FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC (EIN 59-1741273)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-29
- IRS object ID
- 201332469349300203
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-29T14:53:51-04:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260254161 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tuscan & Company PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12621 World Plaza Lane - Bldg 55 | AddressLine1 |
| City | Fort Myers | City |
| State | FL | State |
| ZIP Code | 33907 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591741273 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Family Health Centers of Southwest Florida Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FAMI | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2256 Heitman Street | AddressLine1 |
| City | Fort Myers | City |
| State | FL | State |
| ZIP Code | 33901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dr Frank Mazzeo Jr | Name |
| Title | President and C | Title |
| Phone | 2392783600 | Phone |
| Date Signed | 2013-05-03 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey M Tuscan | Name |
| PTIN | P00184439 | PTIN |
| Phone | 2393332090 | Phone |
| Date Prepared | 2013-08-27 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 40034124 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.fhcswf.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | The mission of Family Health Centers of Southwest Florida, Inc is to provide high quality health care services accessible to all people, but significantly servicing lower income patients. Family Health Centers is a medicaid provider and a FQHC. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 381 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 9865631 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8415724 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 27505009 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 30380115 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 63321 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1048657 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 141893 | OtherRevenuePriorYear |
| Other Revenue Current Year | 189628 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 37575854 | TotalRevenuePriorYear |
| Total Revenue Current Year | 40034124 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21327866 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 23532498 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8931165 | OtherExpensePriorYear |
| Other Expenses Current Year | 9316391 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 30259031 | TotalExpensesPriorYear |
| Total Expenses Current Year | 32848889 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7316823 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7185235 | RevenuesLessExpensesCY |
| Total Assets BOY | 22998920 | TotalAssetsBOY |
| Total Assets EOY | 30157168 | TotalAssetsEOY |
| Total Liabilities BOY | 3451452 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3424465 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19547468 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 26732703 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Family Health Centers of Southwest Florida, Inc is to provide high quality health care services accessible to all people, but significantly servicing lower income patients. Family Health Centers is a medicaid provider and a FQHC. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 27249929 | Expense |
| Grants | 7952373 | Grants |
| Revenue | 30380115 | Revenue |
| Description | The Organization provided quality medical, dental, and ancilliary services to patients as follows: Medical Services were provided to 48,422 patients with total of 140,247 patient visits. Dental Services were provided to 30,383 patients with a total of 106,705 patient visits. Patients were seen regardless of their ability to pay. A discounted fee schedule is used, based on the Federal Poverty Guidelines, to determine the amount due from qualifying patients. | Description |
| Total Program Service Expense | 27249929 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 381 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Marie Andress | NamePerson |
| Telephone Number | 2392783600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2256 Heitman Street | AddressLine1 |
| City | Fort Myers | City |
| State | FL | State |
| ZIP Code | 33901 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Cathy Jones | |||||||
| Secretary | 0.50 | X | X | 0 | 0 | 0 | |
| Doris Bell | |||||||
| Board MemberDirector | 0.50 | X | 0 | 0 | 0 | ||
| Fred Schiffarth | |||||||
| Board Member | 0.50 | X | 0 | 0 | 0 | ||
| James Barfield | |||||||
| Board MemberDirector | 0.50 | X | 0 | 0 | 0 | ||
| Ken Thompson | |||||||
| Immediate Past Chair | 0.50 | X | 0 | 0 | 0 | ||
| Lita Gale Laukemper | |||||||
| Board MemberDirector | 0.50 | X | 0 | 0 | 0 | ||
| Martha Valiant | |||||||
| Director | 0.50 | X | 0 | 0 | 0 | ||
| R Lee Golden | |||||||
| Chairman | 2.00 | X | X | 0 | 0 | 0 | |
| Sam Johnson | |||||||
| Board MemberDirector | 0.50 | X | 0 | 0 | 0 | ||
| Steve Davis | |||||||
| TreasurerVice Chair | 2.00 | X | X | 0 | 0 | 0 | |
| Twaski Jackson | |||||||
| Board MemberDirector | 0.50 | X | 0 | 0 | 0 | ||
| Zoila Martinez | |||||||
| Board MemberDirector | 0.50 | X | 0 | 0 | 0 | ||
| Dr Frank Mazzeo Jr | |||||||
| PresCeo & Chief | 55.00 | X | 475041 | 0 | 47717 | ||
| Dr Jorge Quinonez | |||||||
| Chief Medical Officer | 45.00 | X | 322177 | 0 | 37739 | ||
| John Koehler | |||||||
| Chief HR Officer | 45.00 | X | 138042 | 0 | 35308 | ||
| Marie Andress | |||||||
