Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 02-01-2022 , and ending 01-31-2023
BCheck if applicable:
CName of organization
Jessie Trice Community Health System Inc
 
% SAMMY KING
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
5607 NW 27th Avenue Suite 1
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Miami, FL33142
D Employer identification number

59-1235617
E Telephone number

G Gross receipts $ 44,465,202
F Name and address of principal officer:
ANNIE NEASMAN
5607 NW 27th Avenue 1
Miami,FL33142
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.jtchs.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1967
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE HEALTH EQUALITY FOR OUR DIVERSE SOUTH FLORIDA COMMUNITY BY PROVIDING AND INCREASING ACCESS TO QUALITY COMPREHENSIVE PRIMARY CARE SERVICES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 17
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 394
6 Total number of volunteers (estimate if necessary) ............. 6 129
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 30,966,297 33,609,534
9 Program service revenue (Part VIII, line 2g) ......... 10,291,350 10,070,686
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 8,800 16,956
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 642,250 176,254
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 41,908,697 43,873,430
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 23,253,179 25,206,482
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 15,422,018 17,455,730
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 38,675,197 42,662,212
19 Revenue less expenses. Subtract line 18 from line 12....... 3,233,500 1,211,218
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 30,864,173 40,790,563
21 Total liabilities (Part X, line 26)............. 14,019,066 22,774,428
22 Net assets or fund balances. Subtract line 21 from line 20..... 16,845,107 18,016,135
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: THE MISSION OF JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC. (THE ORGAINZATION) IS TO IMPROVE HEALTH EQUALITY FOR OUR DIVERSE SOUTH FLORIDA COMMUNITY BY PROVIDING AND INCREASING ACCESS TO QUALITY COMPREHENSIVE PRIMARY CARE SERVICES. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 25,068,752 including grants of $   ) (Revenue $ 7,964,822 )
PROVIDE COMPREHENSIVE MEDICAL SERVICES TO THE SOUTH FLORIDA COMMUNITY. THE ORGANIZATION IS INCREASING MEDICAL SERVICE ACCESS AND QUALITY OF CARE TO INDIVIDUALS AND FAMILIES IN THE COMMUNITY. SERVICES ARE OFFERED TO THOSE THAT MAY NOT BE ABLE TO AFFORD MEDICAL CARE ANYWHERE ELSE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 3,186,145 including grants of $   ) (Revenue $ 1,298,353 )
PROVIDE COMPREHENSIVE DENTAL SERVICES TO THE SOUTH FLORIDA COMMUNITY. THE ORGANIZATION IS INCREASING DENTAL SERVICE ACCESS AND QUALITY OF CARE TO THOSE THAT MAY MOT BE ABLE TO AFFORD DENTAL CARE ANYWEHRE ELSE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 2,599,689 including grants of $   ) (Revenue $   )
PROVIDE HEALTH AND REHABILITAION/SUBSTANCE ABUSE PROGRAM SERVICES TO THE SOUTH FLORIDA COMMUNITY. THE ORGANIZATION IS INCREASING HEALTH AND REHABILITATION/SUBSTANCE ABUSE PROGRAM ACCESS TO INDIVIDUALS AND FAMILIES IN THE COMMUNITY. HEALTH AND REHABILITATION/SUBSTANCE ABUSE PROGRAM SERVICES ARE OFFERED TO THOSE THAT MAY NOT BE ABLE TO ACCESS THESE RESOURCES ANYWEHRE ELSE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
(Code:   ) (Expenses $ 505,836 including grants of $   ) (Revenue $ 807,511 )
HEALTH, RESOURCES, ADMINISTRATIVE, & HIV SRVCS
(Code:   ) (Expenses $ 339,886 including grants of $   ) (Revenue $   )
COMMUNITY PROMOTION
(Code:   ) (Expenses $ 1,386,164 including grants of $   ) (Revenue $   )
OTHER
4d Other program services (Describe in Schedule O.)
(Expenses $ 2,231,886 including grants of $   ) (Revenue $ 807,511 )
4e Total program service expensesMediumBullet33,086,472
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
9
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
394
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
18
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
17
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletSAMMY KING5607 NW 27TH AVENUE 1   MIAMI,FL33142 (305) 805-1700
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ANNIE R NEASMAN......................................................................
PRESIDENT & CEO, EX-OFFICER
 50.0
.................
5.0 		X   X       508,882 0 36,309
(2) JOYCE JONES LAWRENCE......................................................................
Chief Medical Officer
 55.0
.................
0.0 		    X       327,436 0 38,431
(3) SAMMY L KING......................................................................
CHIEF FINANCIAL OFFICER
 50.0
.................
5.0 		    X       341,888 0 22,243
(4) DEBORAH GEORGE......................................................................
EVP COMMUNITY AFFAIRS & CDO
 55.0
.................
0.0 		    X       274,875 0 22,593
(5) Alonzo L Grant III......................................................................
Physician OB/GYN
 55.0
.................
0.0 		        X   249,405 0 23,661
(6) ALI-REZA FORCE......................................................................
PSYCHIATRIST
 55.0
.................
0.0 		        X   257,832 0 9,673
(7) FABIAN THURSTON......................................................................
EVP/CHIEF OPERATING OFFICER
 55.0
.................
0.0 		    X       240,694 0 17,593
(8) OLAMIDE ATANDA......................................................................
DENTIST
 55.0
.................
0.0 		        X   234,920 0 9,906
(9) RUTH DUVAL......................................................................
EVP/Chief Nursing Officer
 55.0
.................
0.0 		    X       208,977 0 19,881
(10) ARIANNE CORDON-DURAN......................................................................
PHYSICIAN FAMILY MEDICIN
 55.0
.................
0.0 		        X   210,000 0 7,662
(11) NATALIA MARIA URIBE......................................................................
PHYSICIAN FAMILY MEDICINE
 55.0
.................
0.0 		        X   195,284 0 13,466
(12) LUCKNER C DENORD......................................................................
EVP/CHIEF QUALITY OFFICER
 55.0
.................
0.0 		    X       176,946 0 16,071
(13) DEBORAH A RICE-LAMAR......................................................................
VP&CHIEF HUMAN RESOURCE OFFICE
 55.0
.................
0.0 		    X       133,393 0 19,232
(14) LEFROY B THOMPSON......................................................................
VP GRANTS & CONTRACT MNGT
 55.0
.................
0.0 		    X       112,724 0 15,098
(15) IRENE TAYLOR-WOOTEN......................................................................
