MIAMI BEACH COMMUNITY HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MIAMI BEACH COMMUNITY HEALTH CENTER INC (EIN 59-1829984)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-03
IRS object ID
201342769349300124
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)
Timestamp2013-10-03T10:48:52-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010720052EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MORRISON BROWN ARGIZ & FARRA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11450 BRICKELL AVENUE 18TH FLOORAddressLine1
CityMIAMICity
StateFLState
ZIP Code33131ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591829984EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIAMI BEACH COMMUNITY HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIAMNameControl
Phone3055388835Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111645 BISCAYNE BOULEVARD NO 207AddressLine1
CityNORTH MIAMICity
StateFLState
ZIP Code33181ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRIAN MORTONName
TitleCHIEF FINANCIAL OFFICERTitle
Phone3055388835Phone
Date Signed2013-09-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICK COVERTName
PTINP00124528PTIN
Phone3053735500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK RABINOWITZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111645 BISCAYNE BOULEVARD NO 207AddressLine1
CityNORTH MIAMICity
StateFLState
ZIP Code33181ZIPCode
FieldValueIRS element (for citing)
Gross Receipts40225002GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MIAMIBEACHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE EITHER MEDICAL OR DENTAL SERVICES TO INDIVIDUALS IN THE MIAMI BEACH, MIAMI AND NORTH MIAMI COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees316TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year14123693ContributionsGrantsPriorYear
Contributions Grants Current Year14612179ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21834590ProgramServiceRevenuePriorYear
Program Service Revenue CY24918894ProgramServiceRevenueCY
Investment Income Prior Year1InvestmentIncomePriorYear
Investment Income Current Year492316InvestmentIncomeCurrentYear
Other Revenue Prior Year11091OtherRevenuePriorYear
Other Revenue Current Year103533OtherRevenueCurrentYear
Total Revenue Prior Year35969375TotalRevenuePriorYear
Total Revenue Current Year40126922TotalRevenueCurrentYear
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 Year15688478SalariesEtcPriorYear
Salaries Etc Current Year17214104SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21304299OtherExpensePriorYear
Other Expenses Current Year23594379OtherExpensesCurrentYear
Total Expenses Prior Year36992777TotalExpensesPriorYear
Total Expenses Current Year40808483TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1023402RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-681561RevenuesLessExpensesCY
Total Assets BOY7242592TotalAssetsBOY
Total Assets EOY7485007TotalAssetsEOY
Total Liabilities BOY6224956TotalLiabilitiesBOY
Total Liabilities EOY7148932TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1017636NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY336075NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24374189Expense
Revenue10339737Revenue
DescriptionPRIMARY HEALTH CARE AND ANCILLARY MEDICAL SERVICES FOR AMBULATORY PATIENTS RESIDING IN SPECIFIED AREAS IN MIAMI-DADE COUNTY FLORIDA. THE ORGANIZATION HAD 89,317 ENCOUNTERS IN ITS COMMUNITY HEALTH CENTER PROGRAM.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7759092Expense
Revenue11012667Revenue
DescriptionPHARMACYDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2203035Expense
Revenue3566490Revenue
DescriptionMEDICAL EDUCATION INTERNSHIP PROGRAM FOR OVERSEAS MEDICAL STUDENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense34336316TotalProgramServiceExpense
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction1ExcessBenefitTransaction
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109648NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees316NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure0QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse1MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBRIAN MORTONNamePerson
Telephone Number3055388835TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111645 BISCAYNE BOULEVARD SUITE 207AddressLine1
CityNORTH MIAMICity
StateFLState
ZIP Code33181ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
VICTORIA EMILY ARROYO
BOARD MEMBER2.00X000
