FURP.ORG / PUBLIC DATA EXPLORER

PROJECT HEALTH INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PROJECT HEALTH INC (EIN 59-1664577)
Tax period
2019-04-01 to 2020-03-31
Filed
2021-02-02
IRS object ID
202120339349300917
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2021-02-02T10:15:38-06:00ReturnTs
Tax Period End2020-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593040705PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RIVERO GORDIMER & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 172359AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33672ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN591664577EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROJECT HEALTH INCBusinessNameLine1Txt
Business Name Line2D/B/A LANGLEY HEALTH SERVICESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPROJBusinessNameControlTxt
Phone3527935900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11425 US SOUTH HIGHWAY 301AddressLine1Txt
CitySUMTERVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33585ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS CHASEPersonNm
Person TitleCEOPersonTitleTxt
Phone3527935900PhoneNum
Signature2021-01-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAM A LAZZARAPreparerPersonNm
PTINP01342929PTIN
Phone8138757774PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS CHASEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11425 US SOUTH HIGHWAY 301AddressLine1Txt
CitySUMTERVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33585ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,552,275GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LANGLEYMEDICAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionOPERATE COMMUNITY HEALTH CENTERS.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee251TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,643,782PYContributionsGrantsAmt
CY Contributions Grants$6,106,086CYContributionsGrantsAmt
PY Program Service Revenue$11,141,176PYProgramServiceRevenueAmt
CY Program Service Revenue$12,373,446CYProgramServiceRevenueAmt
PY Investment Income$207PYInvestmentIncomeAmt
CY Investment Income$10,478CYInvestmentIncomeAmt
PY Other Revenue$52,645PYOtherRevenueAmt
CY Other Revenue$62,265CYOtherRevenueAmt
PY Total Revenue$17,837,810PYTotalRevenueAmt
CY Total Revenue$18,552,275CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,657,033PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,330,219CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$14,401CYTotalFundraisingExpenseAmt
PY Other Expenses$5,832,276PYOtherExpensesAmt
CY Other Expenses$5,439,817CYOtherExpensesAmt
PY Total Expenses$17,489,309PYTotalExpensesAmt
CY Total Expenses$17,770,036CYTotalExpensesAmt
PY Revenues Less Expenses$348,501PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$782,239CYRevenuesLessExpensesAmt
Total Assets BOY$13,864,817TotalAssetsBOYAmt
Total Assets EOY$13,945,641TotalAssetsEOYAmt
Total Liabilities BOY$7,546,570TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,845,155TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,318,247NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,100,486NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE QUALITY, COMPREHENSIVE HEALTH CARE WITH COURTESY, DIGNITY AND COMPASSION BY A PROFESSIONAL, WELL TRAINED STAFF TO ANYONE NEEDING THESE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,005,843ExpenseAmt
Revenue$12,373,446RevenueAmt
DescAMBULATORY AND PRIMARY HEALTH CARE SERVICES PROVIDED ON A SLIDING FEE SCHEDULE - SERVICES INCLUDED MEDICAL, DENTAL, PHARMACY, LABORATORY, AND COMMUNITY HEALTH EDUCATION.Desc
Total Program Service Expenses$14,005,843TotalProgramServiceExpensesAmt
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 EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee251EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KENNETH D HUDSON DIRECTOR OF FINANCIAL REPORTING & BUDGETINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3527935900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11425 U S SOUTH HWY 301AddressLine1Txt
CitySUMTERVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33585ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
IVORY GRAY
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
JUNE TICKLE
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
JIM BODENNER
TREASURER1.00Yes (X)Yes (X)$0$0$0
JIMMIE ENDERLE
SECRETARY1.00Yes (X)$0$0$0
ROBERT COOPER
DIRECTOR1.00Yes (X)$0$0$0
JOE DONLON
DIRECTOR1.00Yes (X)$0$0$0
MARIA BELLO
DIRECTOR1.00Yes (X)$0$0$0
SHERRY OLSZANSKI
DIRECTOR1.00Yes (X)$0$0$0
WANDA FRANCIS
DIRECTOR1.00Yes (X)$0$0$0
PAULA KNIGHT
DIRECTOR1.00Yes (X)$0$0$0
KRISTY LINDKE
DIRECTOR1.00Yes (X)$0$0$0
DEANA LINDSAY
DIRECTOR1.00Yes (X)$0$0$0
BROOKE MORRIS
DIRECTOR1.00Yes (X)$0$0$0
JON SIMPSON
DIRECTOR1.00Yes (X)$0$0$0
THOMAS CHASE
CEO40.00Yes (X)$256,005$0$0
VICKI WYNNS
COO40.00Yes (X)$145,909$0$0
JOHN SIVON
DOD40.00Yes (X)$137,385$0$7,192
REBECCA HALLMAN
DOO40.00Yes (X)$86,921$0$5,842
FRANCIS GOIRAN
CCO40.00Yes (X)$23,654$0$0
ALEXANDER MOYER
ACCO40.00Yes (X)$0$0$0
KENNETH HUDSON
CFO40.00Yes (X)$71,918$0$0
KOMALA BHUSHAN
DOCTOR40.00$257,140$0$5,842Yes (X)
NAEEM AHMED DO
DOCTOR40.00$221,102$0$9,953Yes (X)
JULIA FASHNER MD
DOCTOR40.00$182,777$0$5,763Yes (X)
DONOFFA NELSON DO
DOCTOR40.00$177,434$0$7,192Yes (X)
SANTHARAM NALLAMSHETTY MD
DOCTOR40.00$175,352$0$10,963Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,735,597TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$52,747TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K27IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$5,451,123GovernmentGrantsAmt
