SAFETY NET HOSPITAL ALLIANCE OF FLORIDA INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SAFETY NET HOSPITAL ALLIANCE OF FLORIDA INC (EIN 20-2672504)
Tax period
2015-09-01 to 2016-08-31
Filed
2017-07-17
IRS object ID
201721989349300107
Schema version
2015v3.0
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)
Return2017-07-17T07:56:46-05:00ReturnTs
Tax Period End2016-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593134928PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOORE ELLISON & MCDUFFIE CPA'S PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12627 MITCHAM DRIVEAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32308ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202672504EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAFETY NET HOSPITAL ALLIANCEBusinessNameLine1Txt
Business Name Line2% MOORE ELLISON & MCDUFFIE CPA PABusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSAFEBusinessNameControlTxt
Phone8502012096PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12627 MITCHAM DRIVEAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32308ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANTHONY CARVAHLOPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8502012096PhoneNum
Signature2017-07-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLETTE L MOOREPreparerPersonNm
PTINP00166447PTIN
Phone8508773149PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANTHONY P CARVALHOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 N GADSDEN STREETAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,420,886GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.SAFETYNETSFLORIDA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE OBJECTIVE OF THE ORGANIZATION IS TO PROVIDE SUPPORT FOR THE MISSION OF THEIR MEMBERSHIP AS IT RELATES TO THE ESSENTIAL SAFETY NET ROLE FOR ASSURING HEALTH CARE ACCESS TO ALL FLORIDIANS, REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. THIS SUPPORT MAY INCLUDE GOVERNMENTAL ADVOCACY, PUBLIC RELATIONS EFFORTS AND COMMUNITY EDUCATION PROGRAMS THAT HELP ASSURE HEALTH CARE ACCESS FOR THE UNINSURED EITHER THROUGH THE GOVERNMENTAL SPONSORED CARE OR THROUGH PUBLIC AND/OR PRIVATE EFFORTS THAT MAKE PRIVATE HEALTH INSURANCE MORE ACCESSIBLE TO ALL CITIZENS OF THE STATE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,384,946PYContributionsGrantsAmt
CY Contributions Grants$2,420,217CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$434PYInvestmentIncomeAmt
CY Investment Income$669CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,385,380PYTotalRevenueAmt
CY Total Revenue$2,420,886CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$790,099PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$938,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,465,540PYOtherExpensesAmt
CY Other Expenses$1,462,301CYOtherExpensesAmt
PY Total Expenses$2,255,639PYTotalExpensesAmt
CY Total Expenses$2,400,301CYTotalExpensesAmt
PY Revenues Less Expenses$129,741PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,585CYRevenuesLessExpensesAmt
Total Assets BOY$589,871TotalAssetsBOYAmt
Total Assets EOY$856,840TotalAssetsEOYAmt
Total Liabilities BOY$142,948TotalLiabilitiesBOYAmt
Total Liabilities EOY$389,332TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$446,923NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$467,508NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE SUPPORT FOR THE MISSION OF THEIR MEMBERSHIP AS IT RELATES TO THE ESSENTIAL SAFETY NET ROLE FOR ASSURING HEALTH CARE ACCESS TO ALL FLORIDIANS, REGARDLESS OF THEIR ABILITY TO PAY FOR THESE SERVICES. THIS SUPPORT MAY INCLUDE GOVERNMENTAL ADVOCACY, PUBLIC RELATIONS EFFORTS AND COMMUNITY EDUCATION PROGRAMS THAT HELP ASSURE HEALTH CARE ACCESS FOR THE UNINSURED EITHER THROUGH THE GOVERNMENTAL SPONSORED CARE OR THROUGH PUBLIC AND/OR PRIVATE EFFORTS THAT MAKE PRIVATE HEALTH INSURANCE MORE ACCESSIBLE TO ALL CITIZENS OF THE STATE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Revenue$2,420,217RevenueAmt
DescTHE PROMOTION OF LEGISLATIVE CHANGES TO FACILITATE HEALTH CARE BEING AVAILABLE TO ALL FLORIDIANS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TONY CARVALHOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8502012096PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 N GADSDEN STREETAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JIM NATHAN
DIRECTOR2.00Yes (X)$0$0$0
M NARENDRA KINI
DIRECTOR2.00Yes (X)$0$0$0
AURELIO M FERNANDEZ III
DIRECTOR2.00Yes (X)$0$0$0
KEVIN FUSCO
DIRECTOR2.00Yes (X)$0$0$0
JEFFREY G FEASEL
DIRECTOR2.00Yes (X)$0$0$0
EDWARD JIMENEZ
DIRECTOR2.00Yes (X)$0$0$0
STEVE SONENREICH
DIRECTOR2.00Yes (X)$0$0$0
CARLOS A MIGOYA
DIRECTOR2.00Yes (X)$0$0$0
DAVID STRONG
DIRECTOR2.00Yes (X)$0$0$0
STEVE SHORT
DIRECTOR2.00Yes (X)$0$0$0
RUSSELL E ARMISTEAD
DIRECTOR2.00Yes (X)$0$0$0
DAVID VERINDER
DIRECTOR2.00Yes (X)$0$0$0
JONATHAN M ELLEN
DIRECTOR2.00Yes (X)$0$0$0
SUSAN DAVIS
DIRECTOR2.00Yes (X)$0$0$0
ANTHONY CARVALHO
PRESIDENT45.00$519,801$0$36,478Yes (X)
LINDA KENNEDY
VICE PRESIDENT35.00$208,926$0$26,388Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$728,727TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$62,866TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BALLARD PARTNERS
403 EAST PARK AVENUETALLAHASSEEFL32301STAFF / RESEARCH / LOBBYING$202,500
HILL & KNOWLTON
PO BOX 101264ATLANTAGA30392PUBLIC RELATIONS$148,952
HOLLAND & KNIGHT
PO BOX 864084ORLANDOFL32886STAFF / LOBBYING / LEGAL SVCS$138,594
DR JIM ZINGALE
2560 NOBLE COURTTALLAHASSEEFL32308STAFF / LOBBYING$120,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Membership Dues$2,420,217MembershipDuesAmt