RAFAEL CABRERA
BOARD MEMBER2.00X000
MELVIN P DEUTSCH
VICE CHAIR2.00X000X
WILLIAM ELIAS
SECRETARY2.00X000X
JANE DEE GROSS
BOARD CHAIR5.00X000X
MYRIAN NOTKIN
TREASURER2.00X000X
DAVID CHAMBERLAIN
BOARD MEMBER2.00X000
ROBERT ROSEN MD
BOARD MEMBER2.00X000
YVONNE SAINT GERARD
BOARD MEMBER2.00X000
DAVID M GERSTEN
BOARD MEMBER2.00X000
THERESE GIBB
BOARD MEMBER2.00X000
MONA GREEN
BOARD MEMBER2.00X000
JULIO LORA
BOARD MEMBER2.00X000
DENISE NOVACK
BOARD MEMBER2.00X000
MITCHELL RUBINSON
BOARD MEMBER2.00X000
STANLEY DEHART
FORMER CFO40.00137980011862X
MARK RABINOWITZ
INTERIM EXECUTIVE DIRECTOR40.00396162028614X
KATHRYN ABBATE
FORMER CEO40.0055105609442X
RAIED SAWAGED
PHARMACIST40.00155000012172X
SORANGELY MENIJVAR
SR. EVP OF PATIENT SERVICES40.00153564016062X
ORLANDO TAQUECHEL
SR VP PROJECT MANAGER40.00195385014022X
ALLEN SILANEE
MEDICAL DOCTOR40.00240507016870X
JORGE RANGEL
MEDICAL DOCTOR40.00244373017776X
RAMON MARTINEZ
MEDICAL DOCTOR40.00200000026502X
LAURENCE PETER
DENTIST40.00218306013260X
JEFFREY SIMMONS
MEDICAL DOCTOR40.0022307604807X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2715409TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation171389TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
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
GENESIS MEDICUS LLC
1880 NW 97TH AVENUEPLANTATIONFL33322MEDICAL EDUCATION1080761
HEALTH CHOICE NETWORK
9064 NW 13TH TERRACEDORALFL33172IT781686
BY HIS GRACE CONSTRUCTION
17661 NW 82ND COURTHIALEAHFL33015MAINTENANCE748625
VANESSA I SILEBI
3661 S MIAMI AVE SUITE 108MIAMIFL33133MEDICAL PROVIDER178470
JH COHN LLP
1212 AVENUE OF THE AMERICASNEW YORKNY10036ACCOUNTING168854
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants11332033GovernmentGrants
All Other Contributions3280146AllOtherContributions
Noncash Contributions942907NoncashContributions
Total Contributions14612179TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY4461101101266711012667
MEDICAID62140058605755860575
MEDICAL EDUCATION62140035664903566490
SELF-PAY PATIENTS62140026115362611536
PATIENT SVCS OTHER62140012855511285551

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column582075TotalRevenueColumn
Related Or Exempt Function Income582075RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue24918894TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1221TotalRevenueColumn
Exclusion$1,221ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities589175Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities98080Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities491095Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column491095TotalRevenueColumn
Exclusion$491,095ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINSURANCE PROCEEDS & OTHERDescription
Business Code900099BusinessCode
Total Revenue Column103533TotalRevenueColumn
Exclusion$103,533ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue103533TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column40126922TotalRevenueColumn
Related Or Exempt Function Income24918894RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$595,849ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1318090Total
Program Services1120686ProgramServices
Management And General197404ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13697208Total
Program Services11642318ProgramServices
Management And General2054890ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total242189Total
Program Services205861ProgramServices
Management And General36328ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total968984Total
Program Services384070ProgramServices
Management And General584914ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total987633Total
Program Services839488ProgramServices
Management And General148145ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total250749Total
Management And General250749ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total90000Total
Management And General90000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8860668Total
Program Services8750181ProgramServices
Management And General110487ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total337384Total
Program Services220374ProgramServices
Management And General117010ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total251853Total
Program Services214075ProgramServices
Management And General37778ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1504076Total
Program Services1236694ProgramServices
