COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS INC (EIN 59-1480970)
Tax period
2011-02-01 to 2012-01-31
Filed
2012-08-27
IRS object ID
201222409349300607
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)
Timestamp2012-08-27T17:52:15-04:00Timestamp
Tax Period End Date2012-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Holland and ReillyBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1601 N Fern Creek Avenue Ste 200AddressLine1
CityOrlandoCity
StateFLState
ZIP Code32803ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591480970EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Community Health Centers IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1249AddressLine1
CityApopkaCity
StateFLState
ZIP Code32704ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBarbara SnellName
TitleCEOTitle
Phone4079058827Phone
Date Signed2012-08-27DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameThomas F ReillyName
Phone4078946803Phone
Date Prepared2012-08-27DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBarbara SnellNameOfPrincipalOfficerPerson
Gross Receipts31819593GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCHCFL.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionProvide quality and compassionate primary and preventive medical dental and pharmaceutical services to Central Florida economically and culturally diverse communitiesActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees411TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12508786ContributionsGrantsPriorYear
Contributions Grants Current Year12676015ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17229541ProgramServiceRevenuePriorYear
Program Service Revenue CY19041428ProgramServiceRevenueCY
Investment Income Prior Year37483InvestmentIncomePriorYear
Investment Income Current Year-260891InvestmentIncomeCurrentYear
Other Revenue Prior Year39748OtherRevenuePriorYear
Other Revenue Current Year56023OtherRevenueCurrentYear
Total Revenue Prior Year29815558TotalRevenuePriorYear
Total Revenue Current Year31512575TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19845124SalariesEtcPriorYear
Salaries Etc Current Year21787005SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year354138TotalFundrsngExpCurrentYear
Other Expense Prior Year6762039OtherExpensePriorYear
Other Expenses Current Year7500286OtherExpensesCurrentYear
Total Expenses Prior Year26607163TotalExpensesPriorYear
Total Expenses Current Year29287291TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3208395RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2225284RevenuesLessExpensesCY
Total Assets BOY18209195TotalAssetsBOY
Total Assets EOY22652395TotalAssetsEOY
Total Liabilities BOY4998482TotalLiabilitiesBOY
Total Liabilities EOY7216398TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13210713NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY15435997NetAssetsOrFundBalancesEOY
Mission DescriptionProvide quality and compassionate primary and preventive medical dental and pharmaceutical services to Central Florida economically and culturally diverse communitiesMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16934643Expense
Revenue13937454Revenue
DescriptionMedical services - CHC extends over six communities and has ten medical sites four pharmacies and six dental sites CHC provided primary medical dental and pharmaceutical services to 53246 patients last year with 178286 visits including 10931 dental patients in 31219 dental visits The pharmacies filled over 110000 prescriptions CHC received donated use of facilities of 327634Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4150662Expense
Revenue3223930Revenue
DescriptionDental services - CHC provided comprehensive dental services to both adults and pediatric patients CHC provided 31219 visits for 10931 patients this year Dental services provided include dentures bridges fillings periodontial services child ren services and dental hygiene The dental services received donated use of facilities of 32820Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2230381Expense
Revenue1880043Revenue
DescriptionPharmacy services - CHC receives 340b pricing which allows affordable prescriptions to patients Over 110000 prescriptions were filled during the year at four sites Over 880000 worth of prescriptions were dispensed to patients under the Share t he Care program and several Prescription Assistance ProgramsDescription
FieldValueIRS element (for citing)
Total Program Service Expense23315686TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees411NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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
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 OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMark DickinsonNamePerson
Telephone Number4079058827TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1110 S Woodland StreetAddressLine1
CityWinter GardenCity
StateFLState
ZIP Code34787ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (55 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Aracely Robledo
Director1.00X000
Beverly Paulk
Past chairperson1.00X000
