AGAPE NETWORK INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
AGAPE NETWORK INC (EIN 59-2471230)
Tax period
2018-07-01 to 2019-06-30
Filed
2019-11-19
IRS object ID
201923239349300522
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

FieldValueIRS element (for citing)
Return2019-11-19T11:39:00-00:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1THOMAS &COMPANY CPA PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19710 STIRLING RD STE 101AddressLine1Txt
CityCOOPER CITYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33024ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592471230EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AGAPE NETWORK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone3052352616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122790 SW 112 AVENUEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33170ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCLAUDIO PEREZ CEOPersonNm
Person TitleCEOPersonTitleTxt
Signature2019-11-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSE THOMASPreparerPersonNm
Phone9544357272PhoneNum
Preparation2019-11-19PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.9.140.221IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-19IPDt
IP Tm16:37:04IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id65E5D8BF314E307F3104CC37DA3AF52A35A5F0E9AtSubmissionCreationDeviceId
At Submission Filing Device Id65E5D8BF314E307F3104CC37DA3AF52A35A5F0E9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCLAUDIO PEREZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line122790 SW 112 AVENUEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33170ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,804,426GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN / AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTH CENTER RESTORING INDIVIDUALS AND FAMILIES TO PSYCHOLOGICAL, SOCIAL, PHYSICAL AND SPIRITUAL HEALTHActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee179TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,509,649PYContributionsGrantsAmt
CY Contributions Grants$4,013,570CYContributionsGrantsAmt
PY Program Service Revenue$2,347,644PYProgramServiceRevenueAmt
CY Program Service Revenue$2,386,657CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$289,367PYOtherRevenueAmt
CY Other Revenue$404,199CYOtherRevenueAmt
PY Total Revenue$7,146,660PYTotalRevenueAmt
CY Total Revenue$6,804,426CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,964,349PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,853,778CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,176,479PYOtherExpensesAmt
CY Other Expenses$2,131,189CYOtherExpensesAmt
PY Total Expenses$7,140,828PYTotalExpensesAmt
CY Total Expenses$6,984,967CYTotalExpensesAmt
PY Revenues Less Expenses$5,832PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$180,541CYRevenuesLessExpensesAmt
Total Assets BOY$2,957,311TotalAssetsBOYAmt
Total Assets EOY$2,782,675TotalAssetsEOYAmt
Total Liabilities BOY$436,658TotalLiabilitiesBOYAmt
Total Liabilities EOY$442,563TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,520,653NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,340,112NetAssetsOrFundBalancesEOYAmt
MissionTO RESTORE INDIVIDUALS AND FAMILIES TO PSYCHOLOGICAL, SOCIAL, PHYSICAL, AND SPIRITUAL HEALTHMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,330,416ExpenseAmt
DescTHE AGENCY OPERATES A COMMUNITY HEALTH CENTER THAT INCLUDES INTEGRATED BEHAVIORAL HEALTHCARE SERVICES. THE AGENCY OPERATES FOUR 4 MAJOR PROGRAMS WHICH INCLUDE AGAPE INTEGRATED HEALTHCARE SERVICES, AGAPE RESIDENTIAL PROGRAMS, AGAPE CHILDREN OF INMATES, AGAPE OUTPATIENT SERVICES, AGAPE / SOUTH FLORIDA JAIL MINISTRIES. DURING THE YEAR, THE AGENCY PROVIDED SERVICES TO 3,264 CLIENTS.Desc
Total Program Service Expenses$6,330,416TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee179EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Quid Pro Quo Contri DisclfalseQuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLAUDIO PEREZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3052352616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122790 SW 112 AVENUEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33170ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR WILLIAM W WHITE
CHAIRMAN002.00Yes (X)$0$0$0
DR JIMMY RAY BURKE
VICE CHAIR002.00Yes (X)$0$0$0
JACQUELINE L EADS
SECRETARY / TREASURER002.00Yes (X)$0$0$0
ARMANDO HERNANDEZ
DIRECTOR002.00Yes (X)$0$0$0
LISA M LORENZO
DIRECTOR002.00Yes (X)$0$0$0
EMILIO ALVAREZ-FARRE
DIRECTOR002.00Yes (X)$0$0$0
JEANETTE D RUBIO
DIRECTOR002.00Yes (X)$0$0$0
MELINDA BROWN-GONZALEZ
DIRECTOR002.00Yes (X)$0$0$0
WILLIAM M DUQUETTE
DIRECTOR002.00Yes (X)$0$0$0
DR JOSE HERNANDEZ
FOUNDER / EXECUTIVE DIRECTOR040.00Yes (X)$107,000$0$11,034
J D PATTERSON
DIRECTOR002.00Yes (X)$0$0$0
JORGE A DOMINICIS
DIRECTOR002.00Yes (X)$0$0$0
DR CLAUDIO M PEREZ
PRESIDENT / CEO040.00$132,838$0$8,137Yes (X)Yes (X)
SANDRA HERNANDEZ
VICE PRESIDENT OF OPERATIONS040.00$121,137$0$0Yes (X)
DR TIMOTHY TYLER
DIRECTOR OF RESEARCH DEVELOPMENT040.00$102,000$0$0Yes (X)
RODIL MARIA
PSYCHIATRIC002.00$110,576$0$0Yes (X)
DR MARK LATY
PSYCHIATRIC040.00$250,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$823,551TotalReportableCompFromOrgAmt
Total Other Compensation$19,171TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonHEALTH CHOICE NETWORKPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line19064 NW 13 TERRACEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33172ZIPCd
FieldValueIRS element (for citing)
ServicesFULL RANGE BUSINESS SERVICESServicesDesc
Compensation$455,016CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$3,687,988GovernmentGrantsAmt
All Other Contributions$325,582AllOtherContributionsAmt
Noncash Contributions$126,716NoncashContributionsAmt
Total Contributions$4,013,570TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Total Revenue Column$2,386,657TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,386,657TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Total Revenue Column$404,199TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$404,199OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,804,426TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$356,410TotalAmt
Program Services$53,500ProgramServicesAmt
Management And General$302,910ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,894,994TotalAmt
Program Services$3,631,904ProgramServicesAmt
Management And General$263,090ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$266,013TotalAmt
Program Services$212,089ProgramServicesAmt
Management And General$53,924ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$336,361TotalAmt
Program Services$309,452ProgramServicesAmt
Management And General$26,909ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,000TotalAmt
Program Services$23,870ProgramServicesAmt
Management And General$130ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$182,245TotalAmt
Program Services$181,261ProgramServicesAmt
Management And General$984ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$134,576TotalAmt
Program Services$133,849ProgramServicesAmt
Management And General$727ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,776TotalAmt
Program Services$17,680ProgramServicesAmt
Management And General$96ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$70,313TotalAmt
Program Services$69,933ProgramServicesAmt
Management And General$380ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD SERVICES$168,757$168,757
MEDICAL AND PHARMACY$307,316$307,316
SUBCONTRACTED SERVICES$860,856$856,207$4,649
OTHER EXPENSES$277,413$277,136$277

