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SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN JERSEY FAMILY MEDICAL CENTERS INC (EIN 22-2159336)
Tax period
2010-03-01 to 2011-02-28
Filed
2011-11-02
IRS object ID
201133069349300218
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

FieldValueIRS element (for citing)
Timestamp2011-11-02T10:12:24-05:00Timestamp
Tax Period End Date2011-02-28TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RSM MCGLADREY INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11185 AVENUE OF THE AMERICASAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100362602ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-03-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222159336EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN JERSEY FAMILY MEDICAL CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone6095670434Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WHITE HORSE CENTREAddressLine1
CityHAMMONTONCity
StateNJState
ZIP Code08037ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLINDA FLAKEName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone6095670434Phone
Date Signed2011-11-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARTIN GREIFName
Phone2123721000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA FLAKENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11 WHITE HORSE CENTREAddressLine1
CityHAMMONTONCity
StateNJState
ZIP Code08037ZIPCode
FieldValueIRS element (for citing)
Gross Receipts23404181GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SJMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionA COMMUNITY HEALTH CENTER IN THE STATE OF NEW JERSEY THAT OPERATES IN THE COUNTIES OF ATLANTIC, BURLINGTON, AND SALEM THAT PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees294TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5216298ContributionsGrantsPriorYear
Contributions Grants Current Year6388830ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15091380ProgramServiceRevenuePriorYear
Program Service Revenue CY16993366ProgramServiceRevenueCY
Investment Income Prior Year14283InvestmentIncomePriorYear
Investment Income Current Year4722InvestmentIncomeCurrentYear
Other Revenue Prior Year34502OtherRevenuePriorYear
Other Revenue Current Year17263OtherRevenueCurrentYear
Total Revenue Prior Year20356463TotalRevenuePriorYear
Total Revenue Current Year23404181TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12866216SalariesEtcPriorYear
Salaries Etc Current Year14538054SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6864285OtherExpensePriorYear
Other Expenses Current Year7465068OtherExpensesCurrentYear
Total Expenses Prior Year19730501TotalExpensesPriorYear
Total Expenses Current Year22003122TotalExpensesCurrentYear
Revenues Less Expenses Prior Year625962RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1401059RevenuesLessExpensesCY
Total Assets BOY12554157TotalAssetsBOY
Total Assets EOY14062883TotalAssetsEOY
Total Liabilities BOY3773691TotalLiabilitiesBOY
Total Liabilities EOY3881358TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8780466NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10181525NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE AND PROMOTE EFFECTIVE HIGH QUALITY, PRIMARY AND PREVENTIVE HEALTH AND DENTAL CARE SERVICES FOR RESIDENTS AND MIGRANT FARM WORKERS IN SOUTHERN JERSEY REGARDLESS OF THEIR ABILITY TO PAY, AND ELIMINATE BARRIERS TO CARE UPON RACE AND OTHER BELIEFS AND STATUS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12421229Expense
Revenue11998186Revenue
DescriptionPROVIDE HIGH QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES.NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $3,008,677.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3950466Expense
Revenue3805882Revenue
DescriptionPROVIDE HIGH QUALITY PRIMARY AND PREVENTIVE DENTAL CARE SERVICES.NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $956,884.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1234479Expense
Revenue1189298Revenue
DescriptionPROVIDE HIGH QUALITY PRIMARY AND PREVENTIVE OB SERVICES.NOTE: TOTAL EXPENSES DOES NOT INCLUDE THE G & A ALLOCATION OF $299,016.Description
FieldValueIRS element (for citing)
Total Program Service Expense17606174TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees294NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RON KAPLAN VP OF FINANCECFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6094813002TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11 WHITE HOUSE CENTREAddressLine1
CityHAMMONTONCity
StateNJState
ZIP Code08037ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
S KATHRYN RIGBY
BOARD CHAIR1.00XX000
CHRISTOPHER COLON
BOARD VICE CHAIR1.00XX000
JOSE CAMACHO MD
BOARD TREASURER1.00XX000
NORMAN KING
BOARD SECRETARY1.00XX000
ELIZABETH JETER-GREEN
BOARD MEMBER1.00X000
REV REGINALD FLOYD ESQ
BOARD MEMBER1.00X000
TERESA KELLY
BOARD MEMBER1.00X000
CAROL RAMSEY
BOARD MEMBER1.00X000
MIGUEL BERMUDEZ
BOARD MEMBER1.00X000
JOSEPH YEOMAN
BOARD MEMBER1.00X000
NELLIE RODRIGUEZ
BOARD MEMBER1.00X000
JOCELYN TYSON
BOARD MEMBER1.00X000
LINDA Y FLAKE
CEO40.00X274133042328
JOSEPH LEE
COO40.00X13304908434
RONALD KAPLAN
CFO40.00X101466015773
JOSE MENDOZA
PHYSICAN40.0030078007500X
KENNETH IRVIS
PHYSICAN40.00243867025628X
NWOGO AGBASI
PHYSICAN40.00238763016126X
NANCY MERLE
PHYSICIAN40.00196413024328X
JUAN BERJARAN
PHYSICIAN40.00188789024271X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1677260TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation164388TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INTERNATIONAL MANAGEMENT
1700 W IRVING PARK ROADCHICAGOIL60613CONSTRUCTION CONTRACTOR823889
BERGEN MEDICAL GROUP
26 WILSON DRIVENORTHFIELDNJ08225CONTRACTED PHYSICIAN SERVICES572315
LSQ FUNDING GROUP
2600 LUCIEN WAY SUITE 100MAITLANDFL32751AGENCY366025
HENRY SCHEIN INC
135 DURYEA ROADMELVILLENY11747DENTAL SUPPLIES293513
KEYCARE
145 TALMADGE RD STE 10EDISONNJ08817IT CONSULTING276608
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Government Grants6245234GovernmentGrants
All Other Contributions143596AllOtherContributions
Total Contributions6388830TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID9000991049232610492326
NJ UNCOMPENSATED CARE90009940256584025658
SELF PAY90009910861851086185
OTHER THIRD PARTY900099792137792137
MEDICARE900099597060597060
FieldValueIRS element (for citing)
Total Program Service Revenue16993366TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4722TotalRevenueColumn
Exclusion$4,722ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column17263TotalRevenueColumn
Exclusion$17,263ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue17263TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23404181TotalRevenueColumn
Related Or Exempt Function Income16993366RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$21,985ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total599935Total
Program Services480045ProgramServices
Management And General119890ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11115015Total
Program Services8893870ProgramServices
Management And General2221145ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total124187Total
Program Services99361ProgramServices
Management And General24826ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1913623Total
Program Services1531218ProgramServices
Management And General382405ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total785294Total
Program Services628366ProgramServices
