WESTSIDE REGIONAL MEDICAL STAFF INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: WESTSIDE REGIONAL MEDICAL STAFF INC (EIN 47-3335175)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-08-22
IRS object ID: 201822349349300867
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
Form 990
Schedule C
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-22T16:15:22-04:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	472427769	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	H&CO LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	350 EAST LAS OLAS BLVD STE 1250	AddressLine1Txt
City	FT LAUDERDALE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	333014214	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	473335175	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WESTSIDE REGIONAL MEDICAL STAFF INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WEST	BusinessNameControlTxt
Phone	5614305708	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8201 W BROWARD BLVD	AddressLine1Txt
City	PLANTATION	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33324	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH CORALLO MD	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	5614305708	PhoneNum
Signature	2018-07-30	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MAYER FAYES CPA	PreparerPersonNm
PTIN	P02003729	PTIN
Phone	3054448800	PhoneNum
Preparation	2018-08-22	PreparationDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH CORALLO MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8201 W BROWARD BLVD	AddressLine1Txt
City	PLANTATION	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33324	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$137,015	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c	Yes (X)	Organization501cInd
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2015	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	THE CORPORATION IS A MEMBERSHIP ORGANIZATION FOR MEDICAL PROFESSIONALS WHO ARE STAFF AT WESTSIDE REGIONAL MEDICAL CENTER, LOCATED IN PLANTATION, BROWARD COUNTY, FLORIDA	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$80,350	PYProgramServiceRevenueAmt
CY Program Service Revenue	$133,992	CYProgramServiceRevenueAmt
PY Investment Income	$2,902	PYInvestmentIncomeAmt
CY Investment Income	$3,023	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$83,252	PYTotalRevenueAmt
CY Total Revenue	$137,015	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$92,715	PYOtherExpensesAmt
CY Other Expenses	$106,658	CYOtherExpensesAmt
PY Total Expenses	$92,715	PYTotalExpensesAmt
CY Total Expenses	$106,658	CYTotalExpensesAmt
PY Revenues Less Expenses	-$9,463	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,357	CYRevenuesLessExpensesAmt
Total Assets BOY	$265,206	TotalAssetsBOYAmt
Total Assets EOY	$295,563	TotalAssetsEOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$265,206	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$295,563	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE CORPORATION IS A MEMBERSHIP ORGANIZATION FOR MEDICAL PROFESSIONALS WHO ARE STAFF AT WESTSIDE REGIONAL MEDICAL CENTER, LOCATED IN PLANTATION, BROWARD COUNTY, FLORIDA	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Desc	THE CORPORATION IS A MEMBERSHIP ORGANIZATION THAT COLLECTS MEMBERSHIP DUES FROM MEDICAL PROFESSIONALS WHO ARE STAFF AT WESTSIDE REGIONAL MEDICAL CENTER, LOCATED IN PLANTATION, BROWARD COUNTY, FLORIDA	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$106,658	ExpenseAmt
Desc	THE CORPORATION IS A MEMBERSHIP ORGANIZATION FOR MEDICAL PROFESSIONALS WHO ARE STAFF AT WESTSIDE REGIONAL MEDICAL CENTER, LOCATED IN PLANTATION, BROWARD COUNTY, FLORIDA	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$106,658	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$106,658	TotalProgramServiceExpensesAmt
Described In Section501c3	false	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Subject To Proxy Tax	Yes (true)	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	false	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	false	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOSEPH CORALLO MD	PersonNm
Phone	5614305708	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8201 W BROWARD BLVD	AddressLine1Txt
City	PLANTATION	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33324	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
CHARLES LAGO MD
TREASURER	1.00	Yes (X)	$4,073	$0	$0
JOSEPH CORALLO MD
PRESIDENT	1.00	Yes (X)	$850	$0	$0
DANIEL PEREZ MD
VICE PRESIDE	1.00	Yes (X)	$750	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,673	TotalReportableCompFromOrgAmt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	FEE INCOME	Desc
Total Revenue Column	$133,992	TotalRevenueColumnAmt
Related Or Exempt Func Income	$133,992	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$133,992	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,023	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,023	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$137,015	TotalRevenueColumnAmt
Related Or Exempt Func Income	$137,015	RelatedOrExemptFuncIncomeAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$61	TotalAmt
Program Services	$61	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,400	TotalAmt
Program Services	$1,400	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,700	TotalAmt
Program Services	$3,700	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,144	TotalAmt
Program Services	$15,144	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
HOSPITAL STAFF GIFT CARDS	$58,200	$58,200
BOARD OF DIRECTORS FEES	$19,123	$19,123
AMERICAN CANCER SOCIETY	$2,500	$2,500
AMERICAN RED CROSS	$2,500	$2,500

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,030	TotalAmt
Program Services	$4,030	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$106,658	TotalAmt
Program Services	$106,658	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$265,206	BOYAmt
EOY	$295,563	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$265,206	BOYAmt
EOY	$295,563	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$265,206	BOYAmt
EOY	$295,563	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$265,206	BOYAmt
EOY	$295,563	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$265,206	BOYAmt
EOY	$295,563	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$30,357	ReconcilationRevenueExpnssAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Substantially All Dues Nonded	false	SubstantiallyAllDuesNondedInd
Only In House Lobbying	Yes (true)	OnlyInHouseLobbyingInd
Agree Carryover Prior Year	false	AgreeCarryoverPriorYearInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4D	THE CORPORATION IS A MEMBERSHIP ORGANIZATION FOR MEDICAL PROFESSIONALS WHO ARE STAFF AT WESTSIDE REGIONAL MEDICAL CENTER, LOCATED IN PLANTATION, BROWARD COUNTY, FLORIDA
FORM 990, PAGE 6, PART VI, LINE 11B	NO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC

WESTSIDE REGIONAL MEDICAL STAFF INC: Form 990, tax year 2017

Return header ReturnHeader

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Preparer US Address PreparerUSAddress

Filer Filer

Business Name BusinessName

US Address USAddress

Business Officer BusinessOfficerGrp

Preparer Person PreparerPersonGrp

Form 990 IRS990

US Address USAddress

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Books In Care Of Detail BooksInCareOfDetail

US Address USAddress

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

Program Service Revenue ProgramServiceRevenueGrp

Investment Income InvestmentIncomeGrp

Total Revenue TotalRevenueGrp

Fees For Services Legal FeesForServicesLegalGrp

Fees For Services Accounting FeesForServicesAccountingGrp

Advertising AdvertisingGrp

Conferences Meetings ConferencesMeetingsGrp

Other Expenses OtherExpensesGrp (4 entries)

All Other Expenses AllOtherExpensesGrp

Total Functional Expenses TotalFunctionalExpensesGrp

Cash Non Interest Bearing CashNonInterestBearingGrp

Total Assets TotalAssetsGrp

Total Liabilities TotalLiabilitiesGrp

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Schedule C IRS990ScheduleC

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Comments