PROJECT HEALTH INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- PROJECT HEALTH INC (EIN 59-1664577)
- Tax period
- 2018-04-01 to 2019-03-31
- Filed
- 2020-01-30
- IRS object ID
- 202030309349300228
- Schema version
- 2018v3.1
- 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 | 2020-01-30T10:58:00-06:00 | ReturnTs |
| Tax Period End | 2019-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593040705 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERO GORDIMER & COMPANY PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 172359 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33672 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591664577 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROJECT HEALTH INC | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A THOMAS E LANGLEY MEDICAL CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROJ | BusinessNameControlTxt |
| Phone | 3527935900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 US SOUTH HIGHWAY 301 | AddressLine1Txt |
| City | SUMTERVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33585 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS CHASE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3527935900 | PhoneNum |
| Signature | 2020-01-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAM A LAZZARA | PreparerPersonNm |
| PTIN | P01342929 | PTIN |
| Phone | 8138757774 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.202.225.84 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-01-29 | IPDt |
| IP Tm | 16:04:33 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 69A26F9334EBCBBAE563FF7F9523795D603EB3D5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 425BBEDD4FE3D6157E7D42C8E7BC794A0085AF35 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS CHASE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 US SOUTH HIGHWAY 301 | AddressLine1Txt |
| City | SUMTERVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33585 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,837,810 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LANGLEYMEDICAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | OPERATE COMMUNITY HEALTH CENTERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 243 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,360,752 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,643,782 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,180,516 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,141,176 | CYProgramServiceRevenueAmt |
| PY Investment Income | $227 | PYInvestmentIncomeAmt |
| CY Investment Income | $207 | CYInvestmentIncomeAmt |
| PY Other Revenue | $50,775 | PYOtherRevenueAmt |
| CY Other Revenue | $52,645 | CYOtherRevenueAmt |
| PY Total Revenue | $14,592,270 | PYTotalRevenueAmt |
| CY Total Revenue | $17,837,810 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,634,684 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,657,033 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,270,573 | PYOtherExpensesAmt |
| CY Other Expenses | $5,832,276 | CYOtherExpensesAmt |
| PY Total Expenses | $14,905,257 | PYTotalExpensesAmt |
| CY Total Expenses | $17,489,309 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$312,987 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $348,501 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,192,563 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,864,817 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,222,817 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,546,570 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,969,746 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,318,247 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE WITH COURTESY, DIGNITY AND COMPASSION BY A PROFESSIONAL, WELL TRAINED STAFF TO ANYONE NEEDING THESE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,898,747 | ExpenseAmt |
| Revenue | $11,141,176 | RevenueAmt |
| Desc | AMBULATORY 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 | $13,898,747 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 |
| IRP Document | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 243 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAROL PETERSON DIRECTOR OF FINANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3527935900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 U S SOUTH HWY 301 | AddressLine1Txt |
| City | SUMTERVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33585 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| IVORY GRAY | |||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JUNE TICKLE | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHERRY OLSZANSKI | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARIA BELLO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM BODENNER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOE DONLON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MAGDA EMBDEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JIMMIE ENDERLE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WANDA FRANCIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAULA KNIGHT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KRISTY LINDKE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEANA LINDSAY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BROOKE MORRIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JON SIMPSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS CHASE | |||||||
| CEO | 40.00 | Yes (X) | $249,093 | $0 | $0 | ||
| GARY COSTANTINO | |||||||
| CFO | 40.00 | Yes (X) | $123,530 | $0 | $5,375 | ||
| VICKI WYNNS | |||||||
| COO | 40.00 | Yes (X) | $128,361 | $0 | $0 | ||
| NAEEM AHMED DO | |||||||
| CMO | 40.00 | Yes (X) | $231,781 | $0 | $8,653 | ||
| FRANCIS GOIRAN | |||||||
| CMO | 40.00 | Yes (X) | $133,991 | $0 | $0 | ||
| ANTHONY SHADIACK DO | |||||||
| DOCTOR | 40.00 | $171,618 | $0 | $9,940 | Yes (X) | ||
| JULIA FASHNER MD | |||||||
| DOCTOR | 40.00 | $168,586 | $0 | $5,555 | Yes (X) | ||
| DONOFFA NELSON DO | |||||||
| DOCTOR | 40.00 | $168,415 | $0 | $6,214 | Yes (X) | ||
| SANTHARAM NALLAMSHETTY MD | |||||||
| DOCTOR | 40.00 | $165,693 | $0 | $10,113 | Yes (X) | ||
| KATHERINE WELTY MD | |||||||
| DOCTOR | 40.00 | $159,626 | $0 | $7,163 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,700,694 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $53,013 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,645,469 | GovernmentGrantsAmt |
| All Other Contributions | $998,313 | AllOtherContributionsAmt |
| Total Contributions | $6,643,782 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $11,141,176 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,141,176 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,141,176 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $207 | TotalRevenueColumnAmt |
| Exclusion | $207 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $52,645 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $52,645 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,645 | TotalRevenueColumnAmt |
| Exclusion | $52,645 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,837,810 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,141,176 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $52,852 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $866,755 | TotalAmt |
| Program Services | $721,994 | ProgramServicesAmt |
| Management And General | $144,761 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,383,473 | TotalAmt |
| Program Services | $7,816,290 | ProgramServicesAmt |
| Management And General | $1,567,183 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,253 | TotalAmt |
| Program Services | $555,089 | ProgramServicesAmt |
| Management And General | $149,164 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,552 | TotalAmt |
| Program Services | $553,749 | ProgramServicesAmt |
| Management And General | $148,803 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,379 | TotalAmt |
| Management And General | $33,379 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,542 | TotalAmt |
| Management And General | $51,542 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,607 | TotalAmt |
| Program Services | $670,485 | ProgramServicesAmt |
| Management And General | $129,122 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,811 | TotalAmt |
