COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS INC (EIN 59-1480970)
Tax period
2012-02-01 to 2013-01-31
Filed
2013-07-22
IRS object ID
201302039349300400
Schema version
2012v2.1
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)
Timestamp2013-07-22T07:33:29-04:00Timestamp
Tax Period End Date2013-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN592907578EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Holland and ReillyBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1601 N Fern Creek Avenue Ste 200AddressLine1
CityOrlandoCity
StateFLState
ZIP Code32803ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591480970EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Community Health Centers IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 S Woodland StreetAddressLine1
CityWinter GardenCity
StateFLState
ZIP Code34787ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBarbara SnellName
TitleCEOTitle
Phone4079058827Phone
Date Signed2013-07-22DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameThomas F ReillyName
PTINP00147922PTIN
Phone4078946803Phone
Date Prepared2013-07-22DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonBarbara SnellNameOfPrincipalOfficerPerson
Gross Receipts31573088GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCHCFL.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionProvide quality and compassionate primary and preventive medical, dental and pharmaceutical services to Central Florida economically and culturally diverse communities.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees442TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12676015ContributionsGrantsPriorYear
Contributions Grants Current Year11631914ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19041428ProgramServiceRevenuePriorYear
Program Service Revenue CY19574826ProgramServiceRevenueCY
Investment Income Prior Year-260891InvestmentIncomePriorYear
Investment Income Current Year297178InvestmentIncomeCurrentYear
Other Revenue Prior Year56023OtherRevenuePriorYear
Other Revenue Current Year55695OtherRevenueCurrentYear
Total Revenue Prior Year31512575TotalRevenuePriorYear
Total Revenue Current Year31559613TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21787005SalariesEtcPriorYear
Salaries Etc Current Year22506848SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year281847TotalFundrsngExpCurrentYear
Other Expense Prior Year7500286OtherExpensePriorYear
Other Expenses Current Year8205114OtherExpensesCurrentYear
Total Expenses Prior Year29287291TotalExpensesPriorYear
Total Expenses Current Year30711962TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2225284RevenuesLessExpensesPriorYear
Revenues Less Expenses CY847651RevenuesLessExpensesCY
Total Assets BOY22652395TotalAssetsBOY
Total Assets EOY24294771TotalAssetsEOY
Total Liabilities BOY7216398TotalLiabilitiesBOY
Total Liabilities EOY8011123TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15435997NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16283648NetAssetsOrFundBalancesEOY
Mission DescriptionProvide quality and compassionate primary and preventive medical, dental and pharmaceutical services to Central Florida economically and culturally diverse communities.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17129729Expense
Revenue14472605Revenue
DescriptionMedical services - CHC extends over six communities and has ten medical sites, five pharmacies, and seven dental sites. CHC provided primary medical, dental and pharmaceutical services to 53,310 patients last year with 183,416 visits including 13,185 dental patients in 36,303 dental visits. The pharmacies filled 109,064 prescriptions. CHC received donated use of medical facilities of $297,503.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4797636Expense
Revenue3225613Revenue
DescriptionDental services - CHC provides comprehensive dental services to both adults and pediatric patients. CHC provided 36,303 visits for 13,185 patients this year. Dental services provided include dentures, bridges, fillings, periodontial services, children services, and dental hygiene. The dental services received donated use of facilities of $32,820.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1880286Expense
Revenue1876608Revenue
DescriptionPharmacy services - CHC receives 340b pricing which allows affordable prescriptions to our patients. Over 109,000 prescriptions were filled during the year at five sites. Over $621,000 worth of prescriptions were dispensed to patients under the Share the Care program and several Prescription Assistance Programs.Description
FieldValueIRS element (for citing)
Total Program Service Expense23807651TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees442NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMark DickinsonNamePerson
Telephone Number4079058827TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1110 S Woodland StreetAddressLine1
CityWinter GardenCity
StateFLState
ZIP Code34787ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (55 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Adler Labossiere