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$87,937TotalAmt
Program Services$87,462ProgramServicesAmt
Management And General$475ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,984,967TotalAmt
Program Services$6,330,416ProgramServicesAmt
Management And General$654,551ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,346,353BOYAmt
EOY$1,046,620EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$476,964BOYAmt
EOY$403,456EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$191,480BOYAmt
EOY$450,227EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$134,637BOYAmt
EOY$131,119EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,109,086LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,853,193LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$315,200BOYAmt
EOY$255,893EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$492,677BOYAmt
EOY$495,360EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,957,311BOYAmt
EOY$2,782,675EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$423,829BOYAmt
EOY$434,734EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,829BOYAmt
EOY$7,829EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$436,658BOYAmt
EOY$442,563EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,520,653BOYAmt
EOY$2,340,112EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,520,653BOYAmt
EOY$2,340,112EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,957,311BOYAmt
EOY$2,782,675EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$180,541ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,828,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,711,523CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,945,006CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,509,649CurrentTaxYearMinus1YearAmt
Current Tax Year$4,013,570CurrentTaxYearAmt
Total$20,008,248TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,828,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,711,523CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,945,006CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,509,649CurrentTaxYearMinus1YearAmt
Current Tax Year$4,013,570CurrentTaxYearAmt
Total$20,008,248TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$20,008,248PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,602CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,563CurrentTaxYearMinus3YearsAmt
Total$13,165TotalAmt
FieldValueIRS element (for citing)
Total Support$20,021,413TotalSupportAmt
Public Support CY1700.99930PublicSupportCY170Pct
Public Support PY1700.99930PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

