FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC (EIN 59-1741273)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-28
IRS object ID
201201809349300415
Schema version
2011v1.2
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)
Timestamp2012-06-28T11:19:34-04:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TUSCAN COMPANY PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line112621 WORLD PLAZA LN BLDG 55AddressLine1
CityFORT MYERSCity
StateFLState
ZIP Code33907ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591741273EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Family Health Centers of Southwest Florida IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAMINameControl
Phone2392783600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12256 Heitman StreetAddressLine1
CityFort MyersCity
StateFLState
ZIP Code33901ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDr Frank Mazzeo JrName
TitlePresident and CEOTitle
Phone2392783600Phone
Date Signed2012-05-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLillian WymbsName
Phone2393332090Phone
Date Prepared2012-06-28DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1Family Health Centers of Southwest Florida IncBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12256 Heitman StreetAddressLine1
CityFort MyersCity
StateFLState
ZIP Code33901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37575854GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.fhcswf.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionThe mission of Family Health Centers of Southwest Florida, Inc. is to provide high quality health care services accessible to all people.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees364TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year10139686ContributionsGrantsPriorYear
Contributions Grants Current Year9865631ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21133095ProgramServiceRevenuePriorYear
Program Service Revenue CY27505009ProgramServiceRevenueCY
Investment Income Prior Year93039InvestmentIncomePriorYear
Investment Income Current Year63321InvestmentIncomeCurrentYear
Other Revenue Prior Year98188OtherRevenuePriorYear
Other Revenue Current Year141893OtherRevenueCurrentYear
Total Revenue Prior Year31464008TotalRevenuePriorYear
Total Revenue Current Year37575854TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18990717SalariesEtcPriorYear
Salaries Etc Current Year21327866SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8181455OtherExpensePriorYear
Other Expenses Current Year8931165OtherExpensesCurrentYear
Total Expenses Prior Year27172172TotalExpensesPriorYear
Total Expenses Current Year30259031TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4291836RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7316823RevenuesLessExpensesCY
Total Assets BOY16416191TotalAssetsBOY
Total Assets EOY22998920TotalAssetsEOY
Total Liabilities BOY4185546TotalLiabilitiesBOY
Total Liabilities EOY3451452TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12230645NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19547468NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Family Health Centers of Southwest Florida, Inc. is to provide high quality health care services accessible to all people.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense25856847Expense
Grants9444191Grants
Revenue27505009Revenue
DescriptionThe Organization provided quality medical, dental, and ancilliary services to patients as follows: Medical Services were provided to 44,175 patients with a total of 130,923 patient visits. Dental Services were provided to 27,307 patients with a total of 99,985 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 Expense25856847TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees364NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledtrueForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
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 Number2392783600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12256 Heitman StreetAddressLine1
CityFort MyersCity
StateFLState
ZIP Code33901ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
R Lee Golden
ChairmanX000
Cathy Jones
SecretaryX000
Ken Thompson
Immediate Past ChairX000
Steve Davis
Treasurer/Vice ChairX000
Amy Barnes
Board Member/DirectorX000
Doris Bell
Board Member/DirectorX000
Sam Johnson
Board Member/DirectorX000
Lita Gale Laukemper
Board Member/DirectorX000
Zoila Martinez
Board Member/DirectorX000
Martha Valiant
Board Member/DirectorX000
James Barfield
Board Member/DirectorX000
Twaski Jackson
Board Member/DirectorX000
Dr Frank Mazzeo Jr
Pres/CEO & Chief Dental Officer002515755.00XX
Dr Jorge Quinonez
Chief Medical Officer002438045.00X
Roger Ward
Chief Operating Officer12565301713645.00X
John Koehler
Chief HR Officer001830745.00X
Marie Andress
Chief Financial Officer001551445.00X
Robert Johns
VP Special Projects13229401644645.00X
Theresa Buchanan
VP Admin8643201138645.00X
Dr Jeffrey Garner
Physician002352040.00X
Dr Jade Le
Dentist002192340.00X
Dr Martin Jenkins
Dentist001561240.00X
Dr Carlos Alvarado
Dentist002438040.00X
Dr Katrine Farag
Dentist002230440.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2960232TotalReportableCompFromOrg
Total Other Compensation236065TotalOtherCompensation
Number Individuals GT100 K35NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
M W Smith Security
8355 Breeze DriveNorth Fort MyersFL33917Security Services210071
Richard Ellis DDS
17601 Frank RoadAlvaFL33920Contract Dentist141019
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants9444191GovernmentGrants
All Other Contributions421440AllOtherContributions
Total Contributions9865631TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicaid, net2287885322878853
Patient Fees, net33030993303099
Medicaid EHR Incentive765000765000
Medicare, net558057558057
FieldValueIRS element (for citing)
Total Program Service Revenue27505009TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column63321TotalRevenueColumn
Related Or Exempt Function Income63321RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther RevenueDescription
Total Revenue Column141893TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue141893TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37575854TotalRevenueColumn
Related Or Exempt Function Income27568330RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2455514Total
Program Services2080757ProgramServices
Management And General374757ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14863223Total
Program Services12585819ProgramServices
Management And General2277404ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total929930Total
Program Services779135ProgramServices
Management And General150795ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1836374Total
Program Services1538593ProgramServices
Management And General297781ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1242825Total
Program Services1041292ProgramServices
Management And General201533ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total56291Total
Management And General56291ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47480Total
Management And General47480ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2656709Total
Program Services2359668ProgramServices
Management And General297041ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total96578Total
Management And General96578ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total27517Total
Program Services106ProgramServices
Management And General27411ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total62823Total
Program Services62823ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1037716Total
Program Services983605ProgramServices
Management And General54111ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total79999Total
Program Services43406ProgramServices
Management And General36593ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total118778Total
Program Services73306ProgramServices
Management And General45472ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total14308Total
Management And General14308ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total485819Total
Program Services472324ProgramServices
Management And General13495ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total107183Total
Program Services78974ProgramServices
Management And General28209ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies1538420149855739863
Repairs and Maintenance70591466563840276
Captial items <$5,00055721653744119775
Telecommunications43419337922254971