Management And General267382ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total96679Total
Program Services53173ProgramServices
Management And General43506ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total126527Total
Program Services77322ProgramServices
Management And General49205ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total536196Total
Program Services423595ProgramServices
Management And General112601ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total237466Total
Program Services142480ProgramServices
Management And General94986ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACY AND SUPPLIES82283148008745219569
UNAUTHORIZED EXPENSES10026061002606
GRANT ASSESSMENT580166580166
REPAIRS AND MAINTENANCE46631336838797926

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1025382Total
Program Services648867ProgramServices
Management And General376515ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40808483Total
Program Services34336316ProgramServices
Management And General6472167ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY624768BOY
EOY942740EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1659884BOY
EOY1715222EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1205816BOY
EOY1340209EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY277671BOY
EOY404995EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY129015BOY
EOY180452EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7973713LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5357674LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2886451BOY
EOY2616039EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY245200BOY
EOY147120EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY213787BOY
EOY138230EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7242592BOY
EOY7485007EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3878956BOY
EOY5040441EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY580166EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY328683BOY
EOY114800EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1875317BOY
EOY1356525EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY142000BOY
EOY57000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6224956BOY
EOY7148932EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1017636BOY
EOY336075EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1017636BOY
EOY336075EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7242592BOY
EOY7485007EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-681561ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9432335CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10030013CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10134651CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14123693CurrentTaxYearMinus1Year
Current Tax Year14612179CurrentTaxYear
Total58332871Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9432335CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10030013CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10134651CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14123693CurrentTaxYearMinus1Year
Current Tax Year14612179CurrentTaxYear
Total58332871Total
FieldValueIRS element (for citing)
Public Support Total17058332871PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7020CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years766CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years150002CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1CurrentTaxYearMinus1Year
Current Tax Year1221CurrentTaxYear
Total159010Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80373CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years135179CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70768CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11091CurrentTaxYearMinus1Year
Current Tax Year103533CurrentTaxYear
Total400944Total
FieldValueIRS element (for citing)
Total Support58892825TotalSupport
Gross Receipts From Admissions Etc78026231GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99050PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98960PublicSupportPertcentPriorYear
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis305186OtherCostOrOtherBasis
Book Value305186BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1211700OtherCostOrOtherBasis
Depreciation465975Depreciation
Book Value745725BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3132487OtherCostOrOtherBasis
Depreciation1955918Depreciation
