COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS INC (EIN 59-1480970)
Tax period
2010-02-01 to 2011-01-31
Filed
2011-09-15
IRS object ID
201102589349300500
Schema version
2010v3.4
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)
Timestamp2011-09-15T08:39:50-04:00Timestamp
Tax Period End Date2011-01-31TaxPeriodEndDate

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 NUM200AddressLine1
CityOrlandoCity
StateFLState
ZIP Code32803ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-02-01TaxPeriodBeginDate

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)
NameMark DickinsonName
TitleInterim CEOTitle
Phone4079058827Phone
Date Signed2011-09-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameThomas F ReillyName
Phone4078946803Phone
Date Prepared2011-09-15DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark DickinsonNameOfPrincipalOfficerPerson
Gross Receipts29828817GrossReceipts
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 Employees336TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12326100ContributionsGrantsPriorYear
Contributions Grants Current Year12508786ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14910005ProgramServiceRevenuePriorYear
Program Service Revenue CY17229541ProgramServiceRevenueCY
Investment Income Prior Year27001InvestmentIncomePriorYear
Investment Income Current Year37483InvestmentIncomeCurrentYear
Other Revenue Prior Year32400OtherRevenuePriorYear
Other Revenue Current Year39748OtherRevenueCurrentYear
Total Revenue Prior Year27295506TotalRevenuePriorYear
Total Revenue Current Year29815558TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18921012SalariesEtcPriorYear
Salaries Etc Current Year19845124SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year314895TotalFundrsngExpCurrentYear
Other Expense Prior Year6348938OtherExpensePriorYear
Other Expenses Current Year6762039OtherExpensesCurrentYear
Total Expenses Prior Year25269950TotalExpensesPriorYear
Total Expenses Current Year26607163TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2025556RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3208395RevenuesLessExpensesCY
Total Assets BOY14203041TotalAssetsBOY
Total Assets EOY18209195TotalAssetsEOY
Total Liabilities BOY4200723TotalLiabilitiesBOY
Total Liabilities EOY4998482TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10002318NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13210713NetAssetsOrFundBalancesEOY
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
Expense16139788Expense
Revenue13139613Revenue
DescriptionMedical services - CHC extends over six communities and has ten medical sites four pharmacies and five dental sites CHC provided primary medical dental and pharmaceutical services to 50726 patients last year with 165721 visits including 9509 dental patients in 25486 dental visits The pharmacies filled over 110000 prescriptions CHC received donated use of facilities of 322469Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3464931Expense
Revenue2290035Revenue
DescriptionDental services - CHC provided comprehensive dental services to both adults and pediatric patients 9509 patients were seen last year including 25486 dental visits Dental services provided include dentures bridges fillings periodontial servi ces children services and dental hygiene The dental services received donated use of facilities of 32820Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2497768Expense
Revenue1799893Revenue
DescriptionPharmacy services - CHC receives 340b pricing which allows affordable prescriptions to patients Over 110000 prescriptions were filled during the year at four sites Over 900000 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 Expense22102487TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
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 With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees336NumberOfEmployees
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
Chairperson1.00X000
Dr Anthony Wong
Parlimentarian1.00X000
Dr Lauren Josephs
Director1.00X000
Irma Keys
Director1.00X000
Luckner Millien
Director1.00X000
Maria Rodriquez-Scott
Treasurer1.00X000
Mercedes Fonseca
2nd vice chairperson1.00X
Pascale Vincent
Secretary1.00X000
Ray Schleichkorn
1st vice chairperson1.00X
Richard Reyes
Director1.00X000
Dr Michael Ham-Ying
CMO40.0026144209432X
Mark Dickinson
Interim CEO40.00000X
Tanya Stewart
CEOCFO40.00167253036642X
Anabella Torres
Provider40.0014436005718X
Arthur Dalley
Provider40.0021937702273X
Barbara Entsuah
Provider40.0016054603810X
Beatriz Sotelo
Provider40.001867120284X
Billy Thompson
Provider40.0019226604857X
Boris Onate
Provider40.001064460434X
Carmine Gipson
Provider40.001942630838X
Catalin Teodoru
Provider40.0015827209158X
Cathy Franco
Provider40.0015346607171X
Cesar Quililan
Provider40.0020740004100X
Crisanto Delgado
Provider40.0020618706098X
Darren Marsh
Provider40.0010566603514X
Debra Sue Andree
Provider40.0012915803612X
Dion Farrell
Provider40.001528030940X
Dr Charles Bloom
Provider40.002296860800X
Dr Salma Hitawala
Provider40.0022108206562X
Dr Ying Lei
Provider40.0024299704180X
Felix Oyola
Provider40.00223915016727X
Gary Lease
Provider40.0017277409248X
Gerald Bennett
Provider40.0014769001200X
Gregg Stewart
Provider40.00203831022148X
Jana Huffman
Provider40.0010486602100X
Janet Mullings-Britton
Provider40.0021694901925X
Janinna Torres
Provider40.0018096005522X
Jonathan Ware
Provider40.0016148605404X
Jose Gonzalez
Provider40.0015451801609X
Juan Ravelo
Provider40.0021760803399X
Lawrence Decker
Provider40.0013255102788X
Lisa Browning
Provider40.0015461305001X
Mary Wallace
Human Resources Director40.00119887078556X
Olivia Chaney
Provider40.0017948804311X
Pascale Chery
Provider40.0015563406214X
Paul Jueng
Provider40.0019188204779X
Paul Kujda
Provider40.0013999303700X
Phyong-Thi Tran
Provider40.0015974603996X
Sandra Laurencin
Provider40.00133613010683X
Santiago Jimenez
Provider40.0016626902076X
Shea Humphrey
Provider40.0015216103612X
William Franks
Provider40.0018760804932X
Zureima Cartagena
Provider40.0017271705182X
Mark Williams
Former CEO40.00165480022552X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7435621TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation338087TotalOtherCompensation
Number Individuals GT100 K43NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns10515FederatedCampaigns
Government Grants8311201GovernmentGrants
All Other Contributions4187070AllOtherContributions
Noncash Contributions666976NoncashContributions
Total Contributions12508786TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient feesDescription
Business Code621400BusinessCode
Total Revenue Column17229541TotalRevenueColumn
Related Or Exempt Function Income17229541RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue17229541TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column38630TotalRevenueColumn
Related Or Exempt Function Income38630RelatedOrExemptFunctionIncome