Management And General156928ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total146921Total
Program Services117561ProgramServices
Management And General29360ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total101259Total
Program Services81024ProgramServices
Management And General20235ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2397921Total
Program Services1918737ProgramServices
Management And General479184ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total108684Total
Program Services86965ProgramServices
Management And General21719ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1656742Total
Program Services1325670ProgramServices
Management And General331072ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total207364Total
Program Services165926ProgramServices
Management And General41438ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total934212Total
Program Services747526ProgramServices
Management And General186686ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total90986Total
Program Services72804ProgramServices
Management And General18182ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19015Total
Program Services15215ProgramServices
Management And General3800ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total120142Total
Program Services96134ProgramServices
Management And General24008ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total747473Total
Program Services598103ProgramServices
Management And General149370ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total174982Total
Program Services140015ProgramServices
Management And General34967ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS AND MAINTENANCE23063818454946089
PROVISION FOR BAD DEBTS21406817129042778
PERSONNEL RECRUITMENT13100410482526179
DUES & SUBSCRIPTIONS13003310404825985
LABORATORY33991271986793

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19633Total
Program Services15724ProgramServices
Management And General3909ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22003122Total
Program Services17606174ProgramServices
Management And General4396948ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY149271BOY
EOY1363696EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1240684BOY
EOY2250506EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY304905BOY
EOY333515EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3360321BOY
EOY2093772EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY120246BOY
EOY178023EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12970874LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5225053LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7266851BOY
EOY7745821EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY111879BOY
EOY97550EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12554157BOY
EOY14062883EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1811906BOY
EOY2018931EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY70901BOY
EOY65352EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1890884BOY
EOY1797075EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3773691BOY
EOY3881358EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8702424BOY
EOY10181525EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY78042BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8780466BOY
EOY10181525EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12554157BOY
EOY14062883EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1401059ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4404792CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4697733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4332683CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5216298CurrentTaxYearMinus1Year
Current Tax Year6388830CurrentTaxYear
Total25040336Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4404792CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4697733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4332683CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5216298CurrentTaxYearMinus1Year
Current Tax Year6388830CurrentTaxYear
Total25040336Total
FieldValueIRS element (for citing)
Public Support Total17025040336PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55922CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33292CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61030CurrentTaxYearMinus1Year
Current Tax Year4722CurrentTaxYear
Total159351Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3238CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46790CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34502CurrentTaxYearMinus1Year
Current Tax Year17263CurrentTaxYear
Total181793Total
FieldValueIRS element (for citing)
Total Support25381480TotalSupport
Gross Receipts From Admissions Etc66842506GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98660PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98400PublicSupportPertcentPriorYear
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis169955OtherCostOrOtherBasis
Book Value169955BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4424988OtherCostOrOtherBasis
Depreciation1153591Depreciation
Book Value3271397BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2083260OtherCostOrOtherBasis
Depreciation1159333Depreciation
Book Value923927BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4627768OtherCostOrOtherBasis
Depreciation2912129Depreciation
Book Value1715639BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1664903OtherCostOrOtherBasis
Book Value1664903BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7745821TotalOfBookValueLandBuildings
Total Revenue23404181TotalRevenue
Total Expenses22003122TotalExpenses
Excess Or Deficit For Year1401059ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1401059ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt23479181TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities75000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99075000RevenueNotRptdF990
Revenue Subtotal23404181RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99023404181TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22078122TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities75000DonatedServicesUseOfFacilities
Expenses Not Rptd F99075000ExpensesNotRptdF990
Expenses Subtotal22003122ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022003122TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationON JANUARY 1, 2009, THE CENTER ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES CODED IN ACCOUNTING STANDARDS CODIFICATION ("ASC") 740, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE CENTER MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-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 A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% 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. WITH FEW EXCEPTIONS, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2006, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LINDA Y FLAKE
254133020000000245000260800324713000
JOSE MENDOZA
300780000007500016300309910000
KENNETH IRVIS
2438670000078000204450272112000
NWOGO AGBASI
238763000008242096870256692000
NANCY MERLE
1964130000065000221370225050000
JUAN BERJARAN
1887890000013000245460214635000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BLINDA Y. FLAKE PARTIIPATED IN 457(F) AT THE AMOUNT OF $13,500 DURING THE YEAR. 457(F) IS DEFERRED COMPENSATION PLAN WHERE THE EMPLOYEE CAN DEFER SOME OF THEIR OWN EARNINGS. THE EMPLOYEE CAN ACCESS THESE FUNDS ONCE SEPARATED FROM SERVICE.
