FISHERMEN'S HOSPITAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- FISHERMEN'S HOSPITAL INC (EIN 59-0914771)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-22
- IRS object ID
- 201921429349301607
- Schema version
- 2017v2.3
- 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 | 2019-05-22T14:17:07-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721396621 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARR RIGGS & INGRAM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1117 BOLL WEEVIL CIRCLE | AddressLine1Txt |
| City | ENTERPRISE | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 36330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 590914771 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FISHERMEN'S HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FISH | BusinessNameControlTxt |
| Phone | 3057435533 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3301 OVERSEAS HIGHWAY | AddressLine1Txt |
| City | MARATHON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33050 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL SAMESS | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 3057435417 | PhoneNum |
| Signature | 2019-05-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ASHLEY H STAFFORD | PreparerPersonNm |
| PTIN | P00248001 | PTIN |
| Phone | 3343470088 | PhoneNum |
| Preparation | 2019-05-22 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 198.73.26.130 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-22 | IPDt |
| IP Tm | 11:00:15 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4815D86FBD379E0D2576E3DF5FFF015EDF8990DB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL SAMESS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3301 OVERSEAS HIGHWAY | AddressLine1Txt |
| City | MARATHON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33050 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,005,416 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://BAPTISTHEALTH.NET/EN/FACILITIES/FISHERMEN | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXCELLENCE IN HEALTH CARE.TO PROMOTE PATIENT, PHYSICIAN AND STAFF SATISFACTION AND CONFIDENCE.TO ENSURE PATIENT RIGHTS ARE PROTECTED AND RESPECTED.TO IMPROVE THE QUALITY OF MEDICAL SERVICES CONSISTENT WITH TECHNOLOGICAL AND SYSTEMS DEVELOPMENT.TO SEEK OUT THE MEDICAL NEEDS OF THE COMMUNITY WE SERVE AND TO MEET THOSE NEEDS IN A TIMELY AND COST EFFECTIVE MANNER.TO PROTECT OUR ENVIRONMENT IN EVERY TASK WE UNDERTAKE.TO PROVIDE OPPORTUNITIES TO OUR STAFF FOR THEIR PERSONAL AND PROFESSIONAL DEVELOPMENT.TO COMMUNICATE THE POSITIVE AND EFFECTIVE ROLE PLAYED BY FISHERMEN'S COMMUNITY HOSPITAL IN OUR COMMUNITY.TO PERFORM OUR MISSION AT THE HIGHEST LEVEL OF ETHICAL EXPECTATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 238 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $261,046 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,496,813 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,318 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,005,416 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $29,770,177 | PYTotalRevenueAmt |
| CY Total Revenue | $11,005,416 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $637,159 | 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 | $13,959,220 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $808,105 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,147,274 | PYOtherExpensesAmt |
| CY Other Expenses | $3,309,155 | CYOtherExpensesAmt |
| PY Total Expenses | $36,743,653 | PYTotalExpensesAmt |
| CY Total Expenses | $4,117,260 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,973,476 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,888,156 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,602,735 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,709,381 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,700,625 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $919,115 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$6,097,890 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $790,266 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE EXCELLENCE IN HEALTH CARE.TO PROMOTE PATIENT, PHYSICIAN AND STAFF SATISFACTION AND CONFIDENCE.TO ENSURE PATIENT RIGHTS ARE PROTECTED AND RESPECTED.TO IMPROVE THE QUALITY OF MEDICAL SERVICES CONSISTENT WITH TECHNOLOGICAL AND SYSTEMS DEVELOPMENT.TO SEEK OUT THE MEDICAL NEEDS OF THE COMMUNITY WE SERVE AND TO MEET THOSE NEEDS IN A TIMELY AND COST EFFECTIVE MANNER.TO PROTECT OUR ENVIRONMENT IN EVERY TASK WE UNDERTAKE.TO PROVIDE OPPORTUNITIES TO OUR STAFF FOR THEIR PERSONAL AND PROFESSIONAL DEVELOPMENT.TO COMMUNICATE THE POSITIVE AND EFFECTIVE ROLE PLAYED BY FISHERMEN'S COMMUNITY HOSPITAL IN OUR COMMUNITY.TO PERFORM OUR MISSION AT THE HIGHEST LEVEL OF ETHICAL EXPECTATIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,117,260 | ExpenseAmt |
| Desc | THE HOSPITAL WAS LICENSED DURING THE FISCAL YEAR ENDED JUNE 30, 2017 BY THE STATE OF FLORIDA TO OPERATE 25 BEDS, INCLUDING 12 SWING BEDS, AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL PROVIDED ACUTE INPATIENT CARE AND OUTPATIENT SERVICES, PRIMARILY TO PATIENTS IN THE LOWER AND MIDDLE FLORIDA KEYS. THE HOSPITAL FACILITY WAS SOLD TO BAPTIST HEALTH SOUTH FLORIDA ON JULY 1, 2017. | Desc |
| Total Program Service Expenses | $4,117,260 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 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 | 0 | 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 | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 238 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANIEL SAMESS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3057435417 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3301 OVERSEAS HIGHWAY | AddressLine1Txt |
| City | MARATHON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33050 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PETER CHAPMAN | |||||||
| MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA WRIGHT | |||||||
| VICE CHAIR | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFF COLDREN | |||||||
| SECRETARY | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL SAMESS | |||||||
