Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 41,904,794 | 49,179,058 | 55,573,017 | 44,522,058 | 38,706,157 | 229,885,084 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 41,904,794 | 49,179,058 | 55,573,017 | 44,522,058 | 38,706,157 | 229,885,084 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 229,885,084 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 41,904,794 | 49,179,058 | 55,573,017 | 44,522,058 | 38,706,157 | 229,885,084 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 8,433 | 6,620 | 8,052 | 5,646 | 12,292 | 41,043 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 41,471 | 92,524 | 769,340 | 1,291,084 | 2,157,803 | 4,352,222 |
| 11 | Total support Add lines 7 through 10. | 234,278,349 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART II, LINE 10 | 4,352,222 |
| SUPPLEMENTAL INFORMATION | PART II, LINE 1 - CONTRIBUTIONS NOT REPORTED AS REVENUES COMPREHENSIVE MANAGEMENT AGREEMENT - ON AUGUST 22, 2005, CORRECTIONAL HEALTH SERVICES CORPORATION, INC. (CHSC) ENTERED INTO AN AGREEMENT (THE AGREEMENT) WITH THE ADMINISTRATION OF CORRECTIONS (CURRENTLY KNOWN AS THE DEPARTMENT OF CORRECTION AND REHABILITATION OF PUERTO RICO (DCR)), AN AGENCY OF THE GOVERNMENT OF PUERTO RICO, FOR THE ADMINISTRATION OF HEALTH CARE SERVICES TO THE CORRECTIONAL POPULATION IN THE CUSTODY OF THE DCR. EFFECTIVE JULY 1, 2010, THE AGREEMENT WAS AMENDED TO INCLUDE THAT APPROXIMATELY 295 INDEPENDENT CONTRACTORS, WHICH WERE PREVIOUSLY CONTRACTED BY THE CORRECTIONAL HEALTH PROGRAM (CHP), WERE HIRED BY CHSC, BUT REIMBURSED BY CHP FOR SALARIES AND RELATED PAYROLL TAXES. DURING 2015 AND 2014, CHSC INCURRED IN SALARIES AND PAYROLL TAXES RELATED TO THIS AGREEMENT AMOUNTING TO 18,085,091 AND 17,414,379, RESPECTIVELY. IN ADDITION, CHSC INCURRED IN PROFESSIONAL MEDICAL SERVICES BY REFERRALS AMOUNTING TO 1,073,204 AND 1,207,673, WHICH AT JUNE 30, 2015 AND 2014 HAVE BEEN FULLY REIMBURSED. THEREFORE, THE SALARIES AND PAYROLL TAXES EXPENSES RELATED WITH THIS AGREEMENT WERE EXCLUDED FROM CHSC STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS. CORRECTIONAL MEDICAL CENTER - CHSC HAS THE RESPONSIBILITY OF SUPERVISING AND OVERSEEING THE DEVELOPMENT AND CONSTRUCTION OF THE CORRECTIONAL MEDICAL CENTER (CMC). DURING 2011, CHSC ENTERED INTO AN AGREEMENT WITH THE GOVERNMENT DEVELOPMENT BANK OF PUERTO RICO (GDB) AND DCR, FOR THE ADMINISTRATION AND MANAGEMENT OF THE CMC CONSTRUCTION PROJECT. SUCH CONTRACT ESTABLISHES THAT CHSC WILL RECEIVE DIRECTLY THE FUNDS REQUIRED FOR THE CONSTRUCTION PROJECT, FROM THE DCR LINE OF CREDIT WITH GDB. DCR LINE OF CREDIT WITH GDB IS IN THE MAXIMUM AMOUNT OF 80,000,000. AT JUNE 30, 2015 AND 2014, CHSC HAS INCURRED IN CONSTRUCTION COSTS RELATED TO THIS AGREEMENT AMOUNTING TO 4,439,511 AND 12,560,985, RESPECTIVELEY, WHICH AT JUNE 30, 2015 AND 2014 HAVE BEEN FULLY REIMBURSED. THEREFORE, THE CONSTRUCTIONS COSTS EXPENSES AND REIMBURSEMENT RELATED TO THIS AGREEMENT WERE EXCLUDED FROM CHSC STATEMENT OF ACTIVITIES AND CHANGES IN NET ASSETS. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | CHSC'S INITIAL MISSION WAS TO ESTABLISH A HEALTH SYSTEM FOR INMATES IN THE CUSTODY OF PUERTO RICO'S DEPARTMENT OF CORRECTIONS AND REHABILITATION THAT WOULD MEET MINIMUM CONSTITUTIONAL STANDARDS. CHSC NOT ONLY ACHIEVED THIS GOAL, IT HAS SHOWN THAT INMATES NOW ENJOY HEALTH CARE THAT AT TIMES SURPASSES WHAT IS AVAILABLE IN THE COMMUNITY. SINCE THEN, OUR MOST SIGNIFICANT CHALLENGE HAS BEEN TO SUSTAIN THIS LEVEL OF CARE DESPITE YEAR TO YEAR REDUCTIONS IN OUR OPERATIONAL BUDGET, SCARCITY OF HEALTH CARE PROFESSIONALS AND AN INCREASING POPULATION. CHSC HAS MET THE CHALLENGE SO FAR AND IS INCORPORATING METHODS AND PROCESSES TO FURTHER ALLOW SUSTAINED COMPLIANCE WITH ITS MISSION FOR YEARS TO COME DESPITE A GRIM ECONOMIC OUTLOOK IN THE ISLAND. |