CHAIRMAN
 2.0
.................
2.0 		X   X       0 0 0
(16) PAUL ROBERTS......................................................................
VICE CHAIRMAN
 2.0
.................
0.0 		X   X       0 0 0
(17) CARLA JONES-BROWN......................................................................
TREASURER
 2.0
.................
0.0 		X   X       0 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ANGEL D LIGHTFOOT........................................................................
SECRETARY
 2.0
.......................1.0 		X   X       0 0 0
(19) ISABELLA ROSETE........................................................................
MEMBER AT LARGE
 2.0
.......................0.0 		X           0 0 0
(20) OLGA CONNOR........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(21) SHERWOOD DUBOSE........................................................................
DIRECTOR
 2.0
.......................2.0 		X           0 0 0
(22) PEDRO GASSANT........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(23) CLARA H GONZALEZ........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(24) RYAN HAWKINS........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(25) IVETTE KLEIN........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(26) THAMARA LABROUSSE........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(27) TISHRIA L MINDINGALL........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(28) ROBERT L THOMAS........................................................................
DIRECTOR
 2.0
.......................1.0 		X           0 0 0
(29) TERRELL WEST........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
(30) LENORA YATES........................................................................
DIRECTOR
 2.0
.......................1.0 		X           0 0 0
(31) DAVID WILLIAMS JR........................................................................
DIRECTOR
 2.0
.......................0.0 		X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 3,473,256 0 271,819
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet51
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
HEALTH CHOICE NETWORK,
9064 NW 13TH TERRACE
MIAMI,FL33172 		HEALTH SERVICES 2,000,690
HEARTS OF PALM,
3395 BURNS ROAD
PALM BEACH GARDENS,FL33410 		MISSION TRIPS 175,495
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet2
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 20,860,851
f All other contributions, gifts, grants, and similar amounts not included above1f 12,748,683
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 33,609,534
Program Service RevenueAmt Business Code
2a MANAGED CARE REVENUE 624100 5,910,414 5,910,414 0  
b PATIENT SERVICES REVENUE 624100 4,160,272 4,160,272    
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 10,070,686
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 20,621     20,621
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   588,107 7a
b Less: cost or other basis and sales expenses   591,772 7b
c Gain or (loss)   -3,665 7c
d Net gain or (loss).........MediumBullet -3,665     -3,665
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a MISCELLANEOUS REVENUE 624100 176,254 176,254    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 176,254
12 Total revenue. See instructions.....MediumBullet 43,873,430 10,246,940 0 16,956
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 0  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 2,533,269   2,533,269  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 19,288,804 18,195,196 1,093,608  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 321,495 321,495    
9 Other employee benefits ....... 1,640,517 1,538,338 102,179  
10 Payroll taxes ........... 1,422,397 1,246,521 175,876  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 87,163 52,960 34,203  
c Accounting ........... 61,421 37,319 24,102  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 4,055,301 2,463,982 1,591,319  
12 Advertising and promotion .... 0      
13 Office expenses ....... 738,446 246,301 492,145  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 2,382,822 2,004,971 377,851  
17 Travel ............ 236,290 57,964 178,326  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 423,804 287,299 136,505  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 1,322,288 1,003,960 318,328  
23 Insurance ... 540,967 136,450 404,517  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CONSUMABLE SUPPLIES 1,048,559 967,800 80,759  
b REPAIRS & MAINTENANCE 943,504 701,946 241,558  
c PHARMACY 3,456,303 3,456,303 0  
d BAD DEBT 926,774   926,774  
e All other expenses 1,232,088 367,667 864,421  
25 Total functional expenses. Add lines 1 through 24e 42,662,212 33,086,472 9,575,740 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 7,381,426 1 10,835,181
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 3,072,165 3 2,106,752
4 Accounts receivable, net ............. 3,196,839 4 3,023,934
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 5,735,700 7 5,735,700
8 Inventories for sale or use ............ 0 8 0
9 Prepaid expenses and deferred charges ...... 769,968 9 925,770
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 24,314,389
b Less: accumulated depreciation 10b 16,190,459 8,159,689 10c 8,123,930
11 Investments—publicly traded securities . 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 2,493,339 12 2,632,478
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 55,047 15 7,406,818
16 Total assets. Add lines 1 through 15 (must equal line 33)... 30,864,173 16 40,790,563
Liabilities 17 Accounts payable and accrued expenses ..... 3,424,856 17 2,839,442
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 4,176,006 19 6,007,463
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 6,418,204 23 6,324,481
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 0 25 7,603,042
26 Total liabilities. Add lines 17 through 25.. 14,019,066 26 22,774,428
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 16,845,107 27 18,016,135
28 Net assets with donor restrictions ........... 0 28 0
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 16,845,107 32 18,016,135
33 Total liabilities and net assets/fund balances ........ 30,864,173 33 40,790,563
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
43,873,430
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
42,662,212
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,211,218
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
16,845,107
5
Net unrealized gains (losses) on investments ...............
5
-47,136
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
6,946
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
18,016,135
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
Jessie Trice Community Health System Inc
 