| Program Services | $17,102 | ProgramServicesAmt |
| Management And General | $17,709 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $725,486 | TotalAmt |
| Program Services | $655,142 | ProgramServicesAmt |
| Management And General | $70,344 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $696,886 | TotalAmt |
| Program Services | $607,280 | ProgramServicesAmt |
| Management And General | $89,606 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,324,030 | TotalAmt |
| Program Services | $800,978 | ProgramServicesAmt |
| Management And General | $523,052 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,777 | TotalAmt |
| Program Services | $240,544 | ProgramServicesAmt |
| Management And General | $60,233 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $718,297 | TotalAmt |
| Program Services | $288,616 | ProgramServicesAmt |
| Management And General | $429,681 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,780 | TotalAmt |
| Program Services | $30,797 | ProgramServicesAmt |
| Management And General | $175,983 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROVISION FOR BAD DEBT | $682,598 | $682,598 | $0 | $0 |
| PHARMACEUTICAL SUPPLIES | $258,083 | $258,083 | $0 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,489,309 | TotalAmt |
| Program Services | $13,898,747 | ProgramServicesAmt |
| Management And General | $3,590,562 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,015 | BOYAmt |
| EOY | $443,794 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,590 | BOYAmt |
| EOY | $257,603 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,618 | BOYAmt |
| EOY | $752,348 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $892,384 | BOYAmt |
| EOY | $1,635,157 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,162 | BOYAmt |
| EOY | $21,491 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,032 | BOYAmt |
| EOY | $61,349 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,734,563 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,052,738 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,286,332 | BOYAmt |
| EOY | $10,681,825 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,430 | BOYAmt |
| EOY | $11,250 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,192,563 | BOYAmt |
| EOY | $13,864,817 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,007,321 | BOYAmt |
| EOY | $1,381,452 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,809 | BOYAmt |
| EOY | $7,817 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,052,414 | BOYAmt |
| EOY | $5,761,592 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $260,802 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,273 | BOYAmt |
| EOY | $134,907 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,222,817 | BOYAmt |
| EOY | $7,546,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,969,746 | BOYAmt |
| EOY | $6,318,247 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,969,746 | BOYAmt |
| EOY | $6,318,247 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,192,563 | BOYAmt |
| EOY | $13,864,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $348,501 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,825,515 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,368,138 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,566,394 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,360,752 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,643,782 | CurrentTaxYearAmt |
| Total | $22,764,581 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,730,433 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,953,678 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,305,944 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,180,516 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,141,176 | CurrentTaxYearAmt |
| Total | $43,311,747 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,555,948 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,321,816 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,872,338 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,541,268 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,784,958 | CurrentTaxYearAmt |
| Total | $66,076,328 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $66,076,328 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,581 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $51,272 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $51,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,852 | CurrentTaxYearAmt |
| Total | $262,798 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,581 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $51,272 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $51,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $51,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,852 | CurrentTaxYearAmt |
| Total | $262,798 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,612,529 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,373,088 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,923,429 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,592,270 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,837,810 | CurrentTaxYearAmt |
| Total | $66,339,126 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99600 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99540 | PublicSupportPY509Pct |
| Investment Income CY | 0.00400 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00460 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,280,721 | OtherCostOrOtherBasisAmt |
| Book Value | $1,280,721 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,664,935 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,613,167 | DepreciationAmt |
| Book Value | $8,051,768 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,152,075 | OtherCostOrOtherBasisAmt |
| Depreciation | $588,727 | DepreciationAmt |
| Book Value | $563,348 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,636,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,850,844 | DepreciationAmt |
| Book Value | $785,988 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,681,825 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASES PAYABLE | $40,907 |
| DUE TO AFFILIATE | $94,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $134,907 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS CHASE | ||||||||||||||
| CEO | $249,093 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $249,093 | $0 | $0 | $0 |
| NAEEM AHMED DO | ||||||||||||||
| CMO | $231,781 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,653 | $0 | $240,434 | $0 | $0 | $0 |
| ANTHONY SHADIACK DO | ||||||||||||||
| DOCTOR | $171,618 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,940 | $0 | $181,558 | $0 | $0 | $0 |
| JULIA FASHNER MD | ||||||||||||||
| DOCTOR | $168,586 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,555 | $0 | $174,141 | $0 | $0 | $0 |
| DONOFFA NELSON DO | ||||||||||||||
| DOCTOR | $168,415 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,214 | $0 | $174,629 | $0 | $0 | $0 |
| SANTHARAM NALLAMSHETTY MD | ||||||||||||||
| DOCTOR | $165,693 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,113 | $0 | $175,806 | $0 | $0 | $0 |
| KATHERINE WELTY MD | ||||||||||||||
| DOCTOR | $159,626 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,163 | $0 | $166,789 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE DIRECTOR OF FINANCE, CAROL PETERSON 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 12C | ALL 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 15A | THE 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 18 | PROJECT HEALTH MAKES ITS FORMS 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | PROJECT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMAS E LANGELY MEDICAL CENTER FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1425 SOUTH US HWY 301 | AddressLine1Txt |
| City | SUMTERVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33585 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650713573 | EIN |
| Primary Activities | RAISE FUNDS TO SUPPORT THE ACTIVITIES OF PROJECT HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 509(A)(3) TYPE II | PublicCharityStatusTxt |
| 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 | 0 | 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 | 0 | 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 |