| CHAIR/TREASURER | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| RICH MALAFY | |||||||
| MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER WALDERA | |||||||
| MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| TERESA CONDAS | |||||||
| MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNN W MAUCK | |||||||
| FORMER COO/CNO | 40.00 | $156,961 | $0 | $4,992 | Yes (X) | ||
| STEVEN J SMITH | |||||||
| PHYSICIAN | 40.00 | $371,290 | $0 | $5,367 | Yes (X) | ||
| EDWARD COLLINS | |||||||
| PHYSICIAN | 40.00 | $456,245 | $0 | $7,702 | Yes (X) | ||
| RONALD SAMESS | |||||||
| PHYSICIAN | 40.00 | $175,702 | $0 | $5,771 | Yes (X) | ||
| ALAN NETZMAN | |||||||
| PHYSICIAN | 40.00 | $127,296 | $0 | $2,928 | Yes (X) | ||
| CYNTHIA JOHNSTON | |||||||
| PHYSICIAN | 40.00 | $141,520 | $0 | $2,966 | Yes (X) | ||
| HENRY DEGROOT | |||||||
| PHYSICIAN | 40.00 | $137,697 | $0 | $0 | Yes (X) | ||
| CECILE MUEHRCKE | |||||||
| PHYSICIAN | 40.00 | $128,876 | $0 | $3,365 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,695,587 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $33,091 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUORUM HEALTH RESOURCES LLC | |||||
| 1573 MALLORY LANE SUITE 200 | BRENTWOOD | TN | 37027 | CONSULTING/MANAGEMENT SERVICES | $700,000 |
| JAY A ZISKIND PA | |||||
| 3471 MAIN HIGHWAY STE 517 | MIAMI | FL | 33133 | LEGAL SERVICES | $380,000 |
| PRIME RATE PREMIUM FINANCE CORPORATION I | |||||
| 2141 ENTERPRISE DR | FLORENCE | SC | 295020507 | INSURANCE PREMIUMS | $221,075 |
| MEDHOST OF TENNESSEE INC | |||||
| 2739 MOMENTUM PLACE | CHICAGO | IL | 606895327 | SOFTWARE SERVICES | $146,651 |
| MERITAIN HEALTH | |||||
| 300 CORPORATE PARKWAY | AMHERST | NY | 14226 | HEALTH INSURANCE PROVIDER | $121,382 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,005,416 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,005,416 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,005,416 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,005,416 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,005,416 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,005,416 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,105 | TotalAmt |
| Program Services | $808,105 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,695,534 | TotalAmt |
| Program Services | $1,695,534 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,146 | TotalAmt |
| Program Services | $104,146 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,255 | TotalAmt |
| Program Services | $47,255 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| OTHER OPERATING EXPENSE | $725,161 | $725,161 |
| PATIENT, PHARMACY AND O | $459,311 | $459,311 |
| TAXES | $204,180 | $204,180 |
| RENTS | $72,484 | $72,484 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,084 | TotalAmt |
| Program Services | $1,084 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,117,260 | TotalAmt |
| Program Services | $4,117,260 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,344,146 | BOYAmt |
| EOY | $1,432,662 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,401,730 | BOYAmt |
| EOY | $276,719 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $774,939 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $508,496 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,470,222 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,202 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,602,735 | BOYAmt |
| EOY | $1,709,381 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,516,343 | BOYAmt |
| EOY | $919,115 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,184,282 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,700,625 | BOYAmt |
| EOY | $919,115 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,097,890 | BOYAmt |
| EOY | $790,266 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,097,890 | BOYAmt |
| EOY | $790,266 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,602,735 | BOYAmt |
| EOY | $1,709,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,888,156 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| 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 HOSPITAL AND FOUNDATION HAVE BOTH BEEN GRANTED TAX-EXEMPT STATUS UNDER SECTION 501(A)(3) OF THE IRC AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 512(A)(1) OF THE CODE, IS SUBJECT TO FEDERAL INCOME TAX. FISHERMEN'S HAD NO SIGNIFICANT UNRELATED BUSINESS TAXABLE INCOME; ACCORDINGLY, NO PROVISION OR BENEFIT FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. FISHERMEN'S APPLIES THE PROVISIONS OF FASB ASC 740, INCOME TAXES. THIS ASC REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE-LIKELY-THAN-NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS ASC HAD NO IMPACT ON THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS OR STATEMENTS OF OPERATIONS. FISHERMEN'S DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. FISHERMEN'S POLICY IS TO RECORD INTEREST AND PENALTIES ASSOCIATED WITH TAXES IN "INTEREST" ON THE CONSOLIDATED STATEMENTS OF OPERATIONS. THE HOSPITAL AND FOUNDATION'S OPEN TAX YEARS THAT REMAIN SUBJECT TO AUDIT ARE FISCAL YEARS 2014 THROUGH 2017. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LYNN W MAUCK | ||||||||||||||
| FORMER COO/CNO | $156,961 | $0 | $0 | $0 | $0 | $0 | $4,992 | $0 | $0 | $0 | $161,953 | $0 | $0 | $0 |
| STEVEN J SMITH | ||||||||||||||
| PHYSICIAN | $371,290 | $0 | $0 | $0 | $0 | $0 | $5,367 | $0 | $0 | $0 | $376,657 | $0 | $0 | $0 |
| EDWARD COLLINS | ||||||||||||||
| PHYSICIAN | $456,245 | $0 | $0 | $0 | $0 | $0 | $7,702 | $0 | $0 | $0 | $463,947 | $0 | $0 | $0 |
| RONALD SAMESS | ||||||||||||||
| PHYSICIAN | $175,702 | $0 | $0 | $0 | $0 | $0 | $5,771 | $0 | $0 | $0 | $181,473 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW PURPOSES. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO REPORT ANY CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |
| FORM 990, PART IX, LINE 11G | PHYSICIAN FEES, MANAGEMENT FEES & PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,695,534. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,695,534. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | LATE FILED RETURN DUE TO CCH SOFTWARE OUTAGE | ExplanationTxt |