FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC (EIN 20-2384178)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-21
- IRS object ID
- 202112949349301321
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-21T12:03:53-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 2ND AVENUE S 600 | AddressLine1Txt |
| City | ST PETERSBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202384178 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FLORIDA MEDICAL CLINIC FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | OF CARING INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FLOR | BusinessNameControlTxt |
| Phone | 8134064499 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1Txt |
| City | ZEPHYRHILLS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33542 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY CHAILDIN | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 8134064499 | PhoneNum |
| Signature | 2021-10-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | AMY | PersonFirstNm |
| Person Last | CHAILDIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BYRON C SMITH | PreparerPersonNm |
| PTIN | P00744293 | PTIN |
| Phone | 7278216161 | PhoneNum |
| Preparation | 2021-10-19 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANGELA POTTINGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1Txt |
| City | ZEPHYRHILLS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33542 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $297,377 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | FMCFOUNDATIONOFCARING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | FLORIDA 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 ONGOINGPOSITIVE CHANGES IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 42 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $605,784 | PYContributionsGrantsAmt |
| CY Contributions Grants | $297,377 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$86,901 | PYOtherRevenueAmt |
| CY Other Revenue | -$41,560 | CYOtherRevenueAmt |
| PY Total Revenue | $518,883 | PYTotalRevenueAmt |
| CY Total Revenue | $255,817 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $337,181 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $225,356 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $125,908 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $200 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $64,662 | PYOtherExpensesAmt |
| CY Other Expenses | $34,640 | CYOtherExpensesAmt |
| PY Total Expenses | $527,751 | PYTotalExpensesAmt |
| CY Total Expenses | $259,996 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,868 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,179 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $131,998 | TotalAssetsBOYAmt |
| Total Assets EOY | $127,819 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $131,998 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $127,819 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $232,957 | ExpenseAmt |
| Grant | $225,356 | GrantAmt |
| Desc | DIRECTED 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. LIKE SO MANY IN 2020, THE FLORIDA MEDICAL CLINIC FOUNDATION OF CARING FACED CHALLENGING TIMES. HOWEVER, OUR MISSION TO BE A RESOURCE FOR NONPROFITS IN OUR COMMUNITY PROVIDING SERVICES FOR INDIVIDUALS AND FAMILIES NEVER WAVERED. OUR FOCUS BECAME MEETING THE BASIC NEEDS OF PEOPLE WHO WERE ADVERSELY AFFECTED BY THE PANDEMIC. ALL IN ALL, WE WERE ABLE TO PARTNER WITH 28 DIFFERENT NONPROFITS IN HILLSBOROUGH AND PASCO COUNTIES. THROUGH OUR GRANTING INITIATIVES ALONE, WE DELIVERED FUNDING TO 17 CHARITIES TO THE TUNE OF NEARLY $211,000. THESE DOLLARS ADDRESSED URGENT NEEDS LIKE HUNGER RELIEF, HOMELESSNESS, MEDICAL ESSENTIALS, EMPLOYMENT SEARCHES, REMOTE EDUCATION, AND FUNDAMENTALS FOR BASIC SURVIVAL. WE WERE ALSO PRIVILEGED TO BE ABLE TO DISTRIBUTE OVER $18,500 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 WHO FOR THE FIRST TIME FOUND THEMSELVES ASKING FOR HELP. WE WERE ABLE TO COLLECT OVER 1,800 POUNDS OF FOOD FROM OUR CLINIC OFFICES AND DISTRIBUTED IT TO LOCAL FOOD BANKS. WE COLLECTED 521 PAIRS OF SOCKS WHICH WERE DONATED TO THOSE WORKING WITH THE HOMELESS POPULATION. WE COLLECTED BACKPACKS FILLED WITH SCHOOL SUPPLIES AND GAVE THEM TO EMERGENCY RELIEF ORGANIZATIONS FOR CHILDREN IN STRUGGLING FAMILIES.THE FMC FOUNDATION OF CARING WAS ALSO FORTUNATE TO BE ABLE TO PASS ALONG DONATIONS OF CLOTHING TO THE RESIDENTS OF A DOMESTIC VIOLENCE SHELTER. WE DISTRIBUTED OVER 100 LAB COATS TO A PROGRAM THAT ALLOWS TEENS THE OPPORTUNITY TO EXPLORE EDUCATIONAL PATHS AND CAREERS IN THE MEDICAL PROFESSION. AND LASTLY, AT THE END OF THE YEAR WE ENGAGED OUR CLINIC OFFICES IN A HOLIDAY DRIVE THAT YIELDED THOUSANDS OF DOLLARS IN TOYS AND TOILETRIES FOR A LOCAL SHELTER FOR KIDS REMOVED FROM THEIR HOME BECAUSE OF ABUSE ABANDONMENT AND NEGLECT. | Desc |
| Total Program Service Expenses | $232,957 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGELA POTTINGER EXECUTIVE DIRECTOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8134064499 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1Txt |
| City | ZEPHYRHILLS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33542 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| ANGELA POTTINGER | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $0 | $78,981 | $7,440 | |