| Chief Financial Officer | 45.00 | X | 172860 | 0 | 23677 | ||
| Robert Johns | |||||||
| Sr VP Special Projects | 45.00 | X | 131026 | 0 | 22773 | ||
| Roger Ward | |||||||
| Chief Operating Officer | 45.00 | X | 142138 | 0 | 24852 | ||
| Teresa Buchanan | |||||||
| Chief Admin Officer | 45.00 | X | 90973 | 0 | 15682 | ||
| Dr Carlos Alvarado | |||||||
| Dentist | 40.00 | 302924 | 0 | 22846 | X | ||
| Dr Jeffrey Garner | |||||||
| Physician | 40.00 | 407594 | 0 | 24091 | X | ||
| Dr Martin Jenkins | |||||||
| Dentist | 40.00 | 309194 | 0 | 23281 | X | ||
| Dr Maximus Zand | |||||||
| Dentist | 40.00 | 294044 | 0 | 19651 | X | ||
| Dr Sergio Vignali | |||||||
| Physician | 40.00 | 271950 | 0 | 5881 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3057963 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 303498 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Richard Ellis DDS | |||||
| 17601 Frank Road | Alva | FL | 33920 | Contract Dentist | 140850 |
| Katrine Farag DMD | |||||
| 10294 Carolina Willow Dr | Fort Myers | FL | 33913 | Contract Dentist | 252814 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 7952373 | GovernmentGrants |
| All Other Contributions | 463351 | AllOtherContributions |
| Noncash Contributions | 36000 | NoncashContributions |
| Total Contributions | 8415724 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medicaid Net | 621110 | 25066639 | 25066639 |
| Patient Fees Net | 621110 | 4066153 | 4066153 |
| Medicaid EHR Incentive | 621110 | 624750 | 624750 |
| Medicare Net | 621110 | 622573 | 622573 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 30380115 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1048657 | TotalRevenueColumn |
| Related Or Exempt Function Income | 979755 | RelatedOrExemptFunctionIncome |
| Exclusion | $68,902 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Revenue | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 189628 | TotalRevenueColumn |
| Related Or Exempt Function Income | 189628 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 189628 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40034124 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31549498 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $68,902 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1472582 | Total |
| Program Services | 1213502 | ProgramServices |
| Management And General | 259080 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17664421 | Total |
| Program Services | 14556620 | ProgramServices |
| Management And General | 3107801 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1026340 | Total |
| Program Services | 829095 | ProgramServices |
| Management And General | 197245 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1903120 | Total |
| Program Services | 1537378 | ProgramServices |
| Management And General | 365742 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1466035 | Total |
| Program Services | 1184285 | ProgramServices |
| Management And General | 281750 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89723 | Total |
| Management And General | 89723 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2894840 | Total |
| Program Services | 2727920 | ProgramServices |
| Management And General | 166920 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127306 | Total |
| Program Services | 4033 | ProgramServices |
| Management And General | 123273 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36764 | Total |
| Program Services | 16 | ProgramServices |
| Management And General | 36748 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1124511 | Total |
| Program Services | 1069898 | ProgramServices |
| Management And General | 54613 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129791 | Total |
| Program Services | 51050 | ProgramServices |
| Management And General | 78741 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130734 | Total |
| Program Services | 78454 | ProgramServices |
| Management And General | 52280 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3526 | Total |
| Management And General | 3526 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124411 | Total |
| Program Services | 94837 | ProgramServices |
| Management And General | 29574 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 1831887 | 1764757 | 67130 |
| Repairs and Maintenance | 832976 | 725992 | 106984 |
| Capital Items less than $5k | 140059 | 87455 | 52604 |
| Telecommunications | 392924 | 284452 | 108472 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1456939 | Total |
| Program Services | 1040185 | ProgramServices |
| Management And General | 416754 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32848889 | Total |
| Program Services | 27249929 | ProgramServices |
| Management And General | 5598960 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41284 | BOY |
| EOY | 3394 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12959902 | BOY |
| EOY | 18308533 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1681829 | BOY |
| EOY | 1419507 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 136250 | BOY |
| EOY | 190642 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21194 | BOY |
| EOY | 23808 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238250 | BOY |
| EOY | 130131 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14070753 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4481144 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7306821 | BOY |
| EOY | 9589609 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 467400 | BOY |
| EOY | 280440 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145990 | BOY |
| EOY | 211104 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22998920 | BOY |