Director1.00X000
Aracely Robledo
Director1.00X000
Beverly Paulk
Board member1.00X000
Dr Lauren Josephs
Secretary1.00X000
John Sanders
Parliamentarian1.00X000
Maria Rodriquez-Scott
1st Vice Chairperson1.00X000
Mercedes Fonseca
Chairperson1.00X000
Mr Chas Kelly
Director1.00X000
Pascale Vincent
2nd Vice Chairperson1.00X000
Ray Schleichkorn
Past chairperson1.00X000
Richard Reyes
Treasurer1.00X000
Barbara Snell
CEO40.00222455012660X
Dr Michael Ham-Ying
CMO40.00272038016898X
Mark Dickinson
CFO40.00158034015025X
Anabella Torres
Provider40.00138753012346X
Arthur Dalley
Provider40.00210181015322X
Beatriz Sotelo
Provider40.00191492011157X
Billy Thompson
Provider40.00197928015182X
Brian Giessuebel
Facilities Director40.0011105509950X
Catalin Teodoru
Provider40.00164972014936X
Cathy Franco
Provider40.00155660014743X
Cheryl Viadero
VP Human Resources40.0011011801923X
Crisanto Delgado
Provider40.00229732012079X
Darren Marsh
Provider40.00105230010766X
David Elliott
Provider40.0010542707555X
Debra Sue Andree
Provider40.0010400701473X
Dion Farrell
Provider40.00162270010712X
Felix Oyola
Provider40.00285624015898X
Gerald Bennett
Provider40.0016758503016X
Gregg Stewart
Provider40.00216035015876X
Jana Huffman
Provider40.00106378014018X
Janet Eloise McDowell-Travis
Provider40.0014771602261X
Janinna Torres
Provider40.00181185011157X
Jeffrey Bowman
COO40.00113217014180X
Jonathan Ware
Provider40.0014594207496X
Juan Ravelo
Provider40.00284652012655X
Khaled Mohamed
Provider40.00156169014671X
Lisa Browning
Provider40.0016197202908X
Luis Estrada
Provider40.00151411010719X
Nickeey Salmon
Provider40.00157678014680X
Nike Kubeyinje
Provider40.0013873902619X
Olivia Chaney
Provider40.0017542008765X
Pascale Chery
Provider40.00165473010897X
Paul Jueng
Provider40.00207975015182X
Paul Kujda
Provider40.0013979902605X
Phuong-Thi Tran
Provider40.0016164008462X
Rebecca Pirela
Provider40.0014669709936X
Roger Wray
Provider40.0016442203000X
Salma Hitawala
Provider40.00243385011454X
Sandra Laurencin
Provider40.00156651013775X
Santiago Jimenez
Provider40.0016583908659X
Theresa Palomeque
Provider40.0015148108328X
William Franks
Provider40.00208210011939X
Ying Lei
Provider40.0030769003655X
Zureima Cartagena
Provider40.00167268011554X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7615605TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation453092TotalOtherCompensation
Number Individuals GT100 K44NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns100657FederatedCampaigns
Government Grants9634557GovernmentGrants
All Other Contributions1896700AllOtherContributions
Noncash Contributions71054NoncashContributions
Total Contributions11631914TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient feesDescription
Business Code621400BusinessCode
Total Revenue Column19574826TotalRevenueColumn
Related Or Exempt Function Income19574826RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19574826TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column246978TotalRevenueColumn
Related Or Exempt Function Income246978RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real14966Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real14966Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column14966TotalRevenueColumn
Related Or Exempt Function Income14966RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other50200Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other50200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column50200TotalRevenueColumn
Related Or Exempt Function Income50200RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events54204GrossIncomeFundraisingEvents
Fundraising Direct Expenses13475FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column40729TotalRevenueColumn
Exclusion$40,729ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31559613TotalRevenueColumn
Related Or Exempt Function Income19886970RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$40,729ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total839875Total
Program Services161253ProgramServices
Management And General576383ManagementAndGeneral
Fundraising102239Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18368737Total
Program Services15102538ProgramServices
Management And General3199204ManagementAndGeneral
Fundraising66995Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total333680Total
Program Services250328ProgramServices
Management And General82493ManagementAndGeneral
Fundraising859Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1664160Total
Program Services1357314ProgramServices
Management And General297691ManagementAndGeneral
Fundraising9155Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1300396Total
Program Services1035877ProgramServices
Management And General253407ManagementAndGeneral
Fundraising11112Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total143275Total
Program Services11207ProgramServices
Management And General132068ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62500Total
Management And General62500ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total14086Total
Management And General14086ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1504915Total
Program Services1235121ProgramServices
Management And General267625ManagementAndGeneral
Fundraising2169Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total54578Total
Program Services6045ProgramServices
Management And General16304ManagementAndGeneral
Fundraising32229Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total615691Total
Program Services180362ProgramServices
Management And General429268ManagementAndGeneral
Fundraising6061Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1047238Total
Program Services676574ProgramServices
Management And General369542ManagementAndGeneral
Fundraising1122Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total166467Total
Program Services80399ProgramServices
Management And General83750ManagementAndGeneral
Fundraising2318Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total100334Total
Program Services25053ProgramServices
Management And General73079ManagementAndGeneral
Fundraising2202Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total229559Total
Program Services176869ProgramServices
Management And General52690ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1159911Total
Program Services975574ProgramServices
Management And General155628ManagementAndGeneral
Fundraising28709Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total116513Total
Program Services47138ProgramServices
Management And General68664ManagementAndGeneral
Fundraising711Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies17822121782212
Repairs and maintenance80925553931926990234
Dues and subscriptions13214369373604222348
Postage761371142464523190

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total190300Total
Program Services83671ProgramServices
Management And General93235ManagementAndGeneral
Fundraising13394Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30711962Total
Program Services23807651ProgramServices
Management And General6622464ManagementAndGeneral
Fundraising281847Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY338251BOY
EOY1066919EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5418624BOY
EOY6206665EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1943266BOY
EOY1369788EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2287106BOY
EOY2295276EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY59590BOY
EOY71079EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY77302BOY
EOY97323EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18426172LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5373289LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12325011BOY
EOY13052883EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY203245BOY
EOY134838EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22652395BOY
EOY24294771EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2716142BOY
EOY2439150EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY485838BOY
EOY459696EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4014418BOY
EOY5112277EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7216398BOY
EOY8011123EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15161116BOY
EOY16010098EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY274881BOY
EOY273550EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15435997BOY
EOY16283648EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22652395BOY
EOY24294771EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses847651ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11112104CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12326100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12508786CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12676015CurrentTaxYearMinus1Year
Current Tax Year11631914CurrentTaxYear
Total60254919Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years305969CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years317405CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years322469CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year327634CurrentTaxYearMinus1Year
Current Tax Year330323CurrentTaxYear
Total1603800Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11418073CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12643505CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12831255CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13003649CurrentTaxYearMinus1Year
Current Tax Year11962237CurrentTaxYear
Total61858719Total
FieldValueIRS element (for citing)
Public Support Total17061858719PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60645CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38860CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37483CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34396CurrentTaxYearMinus1Year
Current Tax Year246978CurrentTaxYear
Total418362Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19589CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39748CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56023CurrentTaxYearMinus1Year