Total Contributions$2,420,217TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$669TotalRevenueColumnAmt
Exclusion$669ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,420,886TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$669ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$728,727TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$104,110TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$38,285TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,664TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$35,214TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,000TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,353TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$699,345TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$499,953TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$87,194TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$62,280TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,073TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$45,674TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$917TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
CONTRIBUTIONS$2,500
BANK FEES$12

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,400,301TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,204BOYAmt
EOY$87,469EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$552,942BOYAmt
EOY$728,901EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$558BOYAmt
EOY$20,632EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,207LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,956LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,167BOYAmt
EOY$1,251EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,000BOYAmt
EOY$15,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,587EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$589,871BOYAmt
EOY$856,840EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$142,948BOYAmt
EOY$389,332EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$142,948BOYAmt
EOY$389,332EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$446,923BOYAmt
EOY$467,508EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$446,923BOYAmt
EOY$467,508EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$589,871BOYAmt
EOY$856,840EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$20,585ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$15,207InvestmentCostOrOtherBasisAmt
Depreciation$13,956DepreciationAmt
Book Value$1,251BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,251TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANTHONY CARVALHO
PRESIDENT$518,481$0$0$0$1,320$0$21,200$0$15,278$0$556,279$0$0$0
LINDA KENNEDY
VICE PRESIDENT$208,926$0$0$0$0$0$14,625$0$11,763$0$235,314$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationSOCIAL CLUB MEMBERSHIP PAID FOR THE PRESIDENT - $1,320.00.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S MEMBERS CONSIST OF 15 FLORIDA HOSPITAL SYSTEMS. THESE HOSPITAL SYSTEMS ARE THE STATES TEACHING HOSPITALS, PUBLIC HOSPITALS AND CHILDREN'S HOSPITALS.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE RETURN WAS EXAMINED BY ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS MONITORS THE CONFLICT OF INTEREST POLICY. ANNUALLY, EACH DIRECTOR AND KEY EMPLOYEE WILL REVIEW AND UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE DOCUMENT AND REVIEW WITH THE BOARD AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE SERVICES OF AN OUTSIDE FIRM WERE OBTAINED TO REVIEW THE JOB FUNCTION PERFORMED BY THE PRESIDENT AND TO DETERMINE THAT THE COMPENSATION WAS COMPARABLE TO LIKE JOBS IN THE INDUSTRY. ADDITIONALLY AN ANNUAL EVALUATION OF THE PRESIDENT'S JOB FUNCTION AND PERFORMANCE IS CONDUCTED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION FOR THE VICE PRESIDENT WAS NOT DETERMINED BY AN INDEPENDENT PERSON BUT RATHER BY AN INTERNAL REVIEW OF THE JOB DUTIES AND THE INDUSTRY STANDARD COMPENSATION FOR SUCH DUTIES. PERIODICALLY THE VICE PRESIDENTS' PERFORMANCE AND COMPENSATION IS REVIEWED BY THE EXECUTIVE COMMITTEE. COMPENSATION FOR BOTH THE PRESIDENT AND VICE PRESIDENT ARE APPROVED ANNUALLY AS PART OF THE BUDGET REVIEW PROCESS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL PROVIDE COPIES OF IT'S GOVERNING DOCUMENTS TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACTED ADMINISTRATIVE STAFF SERVICES 117,251. FINANCIAL CONSULTING 125,750. PUBLIC RELATIONS 148,952. RESEARCH & COMMUNICATIONS SERVICES 108,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1TEACHING HOSPITAL COUNCIL OF FLORIDABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 N GADSDENAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32301ZIPCd
FieldValueIRS element (for citing)
EIN593499157EIN
Primary ActivitiesTO EXCHANGE IDEAS, KNOWLEDGE & EXPERIENCES RELATING TO TEACHING HOSPITALSPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(C)(6)ExemptCodeSectionTxt
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SAFETY NET HOSPITAL ALLIANCE SERVICE CORPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 N GADSDEN STAddressLine1Txt
CityTALLAHASSEECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32301ZIPCd
FieldValueIRS element (for citing)
EIN263445061EIN
Primary ActivitiesCONSULTING SERVICESPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SAFETY NET HOSPITAL ALLIANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$11,950ShareOfTotalIncomeAmt
Share Of EOY Assets$28,210ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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