| CHRIS ELAM | ||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| AMY CHAILDIN | ||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHRIS ALVAREZ | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DARRYL BENGE | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DINA HUBAYKAH | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| ASHLEY JENNINGS | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MARK FITZPATRICK | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| LOUIS ROSALES | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| GEOFFREY CRONEN MD | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| ROSHAN MAHTANI MD | ||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |
| SILVANA CAPALDI | ||||||
| SECRETARY (UNTIL 7/30/20) | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $78,981 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $7,440 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $101,748 | FundraisingAmt |
| Related Organizations | $92,406 | RelatedOrganizationsAmt |
| All Other Contributions | $103,223 | AllOtherContributionsAmt |
| Total Contributions | $297,377 | TotalContributionsAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $101,748 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $41,560 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$41,560 | TotalRevenueColumnAmt |
| Exclusion | -$41,560 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $255,817 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$41,560 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,544 | TotalAmt |
| Program Services | $221,544 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,812 | TotalAmt |
| Program Services | $3,812 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,025 | TotalAmt |
| Management And General | $1,025 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,760 | TotalAmt |
| Management And General | $14,760 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662 | TotalAmt |
| Program Services | $662 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,367 | TotalAmt |
| Program Services | $1,495 | ProgramServicesAmt |
| Management And General | $4,872 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,401 | TotalAmt |
| Management And General | $2,401 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,268 | TotalAmt |
| Management And General | $2,268 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,503 | TotalAmt |
| Program Services | $1,503 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BOOK SALES EXPENSE | $3,941 | $3,941 | |
| DUES & SUBSCRIPTIONS | $1,100 | $1,100 | |
| LICENSES AND FEES | $261 | $261 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352 | TotalAmt |
| Management And General | $152 | ManagementAndGeneralAmt |
| Fundraising | $200 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,996 | TotalAmt |
| Program Services | $232,957 | ProgramServicesAmt |
| Management And General | $26,839 | ManagementAndGeneralAmt |
| Fundraising | $200 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,925 | BOYAmt |
| EOY | $105,746 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,415 | BOYAmt |
| EOY | $7,415 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,278 | BOYAmt |
| EOY | $14,278 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380 | BOYAmt |
| EOY | $380 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,998 | BOYAmt |
| EOY | $127,819 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,998 | BOYAmt |
| EOY | $127,819 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,998 | BOYAmt |
| EOY | $127,819 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,998 | BOYAmt |
| EOY | $127,819 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$4,179 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $342,589 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $404,692 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $487,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $605,784 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $297,377 | CurrentTaxYearAmt |
| Total | $2,137,533 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $342,589 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $404,692 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $487,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $605,784 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $297,377 | CurrentTaxYearAmt |
| Total | $2,137,533 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $265,921 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,871,612 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $84,040 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $79,495 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $110,419 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,380 | CurrentTaxYearMinus1YearAmt |
| Total | $313,334 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,450,867 | TotalSupportAmt |
| Public Support CY170 | 0.76370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.76420 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | SPECIAL EVENT INCOME - 2016 AMOUNT: $ 84,040. 2017 AMOUNT: $ 79,495. 2018 AMOUNT: $ 110,419. 2019 AMOUNT: $ 39,380. 2020 AMOUNT: $ 0. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TIC TOC WITH A DOC | Event1Nm |
| Gross Receipts Event1 | $64,675 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $64,675 | CharitableContriEvent1Amt |