PART IIIPART I, LINE 7: THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED MRS. FLAKE'S ACCOMPLISHMENTS DURING THE YEAR AND MADE A RECOMMENDATION FOR HER PERFORMANCE BONUS WHICH WAS VOTED ON AND APPROVED BY THE FULL BOARD OF DIRECTORS BY UNANIMOUS VOTE.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE 990 RETURN IS REVIEWED WITH THE BOARD OF DIRECTORS BEFORE THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. ALL SCHEDULES ARE BRIEFLY REVIEWED WITH THE COMMITTEE AND ANY QUESTIONS THEY HAVE WILL BE ANSWERED AT THAT TIME.
MEMBERS OF THE BOARD, THE CEO AND ALL EMPLOYEES ARE OBLIGATED TO ADVISE THE BOARD AND CEO IF A PROPOSED PROCUREMENT OF GOODS, SPACE OR SERVICES BY SJFMC CREATES A POTENTIAL CONFLICT OF INTEREST (COI). THE BOARD MEMBERS OR EMPLOYEES INDICATING A COI MAY NOT THEREAFTER DELIBERATE AND OR VOTE ON ANY SUCH PROPOSAL OR OVERSEE THE PROCUREMENT OF GOODS, SPACE OR SERVICES ON BEHALF OF SJFMC.FORM 990, PART VI, SECTION B, LINE 12C
THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE UTILIZED THE SERVICES OF AN INDEPENDENT CONSULTANT WHO PERFORMED A COMPARATIVE ANALYSIS OF THE COMPENSATION OF PRESIDENT/CEOS OF COMMUNITY HEALTH CENTERS AND OTHER HEALTH CARE ORGANIZATIONS IN THE REGION WITH COMPARABLE YEARS OF EXPERIENCE, EDUCATION, LENGTH OF SERVICE, AND SIZE AND COMPLEXITY OF THE ORGANIZATION. AT THAT TIME, THE CEO'S SALARY WAS ADJUSTED ACCORDING TO MARKET AND EACH YEAR THE CEO PER CONTRACT RECEIVES AN ANNUAL COST OF LIVING INCREASE. A PERFORMANCE BONUS IS ALSO AFFORDED THE CEO BASED UPON A PERFORMANCE EVALUATION THAT IS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE CEO IS REQUIRED TO PROVIDE A REPORT TO THE EXECUTIVE COMMITTEE THAT INCLUDES A LISTING BY THE CEO OF ALL THE ACCOMPLISHMENTS OF THE PREVIOUS YEAR AND THE OBJECTIVES FOR THE UPCOMING YEAR. THE ACCOMPLISHMENTS ARE COMPARED TO THE OBJECTIVES FROM THE PREVIOUS YEAR AND A WRITTEN PERFORMANCE EVALUATION IS PREPARED AND SUBMITTED TO THE FULL BOARD FOR APPROVAL. THE PERFORMANCE BONUS, IF ANY, IS RECOMMENDED TO THE BOARD BY THE EXECUTIVE COMMITTEE, AND APPROVED BY THE MAJORITY VOTE OF THE FULL BOARD. OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION: CFO, COO, MEDICAL DIRECTORFORM 990, PART VI, SECTION B, LINE 15
SJFMC DOES NOT PUBLISH ITS PUBLIC DOCUMENTS ON THEIR WEBSITE. ANY REQUESTS FOR PUBLIC DOCUMENTS ARE SENT TO THE CEO FOR APPROVAL AND THE DOCUMENTS ARE RELEASED TO THE ORGANIZATION OR INDIVIDUALS.FORM 990, PART VI, SECTION C, LINE 19
THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.FORM 990, PART XII, LINE 2C