FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC (EIN 20-2384178)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-28
IRS object ID
202223329349300112
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-28T09:36:17-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 2ND AVENUE S 600AddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202384178EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FLORIDA MEDICAL CLINIC FOUNDATIONBusinessNameLine1Txt
Business Name Line2OF CARING INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlFLORBusinessNameControlTxt
Phone8134064499PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line138135 MARKET SQUAREAddressLine1Txt
CityZEPHYRHILLSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33542ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANGELA POTTINGERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8134064499PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANGELAPersonFirstNm
Person LastPOTTINGERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCATHERINE MARY SULLIVANPreparerPersonNm
PTINP01265964PTIN
Phone7278216161PhoneNum
Preparation2022-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANGELA POTTINGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line138135 MARKET SQUAREAddressLine1Txt
CityZEPHYRHILLSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33542ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$465,111GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressFMCFOUNDATIONOFCARING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionFLORIDA MEDICAL CLINIC FOUNDATION OF CARING STRIVES TO SUPPORT INDIVIDUALS, CHILDREN AND FAMILIES IN NEED AND AT RISK IN HILLSBOROUGH AND PASCO COUNTIES. THROUGH VOLUNTEERISM AND FUNDING WE LEVERAGE RESOURCES TO ENRICH LIVES AND CREATE MEASURABLE, IMMEDIATE AND ONGOING POSITIVE CHANGES IN OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$297,377PYContributionsGrantsAmt
CY Contributions Grants$385,637CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$41,560PYOtherRevenueAmt
CY Other Revenue-$45,427CYOtherRevenueAmt
PY Total Revenue$255,817PYTotalRevenueAmt
CY Total Revenue$340,210CYTotalRevenueAmt
PY Grants And Similar Paid$225,356PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$292,959CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,505CYTotalFundraisingExpenseAmt
PY Other Expenses$34,640PYOtherExpensesAmt
CY Other Expenses$43,150CYOtherExpensesAmt
PY Total Expenses$259,996PYTotalExpensesAmt
CY Total Expenses$336,109CYTotalExpensesAmt
PY Revenues Less Expenses-$4,179PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,101CYRevenuesLessExpensesAmt
Total Assets BOY$127,819TotalAssetsBOYAmt
Total Assets EOY$131,920TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$127,819NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$131,920NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$302,191ExpenseAmt
Grant$292,960GrantAmt