Employer identification number

59-1235617
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (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
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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            
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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
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.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 22,962,035 23,522,919 29,324,380 30,966,297 30,609,534 137,385,165
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 8,782,545 8,125,641 9,167,489 10,291,350 10,070,686 46,437,711
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...           0
5 The value of services or facilities furnished by a governmental unit to the organization without charge           0
6 Total. Add lines 1 through 5 31,744,580 31,648,560 38,491,869 41,257,647 40,680,220 183,822,876
7a Amounts included on lines 1, 2, and 3 received from disqualified persons           0
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.           0
c Add lines 7a and 7b..           0
8 Public support. (Subtract line 7c from line 6.) 183,822,876
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6... 31,744,580 31,648,560 38,491,869 41,257,647 40,680,220 183,822,876
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 51,920 71,843 83,408 0 20,621 227,792
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 51,920 71,843 83,408 0 20,621 227,792
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.           0
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. 223,467 395,197 185,699 642,250 176,254 1,622,867
13 Total support. (Add lines 9, 10c, 11, and 12.).. 32,019,967 32,115,600 38,760,976 41,899,897 40,877,095 185,673,535
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
99.003 %
16
16
98.960 %
Section D. Computation of Investment Income Percentage
17
17
0.123 %
18
18
0.145 %
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2022 		(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2023. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Name of the organization
Jessie Trice Community Health System Inc
 
Employer identification number

59-1235617
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
Jessie Trice Community Health System Inc
  		Employer identification number
59-1235617
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
Jessie Trice Community Health System Inc
  		Employer identification number

59-1235617
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
Jessie Trice Community Health System Inc
  		Employer identification number

59-1235617
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2022)
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Jessie Trice Community Health System Inc
 
Employer identification number

59-1235617
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   186,528 186,528
b Buildings ....   15,547,394 9,727,396 5,819,998
c Leasehold improvements   1,317,399 1,133,590 183,809
d Equipment ....   5,920,277 4,166,898 1,753,379
e Other .....   1,342,791 1,162,575 180,216
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 8,123,930
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) CERTIFICATES OF DEPOSIT		 2,231,137 F

(B) HCC, LLC INVESTMENT		 401,341 C
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 2,632,478
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)SECURITY DEPOSITS 55,047
(2)RIGHT-OF-USE ASSET, OPERATING 7,351,771
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 7,406,818
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 7,603,042
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
SCHEDULE D, PART X AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THIS ORGANIZATION FOR THE YEARS ENDED JANUARY 31, 2023 AND JANUARY 31, 2022, RESPECTIVELY. THE FIN 48 (ASC 740) FOOTNOTE BELOW IS FROM THE ORGANIZATION'S YEAR ENDED JANUARY 31, 2023 AUDITED FINANCIAL STATEMENTS: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PRESCRIBE REQUIREMENTS FOR THE RECOGNITION OF INCOME TAXES IN CONSOLIDATED FINANCIAL STATEMENTS, AND THE AMOUNTS RECOGNIZED ARE AFFECTED BY INCOME TAX POSITIONS TAKEN BY BOTH JTCHS AND COLLABORATIVE IN ITS TAX RETURNS. JTCHS'S STATUS AS AN EXEMPT ORGANIZATION IS DEFINED AS AN INCOME TAX POSITION UNDER TEHSE REQUIREMENTS. WHILE MANAGEMENT BELIEVES IT HAS COMPLIED WITH THE INTERNAL REVENUE CODE, THE SUSTAINABILITY OF SOME INCOME TAX POSITIONS TAKEN BY BOTH JTCHS AND COLLABORATIVE IN ITS TAX RETURNS MAY BE UNCERTAIN. THERE ARE MINIMUM THRESHOLDS OF LIKELIHOOD THAT UNCERTAIN TAX POSITIONS ARE REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THAT EITHER JTCHS OR COLLABORATIVE HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT JANUARY 31, 2023. IN THE EVENT INTEREST AND PENALTIES WERE DUE RELATING TO AN UNSUSTAINABLE TAX POSITION, THEY WOULD BE TREATED AS A COMPONENT OF INCOME TAX EXPENSE.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Jessie Trice Community Health System Inc
 