| Cash Prizes Event1 | $800 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,887 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $7,352 | OtherDirectExpensesEvent1Amt |
| Event2 | FMC CARES BOWLING | Event2Nm |
| Gross Receipts Event2 | $10,102 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $10,102 | CharitableContriEvent2Amt |
| Rent Facility Costs Event2 | $3,200 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $1,731 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $248 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $26,971 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $26,971 | CharitableContriOtherEventsAmt |
| Rent Fclty Costs Other Events | $5,000 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $18,342 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $101,748 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $101,748 | CharitableContributionsTotAmt |
| Cash Prizes Total Events | $800 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $13,087 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,731 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $25,942 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $41,560 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$41,560 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ACADEMY PREP CENTER OF TAMPA INC | |||||||
| 1407 E COLUMBUS DR | TAMPA | FL | 33605 | 593622978 | 501(C)3 | $5,000 | GENERAL SUPPORT |
| CONNECTIONS JOB DEVELOPMENT | |||||||
| 5841 MAIN STREET | NEW PORT RICHEY | FL | 34652 | 593131690 | 501(C)3 | $5,000 | GENERAL SUPPORT |
| CURRENT OF TAMPA BAY INC | |||||||
| 19046 BRUCE B DOWNS BLVD 160 | TAMPA | FL | 33647 | 262833911 | 501(C)3 | $10,000 | GENERAL SUPPORT |
| DAWNING FAMILY SERVICES INC FKA ALPHA HOUSE OF TAMPA INC | |||||||
| 6718 N ARMENIA AVE | TAMPA | FL | 33604 | 592655523 | 501(C)3 | $16,000 | GENERAL SUPPORT |
| FRESH START OF PASCO INC | |||||||
| 10239 XERIC STREET | NEW PORT RICHEY | FL | 34654 | 202788275 | 501(C)3 | $5,000 | GENERAL SUPPORT |
| FRIENDS OF JOSHUA HOUSE FOUNDATION INC | |||||||
| PO BOX 26333 | TAMPA | FL | 33623 | 200597719 | 501(C)3 | $11,000 | GENERAL SUPPORT |
| GOOD SAMARITAN HEALTH CLINIC OF PASCO INC | |||||||
| 5334 ASPEN STREET | NEW PORT RICHEY | FL | 34652 | 593072334 | 501(C)3 | $5,000 | GENERAL SUPPORT |
| I MATTER TOO CORPORATION | |||||||
| PO BOX 18964 | TAMPA | FL | 33679 | 680656317 | 501(C)3 | $10,000 | GENERAL SUPPORT |
| MACDONALD TRAINING CENTER INC | |||||||
| 5420 W CYPRESS STREET | TAMPA | FL | 33707 | 590777827 | 501(C)3 | $5,000 | GENERAL SUPPORT |
| OASIS NETWORK OF NEW TAMPA INC | |||||||
| 16057 TAMPA PALMS BLVD 317 | TAMPA | FL | 33647 | 593715732 | 501(C)3 | $10,000 | GENERAL SUPPORT |
| ONE COMMUNITY NOW INC | |||||||
| 1540 LITTLE ROAD | TRINITY | FL | 34655 | 264124070 | 501(C)3 | $20,000 | GENERAL SUPPORT |
| PASCO COUNTY FOSTER ADOPTIVE PARENT ASSOCIATION | |||||||
| PO BOX 4002 | HOLIDAY | FL | 34692 | 264355690 | 501(C)3 | $10,000 | GENERAL SUPPORT |
| PASCO EDUCATION FOUNDATION INC | |||||||
| PO BOX 1248 | LAND O LAKES | FL | 34638 | 593048717 | 501(C)3 | $15,000 | GENERAL SUPPORT |
| PASCO HERNANDO STATE COLLEGE FOUNDATION INC | |||||||
| 10230 RIDGE ROAD | NEW PORT RICHEY | FL | 34654 | 591731676 | 501(C)3 | $20,900 | GENERAL SUPPORT |
| STARTING RIGHT NOW | |||||||
| 1212 W CASS STREET | TAMPA | FL | 33606 | 263725699 | 501(C)3 | $25,300 | GENERAL SUPPORT |
| TAMPA METROPOLITAN AREA YMCA INC | |||||||
| 110 EAST OAK AVE | TAMPA | FL | 33602 | 591742909 | 501(C)3 | $9,000 | GENERAL SUPPORT |
| THOMAS PROMISE FOUNDATION INC | |||||||
| 31053 LAKESIDE LANE | DADE CITY | FL | 33523 | 460808046 | 501(C)3 | $5,283 | GENERAL SUPPORT |
| VILLAGE PRESBYTERIAN CHURCH DBA COMMUNITY FOOD PANTRY | |||||||
| 12115 S VILLAGE DRIVE | TAMPA | FL | 33618 | 591582660 | 501(C)3 | $30,000 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 18 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UPON 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 PART I, LINE 1 | FLORIDA 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 $3.2 MILLION IN FINANCIAL ASSISTANCE AND OVER 71,000 VOLUNTEER HOURS TO 168 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 6 | VOLUNTEERS SUPPORT A VARIETY OF PROGRAMS AND PROVIDED MORE THAN 625 HOURS OF SERVICE FOR THE TEAM FMC, BOOK DRIVE, AND ALL FUNDRAISING EVENTS. |
| FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION STATEMENT | FLORIDA 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. |
| PART V, LINES 2A & B | THE 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 11B | THE BOARD OF DIRECTORS HOLDS ITS MEETINGS EVERY TWO MONTHS. PRIOR TO FILING THE ANNUAL FORM 990, THE FORM 990 IS DISTRIBUTED ELECTRONICALLY TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD 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 19 | GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLORIDA MEDICAL CLINIC PA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38135 MARKET SQUARE | AddressLine1Txt |
| City | ZEPHYRHILLS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33543 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593156212 | EIN |
| Primary Activities | MEDICAL AC | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | S | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART V, ITEMS K, N, AND O | FormAndLineReferenceDesc |
| Explanation | THE RELATED ORGANIZATION PROVIDED IN-KIND SUPPORT OF $152,698 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 |
Comments