All Other Contributions$654,963AllOtherContributionsAmt
Total Contributions$6,106,086TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621400BusinessCd
Total Revenue Column$12,373,446TotalRevenueColumnAmt
Related Or Exempt Func Income$12,373,446RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,373,446TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,478TotalRevenueColumnAmt
Exclusion$10,478ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$62,265RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$62,265RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,265TotalRevenueColumnAmt
Exclusion$62,265ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,552,275TotalRevenueColumnAmt
Related Or Exempt Func Income$12,373,446RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$72,743ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$649,873TotalAmt
Program Services$538,324ProgramServicesAmt
Management And General$111,549ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,130,799TotalAmt
Program Services$8,391,871ProgramServicesAmt
Management And General$1,738,928ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$798,979TotalAmt
Program Services$621,858ProgramServicesAmt
Management And General$177,121ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$750,568TotalAmt
Program Services$584,178ProgramServicesAmt
Management And General$166,390ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$26,028TotalAmt
Management And General$26,028ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,000TotalAmt
Management And General$56,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$817,205TotalAmt
Program Services$675,516ProgramServicesAmt
Management And General$141,689ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,689TotalAmt
Program Services$8,755ProgramServicesAmt
Management And General$15,934ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$866,079TotalAmt
Program Services$784,460ProgramServicesAmt
Management And General$67,218ManagementAndGeneralAmt
Fundraising$14,401FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$695,787TotalAmt
Program Services$668,559ProgramServicesAmt
Management And General$27,228ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,256,375TotalAmt
Program Services$717,268ProgramServicesAmt
Management And General$539,107ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$279,833TotalAmt
Program Services$223,774ProgramServicesAmt
Management And General$56,059ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$679,802TotalAmt
Program Services$249,516ProgramServicesAmt
Management And General$430,286ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$256,951TotalAmt
Program Services$60,696ProgramServicesAmt
Management And General$196,255ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACEUTICAL SUPPLIES$254,021$254,021$0$0
PROVISION FOR BAD DEBT$227,047$227,047$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,770,036TotalAmt
Program Services$14,005,843ProgramServicesAmt
Management And General$3,749,792ManagementAndGeneralAmt
Fundraising$14,401FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$443,794BOYAmt
EOY$2,043,755EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$257,603BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$752,348BOYAmt
EOY$83,503EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,635,157BOYAmt
EOY$1,505,853EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,491BOYAmt
EOY$27,656EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$61,349BOYAmt
EOY$79,425EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,918,258LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,732,540LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,681,825BOYAmt
EOY$10,185,718EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,250BOYAmt
EOY$19,731EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,864,817BOYAmt
EOY$13,945,641EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,381,452BOYAmt
EOY$1,269,104EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,817BOYAmt
EOY$536EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,761,592BOYAmt
EOY$5,459,692EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$260,802BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$134,907BOYAmt
EOY$115,823EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,546,570BOYAmt
EOY$6,845,155EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,318,247BOYAmt
EOY$7,100,486EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,318,247BOYAmt
EOY$7,100,486EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,864,817BOYAmt
EOY$13,945,641EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$782,239ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,368,138CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,566,394CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,360,752CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,643,782CurrentTaxYearMinus1YearAmt
Current Tax Year$6,106,086CurrentTaxYearAmt
Total$27,045,152TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,953,678CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,305,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,180,516CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,141,176CurrentTaxYearMinus1YearAmt
Current Tax Year$12,373,446CurrentTaxYearAmt
