2023-10-18T07:49:24-05:00 2022-12-31 204193611 Batts Morrison Wales and Lee PA 801 North Orange Avenue Suite 800 Orlando FL 32801 990 2022-01-01 471487930 Grace Medical Home Foundation Inc GRAC 4079362785 1417 E Concord Street Orlando FL 32803 Blake Hostetter Treasurer/Director 4079362785 2023-10-02 1 Blake Hostetter 999009999 0 Kaylyn A Varnum P01691975 4077706000 2023-10-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Stephanie Garris 1417 E Concord Street Orlando FL 32803 505343 0 X N/A X 2014 FL The Organization supports and furthers the interests of Grace Medical Home, Inc., a Florida not-for-profit corporation that is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. 3 3 0 3 0 0 0 500000 0 0 1219 5343 0 0 1219 505343 0 0 0 0 0 0 0 0 3595 29941 31770 29941 31770 -28722 473573 1210414 1606171 106081 28265 1104333 1577906 X The Organization supports and furthers the interests of Grace Medical Home, Inc., a Florida not-for-profit corporation that is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. The Organization operates exclusively for the benefit of Grace Medical Home, Inc. (the "supported organization") by holding, investing and spending cash and assets convertible into cash for the benefit of or on behalf of the supported organization. 0 0 15852 0 0 The Organization supports and furthers the interests of Grace Medical Home, Inc., a Florida not-for-profit corporation that is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. The Organization operates exclusively for the benefit of Grace Medical Home, Inc. (the "supported organization") by holding, investing and spending cash and assets convertible into cash for the benefit of or on behalf of the supported organization. 15852 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 FL X Stephanie Garris 4079362785 1417 E Concord Street Orlando FL 32803 Blake Hostetter Treasurer/Director 1.00 5.00 X X 0 0 0 Rick Fletcher Director 1.00 1.00 X 0 0 0 Mike Aitcheson Director 1.00 5.00 X 0 0 0 Stephanie Garris CEO 2.00 42.00 X 0 139623 28609 0 139623 28609 0 0 1 0 0 500000 500000 5343 5343 505343 0 0 5343 3425 3425 Service Agreement Cost 28265 15772 8898 3595 Bank Fees 80 80 31770 15852 12323 3595 751063 351002 459351 1255169 1210414 1606171 106081 28265 106081 28265 X 1104333 1577906 1104333 1577906 1210414 1606171 473573 0 X X 0 1 X 1 0 X X X 1 Grace Medical Home Inc 261817966 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule A, Part I, Line 12g: The Organization provided support to its supported organization, Grace Medical Home Inc. ("GMH"), during the year by holding and investing cash and other assets for the benefit of and on behalf of GMH. The value of the services provided by the supporting organization has not been included in Schedule A, Part I, Line 12g. Schedule A, Part IV, Section C, Line 1: The Organization meets the Type II supporting organization criteria in three distinct ways: 1. The Organization is supervised and controlled by Grace Medical Home, Inc. ("GMH") in that a majority of the members of the Organization's Board of Directors are required to be members of GMH's Board of Directors per the Organization's bylaws. 2. The Organization's Board of Directors is appointed by its sole corporate member, Grace Medical Nominating Trust, a trust formed for the sole purpose of appointing the board members of both GMH and this Organization. Therefore, the control of the Organization is vested in the same entity that controls the publicly supported organization, GMH. 3. The same persons that manage the Organization also manage the publicly supported organization, GMH. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X X 0 0 0 0 0 0 0 0 0 Stephanie Garris CEO 0 138423 0 1200 0 0 0 2250 0 26359 0 168232 0 0 Form 990, Part VI, Section A, line 6 The Organization's sole member is Grace Medical Nominating Trust. Form 990, Part VI, Section A, line 7a Directors are selected by the Organization's sole member, Grace Medical Nominating Trust. Form 990, Part VI, Section B, line 11b The Organization's top management official and top financial official each review the Form 990 prior to its filing with the IRS. A copy of the final Form 990 is also provided to the voting members of the Organization's governing body prior to its filing with the IRS. Form 990, Part VI, Section B, line 12c The Organization's conflict of interest policy is distributed to each member of the Organization's governing body, its officers and its key employees on an annual basis. Each such individual provides an annual disclosure statement indicating that they have received, read, understood and agreed to comply with the policy, certifying that: (1) they have no relationships or interests that present a conflict of interest, (2) they have one or more conflicts of interest that have been fully disclosed as required by the policy and have been properly administered in conformity with the policy, or (3) they have previously undisclosed conflicts of interest and disclosing the details of such conflicts. Any disclosure statements with previously undisclosed conflicts of interest are forwarded to appropriate Organization officials to take appropriate actions as required by the policy. Form 990, Part VI, Section B, line 15 The Organization does not have any paid employees and therefore does not have a compensation setting policy. Key personnel supporting the Organization are employees of Grace Medical Home, Inc., a related tax-exempt organization. Grace Medical Home, Inc. has adopted an executive compensation setting policy applicable to all disqualified persons, including the Organization's CEO, officers and key employees. Under the policy, an independent committee of the Board of Directors annually reviews and approves the compensation levels of all individuals subject to the policy. The deliberations and decisions of the committee are contemporaneously substantiated. The committee utilizes comparability data in its deliberations; updated comparability data is generally obtained every two to three years. Form 990, Part VI, Section C, line 19 The Organization provides, upon request, copies of its Articles of Incorporation, bylaws, conflict of interest policy, and its financial statements. Form 990, Part XII, Line 2c: The Organization's Board of Directors, or a committee thereof, assumes responsibility for the oversight of the audit of its financial statements and the selection of an independent accountant. Grace Medical Home Inc 1417 E Concord Street Orlando FL 32803 261817966 To reflect Christ by offering medical care to those who need it most FL 501(c)(3) Line 3 Grace Medical Nominating Trust 0 GMH Property Holdings Inc 1417 E Concord Street Orlando FL 32803 821202430 The Organization provides supporting services to Grace Medical Home, Inc. FL 501(c)(3) Line 12b, II Grace Medical Nominating Trust 1 Grace Medical Nominating Trust 1417 E Concord Street Orlando FL 32803 Appointing and removing the filing Organization's board members FL N/A T 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 Grace Medical Home Inc C 500000 Cash transferred