DescDIRECTED GRANTS TO CHARITABLE ORGANIZATIONS THAT SUPPORT CHILDREN, FAMILIES, THE ELDERLY, EDUCATION AND VULNERABLE INDIVIDUALS IN ORDER TO MAKE A POSITIVE IMPACT IN THE TAMPA BAY AREA. FLORIDA MEDICAL CLINIC FOUNDATION OF CARING'S MISSION TO BE A RESOURCE FOR NONPROFITS IN OUR COMMUNITY BY PROVIDING SERVICES FOR INDIVIDUALS AND FAMILIES IN NEED AND AT RISK HAS NOT WAVERED. OUR FOCUS REMAINS TO MEET THE BASIC NEEDS OF PEOPLE ESPECIALLY AS THE WORLD COMES OUT OF THE GLOBAL PANDEMIC. ALL IN ALL, WE WERE ABLE TO PARTNER WITH 36 DIFFERENT NONPROFITS IN HILLSBOROUGH AND PASCO COUNTIES. (CONTINUED ON SCH O)(CONTINUED FROM PART III, LINE 4.A.)THROUGH OUR GRANTING INITIATIVES ALONE, WE DELIVERED FUNDING TO 26 CHARITIES TO THE TUNE OF NEARLY $276,000. THESE DOLLARS ADDRESSED URGENT NEEDS LIKE FOOD INSECURITY, HOMELESSNESS, MEDICAL ESSENTIALS, JOB PLACEMENT, CHILDREN IN FOSTER CARE, MENTAL HEALTH, PEOPLE WITH DISABILITIES, MENTAL HEALTH AND HUMAN TRAFFICKING. WE WERE ALSO PRIVILEGED TO BE ABLE TO DISTRIBUTE OVER $12,800 IN DESIGNATED GIFTS TO 6 LOCAL ORGANIZATIONS SERVING CHILDREN AND VETERANS.SINCE THE NEEDS OF OUR COMMUNITY CONTINUED TO GROW, WE FELT IT WAS OUR RESPONSIBILITY TO DO MORE. IN ADDITION TO OUR FUNDING OPPORTUNITIES, WE PROVIDED SEVERAL IN-KIND DONATIONS TO THOSE NONPROFITS TRYING TO ASSIST OUR NEIGHBORS. WE WERE ABLE TO COLLECT OVER 2,800 POUNDS OF FOOD FROM OUR CLINIC OFFICES AND DISTRIBUTED IT TO LOCAL FOOD BANKS. FOR MOTHER'S DAY, WE GATHERED UNDERGARMENTS AND SUPPLIES FOR CHILDREN AND SENIORS IN NEED. WE ASSEMBLED BACKPACKS FILLED WITH SCHOOL SUPPLIES AND GAVE THEM TO CHILDREN IN STRUGGLING FAMILIES.THE FMC FOUNDATION OF CARING WAS ALSO FORTUNATE TO BE ABLE TO PASS ALONG DONATIONS OF CLOTHING AND TOILETRIES TO CHILDREN LIVING BELOW THE POVERTY LINE. AND LASTLY, AT THE END OF THE YEAR WE ENGAGED OUR CLINIC OFFICES IN A HOLIDAY DRIVE THAT YIELDED THOUSANDS OF DOLLARS IN CLOTHES AND TOILETRIES FOR KIDS WHO DESPERATELY NEEDED THEM.Desc
Total Program Service Expenses$302,191TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANGELA POTTINGER EXECUTIVE DIRECTORBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8134064499PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line138135 MARKET SQUAREAddressLine1Txt
CityZEPHYRHILLSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33542ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
AMY CHAILDIN
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
ASHLEY JENNINGS
VICE PRESIDENT (UNTIL 06/21)3.00Yes (X)Yes (X)$0$0$0
CHRIS ALVAREZ
TREASURER1.00Yes (X)Yes (X)$0$0$0
LOUIS ROSALES
SECRETARY1.00Yes (X)Yes (X)$0$0$0
AMANDA PAIGE-ZWIERKO
DIRECTOR1.00Yes (X)$0$0$0
CHRIS ELAM
DIRECTOR1.00Yes (X)$0$0$0
DARRYL BENGE
DIRECTOR (UNTIL 03/21)1.00Yes (X)$0$0$0
DINA HUBAYKAH
DIRECTOR1.00Yes (X)$0$0$0
GEOFFREY CRONEN MD
DIRECTOR (UNTIL 12/21)1.00Yes (X)$0$0$0
MARK FITZPATRICK
DIRECTOR1.00Yes (X)$0$0$0
PAM LANDRY
DIRECTOR (BEG 07/21)1.00Yes (X)$0$0$0
ROSHAN MAHTANI MD
DIRECTOR1.00Yes (X)$0$0$0
ANGELA POTTINGER
EXECUTIVE DIRECTOR40.00Yes (X)$0$84,690$8,319
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$84,690TotReportableCompRltdOrgAmt
Total Other Compensation$8,319TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$280,590FundraisingAmt
Related Organizations$87,433RelatedOrganizationsAmt
All Other Contributions$17,614AllOtherContributionsAmt
Noncash Contributions$5,342NoncashContributionsAmt
Total Contributions$385,637TotalContributionsAmt
Fundraising Gross Income$79,474FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$280,590ContriRptFundraisingEventAmt