| EOY | 30157168 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3046025 | BOY |
| EOY | 3225577 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59780 | BOY |
| EOY | 81533 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345647 | BOY |
| EOY | 117355 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3451452 | BOY |
| EOY | 3424465 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19547468 | BOY |
| EOY | 26732703 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19547468 | BOY |
| EOY | 26732703 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22998920 | BOY |
| EOY | 30157168 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 7185235 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 23295543 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27523176 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 31272781 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 37548533 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38795839 | CurrentTaxYear |
| Total | 158435872 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 23295543 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27523176 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 31272781 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 37548533 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38795839 | CurrentTaxYear |
| Total | 158435872 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 158435872 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 42616 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 42919 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 93039 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 63321 | CurrentTaxYearMinus1Year |
| Current Tax Year | 68902 | CurrentTaxYear |
| Total | 310797 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 158746669 | TotalSupport |
| Public Support Pertcentage170 | 0.99800 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99800 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2612548 | InvestmentCostOrOtherBasis |
| Book Value | 2612548 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 8483760 | InvestmentCostOrOtherBasis |
| Depreciation | 2936961 | Depreciation |
| Book Value | 5546799 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 264739 | InvestmentCostOrOtherBasis |
| Depreciation | 95268 | Depreciation |
| Book Value | 169471 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2053879 | InvestmentCostOrOtherBasis |
| Depreciation | 1448915 | Depreciation |
| Book Value | 604964 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 655827 | InvestmentCostOrOtherBasis |
| Book Value | 655827 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9589609 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Prestige Health Choice LLC | Description |
| Book Value | 280440 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 280440 | TotalOfBookValueSecurities |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | 457b Deferred Compensation P | Description |
| Book Value | 211104 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 211104 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 40034124 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 40034124 | RevenueSubtotal |
| Total Revenue Per Form990 | 40034124 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 32848889 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 32848889 | ExpensesSubtotal |
| Total Expenses Per Form990 | 32848889 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|
| Dr Frank Mazzeo Jr | ||||||
| PresCeo & Chief | 389069 | 85000 | 972 | 38800 | 8917 | 522758 |
| Dr Jorge Quinonez | ||||||
| Chief Medical Officer | 288952 | 33000 | 225 | 30257 | 7482 | 359916 |
| Roger Ward | ||||||
| Chief Operating Officer | 123672 | 18000 | 466 | 15935 | 8917 | 166990 |
| John Koehler | ||||||
| Chief HR Officer | 138042 | 26391 | 8917 | 173350 | ||
| Marie Andress | ||||||
| Chief Financial Officer | 139607 | 33000 | 253 | 18817 | 4860 | 196537 |
| Robert Johns | ||||||
| Sr VP Special Projects | 115817 | 15000 | 209 | 15291 | 7482 | 153799 |
| Dr Carlos Alvarado | ||||||
| Dentist | 302924 | 17400 | 5446 | 325770 | ||
| Dr Jeffrey Garner | ||||||
| Physician | 406694 | 900 | 17400 | 6691 | 431685 | |
| Dr Martin Jenkins | ||||||
| Dentist | 309194 | 17400 | 5881 | 332475 | ||
| Dr Maximus Zand | ||||||
| Dentist | 294044 | 13770 | 5881 | 313695 | ||
| Dr Sergio Vignali | ||||||
| Physician | 271800 | 150 | 5881 | 277831 | ||
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercial
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 36000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| O01 | Form 990 governing body review Part VI line 11 | The Finance Committee reviews the tax return. The tax return is then reviewed and approved by the full Board of Directors. |
| O02 | Conflict of interest policy compliance Part VI line 12c | The Organization annually reaffirms the written conflict of interest policy. |
| O03 | CEO executive director top management comp Part VI line 15a | The Board of Directors gather data from similar organizations and salary surveys to determine comparable executive compensation for the CEO. |
| O04 | Other officer or key employee compensation Part VI line 15b | Board gathers data from similar organizations and salary surveys to determine comparable executive compensation. |
| O05 | Governing documents etc available to public Part VI line 19 | The governing documents, conflict of interest policy and financial statements are available upon request. The financial statements are also available to the public (via Form 990) on a third-party website. |
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