Book Value1176569BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3324340OtherCostOrOtherBasis
Depreciation2935781Depreciation
Book Value388559BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2616039TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED LEASE LIABILITYDescription
Amount$57,000Amount
FieldValueIRS element (for citing)
Total Of Amounts57000TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt40801922TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities675000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990675000RevenueNotRptdF990
Revenue Subtotal40126922RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99040126922TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt41483483TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities675000DonatedServicesUseOfFacilities
Expenses Not Rptd F990675000ExpensesNotRptdF990
Expenses Subtotal40808483ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99040808483TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE CENTER QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED. THE CENTER RECOGNIZES AND MEASURES TAX POSITIONS BASED ON THEIR TECHNICAL MERIT AND ASSESSES THE LIKELIHOOD THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BASED ON THE FACTS, CIRCUMSTANCES AND INFORMATION AVAILABLE AT THE END OF EACH PERIOD. INTEREST AND PENALTIES ON TAX LIABILITIES, IF ANY, WOULD BE RECORDED IN INTEREST EXPENSE AND OTHER NON-INTEREST EXPENSE, RESPECTIVELY. THE U.S. FEDERAL JURISDICTION IS THE MAJOR TAX JURISDICTION WHERE THE CENTER FILES INFORMATIONAL TAX RETURNS. THE CENTER IS GENERALLY NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (10 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
MARK RABINOWITZ
INTERIM EXECUTIVE DIRECTOR39616200000151650134490424776000
KATHRYN ABBATE
FORMER CEO28000000027105605169042730560498000
RAIED SAWAGED
PHARMACIST155000000006200059720167172000
SORANGELY MENIJVAR
SR. EVP OF PATIENT SERVICES1535640000058000102620169626000
ORLANDO TAQUECHEL
SR VP PROJECT MANAGER195385000006927070950209407000
ALLEN SILANEE
MEDICAL DOCTOR240507000009600072700257377000
JORGE RANGEL
MEDICAL DOCTOR244373000009775080010262149000
RAMON MARTINEZ
MEDICAL DOCTOR2000000000062310202710226502000
LAURENCE PETER
DENTIST218306000004615086450231566000
JEFFREY SIMMONS
MEDICAL DOCTOR223076000003351014560227883000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationIN 2012, THE FORMER CEO'S APPROVED SALARY WAS $280,000. IN 2012, MANAGEMENT BECAME AWARE THAT THE FORMER CEO TOOK COMPENSATION IN EXCESS OF HER APPROVED SALARY IN THE FORM OF "VACATION PAY-OUTS". THESE AMOUNTS APPEAR IN THE FUNCTIONAL EXPENSE LINE ITEM "UNAUTHORIZED EXPENDITURES". THE FORMER CEO ALLEGEDLY EMBEZZLLED APPROXIMATELY $1,000,000 IN ADDITION TO THE COMPENSATION IN EXCESS OF HER APPROVED SALARY. THESE TRANSACTIONS WERE BELIEVED TO HAVE OCCURED BETWEEN 2007 AND 2012 AND THE TOTAL UNAUTHORIZED COMPENSATION AND EMBEZZLEMENT IS BELIEVED TO HAVE BEEN $7,077,052. OF THIS AMOUNT, APPROXIMATELY $3,925,000 RELATES TO THE PERIOD FROM 2007-2010, APPROXIMATELY $2,182,000 RELATES TO 2011 AND APPROXIMATELY $970,000 RELATES TO 2012. COMPENSATION RELATED TO CERTAIN OTHER INDIVIDUALS WAS APPROVED BY THE FORMER CEO IN EXCESS OF THEIR APPROVED SALARIES IN THE FORM OF BONUSES AND VACATION PAY-OUTS INCLUDING THE FORMER CFO.Explanation

Schedule L IRS990ScheduleL

DQP Table DQPTable

FieldValueIRS element (for citing)
Name PersonKATHRYN ABBATENamePerson
Relationship Disqualified PersonFORMER CEORelationshipDisqualifiedPerson
Description Of TransactionUNAPPROVED EXCESS COMPENSATIONDescriptionOfTransaction
Transaction Corrected0TransactionCorrected

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJACINTO AYALANamePerson
FieldValueIRS element (for citing)
RelationshipJACINTO AYALA OWNS A COMPANY THAT PROVIDES SERVICES TO THE ORGANIZATIONRelationship
Amount Of Transaction1968700AmountOfTransaction
Description Of TransactionJACINTO AYALA HAS A 100% OWNERSHIP INTEREST IN THREE COMPANIES THAT ADMINISTER THE CENTER'S MEDICAL EDUCATION PROGRAM INCLUDING MANAGING AND OPERATING TEACHING FACULTY NETWORKS FOR THE CENTER. FOR THE YEAR ENDED DECEMBER 31, 2012, TOTAL PAYMENTS TO THESE TWO COMPANIES WERE $1,968,700. THESE EXPENSES ARE INCLUDED UNDER THE CAPTION PROFESSIONAL SERVICES OTHER IN THE STATEMENT OF FUNCTIONAL EXPENSES. THERE WERE NO AMOUNTS OUTSTANDING TO THESE TWO COMPANIES AS OF DECEMBER 31, 2012. THE EMPLOYEE RESIGNED IN 2012.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 1Identifier