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total904221Total
Program Services640180ProgramServices
Management And General264041ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30259031Total
Program Services25820846ProgramServices
Management And General4438185ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY33018BOY
EOY41284EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9701045BOY
EOY12959902EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1528220BOY
EOY1681829EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY115945BOY
EOY136250EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY21759BOY
EOY21194EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY102616BOY
EOY238250EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11386153LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4079332LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4363772BOY
EOY7306821EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY467400BOY
EOY467400EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY82416BOY
EOY145990EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16416191BOY
EOY22998920EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2114319BOY
EOY3046025EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1600439BOY
EOY59780EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY470788BOY
EOY345647EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4185546BOY
EOY3451452EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12230645BOY
EOY19547468EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12230645BOY
EOY19547468EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16416191BOY
EOY22998920EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses7316823ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21743380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23295543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27523176CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31272781CurrentTaxYearMinus1Year
Current Tax Year37548533CurrentTaxYear
Total141383413Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21743380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23295543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27523176CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31272781CurrentTaxYearMinus1Year
Current Tax Year37548533CurrentTaxYear
Total141383413Total
FieldValueIRS element (for citing)
Public Support Total170141383413PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47744CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years42616CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42919CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93039CurrentTaxYearMinus1Year
Current Tax Year63321CurrentTaxYear
Total289639Total
FieldValueIRS element (for citing)
Total Support141673052TotalSupport
Public Support Pertcentage1700.99800PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97920PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total509141383413PublicSupportTotal509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1412548InvestmentCostOrOtherBasis
Book Value1412548BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis5209569InvestmentCostOrOtherBasis
Depreciation2633219Depreciation
Book Value2576350BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis158372InvestmentCostOrOtherBasis
Depreciation50212Depreciation
Book Value108160BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2178059InvestmentCostOrOtherBasis
Depreciation1302360Depreciation
Book Value875699BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2427605InvestmentCostOrOtherBasis
Depreciation93541Depreciation
Book Value2334064BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7306821TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionPrestige Health Choice LLCDescription
Book Value467400BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities467400TotalOfBookValueSecurities

Other Assets OtherAssets

FieldValueIRS element (for citing)
Description457(b) Deferred Compensation PlanDescription
Book Value145990BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets145990TotalBookValueOtherAssets
Total Revenue37575854TotalRevenue
Total Expenses30259031TotalExpenses
Excess Or Deficit For Year7316823ExcessOrDeficitForYear
Excess Or Deficit Per FS7316823ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt37611854TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities36000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99036000RevenueNotRptdF990
Revenue Subtotal37575854RevenueSubtotal
Total Revenue Per Form99037575854TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt30295031TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities36000DonatedServicesUseOfFacilities
Expenses Not Rptd F99036000ExpensesNotRptdF990
Expenses Subtotal30259031ExpensesSubtotal
Total Expenses Per Form99030259031TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Dr Frank Mazzeo Jr
344682100000972171508007470811
Dr Jorge Quinonez
26660235000225171507230326207
John Koehler
13114214000217103008007163666
Marie Andress
12819935000224107414773178937
Dr Jeffrey Garner
430225990171506370454735
Dr Jade Le
35051268171504773372503
Dr Martin Jenkins
27300968100025610288689
Dr Carlos Alvarado
25163149171507230276060
Dr Katrine Farag
25300929157996505275342

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
ExplanationSchedule J, Part I, Line 3: The Board of Directors gather data from similar organizations and salary surveys to determine comparable executive compensation for the organizations's CEO.Explanation

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99036000NoncashContribsRptdF990
Method Of Determining RevenuesEst FMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
ExplanationPart VI B, Line 11b: The Finance Committee reviews the tax return. The tax return is then reviewed and approved by the full Board of Directors. ... Part VI B, Line 12c: The Organization annually reaffirms the written conflict of interest policy. ... Part VI B, Line 15a: The Board of Directors gather data from similar organizations and salary surveys to determine comparable executive compensation for the CEO. ... Part VI C, 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.Explanation

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