FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FLORIDA MEDICAL CLINIC FOUNDATION OF CARING INC (EIN 20-2384178)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-08
IRS object ID
201223139349300342
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)
Timestamp2012-11-08T09:50:08-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202384178EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE FLORIDA MEDICAL CLINICBusinessNameLine1
Business Name Line2FOUNDATION OF CARING INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFLORNameControl
Phone8137808774Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O 38135 MARKET SQUAREAddressLine1
CityZEPHYRHILLSCity
StateFLState
ZIP Code33542ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHRIS ALVAREZName
TitleTREASURERTitle
Phone8137808774Phone
Date Signed2012-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSAM A LAZZARAName
PTINP01342929PTIN
Phone8138757774Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANE HUGHESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1C/O 38135 MARKET SQUAREAddressLine1
CityZEPHYRHILLSCity
StateFLState
ZIP Code33542ZIPCode
FieldValueIRS element (for citing)
Gross Receipts309675GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FMCFOUNDATIONOFCARING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE QUALITY OF LIFE THROUGH MENTORSHIP, SCHOLARSHIPS, SPONSORSHIPS, AWARDS AND SERVICE.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year159321ContributionsGrantsPriorYear
Contributions Grants Current Year167608ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year72561OtherRevenuePriorYear
Other Revenue Current Year112107OtherRevenueCurrentYear
Total Revenue Prior Year231882TotalRevenuePriorYear
Total Revenue Current Year279715TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year235760GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY229043GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19760OtherExpensePriorYear
Other Expenses Current Year39672OtherExpensesCurrentYear
Total Expenses Prior Year255520TotalExpensesPriorYear
Total Expenses Current Year268715TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-23638RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11000RevenuesLessExpensesCY
Total Assets BOY39726TotalAssetsBOY
Total Assets EOY50726TotalAssetsEOY
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY39726NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY50726NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionFLORIDA MEDICAL CLINIC FOUNDATION OF CARING REACHES OUT TO LOCAL COMMUNITIES THROUGH PROFESSIONAL EXPERTISE, FINANCIAL SUPPORT AND VOLUNTEER EFFORTS. THE FOUNDATION'S GOAL IS TO IMPROVE THE QUALITY OF LIFE FOR ALL THROUGH MENTORSHIP, SCHOLARSHIPS, SPONSORSHIPS, AWARDS AND SERVICE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense229043Expense
Grants229043Grants
DescriptionDIRECTLY GRANTS TO CHARITABLE ORGANIZATIONS THAT SUPPORT CHILDREN, THE ELDERLY, EDUCATION AND ADVOCACY IN ORDER TO MAKE A VAST IMPACT IN THE COMMUNITIES FLORIDA MEDICAL CLINICS SERVES.Description
Total Program Service Expense229043TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN BENEDETTIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8137808774TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line138135 MARKET SQUAREAddressLine1
CityZEPHYRHILLSCity
StateFLState
ZIP Code33452ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JANE HUGHES
PRESIDENT10.00XX000
SHERI SCHWAB
VICE PRESIDENT10.00XX000
HELEN RATERMAN
SECRETARY1.00XX000
COLLEEN CUFFE
TREASURER1.00XX000
MIRA BECK
DIRECTOR1.00X000
WENDY CROSIER
DIRECTOR1.00X000
BARRY FRANK MD
DIRECTOR1.00X000
STEVE SPINA
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions167608AllOtherContributions
Total Contributions167608TotalContributions
Gross Income Fundraising Events131787GrossIncomeFundraisingEvents
Fundraising Direct Expenses29960FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column101827TotalRevenueColumn
Exclusion$101,827ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory10280GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column10280TotalRevenueColumn
Exclusion$10,280ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column279715TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$112,107ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total229043Total
Program Services229043ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14936Total
Management And General14936ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5164Total
Management And General5164ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12063Total
Management And General12063ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1767Total
Management And General1767ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
SUPPLIES39683968
TAXES AND LICENSES600600
CONTRACT LABOR575575