Employer identification number

59-1235617
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1ANNIE R NEASMAN
PRESIDENT & CEO, EX-OFFICER 		(i)

(ii)		 508,760
-------------
0 		0
-------------
0 		122
-------------
0 		31,850
-------------
0 		4,459
-------------
0 		545,191
-------------
0 		0
-------------
0
2DEBORAH GEORGE
EVP COMMUNITY AFFAIRS & CDO 		(i)

(ii)		 254,065
-------------
0 		0
-------------
0 		20,810
-------------
0 		10,000
-------------
0 		12,593
-------------
0 		297,468
-------------
0 		0
-------------
0
3FABIAN THURSTON
EVP/CHIEF OPERATING OFFICER 		(i)

(ii)		 240,451
-------------
0 		0
-------------
0 		243
-------------
0 		8,623
-------------
0 		8,970
-------------
0 		258,287
-------------
0 		0
-------------
0
4LUCKNER C DENORD
EVP/CHIEF QUALITY OFFICER 		(i)

(ii)		 176,713
-------------
0 		0
-------------
0 		233
-------------
0 		6,386
-------------
0 		9,685
-------------
0 		193,017
-------------
0 		0
-------------
0
5RUTH DUVAL
EVP/Chief Nursing Officer 		(i)

(ii)		 208,782
-------------
0 		0
-------------
0 		195
-------------
0 		7,723
-------------
0 		12,158
-------------
0 		228,858
-------------
0 		0
-------------
0
6JOYCE JONES LAWRENCE
Chief Medical Officer 		(i)

(ii)		 327,193
-------------
0 		0
-------------
0 		243
-------------
0 		11,349
-------------
0 		27,082
-------------
0 		365,867
-------------
0 		0
-------------
0
7DEBORAH A RICE-LAMAR
VP&CHIEF HUMAN RESOURCE OFFICE 		(i)

(ii)		 133,301
-------------
0 		0
-------------
0 		92
-------------
0 		5,059
-------------
0 		14,173
-------------
0 		152,625
-------------
0 		0
-------------
0
8SAMMY L KING
CHIEF FINANCIAL OFFICER 		(i)

(ii)		 341,645
-------------
0 		0
-------------
0 		243
-------------
0 		10,526
-------------
0 		11,717
-------------
0 		364,131
-------------
0 		0
-------------
0
9ALI-REZA FORCE
PSYCHIATRIST 		(i)

(ii)		 257,589
-------------
0 		0
-------------
0 		243
-------------
0 		0
-------------
0 		9,673
-------------
0 		267,505
-------------
0 		0
-------------
0
10NATALIA MARIA URIBE
PHYSICIAN FAMILY MEDICINE 		(i)

(ii)		 195,041
-------------
0 		0
-------------
0 		243
-------------
0 		5,612
-------------
0 		7,854
-------------
0 		208,750
-------------
0 		0
-------------
0
11Alonzo L Grant III
Physician OB/GYN 		(i)

(ii)		 249,162
-------------
0 		0
-------------
0 		243
-------------
0 		9,781
-------------
0 		13,880
-------------
0 		273,066
-------------
0 		0
-------------
0
12ARIANNE CORDON-DURAN
PHYSICIAN FAMILY MEDICIN 		(i)

(ii)		 209,757
-------------
0 		0
-------------
0 		243
-------------
0 		7,110
-------------
0 		552
-------------
0 		217,662
-------------
0 		0
-------------
0
13OLAMIDE ATANDA
DENTIST 		(i)

(ii)		 234,677
-------------
0 		0
-------------
0 		243
-------------
0 		0
-------------
0 		9,906
-------------
0 		244,826
-------------
0 		0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM EACH INDIVIDUAL'S 2022 FORMS W-2.
SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
Schedule J (Form 990) 2022

Additional Data


Software ID:  
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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
Jessie Trice Community Health System Inc
 