Dr Lauren Josephs
Secretary1.00X
Evelyn Wilson
Director1.00X
Irma Keys
Director1.00X
John Sanders
Director1.00X
Maria Rodriquez-Scott
2nd Vice Chairperson1.00X
Mercedes Fonseca
1st vice chairperson1.00X
Mr Chas Kelly
Treasurer1.00X
Pascale Vincent
Parliamentarian1.00X
Ray Schleichkorn
Chairperson1.00X
Richard Reyes
Director1.00X
Barbara Snell
CEO40.00520004814X
Dr Michael Ham-Ying
CMO40.002662546687X
Mark Dickinson
CFO40.001316465995X
Amelia Smith-Dixon
Provider40.0013930716072X
Anabella Torres
Provider40.001534388535X
Arthur Dalley
Provider40.0021685113742X
Barbara Entsuah
Provider40.0016450814475X
Beatriz Sotelo
Provider40.001960806428X
Billy Thompson
Provider40.0019220826058X
Catalin Teodoru
Provider40.0015988522738X
Cathy Franco
Provider40.0015504814063X
Cesar Quililan
Provider40.002210670X
Charles Bloom
Provider40.002515270X
Crisanto Delgardo
Provider40.0022245112554X
Darren Marsh
Provider40.0010643510132X
David Elliott
Provider40.001030756534X
Dion Farrell
Provider40.0016334113056X
Felix Oyola
Provider40.0024128019274X
Gary Lease
Provider40.0016704834050X
Gerald Bennett
Provider40.001595000X
Gregg Stewart
Provider40.0020989227382X
Janinna Torres
Provider40.001892059595X
Jeffrey Bowman
Provider40.0010173917553X
Jose Gonzalez
Provider40.0014494833851X
Juan Ravelo
Provider40.0024432215866X
Lawrence Decker
Provider40.001056620X
Lisa Browning
Provider40.0015932210293X
Nickeey Salmon
Provider40.0014837922158X
Nike Kubeyinje
Provider40.001296430X
Olivia Chaney
Provider40.001771818503X
Pascale Chery
Provider40.0016285214919X
Paul Jueng
Provider40.0020249914372X
Paul Kujda
Provider40.001432970X
Phuong-Thi Tran
Provider40.001578126978X
Salma Hitawala
Provider40.002377379622X
Sandra Laurencin
Provider40.0015976310163X
Santiago Jimenez
Provider40.0017036910203X
Shashi Yoganand
Provider40.0011895243280X
Theresa Palomeque
Provider40.0014912310869X
William Franks
Provider40.0019686213159X
Ying Lei
Provider40.002637427988X
Zureima Cartagena
Provider40.0016337310434X
Tanya Stewart
Former CEOCFO40.001503458565X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7349968TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation540960TotalOtherCompensation
Number Individuals GT100 K43NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns96876FederatedCampaigns
Government Grants7691467GovernmentGrants
All Other Contributions4887672AllOtherContributions
Noncash Contributions572836NoncashContributions
Total Contributions12676015TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient feesDescription
Business Code621400BusinessCode
Total Revenue Column19041428TotalRevenueColumn
Related Or Exempt Function Income19041428RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19041428TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column34396TotalRevenueColumn
Related Or Exempt Function Income34396RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real14966Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real14966Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column14966TotalRevenueColumn
Related Or Exempt Function Income14966RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other295287Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-295287Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-295287TotalRevenueColumn
Related Or Exempt Function Income-295287RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events52788GrossIncomeFundraisingEvents
Fundraising Direct Expenses11731FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column41057TotalRevenueColumn
Exclusion$41,057ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31512575TotalRevenueColumn
Related Or Exempt Function Income18795503RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$41,057ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total665780Total
Program Services154046ProgramServices
Management And General423405ManagementAndGeneral
Fundraising88329Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18190210Total
Program Services15125661ProgramServices
Management And General2933824ManagementAndGeneral
Fundraising130725Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35357Total
Program Services24329ProgramServices
Management And General11028ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1632261Total
Program Services1349870ProgramServices
Management And General270441ManagementAndGeneral
Fundraising11950Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1263397Total
Program Services1025487ProgramServices
Management And General223665ManagementAndGeneral
Fundraising14245Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17176Total
Management And General17176ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33750Total
Management And General33750ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total3303Total
Management And General3303ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total642031Total
Program Services385156ProgramServices
Management And General248224ManagementAndGeneral
Fundraising8651Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total62593Total
Program Services3570ProgramServices
Management And General11249ManagementAndGeneral
