FURP.ORG / PUBLIC DATA EXPLORER

BALTIMORE MEDICAL SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BALTIMORE MEDICAL SYSTEM INC (EIN 52-1358241)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-02
IRS object ID
201332149349300728
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)
Timestamp2013-08-02T11:49:19-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 INTERNATIONAL DRIVE SUITE 1400AddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521358241EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BALTIMORE MEDICAL SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBALTNameControl
Phone4107328800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13501 SINCLAIR LANEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21213ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHELE LAGANAName
TitleCHIEF FINANCIAL OFFICERTitle
Phone4107328800Phone
Date Signed2013-08-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIA FLANNERYName
PTINP00928918PTIN
Phone4102469300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAY WOLVOVSKYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13501 SINCLAIR LANEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21213ZIPCode
FieldValueIRS element (for citing)
Gross Receipts35790500GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BMSI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionBALTIMORE MEDICAL SYSTEM IS A FEDERALLY QUALIFIED HEALTH CENTER. SEE SCHEDULE O.WE PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE TO DISADVANTAGED COMMUNITIES IN BALTIMORE CITY AND COUNTY THROUGH SIX COMMUNITY HEALTH CENTERS AND EIGHT SCHOOL HEALTH SITES. AS THE LARGEST "SAFETY NET" PROVIDER IN THE STATE, WE SERVE OVER 46,000 PEOPLE ANNUALLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees472TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8122848ContributionsGrantsPriorYear
Contributions Grants Current Year8146358ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28298722ProgramServiceRevenuePriorYear
Program Service Revenue CY27573115ProgramServiceRevenueCY
Investment Income Prior Year21683InvestmentIncomePriorYear
Investment Income Current Year23334InvestmentIncomeCurrentYear
Other Revenue Prior Year33659OtherRevenuePriorYear
Other Revenue Current Year34727OtherRevenueCurrentYear
Total Revenue Prior Year36476912TotalRevenuePriorYear
Total Revenue Current Year35777534TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24680302SalariesEtcPriorYear
Salaries Etc Current Year24469951SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year198077TotalFundrsngExpCurrentYear
Other Expense Prior Year10034578OtherExpensePriorYear
Other Expenses Current Year11410802OtherExpensesCurrentYear
Total Expenses Prior Year34714880TotalExpensesPriorYear
Total Expenses Current Year35880753TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1762032RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-103219RevenuesLessExpensesCY
Total Assets BOY23962960TotalAssetsBOY
Total Assets EOY23564681TotalAssetsEOY
Total Liabilities BOY8756515TotalLiabilitiesBOY
Total Liabilities EOY8452236TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15206445NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15112445NetAssetsOrFundBalancesEOY
Mission DescriptionBALTIMORE MEDICAL SYSTEM IS DEEPLY COMMITTED TO IMPROVING THE HEALTH WELLNESS AND THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING SAFE, HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense26761256Expense
Revenue27573115Revenue
DescriptionWE PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE TO DISADVANTAGED COMMUNITIES IN BALTIMORE CITY AND COUNTY THROUGH SIX COMMUNITY HEALTH CENTERS AND EIGHT SCHOOL HEALTH SITES. AS THE LARGEST "SAFETY NET" PROVIDER IN THE STATE, WE SERVE OVER 46,000 PEOPLE ANNUALLY.Description
Total Program Service Expense26761256TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109627NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees472NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHELE LAGANABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4107328800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13501 SINCLAIR LANEAddressLine1
CityBALTIMORECity
StateMDState
ZIP Code21213ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
NISREEN ABDULKARIM
DIRECTOR2.00X000
DR JOSE ARBELAEZ
DIRECTOR2.00X000
DR MICHAEL BARR
1ST VICE CHAIR2.00X000X
JAMES BOBBIT
DIRECTOR2.00X000
ROBERT BROSMER
CHAIRPERSON2.00X000X
AYINDE STEWART
DIRECTOR2.00X000
HENRY DAVIS
DIRECTOR2.00X000
CLARA DELGALLO
DIRECTOR2.00X000
DEVIN DODSON
DIRECTOR2.00X000
LILIAN LYLE
DIRECTOR2.00X000
PETER MALLER
SECRETARY2.00X000X
STEPHEN MARTIN
DIRECTOR2.00X000
DOMINIC SERAPHIN
2ND VICE CHAIR2.00X000X
DAVID SHEEHY
DIRECTOR2.00X000
SHIRLEY SUTTON
DIRECTOR2.00X000
PAUL WOJCIK
TREASURER2.00X000X
JAY WOLVOVSKY
PRESIDENT & CEO40.0024331408595X
MICHELE LAGANA
CFO40.00179944014960X
KEVIN FERENTZ
CMO40.0019951200X
DOUGLAS BOURQUE
PHYSICIAN40.00283445010745X
DONALD GARLAND
PHYSICIAN40.00290846020332X
TRACI FITZHUGH
PHYSICIAN40.00216831018651X
EDILEOLA MAKINDE
PHYSICIAN40.00262043015811X
KINGSLEY BRYAN II
PHYSICIAN40.00216174016313X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1892109TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation105407TotalOtherCompensation