Employer identification number

59-1235617
Return Reference Explanation
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE MISSION OF JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC. (THE ORGANIZATION) IS TO IMPROVE HEALTH EQUALITY FOR OUR DIVERSE SOUTH FLORIDA COMMUNITY BY PROVIDING AND INCREASING ACCESS TO QUALITY COMPREHENSIVE PRIMARY CARE SERVICES. COMPANY OVERVIEW THE ORGANIZATION IS ONE OF MIAMI-DADE COUNTY'S PREEMINENT FEDERALLY QUALIFIED COMMUNITY HEALTHCARE CENTERS, GOVERNED BY A REMARKABLY DEDICATED BOARD OF DIRECTORS (51% OF THE MEMBERS ARE USERS OF THE MEDICAL SERVICES) AND A DIVERSE, INCREDIBLY TALENTED, COMMITTED FAMILY OF PROVIDERS AND STAFF. THE ORGANIZATION HAS BEEN SERVING MIAMI-DADE COUNTY SINCE 1967. THE TARGET POPULATION IS THE UNINSURED AND UNDERINSURED, 95% OF WHICH LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL OF 200%. THE ORGANIZATION SERVED ITS FIRST PATIENTS FROM A TRAILER. NOW, MORE THAN FIFTY (50) YEARS AFTER ITS FOUNDING, THE ORGANIZATION OWNS AND OPERATES TEN (10) COMPREHENSIVE PRIMARY CARE CENTERS INCLUDING A 40-BED WOMEN'S RESIDENTIAL CENTER FOR SUBSTANCE USE, ARE IN ONE (1) UNIVERSITY, AND ARE IN FORTY (40) SCHOOL-BASED HEALTH CENTERS. OUR SCHOOL-BASED HEALTH CENTERS BRING PARENTS PEACE OF MIND KNOWING THAT SHOULD AN EMERGENCY ARISE DURING THE WORK DAY THAT THEIR CHILD HAS IMMEDIATE ACCESS TO A QUALIFIED MEDICAL PROFESSIONAL. THE ETHNIC MAKE-UP OF THE SERVICE AREA VARIES SIGNIFICANTLY AND TO MEET THIS CHALLENGE, THE ORGANIZATION HAS TAKEN A PROACTIVE ROLE BY ADOPTING THE CULTURALLY, LINGUISTICALLY APPROPRIATE STANDARDS (CLAS) MODEL OF CULTURAL PROFICIENCY. MULTICULTURAL, MULTILINGUAL, AND MULTIDISCIPLINARY STAFF OF APPROXIMATELY 350 MEMBERS PROVIDES SERVICES TO A VERY DIVERSE POPULATION OF OVER 41,000 PATIENTS WHO MAKE MORE THAN 149,000 VISITS ANNUALLY. THE ORGANIZATION'S MEDICAL STAFF INCLUDES PHYSICIANS, DENTISTS, AND NURSE PRACTITIONERS, WITH MORE THAN 90% THAT ARE BOARD-CERTIFIED. WITH MANY MORE SERVICES AVAILABLE VIA REFERRAL, THE ORGANIZATION IS ABLE TO PROVIDE VIRTUALLY SEAMLESS COMPREHENSIVE PRIMARY CARE THROUGH CONTRACTS AND BUSINESS ASSOCIATE AGREEMENTS. ELIGIBLE ACCESSIBLE "MEDICAL HOMES" IN CENTRAL AND NORTHERN PARTS OF THE COUNTY MAKE IT EASY FOR RESIDENTS TO VISIT ONE OF TEN (10) COMPREHENSIVE PRIMARY CARE CENTERS. THE CENTER RECOGNIZES THE IMPORTANCE OF COLLABORATIONS AND HAS AN EXTENSIVE REACH INTO THE COMMUNITY VIA HIGHER EDUCATION INSTITUTIONS, FOUNDATIONS, COALITIONS, SOCIAL SERVICE AGENCIES, FAITH-BASED ORGANIZATIONS AND MUCH MORE. ALL OF THESE INSTITUTIONS, WHETHER THROUGH GRANT DOLLARS OR SERVICE PARTNERSHIPS, HAVE BEEN INSTRUMENTAL IN HELPING THE ORGANIZATION ACCOMPLISH ITS MISSION AND ACHIEVE ITS STRATEGIC OBJECTIVES. CLINICAL OUTCOMES, AND A FOCUS ON REDUCING HEALTHCARE DISPARITIES, RANK US AMONG THE BEST COMMUNITY HEALTHCARE ORGANIZATIONS IN THE NATION, ACCORDING TO ACCREDITATION REVIEWS FROM THE JOINT COMMISSION. OUR AMBULATORY AND BEHAVIORAL HEALTH PROGRAMS HAVE BEEN ACCREDITED SINCE 1999 AND IN 2011 WE WERE FIRST IN FLORIDA TO BE CERTIFIED AS A PATIENT CENTERED MEDICAL HOME. OUR HEALTHCARE PLAN ENSURES THAT WE FOCUS OUR ATTENTION ON PREVENTION AND INTERVENTION INITIATIVES LIKE DIABETES, HIV/AIDS, PEDIATRIC ASTHMA, CARDIOVASCULAR, HYPERTENSION, DENTAL CARIES IN CHILDREN, PRENATAL/PERINATAL HEALTH, IMMUNIZATIONS, CANCER AND DEPRESSION TO NAME A FEW. JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC. IS