Return ReferenceUNAPPROVED EXCESS COMPENSATIONReturnReference
ExplanationIN 2012, CURRENT MANAGEMENT OF THE CENTER BECAME AWARE OF ALLEGED EMBEZZLEMENT OF FUNDS BY THE FORMER CEO INCLUDING UNAUTHORIZED COMPENSATION TO THE CEO. THIS ALLEGED EMBEZZLEMENT AND UNAUTHORIZED COMPENSATION IS BELIEVED TO HAVE OCCURRED FROM 2007 THROUGH 2012. A PRELIMINARY FORENSIC AUDIT REPORT, COVERING THE PERIOD JANUARY 1, 2007 THROUGH JUNE 2012, REFLECTS A LOSS OF $7,077,052. OF THIS AMOUNT, APPROXIMATELY $3,925,000 RELATES TO THE PERIOD FROM 2007-2010, APPROXIMATELY $2,182,000 RELATES TO 2011 AND APPROXIMATELY $970,000 RELATES TO 2012. THE FORENSIC AUDIT ONLY COVERED THE TIME PERIOD DESCRIBED ABOVE AND DOES NOT GO BACK TO PREVIOUS PERIODS. WHETHER THIS ALLEGED EMBEZZLEMENT BEGAN PRIOR TO 2007 HAS NOT BEEN DETERMINED. MANAGEMENT HAS NOTIFIED VARIOUS GRANTING AND REGULATORY AGENCIES OF THE ALLEGED EMBEZZLEMENT AND THERE ARE ONGOING INVESTIGATIONS BY FEDERAL, STATE AND LOCAL AUTHORITIES CONCERNING THIS MATTER. MANAGEMENT HAS CONSULTED LEGAL COUNSEL AS TO WHETHER THESE UNAUTHORIZED EXPENDITURES COULD JEOPARDIZE THE CENTER'S TAX STATUS AND WHETHER THERE COULD BE ANY EXCISE TAX ISSUES RELATED TO THE MATTER. MANAGEMENT BELIEVES, AND HAS BEEN ADVISED BY ITS LEGAL COUNSEL, THAT ANY POTENTIAL TAX LIABILITY RESULTING FROM EXCESSIVE COMPENSATION OF THE FORMER CEO RESTS WITH THE FORMER CEO, AND NOT THE CENTER. MANAGEMENT DOES NOT BELIEVE THAT THE CENTER'S 501(C)(3) STATUS IS IN JEOPARDY RELATED TO THE ALLEGED EMBEZZLEMENT, AND HAS BEEN ADVISED BY ITS COUNSEL TO THIS EFFECT. BASED ON THE FACTS AND CIRCUMSTANCES KNOWN AT THE DATE OF THESE FINANCIAL STATEMENTS, NO AMOUNTS HAVE BEEN ACCRUED RELATED TO ANY POTENTIAL EXCISE TAX LIABILITY STEMMING FROM THE ALLEGED EMBEZZLEMENT.Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990942907NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationTHE ORGANIZATION USED A THIRD PARTY TO MANAGE ITS THRIFT SHOP DURING THE YEAR AND THIS RELATIONSHIP WAS TERMINATED DURING 2012.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART III, LINE 1PHILOSOPHY: IT IS THE POLICY OF THE BOARD AND STAFF OF THE MIAMI BEACH COMMUNITY HEALTH CENTER, INC., THAT RESIDENTS OF THE MIAMI BEACH AREA AND ALL OF MIAMI-DADE COUNTY NEED AND DESERVE ADEQUATE HEALTH CARE. THE BOARD AND STAFF ALSO BELIEVE THAT EACH INDIVIDUAL IS A WORTHY HUMAN BEING; HAS A UNIQUE SET OF VALUES, PERCEPTIONS AND NEEDS; FUNCTIONS AS A SYSTEM WITHIN A LARGER SYSTEM; AND IS ENTITLED TO THE RIGHT TO DETERMINE, WITH GUIDANCE AND SUPPORT FROM THE PROFESSIONALS, HIS OR HER OWN GOALS AND METHODS FOR ACHIEVING THEM. IN AN EFFORT TO MEET THE PHYSICAL AND PSYCHOSOCIAL NEEEDS OF OUR CLIENTS THROUGH MUTUAL GOAL SETTING, THE MIAMI BEACH COMMUNITY HEALTH CENTER HAS BEEN ESTABLISHED. MISSION STATEMENT: TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE AND SUPPORT SERVICES TO THE MIAMI BEACH COMMUNITY AND ALL OF MIAMI-DADE COUNTY. VISION STATEMENT: EVERYONE IN MIAMI-DADE COUNTY HAS ACCESS TO AFFORDABLE HEALTH CARE. VALUE STATEMENT: WE BELIEVE THAT THE COMMUNITY OF MIAMI BEACH AND ALL OF MIAMI-DADE COUNTY HAVE THE RIGHT TO ACCESSIBLE HIGH-QUALITY HEALTH CARE REGARDLESS OF GENDER, RACE, COLOR, RELIGION, ETHNIC OR NATIONAL ORIGIN, POLITICAL BELIEFS, MARITAL STATUS, AGE, SEXUAL ORIENTATION, SOCIAL, FINANCIAL AND FAMILY BACKGROUND, LINGUISTIC PREFERENCE OR DISABILITY.
FORM 990, PART VI, SECTION A, LINE 3A MANAGEMENT COMPANY OWNED BY AN EMPLOYEE MANAGED THE MEDICAL EDUCATION PROGRAM FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 5IN 2012, CURRENT MANAGEMENT OF THE ORGANIZATION BECAME AWARE OF ALLEGED EMBEZZLEMENT OF FUNDS BY THE FORMER CEO INCLUDING UNAUTHORIZED COMPENSATION TO THE CEO. THIS ALLEGED EMBEZZLEMENT AND UNAUTHORIZED COMPENSATION IS BELIEVED TO HAVE OCCURRED FROM 2007 THROUGH 2012. A PRELIMINARY FORENSIC AUDIT REPORT, COVERING THE PERIOD JANUARY 1, 2007 THROUGH JUNE 2012, REFLECTS A LOSS OF $7,077,052. OF THIS AMOUNT, APPROXIMATELY $3,925,000 RELATES TO THE PERIOD FROM 2007-2010, APPROXIMATELY $2,182,000 RELATES TO 2011 AND APPROXIMATELY $970,000 RELATES TO 2012. MANAGEMENT HAS NOTIFIED VARIOUS GRANTING AND REGULATORY AGENCIES OF THE ALLEGED EMBEZZLEMENT AND THERE ARE ONGOING INVESTIGATIONS BY FEDERAL, STATE AND LOCAL AUTHORITIES CONCERNING THIS MATTER. AS OF THE DATE OF THIS RETURN, MANAGEMENT HAS NOT BEEN PROVIDED ANY INFORMATION CONCERNING THE RESULTS OF THESE ONGOING INVESTIGATIONS.