Number Individuals GT100 K46NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JEFFREY BROWN CONTRACTING
400 EAST JOPPA RDTOWSONMD21286CONSTRUCTION SERVICES332387
BATTAGLIA SECURITY & INVESTIGATIVE SERVI
PO BOX 12151BALTIMOREMD21281SECURITY SERVICES276855
QUALITY SYSTEMS INC
PO BOX 809390CHICAGOIL60680SOFTWARE SERVICES194722
URBINA CLEANING SERVICES
500 GANDER DRIVEJOPPAMD21085CLEANING SERVICES188368
PHYTEL
PO BOX 123158DALLASTX75312DATA SERVICES126000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Fundraising Events16695FundraisingEvents
Government Grants7281756GovernmentGrants
All Other Contributions847907AllOtherContributions
Total Contributions8146358TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT FEES6239902591573225915732
PATIENT RELATED SERVICES62399016573831657383
FieldValueIRS element (for citing)
Total Program Service Revenue27573115TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23334TotalRevenueColumn
Exclusion$23,334ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events47693GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events16695CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses12966FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column34727TotalRevenueColumn
Exclusion$34,727ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35777534TotalRevenueColumn
Related Or Exempt Function Income27573115RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$58,061ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total646325Total
Program Services481413ProgramServices
Management And General161101ManagementAndGeneral
Fundraising3811Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20417832Total
Program Services15824815ProgramServices
Management And General4450869ManagementAndGeneral
Fundraising142148Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total149249Total
Program Services123304ProgramServices
Management And General24153ManagementAndGeneral
Fundraising1792Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1853140Total
Program Services1363394ProgramServices
Management And General458748ManagementAndGeneral
Fundraising30998Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1403405Total
Program Services1072333ProgramServices
Management And General319438ManagementAndGeneral
Fundraising11634Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total100060Total
Management And General100060ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88808Total
Management And General88808ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2449065Total
Program Services1335524ProgramServices
Management And General1111694ManagementAndGeneral
Fundraising1847Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total119138Total
Program Services36307ProgramServices
Management And General80820ManagementAndGeneral
Fundraising2011Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total782967Total
Program Services350418ProgramServices
Management And General432045ManagementAndGeneral
Fundraising504Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total444798Total
Program Services45005ProgramServices
Management And General399793ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1221609Total
Program Services864727ProgramServices
Management And General356882ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total29357Total
Program Services9492ProgramServices
Management And General17968ManagementAndGeneral
Fundraising1897Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total46795Total
Program Services18261ProgramServices
Management And General27442ManagementAndGeneral
Fundraising1092Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total286168Total
Program Services244876ProgramServices
Management And General41231ManagementAndGeneral
Fundraising61Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1309894Total
Program Services787179ProgramServices
Management And General522715ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total140124Total
Management And General140124ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PHARMACEUTICALS317238331659866397
REPAIRS & MAINTENANCE395635285827109676132
SECURITY276855275875980
TAXES & LICENSES187340187210130

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total359806Total
Program Services289310ProgramServices
Management And General70346ManagementAndGeneral
Fundraising150Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35880753Total
Program Services26761256ProgramServices
Management And General8921420ManagementAndGeneral
Fundraising198077Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1927821BOY
EOY2343868EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY405519BOY
EOY365926EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY725843BOY
EOY817799EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3061723BOY
EOY2963260EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY372521BOY
EOY306989EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY435748BOY
EOY201574EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21799213LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5960877LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16353264BOY
EOY15838336EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY506451BOY
EOY539004EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY100BOY
EOY100EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY173970BOY