Fundraising Direct Expenses$124,901FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$45,427TotalRevenueColumnAmt
Exclusion-$45,427ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$340,210TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$45,427ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$292,959TotalAmt
Program Services$292,959ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,210TotalAmt
Management And General$6,210ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,640TotalAmt
Management And General$14,640ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,513TotalAmt
Program Services$1,513ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,015TotalAmt
Program Services$1,377ProgramServicesAmt
Management And General$4,133ManagementAndGeneralAmt
Fundraising$1,505FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,178TotalAmt
Management And General$5,178ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,819TotalAmt
Program Services$1,819ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,800TotalAmt
Program Services$1,800ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$700TotalAmt
Program Services$175ProgramServicesAmt
Management And General$525ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BOOK SALES EXPENSE$2,548$2,548
DUES AND SUBSCRIPTIONS$1,161$1,161
LICENSES AND FEES$566$566

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$336,109TotalAmt
Program Services$302,191ProgramServicesAmt
Management And General$32,413ManagementAndGeneralAmt
Fundraising$1,505FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$105,746BOYAmt
EOY$109,847EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,415BOYAmt
EOY$7,415EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,278BOYAmt
EOY$14,278EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$380BOYAmt
EOY$380EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$127,819BOYAmt
EOY$131,920EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$127,819BOYAmt
EOY$131,920EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$127,819BOYAmt
EOY$131,920EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$127,819BOYAmt
EOY$131,920EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,101ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$404,692CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$487,091CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$605,784CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297,377CurrentTaxYearMinus1YearAmt
Current Tax Year$385,637CurrentTaxYearAmt
Total$2,180,581TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$404,692CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$487,091CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$605,784CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297,377CurrentTaxYearMinus1YearAmt
Current Tax Year$385,637CurrentTaxYearAmt
Total$2,180,581TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$383,414SubstantialContributorsTotAmt
Public Support Total170$1,797,167PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$79,495CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$110,419CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,380CurrentTaxYearMinus2YearsAmt
Total$229,294TotalAmt
FieldValueIRS element (for citing)
Total Support$2,409,875TotalSupportAmt
Public Support CY1700.74580PublicSupportCY170Pct