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)
Other1147Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1147Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1147TotalRevenueColumn
Related Or Exempt Function Income-1147RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events36894GrossIncomeFundraisingEvents
Fundraising Direct Expenses12112FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column24782TotalRevenueColumn
Exclusion$24,782ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29815558TotalRevenueColumn
Related Or Exempt Function Income17281990RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$24,782ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total498390Total
Program Services142201ProgramServices
Management And General283260ManagementAndGeneral
Fundraising72929Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16741642Total
Program Services14485062ProgramServices
Management And General2175607ManagementAndGeneral
Fundraising80973Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total457201Total
Program Services337213ProgramServices
Management And General119816ManagementAndGeneral
Fundraising172Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total999004Total
Program Services896347ProgramServices
Management And General99517ManagementAndGeneral
Fundraising3140Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1148887Total
Program Services978147ProgramServices
Management And General160916ManagementAndGeneral
Fundraising9824Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20828Total
Management And General20828ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38100Total
Management And General38100ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total16515Total
Management And General16515ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total579109Total
Program Services383795ProgramServices
Management And General160221ManagementAndGeneral
Fundraising35093Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total99432Total
Program Services3225ProgramServices
Management And General6390ManagementAndGeneral
Fundraising89817Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total431966Total
Program Services299595ProgramServices
Management And General130159ManagementAndGeneral
Fundraising2212Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total837130Total
Program Services607678ProgramServices
Management And General228043ManagementAndGeneral
Fundraising1409Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total79915Total
Program Services26601ProgramServices
Management And General47296ManagementAndGeneral
Fundraising6018Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total118605Total
Program Services34820ProgramServices
Management And General80310ManagementAndGeneral
Fundraising3475Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total117921Total
Program Services71500ProgramServices
Management And General46421ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total724945Total
Program Services499132ProgramServices
Management And General225813ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total78462Total
Program Services27507ProgramServices
Management And General50351ManagementAndGeneral
Fundraising604Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies20166882016688
Repairs and maintenance528144415405112739
Bad debts293501293501
Recruiting101498101498
Ancillary services451278451278

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total228002Total
Program Services132792ProgramServices
Management And General85981ManagementAndGeneral
Fundraising9229Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26607163Total
Program Services22102487ProgramServices
Management And General4189781ManagementAndGeneral
Fundraising314895Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY335790BOY
EOY347401EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3856389BOY
EOY5697049EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1417175BOY
EOY718464EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1467939BOY
EOY1803469EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY58284BOY
EOY64826EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY39133BOY
EOY50482EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15092650LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5720658LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6875831BOY
EOY9371992EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY152500BOY
EOY155512EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14203041BOY
EOY18209195EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2712352BOY
EOY2739915EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY8000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1488371BOY
EOY2250567EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4200723BOY
EOY4998482EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9698392BOY
EOY13001748EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY303926BOY
EOY208965EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10002318BOY
EOY13210713EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14203041BOY
EOY18209195EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3208395ReconcilationRevenueExpenses
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 Years10525102CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11337172CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11112104CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12326100CurrentTaxYearMinus1Year
Current Tax Year12508786CurrentTaxYear
Total57809264Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years263762CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years302532CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years305969CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year317405CurrentTaxYearMinus1Year
Current Tax Year322469CurrentTaxYear
Total1512137Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10788864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11639704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11418073CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12643505CurrentTaxYearMinus1Year
Current Tax Year12831255CurrentTaxYear
Total59321401Total
FieldValueIRS element (for citing)
Public Support Total17059321401PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years118013CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years118621CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60645CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38860CurrentTaxYearMinus1Year
Current Tax Year37483CurrentTaxYear
Total373622Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15334CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20677CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17434CurrentTaxYearMinus1Year
Current Tax Year39748CurrentTaxYear
Total112782Total
FieldValueIRS element (for citing)
Total Support59807805TotalSupport
Gross Receipts From Admissions Etc73333872GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99190PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99120PublicSupportPertcentPriorYear
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$16,515DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB16515TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis774478OtherCostOrOtherBasis
Book Value774478BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7005037OtherCostOrOtherBasis
Depreciation2905179Depreciation
Book Value4099858BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1780553OtherCostOrOtherBasis
Depreciation1001572Depreciation
Book Value778981BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3430579OtherCostOrOtherBasis
Depreciation1813907Depreciation
Book Value1616672BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2102003OtherCostOrOtherBasis
Book Value2102003BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9371992TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Investment in HMO154122
Deposits1390
FieldValueIRS element (for citing)
Total Book Value Other Assets155512TotalBookValueOtherAssets
Total Revenue29815558TotalRevenue
Total Expenses26607163TotalExpenses
Excess Or Deficit For Year3208395ExcessOrDeficitForYear
Excess Or Deficit Per FS3208395ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt30138027TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities322469DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990322469RevenueNotRptdF990
Revenue Subtotal29815558RevenueSubtotal
Total Revenue Per Form99029815558TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26929632TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities322469DonatedServicesUseOfFacilities
Expenses Not Rptd F990322469ExpensesNotRptdF990
Expenses Subtotal26607163ExpensesSubtotal
Total Expenses Per Form99026607163TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf tourneyNameOfEvent1
Gross Receipts Event136894GrossReceiptsEvent1
Gross Revenue Event136894GrossRevenueEvent1
Rent Facility Costs Event14684RentFacilityCostsEvent1
Food And Beverage Event15430FoodAndBeverageEvent1
Other Direct Expenses Event11998OtherDirectExpensesEvent1
Gross Receipts Total36894GrossReceiptsTotal
Gross Revenue Total Events36894GrossRevenueTotalEvents
Rent Facility Costs Total Events4684RentFacilityCostsTotalEvents
Food And Beverage Total Events5430FoodAndBeverageTotalEvents
Other Direct Expenses Total Events1998OtherDirectExpensesTotalEvents
Direct Expense Summary Events12112DirectExpenseSummaryEvents
Net Income Summary24782NetIncomeSummary

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 (35 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
1672530000000366420203895000
Dr Michael Ham-Ying
261442000000094320270874000
Dr Ying Lei
242997000000041800247177000
Dr Charles Bloom
22968600000008000230486000
Felix Oyola
2239150000000167270240642000
Dr Salma Hitawala
221082000000065620227644000
Arthur Dalley
219377000000022730221650000
Juan Ravelo
217608000000033990221007000
Janet Mullings-Britton
216949000000019250218874000
Cesar Quililan
207400000000041000211500000
Crisanto Delgado
206187000000060980212285000
Gregg Stewart
2038310000000221480225979000
Carmine Gipson
19426300000008380195101000
Billy Thompson
192266000000048570197123000
Paul Jueng
191882000000047790196661000
William Franks
187608000000049320192540000
Beatriz Sotelo
18671200000002840186996000
Janinna Torres
180960000000055220186482000
Olivia Chaney
179488000000043110183799000
Gary Lease
172774000000092480182022000
Zureima Cartagena
172717000000051820177899000
Santiago Jimenez
166269000000020760168345000
Jonathan Ware
161486000000054040166890000
Barbara Entsuah
160546000000038100164356000
Phyong-Thi Tran
159746000000039960163742000
Catalin Teodoru
158272000000091580167430000
Pascale Chery
155634000000062140161848000
Lisa Browning
154613000000050010159614000
Jose Gonzalez
154518000000016090156127000
Cathy Franco
153466000000071710160637000
Dion Farrell
15280300000009400153743000
Shea Humphrey
152161000000036120155773000
Anabella Torres
144360000000057180150078000
Mary Wallace
1198870000000785560198443000
Mark Williams
1654800000000225520188032000

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99010000NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions14817NumberOfContributions
Noncash Contribs Rptd F990616976NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionComputer suppliesDescription
Number Of Contributions85NumberOfContributions
Noncash Contribs Rptd F99040000NoncashContribsRptdF990
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 approved by 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

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