FORM 990, PART VI, SECTION B, LINE 11THIS 2012 FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING. IN YEARS PRIOR TO 2011, THE FORMER CEO FALSELY ASSERTED THE FILINGS WERE REVIEWED BY THE BOARD OF DIRECTORS WHEN IN FACT THEY WERE NEITHER APPROVED NOR REVIEWED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE CONFLICT OF INTEREST POLICY ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER FEESFORM 990, PART IX, LINE 11GMEDICAL PROVIDERS & CONSULTANTS: PROGRAM SERVICE EXPENSES 8,750,181. MANAGEMENT AND GENERAL EXPENSES 110,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,860,668.
FINANCIAL STATEMENTS AND REPORTINGFORM 990, PART XII, LINE 2CTHE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
RELATED PARTY TRANSACTIONSFORM 990, SCHEDULE RTHE FOLLOWING TRANSACTIONS ARE RELATED PARTY TRANSACTIONS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING STANDARDS, BUT DO NOT RISE TO THE LEVEL OF A "RELATED PARTY" TRANSACTION FOR INCLUSION IN SCHEDULES "R", BUT HAVE BEEN INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION: (1) A FORMER EMPLOYEE OF THE CENTER HAS A FINANCIAL INTEREST IN A COMPANY THAT PERFORMS CONSTRUCTION AND MAINTENANCE SERVICES FOR THE CENTER. TOTAL PAYMENTS TO THIS COMPANY WERE $748,625 DURING 2012. THERE IS AN AGREEMENT BETWEEN THE COMPANY AND THE CENTER FOR MONTHLY MAINTENANCE SERVICES OF APPROXIMATELY $63,000 FOR TWELVE MONTHS EFFECTIVE JULY 1, 2012. THE EMPLOYEE WAS TERMINATED IN 2012. THE CENTER BELIEVES THE TERMS OF AGREEMENT ARE COMPARABLE TO OTHER THIRD PARTY SERVICE PROVIDERS. (2) FROM 2006 THROUGH 2013, THE FORMER CEO AND THE CURRENT SENIOR EXECUTIVE VICE PRESIDENT OF MEDICAL AFFAIRS AND INTERIM CEO OF THE CENTER EACH HELD A FINANCIAL INTEREST IN A COMPANY THAT PROVIDES A WEB-BASED MONITORING SERVICE OVER CENTER PHYSICIANS' CODING OF MEDICAL SERVICES AND MEASURES AND DOCUMENTS THE STANDARD OF CARE PROVIDED BY CENTER PHYSICIANS. THE CENTER UNDERSTANDS THAT THE FORMER CEO RETAINS HER INTEREST IN THE COMPANY. IN 2013, THE CURRENT INTERIM CEO GIFTED HIS INTEREST IN THE COMPANY TO THE COMPANY'S PRESIDENT, WHO IS THE COMPANY'S SOLE EMPLOYEE. THE CENTER PAYS THE COMPANY A FEE OF $300 PER MONTH, WHICH THE CENTER UNDERSTANDS IS PAID BY THE COMPANY TO ITS PRESIDENT, AND THE CENTER FURTHER UNDERSTANDS THAT NEITHER THE FORMER CEO NOR THE CURRENT INTERIM CEO HAS BEEN COMPENSATED BY THE COMPANY. THERE WERE NO AMOUNTS OUTSTANDING TO THE COMPANY AS OF DECEMBER 31, 2012.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEDICAL RESEARCH LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111645 BISCAYNE BOULEVARD SUITE 207AddressLine1
CityNORTH MIAMICity
StateFLState
ZIP Code33181ZIPCode
FieldValueIRS element (for citing)
Primary ActivityCLINICAL TRIALSPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CLINICAL RESEARCH OF GREATER MIAMI INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income115552ShareOfTotalIncome
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEDICAL RESEARCH LLCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeSTransactionType
Amount Involved115552AmountInvolved
Method Of Amt DeterminationCASHMethodOfAmtDetermination

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