Fundraising47774Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total372275Total
Program Services117737ProgramServices
Management And General248336ManagementAndGeneral
Fundraising6202Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total896120Total
Program Services632282ProgramServices
Management And General262400ManagementAndGeneral
Fundraising1438Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total129268Total
Program Services56887ProgramServices
Management And General64221ManagementAndGeneral
Fundraising8160Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total136550Total
Program Services27736ProgramServices
Management And General104621ManagementAndGeneral
Fundraising4193Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total224487Total
Program Services172088ProgramServices
Management And General52399ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total864230Total
Program Services634158ProgramServices
Management And General230072ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total88276Total
Program Services31266ProgramServices
Management And General56300ManagementAndGeneral
Fundraising710Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies2101677210163146
Repairs and maintenance494611358078136533
Ancillary services591487591487
Bad debts395140395140

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total447312Total
Program Services129077ProgramServices
Management And General286474ManagementAndGeneral
Fundraising31761Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29287291Total
Program Services23315686ProgramServices
Management And General5617467ManagementAndGeneral
Fundraising354138Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY347401BOY
EOY338251EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5697049BOY
EOY5418624EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY718464BOY
EOY1943266EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1803469BOY
EOY2287106EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY64826BOY
EOY59590EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY50482BOY
EOY77302EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16866647LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4541636LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9371992BOY
EOY12325011EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY155512BOY
EOY203245EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18209195BOY
EOY22652395EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2739915BOY
EOY2716142EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8000BOY
EOY485838EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2250567BOY
EOY4014418EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4998482BOY
EOY7216398EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13001748BOY
EOY15161116EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY208965BOY
EOY274881EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13210713BOY
EOY15435997EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18209195BOY
EOY22652395EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2225284ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
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 Years11337172CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11112104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12326100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12508786CurrentTaxYearMinus1Year
Current Tax Year12676015CurrentTaxYear
Total59960177Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years302532CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years305969CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years317405CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year322469CurrentTaxYearMinus1Year
Current Tax Year327634CurrentTaxYear
Total1576009Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11639704CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11418073CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12643505CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12831255CurrentTaxYearMinus1Year
Current Tax Year13003649CurrentTaxYear
Total61536186Total
FieldValueIRS element (for citing)
Public Support Total17061536186PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years118621CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60645CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37483CurrentTaxYearMinus1Year
Current Tax Year34396CurrentTaxYear
Total290005Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20677CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19589CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39748CurrentTaxYearMinus1Year
Current Tax Year56023CurrentTaxYear
Total153471Total
FieldValueIRS element (for citing)
Total Support61979662TotalSupport
Gross Receipts From Admissions Etc79673197GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99280PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99190PublicSupportPertcentPriorYear
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$3,303DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB3303TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1357558OtherCostOrOtherBasis