RECOGNIZED AS A HEALTH SYSTEM OF EXCELLENCE AND IS THE CHOICE FOR HEALTH AND WELLNESS OF OUR DIVERSE COMMUNITY. VALUES ACCOUNTABILITY: WE ACCEPT OUR INDIVIDUAL AND TEAM RESPONSIBILITIES AND WE MEET OUR COMMITMENTS. WE TAKE RESPONSIBILITY FOR OUR PERFORMANCE AND ALL OF OUR DECISIONS AND ACTIONS. HIGH QUALITY HEALTHCARE: WE ARE DEVOTED TO EXCELLENCE AND INTEGRITY ACROSS THE BOARD. COMMITMENT: WE PROVIDE EXCELLENT HEALTHCARE FOR OUR PATIENTS AND GUESTS THAT EXCEED THEIR EXPECTATIONS. COMMUNICATION: WE ARE COMMITTED TO EFFECTIVE AND TRANSPARENT TWO-WAY COMMUNICATION. WE LISTEN ATTENTIVELY AND RESPECTFULLY. WE RESPOND APPROPRIATELY FOR TIMELY BEST RESULTS. PROFESSIONALISM: WE GRACEFULLY EXECUTE OUR REQUIRED RESPONSIBILITIES WITH COMPETENCE & CONFIDENCE. TEAMWORK WE ARE LINKED TO ONE ANOTHER BY A SHARED MISSION AND VISION THAT DEFINES HOW WE SERVE OUR GUESTS/PATIENTS AND THE COMMUNITY. SERVICES DENTISTRY OUR HIGHLY TRAINED DENTAL TEAM'S FIRST PRIORITY IS YOUR ORAL HEALTH. YOU WILL BE PROVIDED WITH THE BEST TREATMENT AVAILABLE. THE TEAM PROVIDES PREVENTATIVE, RESTORATIVE, REHABILITATIVE AND EMERGENCY DENTAL CARE. THESE SERVICES INCLUDE EXAMS, X-RAYS, CLEANINGS, FILLINGS, EXTRACTIONS, CROWN AND BRIDGE, DENTURES, ROOT CANAL THERAPY, ORAL CANCER SCREENINGS, PERIODONTAL TREATMENT, AND DISEASE PREVENTION AND HEALTH PROMOTION EDUCATION. FAMILY MEDICINE: THE ORGANIZATION PROVIDES A HOLISTIC APPROACH TO MEDICINE WITH A FOCUS ON HEALTH PROMOTION AND DISEASE PREVENTION. THE GOAL IS TO IMPROVE THE PATIENT'S QUALITY OF LIFE THROUGH EARLY DIAGNOSIS AND TREATMENT. THE ORGANIZATION FOCUSES ON THE MOST PREVALENT DISEASES IN OUR COMMUNITY INCLUDING HEART DISEASE, CANCER, DIABETES, HIV/AIDS, STDS, AND OTHERS. OUR 39 LICENSED PRACTITIONERS INCLUDE FAMILY PRACTITIONERS, INTERNISTS, PEDIATRICIANS, OBSTETRICIANS/GYNECOLOGISTS, PODIATRIST, OPHTHALMOLOGIST, DENTIST, DENTAL HYGIENIST, PSYCHIATRIST, PSYCHOLOGIST, PHARMACISTS AND REGISTERED NURSE PRACTITIONERS. OUR PRIMARY CARE PROVIDERS ARE BOARD CERTIFIED IN AT LEAST ONE DISCIPLINE WHILE SOME HOLD MULTIPLE CERTIFICATIONS. 10% OF OUR PROVIDERS HAVE BEEN WITH THE ORGANIZATION FOR 15 YEARS OR MORE, WITH AT LEAST TWO THAT CAN BOAST OF A 20-YEAR TENURE. THE MAJORITY OF OUR PHYSICIANS ARE BI-LINGUAL AND REPRESENT THE CULTURAL AND LINGUISTIC MIX OF OUR SERVICE COMMUNITY. NUTRITION: OUR NUTRITIONAL STAFF PROVIDES GENERAL SERVICES IN NUTRITION EDUCATION AND COUNSELING. A SUPPLEMENTAL NUTRITION AND EDUCATION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) IS AVAILABLE ON-SITE THROUGH THE MIAMI -DADE COUNTY HEALTH DEPARTMENT. THE MISSION OF THE ORGANIZATION'S NUTRITION DEPARTMENT IS TO PROVIDE HIGH QUALITY NUTRITION SERVICES TO THE COMMUNITY. NUTRITION EDUCATION, ASSESSMENTS, AND COUNSELING SERVICES ARE AVAILABLE BY A NUTRITIONIST TO PEOPLE OF ALL AGES. THE FOCUS OF NUTRITION EDUCATION IS TO INCORPORATE AND RESPECT INDIVIDUAL PATIENTS' NEEDS AND BELIEFS TO HELP IMPROVE THEIR DIET AND PROMOTE HEALTHY LIFESTYLES. NUTRITION SERVICES INCLUDE: - NUTRITION ASSESSMENT AND COUNSELING; - GROUP NUTRITION EDUCATION; - COOKING CLASSES; - FOOD SAMPLING DEMONSTRATION; AND - LIGHTEN-UP PROGRAM HIV/AIDS SERVICES ----------------- SINCE 1992 THE DEPARTMENT OF SPECIAL POPULATIONS HAS PROVIDED COMPREHENSIVE SERVICES TO PERSONS WITH HIV INFECTION AND THEIR FAMILIES. SERVICES INCLUDE VOLUNTARY CONFIDENTIAL HIV TESTING, CASE MANAGEMENT, OUTPATIENT SUBSTANCE ABUSE, PSYCHOSOCIAL COUNSELING, AS