Public Support PY1700.76370PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationSPECIAL EVENT INCOME - 2017 AMOUNT: $ 79,495. 2018 AMOUNT: $ 110,419. 2019 AMOUNT: $ 39,380. 2021 AMOUNT: $ 0.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CELEBRATION OF CARING GALAEvent1Nm
Gross Receipts Event1$309,585GrossReceiptsEvent1Amt
Charitable Contri Event1$230,111CharitableContriEvent1Amt
Gross Revenue Event1$79,474GrossRevenueEvent1Amt
Cash Prizes Event1$5,769CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$10,200RentFacilityCostsEvent1Amt
Food And Beverage Event1$67,889FoodAndBeverageEvent1Amt
Entertainment Event1$2,500EntertainmentEvent1Amt
Other Direct Expenses Event1$15,420OtherDirectExpensesEvent1Amt
Event2HANDS FOR HOPE POKER TOURNAMENTEvent2Nm
Gross Receipts Event2$46,422GrossReceiptsEvent2Amt
Charitable Contri Event2$46,422CharitableContriEvent2Amt
Cash Prizes Event2$3,000CashPrizesEvent2Amt
Non Cash Prizes Event2$84NonCashPrizesEvent2Amt
Rent Facility Costs Event2$2,000RentFacilityCostsEvent2Amt
Food And Beverage Event2$8,363FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$9,636OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$4,057GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$4,057CharitableContriOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$0RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$40OthDirectExpnssOtherEventsAmt
Gross Receipts Total$360,064GrossReceiptsTotalAmt
Charitable Contributions Tot$280,590CharitableContributionsTotAmt
Gross Revenue Total Events$79,474GrossRevenueTotalEventsAmt
Cash Prizes Total Events$8,769CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$84NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$12,200RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$76,252FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$25,096OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$124,901DirectExpenseSummaryEventsAmt
Net Income Summary-$45,427NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
A KID'S PLACE OF TAMPA BAY
1715 LITHIA PINECREST RDBRANDONFL33511262757636501(C)3$12,000$0GENERAL SUPPORT
CHILDREN'S CANCER CENTER INC
4901 W CYPRESS STTAMPAFL33607591779035501(C)3$15,000$0GENERAL SUPPORT
THE CRISIS CENTER OF TAMPA BAY
ONE CRISIS CENTER PLAZATAMPAFL33613591785265501(C)3$10,000$0GENERAL SUPPORT
FRIENDS OF JOSHUA HOUSE FOUNDATION INC
1515 MICHELIN CTLUTZFL33549200597719501(C)3$10,000$0GENERAL SUPPORT
GIGI'S PLAYHOUSE TAMPA LLC
3611 W HILLSBOROUGH AVE SUITE 200TAMPAFL33614823283444501(C)3$15,000$0GENERAL SUPPORT
HABITAT FOR HUMANITY OF HILLSBOROUGH COUNTY FLORIDA INC
509 E JACKSON STTAMPAFL33602592850410501(C)3$9,540$0GENERAL SUPPORT
NAMI PASCO COUNTY FLORIDA INC
PO BOX 412ELFERSFL34680592904264501(C)3$6,400$0GENERAL SUPPORT
NEW LIFE VILLAGE INC
4926 VENICE LAKE AVETAMPAFL33619943454171501(C)3$10,000$0GENERAL SUPPORT
OASIS OPPORTUN ITIES
16057 TAMPA PALMS BLVD 317TAMPAFL33647593715732501(C)3$15,000$0GENERAL SUPPORT
ONE COMMUNITY NOW INC
5841 MAIN STNEWPORT RICHEYFL34652264124070501(C)3$10,000$0GENERAL SUPPORT
PETER J MULREY FOUNDATION INC
2401 BAYSHORE BLVD UNIT 1002TAMPAFL33629461138271501(C)3$5,600$0GENERAL SUPPORT
PYRAMID INC
311 N SPRING STREETPENSACOLAFL32501593233538501(C)3$14,977$0GENERAL SUPPORT
QUANTUM LEAP FARM