Current Tax Year55695CurrentTaxYear
Total188489Total
FieldValueIRS element (for citing)
Total Support62465570TotalSupport
Gross Receipts From Admissions Etc85825288GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99030PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99280PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$14,086DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB14086TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1538373OtherCostOrOtherBasis
Book Value1538373BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11490511OtherCostOrOtherBasis
Depreciation2119080Depreciation
Book Value9371431BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1790834OtherCostOrOtherBasis
Depreciation1252389Depreciation
Book Value538445BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3606454OtherCostOrOtherBasis
Depreciation2001820Depreciation
Book Value1604634BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13052883TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Investment in HMO101518
Deposits12266
Loan costs net21054
FieldValueIRS element (for citing)
Total Book Value Other Assets134838TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt31889936TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities330323DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990330323RevenueNotRptdF990
Revenue Subtotal31559613RevenueSubtotal
Total Revenue Per Form99031559613TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt31042285TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities330323DonatedServicesUseOfFacilities
Expenses Not Rptd F990330323ExpensesNotRptdF990
Expenses Subtotal30711962ExpensesSubtotal
Total Expenses Per Form99030711962TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf tourneyNameOfEvent1
Gross Receipts Event154204GrossReceiptsEvent1
Gross Revenue Event154204GrossRevenueEvent1
Other Direct Expenses Event113475OtherDirectExpensesEvent1
Gross Receipts Total54204GrossReceiptsTotal
Gross Revenue Total Events54204GrossRevenueTotalEvents
Other Direct Expenses Total Events13475OtherDirectExpensesTotalEvents
Direct Expense Summary Events13475DirectExpenseSummaryEvents
Net Income Summary40729NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (34 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Barbara Snell
CEO2124551000012660235115
Mark Dickinson
CFO15803415025173059
Dr Michael Ham-Ying
CMO2598551218316898288936
Gerald Bennett
Provider16495526303016170601
Lisa Browning
Provider15477272002908164880
Zureima Cartagena
Provider1473701989811554178822
Olivia Chaney
Provider16805073708765184185
Pascale Chery
Provider158273720010897176370
Arthur Dalley
Provider1791083107315322225503
Crisanto Delgado
Provider1804094932312079241811
Dion Farrell
Provider1433701890010712172982
Cathy Franco
Provider1430591260114743170403
William Franks
Provider1730063520411939220149
Salma Hitawala
Provider1930615032411454254839
Santiago Jimenez
Provider16135444858659174498
Paul Jueng
Provider1732923468315182223157
Sandra Laurencin
Provider150329632213775170426
Ying Lei
Provider227197804933655311345
Felix Oyola
Provider2378154780915898301522
Theresa Palomeque
Provider14428172008328159809
Juan Ravelo
Provider2382874636512655297307
Nickeey Salmon
Provider1424631521514680172358
Beatriz Sotelo
Provider1667472474511157202649
Gregg Stewart
Provider213057297815876231911
Catalin Teodoru
Provider157972700014936179908
Billy Thompson
Provider1730062492215182213110
Janinna Torres
Provider1684331275211157192342
Anabella Torres
Provider1187571999612346151099
Phuong-Thi Tran
Provider150240114008462170102
Jonathan Ware
Provider14422117217496153438
Roger Wray
Provider16002244003000167422
Khaled Mohamed
Provider1422661390314671170840
Luis Estrada
Provider144211720010719162130
Rebecca Pirela
Provider132443142549936156633

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99012190NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionSoftwareDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99058864NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Form 990 governing body review Part VI line 11The Form 990 is presented to the Finance Committee annually and the Finance Committee recommends approval to the Board of Directors.
O02Conflict of interest policy compliance Part VI line 12cOn an annual basis, everyone is asked to review the conflict of interest policy and complete as necessary. Annually all personnel, including Board of Director members, are asked to review the policy and complete as necessary.
O03CEO executive director top management comp Part VI line 15aSee the process described for line 15b below.
O04Other officer or key employee compensation Part VI line 15bComparative data is utilized among HFMA, NACHC, FACHC, and national independent surveys and applied according to size and revenue for other not-for-profit organizations.
O05Governing documents etc available to public Part VI line 19Governing document, conflict of interest policy, and financial statements are made available to the public upon written request.

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