| FORM 990, PAGE 2, PART III, LINE 4A | CHSC TO SEEK BETTER AND MORE EFFICIENT WAYS TO PROVIDE CONSTITUTIONALLY COMPLIANT HEALTH SERVICES. IN 2014 CHSC BEGAN OPERATING THE CORRECTIONAL MEDICAL CENTER, A CENTRALIZED PHYSICAL AND PSYCHIATRIC HEALTH FACILITY HOUSING APPROXIMATELY 200 INMATES. CHSC HAS CONSOLIDATED AND STREAMLINED HEALTH SERVICES USING THE CMC AS A VERY IMPORTANT ELEMENT FOR SERVICING BOTH THE MALE AND FEMALE INMATE POPULATION OF PUERTO RICO. NEW DIAGNOSTIC EQUIPMENT SUCH AS DIGITAL RADIOLOGY, DIGITAL SONOGRAMS AND A CAT SCAN HAVE ALLEVIATED THE NEED TO TRANSFER INMATES TO OUTSIDE FACILITIES AND THUS REDUCED THE COST OF SERVICES. IN 2015 CHSC DECIDED TO REPLACE ITS AGING AND LEGACY ELECTRONIC HEALTH RECORD SYSTEM ("EHR"). CHSC ESTABLISHED THE FIRST OF ITS KIND EHR IN A HEALTH SYSTEM AS OPPOSED TO A HOSPITAL SYSTEM. WITH OVER 600 USERS, THE EHR SYSTEM HAS INCREASED EFFICIENCY, REDUCED MISTAKES AND ALLOWED CHSC TO BETTER DETERMINE THE NEEDS OF THE SYSTEM THROUGH ITS BUSINESS INTELLIGENCE MODULE. THE NEW EHR SYSTEM IS FASTER, MORE CAPABLE AND VERSATILE WHICH WILL CONTINUE TO INCREASE THE EFFECTIVENESS OF THE HEALTH CARE SYSTEM. INCREASE IN THE PRICE OF GENERIC MEDICATIONS HAS PLACED GREAT PRESSURE ON ALREADY TIGHT BUDGETS. CHSC IS IN THE PROCESS OF ACQUIRING AND IMPLEMENTING A NEW PHARMACY MANAGEMENT SOFTWARE THAT WILL PROVIDE ADDITIONAL INFORMATION ON THE HANDLING OF MEDICATION AS WELL AS ALLOWING MANAGEMENT TO IDENTIFY POTENTIAL PROBLEMS WITH OVERUSE, MISUSE AND COST OVERRUNS. PRESCRIPTIONS WILL BE FULLY ELECTRONIC THUS ELIMINATING ALL PAPERWORK RELATED TO THE DISPENSING OF MEDICATION AND DISPENSING TIME. THE NEW FRONTIER FOR HEALTH SERVICES AT CHSC SHALL BE TELEMEDICINE. THE COST OF HIRING SPECIALISTS FOR REMOTE LOCATIONS, AS WELL AS THE INCREASING COSTS AND INEFFICIENCIES OF TRANSPORTING INMATES SUGGEST THAT THE TIME TO EXPAND TELEMEDICINE HAS COME. IT IS CHSC GOAL TO HIRE SPECIALISTS WHO ARE WILLING AND ABLE TO PROVIDE SERVICES USING THE LATEST TECHNOLOGY IN TELEPRESENCE. TO THAT END, CHSC IS MODERNIZING ITS INFRASTRUCTURE TO MOVE ITS SERVICES TO THE CLOUD USING MICROSOFT'S PRODUCTS. THIS WILL ALLOW CHSC TO REDUCE FUTURE EXPENDITURES IN DIFFERENT COMPONENTS OF ITS TECHNOLOGY INFRASTRUCTURE, SUCH AS SERVERS, NETWORK STORAGE UNITS, REDUNDANT SYSTEMS AND OTHERS, WITHOUT SACRIFICING WHAT HAS BEEN ACHIEVED SO FAR. TRANSITION TO CLOUD BASED SYSTEMS SHOULD BE COMPLETED DURING THE CURRENT FISCAL YEAR. ALSO, BETTER COLLABORATIVE TOOLS SHALL BE IMPLEMENTED TO ALLOW INCREASED COMMUNICATION BETWEEN ALL COMPONENTS OF CHSC AND BETTER DECISION MAKING. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990 IS SENT BY THE EXTERNAL CONTRACTED CERTIFIED PUBLIC ACCOUNTANTS TO MRS. YOLANDA VILLAFAE, CHIEF FINANCIAL OFFICER, WHO EXAMINES AND DISCUSSES SUCH WITH THE MEMBERS OF MANAGEMENT. ONCE THE DRAFT OF THE FORM 990 IS EXAMINED AND APPROVED BY MRS. YOLANDA VILLAFAE, SUCH IS TRANSMITTED ELECTRONICALLY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST. |
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