WELL AS OUTPATIENT MEDICAL AND DENTAL CARE. SPECIAL POPULATIONS IS ONE OF SEVERAL PROGRAMS IN THE MIAMI-DADE COUNTY AREA FUNDED BY THE RYAN WHITE CARE ACT UNDER TITLE III TO PROVIDE EARLY INTERVENTION SERVICES. THESE PROGRAMS PROVIDE CONFIDENTIAL HIV COUNSELING, LOST TO CARE AND PRIMARY CARE SERVICES. THESE FUNDS INSURE THAT NEWLY DIAGNOSED PERSONS RECEIVE PRIMARY CARE AT THE EARLIEST STAGES OF THE DISEASE TO SLOW OR PREVENT PROGRESSION TO AIDS. IDENTIFICATION OF PERSONS WITH HIV/AIDS THROUGH TESTING AND THE COORDINATION AND FACILITATION OF SERVICES ARE AT THE CORE OF THE CARE CONTINUUM FOR PERSONS WITH HIV DISEASE. SPECIAL POPULATIONS OFFERS RISK ASSESSMENT AND RISK REDUCTION EDUCATION AS WELL AS HIV TESTING TO PERSONS PRESENTING AT ANY OF THE ORGANIZATION'S SITES. ONCE IDENTIFIED CASE MANAGEMENT SERVICES ASSIST INFECTED AND AFFECTED PERSONS TO NAVIGATE THE COMPLEX WEB OF SERVICES NEEDED TO ENHANCE QUALITY AND QUANTITY OF LIFE. FROM APPLICATIONS FOR MEDICAID, SOCIAL SECURITY, VOCATIONAL REHABILITATION AND ACCESS TO DRUG ASSISTANCE PROGRAMS, THE CASE MANAGER ENSURES ACCESS TO INFORMATION SO THAT A CLIENT CAN MAKE INFORMED CHOICES. THE ORGANIZATION HAS BEEN PARTICULARLY SENSITIVE TO THE NEEDS OF CLIENTS WITH ADDICTIONS. SERVICES PROVIDED ARE EVIDENCED-BASED AND INCLUDE INDIVIDUAL AND GROUP TREATMENT PROGRAMS THAT USE A CO-OCCURING MODEL TO ADDRESS THE SIMULTANEOUS PRESENCE OF BOTH SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES. JEFFERSON REAVES HOUSE WOMEN'S RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM, A 40-BED FACILITY, OFFERS SERVICES FOR PREGNANT SUBSTANCE ADDICTED WOMEN. WOMEN ARE ALLOWED TO BRING THEIR CHILDREN UNDER THE AGE OF FIVE INTO TREATMENT WITH THEM.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: OUTPATIENT SERVICES, THAT INCLUDE A DAY TREATMENT PROGRAM, ARE SPECIFICALLY DESIGNED TO MEET THE NEEDS OF CLIENTS SEEKING TREATMENT AS A RESULT OF COURT REFERRALS, DUI'S ETC. IN ADDITION TO THE ONSITE TREATMENT PROGRAMS, THE DEPARTMENT OF ADDICTIONS ALPHA PROGRAM PROVIDES SUBSTANCE ABUSE PREVENTION EDUCATION SERVICES TO MIDDLE SCHOOL CHILDREN AT CHARLES DREW AND LIBERTY CITY ELEMENTARY SCHOOLS. THE ORGANIZATION'S OUTPATIENT MENTAL HEALTH PROGRAM PROVIDES EVIDENCE-BASED, STATE-OF-THE-ART TREATMENT FOR ANXIETY AND DEPRESSIVE DISORDERS. THE STAFF, WHICH INCLUDES A PSYCHIATRIST AND LICENSED CLINICAL SOCIAL WORKER, ARE EXPERTS IN THE PROVISION OF GRIEF COUNSELING, GERIATRIC PSYCHOTHERAPY, GAMBLING ADDICTIONS, POST-TRAUMATIC STRESS DISORDERS AND CO-OCCURING SUBSTANCE ABUSE/MENTAL HEALTH DISORDERS AS WELL AS PSYCHOTROPIC MEDICATION MANAGEMENT. TRANSPORTATION -------------- THE EMPLOYEES IN OUR TRANSPORTATION DEPARTMENT ARE AWARE OF THE IMPORTANCE OF GOOD CUSTOMER COURTESY AND ARE WELL-VERSED IN THE ART OF WELCOMING. THE DRIVERS PROVIDE DOOR-TO-DOOR NON-EMERGENCY TRANSPORTATION SERVICES FOR ALL CENTER APPOINTMENTS. THE TRANSPORTATION SYSTEM IS INTEGRATED WITH THE PATIENT APPOINTMENT SCHEDULING SYSTEM IN ORDER TO AUTOMATE THE ROUTE SCHEDULING BASED ON LOCATION AND APPOINTMENT TIMES. SCHOOL-BASED CLINICS -------------------------------- THE ORGANIZATION PROVIDES SERVICES AND/OR ACCESS TO HEALTHCARE TO STUDENTS IN FORTY MIAMI DADE COUNTY PUBLIC SCHOOLS (MDCPS). THE PHYSICAL, MENTAL, AND BEHAVIORAL HEALTH NEEDS OF THE STUDENTS ARE MET BY A TEAM OF PROFESSIONALS WORKING AS A PART OF THE HEALTH CONNECT IN OUR SCHOOLS (HCIOS) INITIATIVE. THE HCIOS INITIATIVE LAUNCHED