiceDescription
Business Code621400BusinessCode
Total Revenue Column1302588TotalRevenueColumn
Related Or Exempt Function Income1302588RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1302588TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4142622TotalRevenueColumn
Related Or Exempt Function Income1302588RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total330252Total
Program Services310930ProgramServices
Management And General19322ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1845982Total
Program Services1813869ProgramServices
Management And General32113ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8093Total
Management And General8093ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total238717Total
Program Services168649ProgramServices
Management And General70068ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total156691Total
Program Services133316ProgramServices
Management And General23375ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60138Total
Program Services33337ProgramServices
Management And General26801ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18274Total
Program Services10293ProgramServices
Management And General7981ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12248Total
Program Services7204ProgramServices
Management And General5044ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4810Total
Program Services2667ProgramServices
Management And General2143ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total125309Total
Program Services88073ProgramServices
Management And General37236ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total226351Total
Program Services167373ProgramServices
Management And General58978ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total45419Total
Program Services32963ProgramServices
Management And General12456ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total74120Total
Program Services54316ProgramServices
Management And General19804ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total11436Total
Program Services8612ProgramServices
Management And General2824ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Miscellaneous1092467045938787
Membership dues1793279279386534
Laboratory fees286773286773
Equipment, Furniture and fixtu1054956112744368
Contracted services15584111558540256

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total216013Total
Program Services164573ProgramServices
Management And General51440ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4210535Total
Program Services3622912ProgramServices
Management And General587623ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY262237BOY
EOY201277EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY246496BOY
EOY442543EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY49747BOY
EOY49142EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis490391LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec258601LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY198896BOY
EOY231790EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2000BOY
EOY2000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY49321BOY
EOY36614EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20277BOY
EOY22953EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY828974BOY
EOY986319EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY222817BOY
EOY452721EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY22697BOY
EOY18051EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY245514BOY
EOY470772EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY583460BOY
EOY515547EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY583460BOY
EOY515547EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY828974BOY
EOY986319EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-67913ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1265721CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1276104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2218605CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2341185CurrentTaxYearMinus1Year
Current Tax Year2840034CurrentTaxYear
Total9941649Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1265721CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1276104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2218605CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2341185CurrentTaxYearMinus1Year
Current Tax Year2840034CurrentTaxYear
Total9941649Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1709941649PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support9941649TotalSupport
Gross Receipts From Admissions Etc4785761GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1701.00000PublicSupportPertcentage170
Public Support Pertcent Prior Year1.00000PublicSupportPertcentPriorYear
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 D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis142326OtherCostOrOtherBasis
Depreciation78983Depreciation
Book Value63343BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis328093OtherCostOrOtherBasis
Depreciation159646Depreciation
Book Value168447BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19972OtherCostOrOtherBasis
Depreciation19972Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings231790TotalOfBookValueLandBuildings
Total Revenue4142622TotalRevenue
Total Expenses4210535TotalExpenses
Excess Or Deficit For Year-67913ExcessOrDeficitForYear
Excess Or Deficit Per FS-67913ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4142622TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4142622RevenueSubtotal
Total Revenue Per Form9904142622TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4210535TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4210535ExpensesSubtotal
Total Expenses Per Form9904210535TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
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
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Rosalyn Frazier
153996540011672171068
Dr Emmanuel Isaac
1515347650159184

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization makes it governing documents, conflicts of interest policy, and financial statements available to the public upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesA market analysis is done by the Board Treasurer for similar organization's executive staff compensation, who then present to the executive committee for approval of compensation of other key employees.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Board meets each month and requires disclosure of conflicts to be reported. There have been no such conflicts thus far.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessAfter approval by the Finance Committee, then the return is submitted to the full Board of Directors for their review and approval prior to filing.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Prestige Health Choice LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19064 NW 13th TerraceAddressLine1
CityMiamiCity
StateFLState
ZIP Code33172ZIPCode
FieldValueIRS element (for citing)
EIN450563075EIN
Primary ActivityManage carePrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$28CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg