TAMPA FAMILY HEALTH CENTERS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TAMPA FAMILY HEALTH CENTERS INC (EIN 59-2420282)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-10-29
IRS object ID
201343029349300309
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)
Timestamp2013-10-29T08:16:50-05:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN593040705EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RIVERO GORDIMER & COMPANY PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 172359AddressLine1
CityTAMPACity
StateFLState
ZIP Code33672ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592420282EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TAMPA FAMILY HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTAMPNameControl
Phone8138660930Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 82969AddressLine1
CityTAMPACity
StateFLState
ZIP Code33612ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLES R BOTTOMSName
TitleCEOTitle
Phone8138660930Phone
Date Signed2013-10-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSAM A LAZZARAName
PTINP01342929PTIN
Phone8138757774Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES R BOTTOMSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 82969AddressLine1
CityTAMPACity
StateFLState
ZIP Code33612ZIPCode
FieldValueIRS element (for citing)
Gross Receipts33040135GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TAMPACHC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY, CARING AND ACCESSIBLE HEALTH CARE TO A CULTURALLY DIVERSE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees478TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5665559ContributionsGrantsPriorYear
Contributions Grants Current Year6169019ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22436752ProgramServiceRevenuePriorYear
Program Service Revenue CY25474916ProgramServiceRevenueCY
Investment Income Prior Year31633InvestmentIncomePriorYear
Investment Income Current Year1146200InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year28133944TotalRevenuePriorYear
Total Revenue Current Year32790135TotalRevenueCurrentYear
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 Year12883224SalariesEtcPriorYear
Salaries Etc Current Year16316414SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8258928OtherExpensePriorYear
Other Expenses Current Year9180010OtherExpensesCurrentYear
Total Expenses Prior Year21142152TotalExpensesPriorYear
Total Expenses Current Year25496424TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6991792RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7293711RevenuesLessExpensesCY
Total Assets BOY37666373TotalAssetsBOY
Total Assets EOY45852275TotalAssetsEOY
Total Liabilities BOY1781138TotalLiabilitiesBOY
Total Liabilities EOY2673329TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY35885235NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY43178946NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE QUALITY, CARING AND ACCESSIBLE HEALTH CARE TO A CULTURALLY DIVERSE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense21877513Expense
Revenue25474916Revenue
DescriptionTAMPA FAMILY HEALTH CENTERS (TFHC) IS A NOT-FOR-PROFIT ORGANIZATION THAT HAS BEEN PROVIDING QUALITY AND AFFORDABLE PRIMARY HEALTH CARE TO RESIDENTS OF HILLSBOROUGH COUNTY SINCE 1984. TFHC WAS BORN FROM A GRASS ROOTS EFFORT OF CONCERNED CITIZENS WITHIN THE COMMUNITY WHO CAME TOGETHER FOR THE PURPOSE OF PROVIDING ACCESSIBLE, COMPREHENSIVE, AND CONTINUOUS HEALTH CARE. AT THE PRESENT TIME, TFHC OPERATES TWELVE HEALTH CARE DELIVERY SITES, ONE MOBILE MEDICAL VAN, ONE MOBILE DENTAL VAN, AND AN ASSISTED LIVING FACILITY. IN ADDITION TO THE PEDIATRIC, FAMILY PRACTICE AND INTERNAL MEDICINE SERVICES FURNISHED AT ALL SITES, SIX OF THE CENTERS OPERATE DENTAL CLINICS AND SIX HAVE ON-SITE PHARMACIES. TFHC WORKS VERY CLOSELY WITH SCHOOLS, SHELTERS AND FAITH-BASED ORGANIZATIONS BY PROVIDING OUTREACH AND EDUCATIONAL PROJECTS WITHIN THE COMMUNITY.Description
Total Program Service Expense21877513TotalProgramServiceExpense
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 Liabilities0ReportOtherLiabilities
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 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 With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees478NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8138660930TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 82969AddressLine1
CityTAMPACity
StateFLState
ZIP Code33612ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
STEPHANIE LOSURDO
PRESIDENT1.00XX000
HILRIE KEMP
VICE PRESIDENT1.00XX000
JERRY MASON
TREASURER1.00XX000
BRIAN DOSTER
SECRETARY1.00XX000
ERIC PEREZ
DIRECTOR1.00X000
EARL LAWTON
DIRECTOR1.00X000
JACKIE WALKER
DIRECTOR1.00X000
ROD WHITE
DIRECTOR1.00X000
DAMARIS VIERA
DIRECTOR1.00X000
CHARLES BOTTOMS
CEO50.00X400500011713
EDWARD KUCHER
CFO50.00X21339106249
SYLVIA SANTIAGO
MEDICAL DIRECTOR40.00X19743705333
PAUL D BONHAM
COO40.00X10930903279
MARITZA PEREZ-MERCED
PHYSICIAN40.0015298504536X
DINA M HOWELL
DMD DIRECTOR40.0015970504701X
REYNA I LAJARA
PHYSICIAN40.0014670804590X
MARILYN PRESTON
PHYSICIAN40.0014565704401X
ARNALDO SANCHEZ
PHYSICIAN40.0014231604370X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1668008TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation49172TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT HENDRICKSON PABusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17051 MANATEE AVEAddressLine1
CityBRADENTONCity
StateFLState
ZIP Code34209ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLEGAL SERVICESDescriptionOfServices
Compensation398527Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants5794019GovernmentGrants
All Other Contributions375000AllOtherContributions
Total Contributions6169019TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT BILLINGSDescription
Business Code621990BusinessCode
Total Revenue Column25474916TotalRevenueColumn
Related Or Exempt Function Income25474916RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue25474916TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column40235TotalRevenueColumn
Exclusion$40,235ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1355965Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities250000Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1105965Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1105965TotalRevenueColumn
Exclusion$1,105,965ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32790135TotalRevenueColumn
Related Or Exempt Function Income25474916RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,146,200ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total918441Total
Program Services780675ProgramServices
Management And General137766ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13233497Total
Program Services11382289ProgramServices
Management And General1851208ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total244672Total
Program Services210418ProgramServices
Management And General34254ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total771610Total
Program Services662405ProgramServices
Management And General109205ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1148194Total
Program Services987448ProgramServices
Management And General160746ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2454Total
Management And General2454ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54200Total
Management And General54200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total597367Total
Management And General597367ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total178397Total
Program Services160557ProgramServices
Management And General17840ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total921573Total
Program Services789683ProgramServices
Management And General131890ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total660856Total
Program Services462599ProgramServices
Management And General198257ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total825381Total
Program Services742575ProgramServices
Management And General82806ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total72439Total
Program Services43463ProgramServices
Management And General28976ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1340418Total
Program Services1206376ProgramServices
Management And General134042ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total143079Total
Program Services122970ProgramServices
Management And General20109ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTED SERVICES14341871434187
SUPPLIES1155814109802357791
PHARMACUTICAL DRUGS10408431040843
BAD DEBT753002753002

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25496424Total
Program Services21877513ProgramServices
Management And General3618911ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY377390BOY
EOY1794014EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10709339BOY
EOY13470503EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY715687BOY
EOY744907EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1904366BOY
EOY1230422EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY213899BOY
EOY201686EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY119122BOY
EOY189079EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34241707LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6395043LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23001570BOY
EOY27846664EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY625000BOY
EOY375000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37666373BOY
EOY45852275EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1781138BOY
EOY1833098EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY840231EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1781138BOY
EOY2673329EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY35885235BOY
EOY43178946EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35885235BOY
EOY43178946EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37666373BOY
EOY45852275EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses7293711ReconcilationRevenueExpenses
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)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4101326CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7386635CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7509903CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5665559CurrentTaxYearMinus1Year
Current Tax Year6169019CurrentTaxYear
Total30832442Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4101326CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7386635CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7509903CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5665559CurrentTaxYearMinus1Year
Current Tax Year6169019CurrentTaxYear
Total30832442Total
FieldValueIRS element (for citing)
Public Support Total17030832442PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years110985CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59864CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years111998CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31633CurrentTaxYearMinus1Year
Current Tax Year40235CurrentTaxYear
Total354715Total
FieldValueIRS element (for citing)
Total Support31187157TotalSupport
Gross Receipts From Admissions Etc87856299GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98860PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98430PublicSupportPertcentPriorYear
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 Basis9752156OtherCostOrOtherBasis
Book Value9752156BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19717309OtherCostOrOtherBasis
Depreciation4287864Depreciation
Book Value15429445BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3017644OtherCostOrOtherBasis
Depreciation2107179Depreciation
Book Value910465BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1754598OtherCostOrOtherBasis
Book Value1754598BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27846664TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt33182835TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities392700DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990392700RevenueNotRptdF990
Revenue Subtotal32790135RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99032790135TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25889124TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities392700DonatedServicesUseOfFacilities
Expenses Not Rptd F990392700ExpensesNotRptdF990
Expenses Subtotal25496424ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025496424TotalExpensesPerForm990

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 ORGANIZATION HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
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 (5 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
CHARLES BOTTOMS
CEO3104520878520219600000400500000
EDWARD KUCHER
CFO1737530396380000000213391000
SYLVIA SANTIAGO
MEDICAL DIRECTOR1793120181250000000197437000
MARITZA PEREZ-MERCED
PHYSICIAN1405440124410000000152985000
DINA M HOWELL
DMD DIRECTOR1406260190790000000159705000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11COPIES OF THE IRS FORM 990 ARE PRESENTED TO THE BOARD OF DIRECTORS IN ADVANCE OF A SCHEDULED BOARD MEETING. THE FORM 990 IS REVIEWED AND ALL QUESTIONS AND COMMENTS FROM THE BOARD ARE ADDRESSED PRIOR TO THE FORM BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CENTER HAS ADOPTED A POLICY WHERE IT WILL NOT HAVE A BUSINESS RELATIONSHIP WITH ANY COMPANIES OWNED BY BOARD MEMBERS OR MEMBERS OF MANAGEMENT. MANAGEMENT REVIEWS VENDORS ON A CONTINUING BASIS TO ENSURE THAT THIS POLICY IS BEEN FOLLOWED. ANNUALLY, ALL BOARD MEMBERS ARE REMINDED OF THE CENTER'S CONFLICT OF INTEREST POLICY AND ARE ASKED TO DISCLOSE ANY CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS EVALUATES THE CEO'S PERFORMANCE ANNUALLY. THE REVIEW PROCESS INCLUDES REVIEWING COMPARABLE CEO SALARY DATA FROM SIMILAR SIZED ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS IRS FORM 990'S, AND OTHER REQUIRED INFORMATION, AVAILABLE TO THE PUBLIC UPON REQUEST.

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