10401 WOODSTOCK RDODESSAFL33556593469464501(C)3$10,000$0GENERAL SUPPORT
STARTING RIGHT NOW
1212 W CASS STREETTAMPAFL33606263725699501(C)3$25,000$0GENERAL SUPPORT
TAMPA BAY WORKFORCE ALLIENCE DBA CAREERSOURCE TAMPA BAY
4902 EISENHOWER BLVD SUITE 250TAMPAFL33634593655316501(C)3$18,320$0GENERAL SUPPORT
LIGHTHOUSE FOR THE BLIND & LOW VISION
1106 W PLATT STTAMPAFL33606590637876501(C)3$10,429$0GENERAL SUPPORT
THOMAS PROMISE FOUNDATION
31053 LAKESIDE LANEDADE CITYFL33523460808046501(C)3$15,000$0GENERAL SUPPORT
UNIVERSITY AREA COMMUNITY DEVELOPMENT CORPORATION INC
14013 N 22ND STTAMPAFL33613311624121501(C)3$12,500$0GENERAL SUPPORT
WHEELCHAIRS 4 KIDS INC
1976 PINELLAS AVETARPON SPRINGSFL34689451308941501(C)3$15,000$0GENERAL SUPPORT
WHERE LOVE GROWS INC
700 S HARBOR ISLAND BLVD UNIT 834TAMPAFL33602461566081501(C)3$7,500$0GENERAL SUPPORT
VARIOUS UNDER 5000
999999999501(C)3$38,852$1,181GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationUPON RECEIVING A GRANT, THE ORGANIZATION SIGNS AN AGREEMENT WITH FMCFOC WHICH ALLOWS FMCFOC TO MONITOR AND CONDUCT AN EVALUATION OF OPERATIONS UNDER THE GRANT. IT MAY INCLUDE A VISIT FROM THE FMCFOC'S PERSONNEL TO OBSERVE AND EVALUATE THEIR OPERATIONS AS WELL AS REVIEW FINANCIAL AND OTHER RECORDS AND MATERIALS CONNECTED TO THE GRANT. FMCFOC ALSO REQUIRES A 6 MONTH AND 12 MONTH WRITTEN REPORT ON THE STATUS, ACTIVITY OF EXPENDITURES AND OUTCOMES OF ALL GRANT FUNDING.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART I, LINE 1FLORIDA MEDICAL CLINIC (FMC) IS NOT ONLY A MAJOR HEALTHCARE PROVIDER IN HILLSBOROUGH AND PASCO COUNTIES, BUT ALSO SETS A VERY VISIBLE EXAMPLE OF PHILANTHROPIC LEADERSHIP. HELPING PATIENTS IS ONLY A PART OF HOW FMC SERVES OUR COMMUNITY. AFTER ALL, WHO BETTER SEES THE NEEDS OF OUR COMMUNITY THAN THOSE RESPONSIBLE FOR THEIR HEALTHCARE? SINCE 2005 THE PHILANTHROPIC ARM OF FMC, THE FOUNDATION OF CARING HAS MADE A VAST IMPACT BY SUPPORTING INDIVIDUALS, CHILDREN AND FAMILIES AT-RISK. "WE ARE DEDICATED TO GIVING BACK. THIS FOUNDATION WAS CREATED TO INITIATE CONTINUED INVOLVEMENT IN THE COMMUNITY AND TO GENUINELY MAKE A DIFFERENCE TO IMPROVE PEOPLE'S LIVES." - JOE DELATORRE, FLORIDA MEDICAL CLINIC CEO FMC FOUNDATION OF CARING (FMCFOC) IS UNIQUE IN THAT WE DO NOT USE DONATED FUNDS TO SUPPORT OR ENHANCE FMC ACTIVITIES. INSTEAD, FMCFOC STRATEGICALLY REINVESTS LOCALLY THROUGH QUALIFIED NON-PROFIT ORGANIZATIONS TO LEVERAGE RESOURCES, ENRICH LIVES AND CREATE MEASURABLE, IMMEDIATE AND ONGOING POSITIVE CHANGE FOR THOSE LESS FORTUNATE. A CATALYST FOR A VARIETY OF WORTHWHILE COMMUNITY PROJECTS, FMCFOC COLLECTIVELY POOLS OUR RESOURCES TO MAKE THE GREATEST IMPACT. TO DATE, FMCFOC HAS PROVIDED OVER $3.5 MILLION IN FINANCIAL ASSISTANCE AND OVER 85,000 VOLUNTEER HOURS TO 173 NONPROFITS IN PASCO AND HILLSBOROUGH COUNTIES. "WE HAVE BUILT THIS FOUNDATION AS AN OPPORTUNITY TO REACH BEYOND OUR WALLS TO THE PEOPLE AND THE FAMILIES THAT LIVE IN OUR NEIGHBORHOODS." - SHERI SCHWAB, FOUNDATION OF CARING FOUNDER FMCFOC ENGAGES PROVIDERS, EMPLOYEES, ADMINISTRATORS, FRIENDS AND BUSINESS ASSOCIATES TO BECOME INVOLVED IN THEIR COMMUNITIES. THROUGH VOLUNTEERISM, DONATIONS AND PARTICIPATION IN TEAM FMC EVENTS, THE FOUNDATION INCREASES THE VISIBILITY OF OUR MISSION AND THE CLINIC AS A WHOLE. THE COMMUNITY IMPACT