EVENT EXPENSES325325

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total274Total
Management And General274ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total268715Total
Program Services229043ProgramServices
Management And General39672ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY39726BOY
EOY50726EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY39726BOY
EOY50726EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY39726BOY
EOY50726EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39726BOY
EOY50726EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39726BOY
EOY50726EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses11000ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years125513CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years158240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years159105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year159321CurrentTaxYearMinus1Year
Current Tax Year167608CurrentTaxYear
Total769787Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years125513CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years158240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years159105CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year159321CurrentTaxYearMinus1Year
Current Tax Year167608CurrentTaxYear
Total769787Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total292397AmountsSubstContributorsTotal
Public Support Total170477390PublicSupportTotal170
Total Support769787TotalSupport
Public Support Pertcentage1700.62020PublicSupportPertcentage170
Public Support Pertcent Prior Year0.53740PublicSupportPertcentPriorYear
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 G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CASINO NIGHTNameOfEvent1
Gross Receipts Event1101929GrossReceiptsEvent1
Gross Revenue Event1101929GrossRevenueEvent1
Other Direct Expenses Event124933OtherDirectExpensesEvent1
Name Of Event2OUR HANDS OUR CAUSENameOfEvent2
Gross Receipts Event229858GrossReceiptsEvent2
Gross Revenue Event229858GrossRevenueEvent2
Other Direct Expenses Event25027OtherDirectExpensesEvent2
Gross Receipts Total131787GrossReceiptsTotal
Gross Revenue Total Events131787GrossRevenueTotalEvents
Other Direct Expenses Total Events29960OtherDirectExpensesTotalEvents
Direct Expense Summary Events29960DirectExpenseSummaryEvents
Net Income Summary101827NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LIONS EYE INSTITUTE FOUNDATION
1410 N 21ST STREETTAMPAFL33605010843838501(C)(3)20000GENERAL SUPPORT
STARTING RIGHT NOW
5327 PRIMROSE LAKE CIRCLE STE 4TAMPAFL33647263725699501(C)(3)45000GENERAL SUPPORT
SUPPORT THE TROOPS
PO BOX 7560WESLEY CHAPELFL33545270295757501(C)(3)20000GENERAL SUPPORT
LAYLA'S HOUSETAMPA METRO YMCA
110 EAST PALM AVENUETAMPAFL33602591742909501(C)(3)50000GENERAL SUPPORT
EASTER SEALS
2403 E HENRY AVETAMPAFL33610590637848501(C)(3)15000GENERAL SUPPORT
TAMCO EMBRACING WOUNDED HEROS
4830 W KENNEDY BLVD SUITE 650TAMPAFL33609261130612501(C)(3)10000GENERAL SUPPORT
FRAMEWORKS
5509 W GRAY STREET SUITE 100TAMPAFL33609208776228501(C)(3)6000GENERAL SUPPORT
OASIS PREGNANCY CARE CENTER
3632 LAND O LAKES BLVD SUITE 108LAND O LAKESFL34639270204244501(C)(3)5000GENERAL SUPPORT
ACADEMY OF HEALTH & HUMAN SERVICES
36850 SR 52DADE CITYFL33525858013921501(C)(3)9250GENERAL SUPPORT
EAST PASCO YMCA
110 E OAK AVETAMPAFL33602591742909501(C)(3)7500GENERAL SUPPORT
CAMP BOGGY CREEK
30500 BRANTLEY BRAND ROADEUSTISFL32736593012889501(C)(3)5200GENERAL SUPPORT
FRESH START PASCO
2398 COMMERCIAL WAYSPRING HILLFL34606202788275501(C)(3)5000GENERAL SUPPORT
WHEELS FOR SUCCESS
9309 N FLORIDA AVE STE 109TAMPAFL33612562372792501(C)(3)5000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants13TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE PROCESS USED BY OUR BOARD IS TO RESEARCH EACH AND EVERY GRANT TO GUARANTEE THAT IT MEETS THE MISSION OF THE FOUNDATION. GRANTS WILL BE REVIEWED TWICE A YEAR, JUNE AND DECEMBER.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS HOLDS ITS MEETINGS ON A QUARTERLY BASIS. IN ORDER TO ACCOMMODATE ITS FILING REQUIREMENTS, FORM 990 IS DISTRIBUTED ELECTRONICALLY TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURE REPORTS ARE SUBJECT TO REVIEW.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAINTAINS A PUBLIC INSPECTION COPY OF FORMS 990 AND 1023, WHICH ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1FLORIDA MEDICAL CLINIC PABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line138135 MARKET SQUAREAddressLine1
CityZEPHYRHILLSCity
StateFLState
ZIP Code33542ZIPCode
FieldValueIRS element (for citing)
EIN593156212EIN
Primary ActivityMEDICAL FACILITYPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntitySTypeOfEntity
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
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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