EOY187825EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23962960BOY
EOY23564681EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2577181BOY
EOY2578909EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY334490BOY
EOY269848EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5239520BOY
EOY5014323EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY605324BOY
EOY589156EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8756515BOY
EOY8452236EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15187513BOY
EOY15102106EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY18932BOY
EOY10339EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15206445BOY
EOY15112445EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23962960BOY
EOY23564681EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-103219ReconcilationRevenueExpenses
Reconciliation Unrealized Invest9219ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis252813OtherCostOrOtherBasis
Book Value252813BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13677610OtherCostOrOtherBasis
Depreciation2743033Depreciation
Book Value10934577BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2301578OtherCostOrOtherBasis
Depreciation1020501Depreciation
Book Value1281077BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4916129OtherCostOrOtherBasis
Depreciation1873925Depreciation
Book Value3042204BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis651083OtherCostOrOtherBasis
Depreciation323418Depreciation
Book Value327665BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15838336TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ADVANCES PAYABLE$566,500
INTEREST RATE SWAP$22,656
FieldValueIRS element (for citing)
Total Of Amounts589156TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt35698093TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments9219NetUnrealizedGainsInvestments
Other Revenues-101626OtherRevenues
Revenue Not Rptd F990-92407RevenueNotRptdF990
Revenue Subtotal35790500RevenueSubtotal
Other Revenues Not Included-12966OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-12966RevenueNotRptdOnFinStmt
Total Revenue Per Form99035777534TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35792093TotExpensesEtcAuditedFinclStmt
Other Expenses Included12966OtherExpensesIncluded
Expenses Not Rptd F99012966ExpensesNotRptdF990
Expenses Subtotal35779127ExpensesSubtotal
Other Expenses Not Included101626OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt101626ExpensesNotRptdOnFinStmt
Total Expenses Per Form99035880753TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FASB ASC TOPIC 740-10) ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT -101,626.
PART XI, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES -12,966.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 12,966.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 101,626.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event164388GrossReceiptsEvent1
Charitable Contributions Event116695CharitableContributionsEvent1
Gross Revenue Event147693GrossRevenueEvent1
Cash Prizes Event128CashPrizesEvent1
Non Cash Prizes Event11167NonCashPrizesEvent1
Rent Facility Costs Event111048RentFacilityCostsEvent1
Other Direct Expenses Event1723OtherDirectExpensesEvent1
Gross Receipts Total64388GrossReceiptsTotal
Charitable Contributions Total16695CharitableContributionsTotal
Gross Revenue Total Events47693GrossRevenueTotalEvents
Cash Prizes Total Events28CashPrizesTotalEvents
Non Cash Prizes Total Events1167NonCashPrizesTotalEvents
Rent Facility Costs Total Events11048RentFacilityCostsTotalEvents
Other Direct Expenses Total Events723OtherDirectExpensesTotalEvents
Direct Expense Summary Events12966DirectExpenseSummaryEvents
Net Income Summary34727NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAY WOLVOVSKY
PRESIDENT & CEO243314000003676049190251909000
MICHELE LAGANA
CFO1799440000027840121760194904000
KEVIN FERENTZ
CMO199512000000000199512000
DOUGLAS BOURQUE
PHYSICIAN283445000003775069700294190000
DONALD GARLAND
PHYSICIAN2908460000038360164960311178000
TRACI FITZHUGH
PHYSICIAN2168310000034860151650235482000
EDILEOLA MAKINDE
PHYSICIAN2620430000038530119580277854000
KINGSLEY BRYAN II
PHYSICIAN2161740000032650130480232487000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY INDEPENDENT OUTSIDE ACCOUNTANTS. A DRAFT OF THE RETURN IS REVIEWED FOR ACCURACY BY THE CEO AND CFO, AND AN ELECTRONIC COPY IS PROVIDED TO THE BOARD PRIOR TO ELECTRONIC FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL DECLARATIONS ARE REQUIRED TO BE SUBMITTED BY ALL OFFICERS AND TRUSTEES TO DETERMINE WHETHER CONFLICTS EXIST. ANY REPORTED CONFLICTS ARE THEN REVIEWED BY THE BOARD FOR APPROPRIATE ACTION.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S COMPENSATION IS DETERMINED THROUGH AN ANNUAL REVIEW PROCESS COMPLETED BY THE BOARD. THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT MAINTAINS CURRENT MARKET DATA FOR ALL POSITIONS RELATIVE TO THE LOCAL MARKET. THIS IS THE BASIS FOR COMPENSATION FOR ALL POSITIONS. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19IN GENERAL THE ORGANIZATION PREPARES AN ANNUAL REPORT WHICH IS CIRCULATED TO STAKEHOLDERS AND OTHER INTERESTED PARTIES. THIS REPORT, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM OUR CENTRAL OFFICES.