OF THE FOUNDATION IS DELIVERED IN A FEW WAYS. FIRST, WE OFFER GRANT OPPORTUNITIES TO NONPROFITS NEEDING FINANCIAL ASSISTANCE. FMCFOC BOARD MEMBERS RESEARCH EACH PROPOSAL, VET EACH APPLICANT AND DETERMINE THE NEEDS OF THE CONSTITUENTS. GRANTS ARE AWARDED TWICE ANNUALLY, IN JUNE AND DECEMBER. THROUGH OUR BI-ANNUAL COMPETITIVE GRANT PROCESS, WE HAVE FED HUNGRY FAMILIES, FUNDED PROGRAMS FOR AT RISK CHILDREN, UNDERWRITTEN COSTS OF ACCESSIBILITY UPGRADES FOR PEOPLE WITH DISABILITIES AND PROVIDED SAFE HAVENS FOR WOMEN AND CHILDREN WHO HAVE BEEN ABUSED. THE FOUNDATION ALSO OFFERS VOLUNTEER OPPORTUNITIES TO PROVIDERS, EMPLOYEES AND ADMINISTRATORS. WHEN A VOLUNTEEER OPPORTUNITY IS IDENTIFIED, INTERESTED EMPLOYEES, BUSINESS ASSOCIATES, FAMILY MEMBERS AND FRIENDS GATHER TOGETHER TO MEET THE IDENTIFIED HARDSHIP. THIS CAN BE "HANDS ON" WORK AT A LOCAL COMMUNITY AGENCY, BOOSTING ATTENDANCE AT AN EVENT AS TEAM FMC, OR RAISING AWARENESS AND MONEY TO MEET A SPECIFIC NEED. IN 2016, FLORIDA MEDICAL CLINIC FOUNDATION OF CARING WAS AWARDED THE PHILANTHROPIC SERVICE CLUB OF THE YEAR AT THE ASSOCIATION OF PROFESSIONAL FUNDRAISERS, NATURE COAST CHAPTER'S NATIONAL PHILANTHROPY DAY.
FORM 990 PART I, LINE 6THE FMC FOUNDATION OF CARING IS GRATEFUL TO HAVE A DEDICATED TEAM OF VOLUNTEERS WHO SUPPORT A VARIETY OF ACTIVITIES INCLUDING BOARD OF DIRECTOR SERVICE, TEAM FMC EVENTS, FUNDRAISING EVENTS, IN-KIND DONATION DRIVES AND GENERAL OFFICE ASSISTANCE. IN 2021, OUR VOLUNTEERS LOGGED IN A TOTAL OF 435 HOURS TO HELP FULFILL OUR MISSION AND TO IMPROVE THE LIVES OF PEOPLE IN OUR COMMUNITY.
PART V, LINES 2A & BTHE ORGANIZATION HAS 2 EMPLOYEES WITH 100% OF THEIR TIME DESIGNATED TO THE ORGANIZATION. THE PAYROLL IS ISSUED UNDER A RELATED ORGANIZATION WHICH ISSUES THE W-2S AND FILES ALL FEDERAL EMPLOYMENT TAX RETURNS.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS HOLDS ITS MEETINGS EVERY TWO MONTHS. PRIOR TO FILING THE ANNUAL 990, THE FORM IS DISTRIBUTED ELECTRONICALLY TO THE BOARD OF DIRECTORS FOR REVIEW. AT THE SUBSEQUENT BOARD MEETING, OUR CPA PRESENTS THE DOCUMENT AND ANSWERS QUESTIONS FROM THE MEMBERS. ONCE EXPLAINED THE BOARD VOTES TO APPROVE.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS HAVE A DUTY TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. ALL DISCLOSURE REPORTS ARE REVIEWED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FLORIDA MEDICAL CLINIC LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line138135 MARKET SQUAREAddressLine1Txt
CityZEPHYRHILLSCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33543ZIPCd
FieldValueIRS element (for citing)
EIN593156212EIN
Primary ActivitiesMEDICAL ACPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeSEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FLORIDA MEDICAL CLINIC LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$87,433InvolvedAmt
Method Of Amount DeterminationACTUALMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PART V, ITEMS K, N, AND OFormAndLineReferenceDesc
ExplanationTHE RELATED ORGANIZATION PROVIDED IN-KIND SUPPORT OF $187,386 FOR OCCUPANCY, SALARIES, AND OTHER SHARED SERVICES TO THE FOUNDATION. AT THIS TIME, THE FOUNDATION DOES NOT REIMBURSE THE RELATED ORGANIZATION FOR THESE AMOUNTS.ExplanationTxt

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