Total$47,954,760TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,321,816CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,872,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,541,268CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,784,958CurrentTaxYearMinus1YearAmt
Current Tax Year$18,479,532CurrentTaxYearAmt
Total$74,999,912TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$74,999,912PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,272CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,091CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,002CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$52,852CurrentTaxYearMinus1YearAmt
Current Tax Year$72,743CurrentTaxYearAmt
Total$278,960TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,272CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,091CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,002CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$52,852CurrentTaxYearMinus1YearAmt
Current Tax Year$72,743CurrentTaxYearAmt
Total$278,960TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,373,088CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,923,429CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,592,270CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,837,810CurrentTaxYearMinus1YearAmt
Current Tax Year$18,552,275CurrentTaxYearAmt
Total$75,278,872TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99630PublicSupportCY509Pct
Public Support PY5090.99600PublicSupportPY509Pct
Investment Income CY0.00370InvestmentIncomeCYPct
Investment Income PY0.00400InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,280,721OtherCostOrOtherBasisAmt
Book Value$1,280,721BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,664,935OtherCostOrOtherBasisAmt
Depreciation$3,925,755DepreciationAmt
Book Value$7,739,180BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,269,910OtherCostOrOtherBasisAmt
Depreciation$675,628DepreciationAmt
Book Value$594,282BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,702,692OtherCostOrOtherBasisAmt
Depreciation$4,131,157DepreciationAmt
Book Value$571,535BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,185,718TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASES PAYABLE$21,823
DUE TO AFFILIATE$94,000
FieldValueIRS element (for citing)
Total Liability$115,823TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS CHASE
CEO$256,005$0$0$0$0$0$0$0$0$0$256,005$0$0$0
KOMALA BHUSHAN
DOCTOR$257,140$0$0$0$0$0$0$0$5,842$0$262,982$0$0$0
NAEEM AHMED DO
DOCTOR$221,102$0$0$0$0$0$0$0$9,953$0$231,055$0$0$0
JULIA FASHNER MD
DOCTOR$182,777$0$0$0$0$0$0$0$5,763$0$188,540$0$0$0
DONOFFA NELSON DO
DOCTOR$177,434$0$0$0$0$0$0$0$7,192$0$184,626$0$0$0
SANTHARAM NALLAMSHETTY MD
DOCTOR$175,352$0$0$0$0$0$0$0$10,963$0$186,315$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE DIRECTOR OF FINANCE, KENNETH HUDSON PRESENTS THE COPY OF FORM 990 TO THE BOARD OF DIRECTORS AT THEIR MONTHLY MEETING FOR REVIEW. AFTER REVIEW OF THE DOCUMENTS A MOTION IS MADE BY ONE OF THE BOARD MEMBERS TO ACCEPT THE FORM 990, AND AFTER MOTION IS SECONDED IT IS CONSIDERED APPROVED FOR FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS ARE PROVIDED COPIES OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. DIRECTORS ARE REQUIRED TO COMPLETE A WRITTEN QUESTIONNAIRE ABOUT ANY POTENTIAL CONFLICTS THEY MAY HAVE.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD IS AWARE OF THE PROVISIONS OF SECTION 4958. IN SETTING THE COMPENSATION FOR THE CEO, THE BOARD HAS COMPARATIVE DATA FROM THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS (FACHC). THE EXECUTIVE COMMITTEE CONSIDERS THIS DATA, REVIEWS THE PERFORMANCE OF THE CEO AND NEGOTIATES CONTRACTS AND CONTRACT EXTENSIONS FROM TIME TO TIME. THE PROCESS IS DOCUMENTED. THE CURRENT CONTRACT OF THE CEO COMMENCED ON APRIL 1, 2019 AND CONTINUES THROUGH MARCH 31, 2021. COMPENSATION FOR THE CEO DID NOT CHANGE FROM THE CONTRACT FOR THE PERIOD APRIL 1, 2017 THROUGH MARCH 31, 2019. NO OTHER EMPLOYEE IS CONSIDERED A "DISQUALIFIED" INDIVIDUAL. HOWEVER, HISTORICALLY, THE DATA FROM FACHC HAS ALSO BEEN ANALYZED AND REPORTED TO THE BOARD AND HAS BEEN USED TO CONSIDER THE SALARIES OF THE COO, CFO, CMO AND DIRECTOR OF DEVELOPMENT. THOSE SALARIES ARE SET BY THE CEO AND ADJUSTED FROM TIME TO TIME.
FORM 990, PART VI, SECTION C, LINE 18PROJECT HEALTH MAKES ITS FORMS 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19PROJECT HEALTH NOTES THAT IT IS NOT REQUIRED TO MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2C, FINANCIAL STATEMENTS AND REPORTING:PROJECT HEALTH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION OF THE ORGANIZATION'S INDEPENDENT AUDITORS. THE BOARD MAINTAINS COMMUNICATION WITH THE INDEPENDENT AUDITORS, AS NECESSARY, DURING THE AUDIT AND IS RESPONSIBLE FOR REVIEWING AND APPROVING THE AUDITED FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THOMAS E LANGELY MEDICAL CENTER FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11425 SOUTH US HWY 301AddressLine1Txt
CitySUMTERVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33585ZIPCd
FieldValueIRS element (for citing)
EIN650713573EIN
Primary ActivitiesRAISE FUNDS TO SUPPORT THE ACTIVITIES OF PROJECT HEALTHPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status509(A)(3) TYPE IIPublicCharityStatusTxt
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 Org0GiftGrntCapContriFromOthOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
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