Book Value1357558BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9332174OtherCostOrOtherBasis
Depreciation1762582Depreciation
Book Value7569592BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1773681OtherCostOrOtherBasis
Depreciation1124468Depreciation
Book Value649213BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2981239OtherCostOrOtherBasis
Depreciation1654586Depreciation
Book Value1326653BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1421995OtherCostOrOtherBasis
Book Value1421995BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12325011TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Investment in HMO169197
Deposits12266
Loan costs net21782
FieldValueIRS element (for citing)
Total Book Value Other Assets203245TotalBookValueOtherAssets
Total Revenue31512575TotalRevenue
Total Expenses29287291TotalExpenses
Excess Or Deficit For Year2225284ExcessOrDeficitForYear
Excess Or Deficit Per FS2225284ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31840209TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities327634DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990327634RevenueNotRptdF990
Revenue Subtotal31512575RevenueSubtotal
Total Revenue Per Form99031512575TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29614925TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities327634DonatedServicesUseOfFacilities
Expenses Not Rptd F990327634ExpensesNotRptdF990
Expenses Subtotal29287291ExpensesSubtotal
Total Expenses Per Form99029287291TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf tourneyNameOfEvent1
Gross Receipts Event152788GrossReceiptsEvent1
Gross Revenue Event152788GrossRevenueEvent1
Rent Facility Costs Event14392RentFacilityCostsEvent1
Food And Beverage Event14474FoodAndBeverageEvent1
Other Direct Expenses Event12865OtherDirectExpensesEvent1
Gross Receipts Total52788GrossReceiptsTotal
Gross Revenue Total Events52788GrossRevenueTotalEvents
Rent Facility Costs Total Events4392RentFacilityCostsTotalEvents
Food And Beverage Total Events4474FoodAndBeverageTotalEvents
Other Direct Expenses Total Events2865OtherDirectExpensesTotalEvents
Direct Expense Summary Events11731DirectExpenseSummaryEvents
Net Income Summary41057NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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

Form990 Schedule J Part II Form990ScheduleJPartII (36 entries)

Base 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
Tanya Stewart
150345000000085650158910000
Dr Michael Ham-Ying
266254000000066870272941000
Gerald Bennett
159500000000000159500000
Charles Bloom
251527000000000251527000
Lisa Browning
1593220000000102930169615000
Zureima Cartagena
1633730000000104340173807000
Olivia Chaney
177181000000085030185684000
Pascale Chery
1628520000000149190177771000
Arthur Dalley
2168510000000137420230593000
Crisanto Delgardo
2224510000000125540235005000
Barbara Entsuah
1645080000000144750178983000
Dion Farrell
1633410000000130560176397000
Cathy Franco
1550480000000140630169111000
William Franks
1968620000000131590210021000
Jose Gonzalez
1449480000000338510178799000
Salma Hitawala
237737000000096220247359000
Santiago Jimenez
1703690000000102030180572000
Paul Jueng
2024990000000143720216871000
Sandra Laurencin
1597630000000101630169926000
Gary Lease
1670480000000340500201098000
Ying Lei
263742000000079880271730000
Felix Oyola
2412800000000192740260554000
Theresa Palomeque
1491230000000108690159992000
Cesar Quililan
221067000000000221067000
Juan Ravelo
2443220000000158660260188000
Nickeey Salmon
1483790000000221580170537000
Amelia Smith-Dixon
1393070000000160720155379000
Beatriz Sotelo
196080000000064280202508000
Gregg Stewart
2098920000000273820237274000
Catalin Teodoru
1598850000000227380182623000
Billy Thompson
1922080000000260580218266000
Janinna Torres
189205000000095950198800000
Anabella Torres
153438000000085350161973000
Phuong-Thi Tran
157812000000069780164790000
Jonathan Ware
1793190000000144780193797000
Shashi Yoganand
1189520000000432800162232000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions12927NumberOfContributions
Noncash Contribs Rptd F990572836NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
01. Form 990 governing body review (Part VI, line 11)The Form 990 will be reviewed in detail annually by the Finance Committee and copies provided to the full board of directors
02. Conflict of interest policy compliance (Part VI, line 12c)On an annual basis everyone is asked to review the conflict of interest policy and complete as necessary
03. CEO, executive director, top management comp (Part VI, line 15a)See the process described for line 15b below
04. Other officer or key employee compensation (Part VI, line 15bComparative data is utilized among HFMA NACHC FACHC and national independent surveys and applied according to size and revenue for other not-for-profit organizations
05. Governing documents, etc, available to public (Part VI, line 19)Governing document conflict of interest policy and financial statements are made available to the public upon written request

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.