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

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$130,000OtherCostOrOtherBasisAmt
Book Value$130,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,029,450OtherCostOrOtherBasisAmt
Depreciation$1,957,329DepreciationAmt
Book Value$72,121BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$867,883OtherCostOrOtherBasisAmt
Depreciation$828,703DepreciationAmt
Book Value$39,180BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$81,753OtherCostOrOtherBasisAmt
Depreciation$67,161DepreciationAmt
Book Value$14,592BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$255,893TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
CLIENT TRUST FUNDS
CONSTRUCTION IN PROGRESS$495,360
FieldValueIRS element (for citing)
Total Book Value Other Assets$495,360TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Federal income taxes
OTHER LIABILITIES$7,829
FieldValueIRS element (for citing)
Total Liability$7,829TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DR CLAUDIO M PEREZ
PRESIDENT / CEO
DR MARK LATY
PSYCHIATRIC$250,000$250,000

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)BUS PASSES12$1,100FMV
Yes (X)MISC ITEMS$42,959FMV
Yes (X)INTERN/VOLUNTEER TIME8$82,657FMV
FieldValueIRS element (for citing)
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2THE EXECUTIVE DIRECTOR AND THE VICE PRESIDENT OF OPERATIONS ARE HUSBAND AND WIFE.
Form 990, Part VI, Line 6THE AGENCYS GOVERNING BODY CONSISTS OF THIRTEEN 13 BOARD MEMBERS.
Form 990, Part VI, Line 11BINDEPENDENT AUDITOR PREPARES THE FORM 990 RETURN AND SUBMITS IT TO THE CFO AND THE PRESIDENT / CEO FOR THEIR REVIEWS. THE FORM 990 IS THEN SUBMITTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEWS AND APPROVAL. ONCE APPROVED, THE FORM 990 WILL BE FILED WITH THE IRS.
Form 990, Part VI, Line 12CTHE AGENCY MONITORS AND ENFORCES ITS CONFLICTS OF INTEREST POLICY BY HAVING ITS MEMBERS AND EMPLOYEES SIGN AN ANNUAL CONFLICT AND INTEREST DISCLOSURE FORM. FAILURE TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST WOULD RESULT IN DISCIPLINARY OR ACTION, INCLUDING DISMISSAL.
Form 990, Part VI, Line 15ATHE SALARY OF THE PRESIDENT / CEO IS DETERMINED BY THE BOARD OF DIRECTORS. THIS SALARY IS BASED ON PERFORMANCE DOCUMENTED IN THE ANNUAL EVALUATION, INDEPENDENT COMPENSATION SURVEY AND STUDIES.
Form 990, Part VI, Line 15BTHE BOARD OF DIRECTORS HAS AUTHORIZED THE EXECUTIVE DIRECTOR TO ESTABLISH THE SALARY OF KEY EMPLOYEES BASED ON PERFORMANCE DOCUMENTED IN THE ANNUAL EVALUATION. THE BOARDS APPROVAL THERETO IS MADE IN THE APPROVAL OF THE AGENCYS ANNUAL BUDGET.
Form 990, Part VI, Line 19THE AGENCY MAKES ITS DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST VIA U.S. MAIL OR ELECTRONIC MAIL.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HEALTH CHOICE CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19064 NW 13 TERRACEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33172ZIPCd
FieldValueIRS element (for citing)
EIN462807961EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeUnrelatedPredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.01000OwnershipPct

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