IN 2006 IS A COLLABORATIVE EFFORT BETWEEN THE CHILDREN'S TRUST (TCT), MIAMI DADE COUNTY HEALTH DEPARTMENT (MDCHD) AND MDCPS. THE HEALTH TEAMS ARE COMPRISED OF A REGISTERED NURSE AND A SOCIAL WORKER FOR THREE OR FOUR SCHOOLS AND A LICENSED PRACTICAL NURSE IN EACH SCHOOL. THE TEAMS PROVIDE SERVICES TO MEET THE STUDENTS' IMMEDIATE SCHOOL HEALTH NEEDS (MENTAL AND BEHAVIORAL HEALTH, EMERGENCY FIRST AID/CPR, CHRONIC DISEASE MANAGEMENT, NUTRITION COUNSELING, HEALTH COUNSELING, HEALTH SCREENINGS, AND IMMUNIZATIONS), REFER IF SERVICES NEEDED ARE NOT PROVIDED (DENTAL, PRE-NATAL CARE) AND HELP CONNECT THEM TO A PRIMARY CARE PROVIDER IF ONE IS NEEDED. SOME SERVICES AND HEALTH TEACHING/COUNSELING ARE PROVIDED TO THE FACULTY, STAFF AND PARENTS/GUARDIANS. THE ORGANIZATION HAS A CLINICAL COORDINATOR AND AN ADMINISTRATIVE ASSISTANT WHO MONITORS THE PROGRAM AND PROVIDES CLERICAL, TECHNICAL AND ADMINISTRATIVE SUPPORT. COMMUNITY HEALTH PROMOTIONS --------------------------- THE ORGANIZATION SERVICES ADDRESS THE MOST URGENT NEEDS OF THE TARGET POPULATION, INCLUDING HEART DISEASE, CANCER, PEDIATRIC ASTHMA, HYPERTENSION, CARDIOVASCULAR DISEASE, HIV/AIDS, DIABETES, SUBSTANCE ABUSE, SEXUALLY TRANSMITTED DISEASE, LOW BIRTH WEIGHT BABIES, HIGH INFANT MORTALITY, COPD, AND OBESITY. THESE DISEASES HAVE THE GREATEST IMPACT ON PATIENTS AND ARE RESPONSIBLE FOR THE GREATEST YEARS OF LIFE LOST IN THE COMMUNITIES THAT WE SERVE. THE ORGANIZATION HAS A PROGRAM FUNDED BY THE CHILDREN'S TRUST CALLED "HEALTH CONNECT IN OUR COMMUNITY". THIS PROGRAM CONNECTS CHILDREN AND FAMILIES TO LOW-COST MEDICAL INSURANCE OPTIONS AS WELL AS HEALTHCARE SERVICES, WITH THE HELP OF HEALTH NAVIGATORS. PEDIATRICS ---------- THE ORGANIZATION'S DISTINGUISHED PANEL OF BOARD-CERTIFIED PEDIATRICIANS PROVIDES A FULL SPECTRUM OF HEALTHCARE SERVICES, AS WELL AS IN-PATIENT HOSPITALIZATION FROM BIRTH AND INFANCY, CHILDHOOD AND ADOLESCENCE THROUGH AGE NINETEEN. THESE SERVICES INCLUDE NEWBORN ASSESSMENT, IMMUNIZATIONS, VISION, AUDITORY, SCREENINGS, AND OTHERS. ANCILLARY SERVICES ------------------ LABORATORY: THE ORGANIZATION PROVIDES PHLEBOTOMIST AND SPECIMEN COLLECTION SERVICES ON-SITE. CLINICAL LABORATORY (CLIA) APPROVED WAIVED TESTING IS ALSO PERFORMED ON-SITE TO PROVIDE IMMEDIATE TEST RESULTS FOR CERTAIN LAB TESTS. THE ORGANIZATION HAS A LABORATORY INTERFACE WITH EXTERNAL LABORATORIES INTEGRATED INTO OUR MIS SYSTEM. THIS ALLOWS OUR MEDICAL PROVIDERS TO ACCESS LAB RESULTS FROM THEIR DESKTOP COMPUTERS. PHARMACY: PHARMACY SERVICES ARE BEING PROVIDED THROUGH COLLABORATION WITH COMMUNITY PHARMACIES, AND ALSO THROUGH THE REOPENED STATE-OF-THE-ART PHARMACY ONSITE.
FORM 990, PART III: QUESTION 4D VARIOUS OTHER HEALTH RESOURCES, ADMINISTRATIVE AND HIV SERVICES OFFERED TO THE SOUTH FLORIDA COMMUNITY OFFERED TO THOSE THAT MAY NOT BE ABLE TO ACCESS THESE RESOURCES ANYWHERE ELSE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
FORM 990, PART VI, SECTION B: QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND FINANCE PERSONNEL ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING A COPY TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B: QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD, OFFICERS, EMPLOYEES, CONSULTANTS AND/OR AGENTS ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST & PROCESS FLOWCHART AND COMPLETE AN ACKNOWLEDGMENT. THE COMPLETED ACKNOWLEDGMENTS ARE RETURNED TO AND REVIEWED BY THE ORGANIZATION'S VICE PRESIDENT OF CORPORATE AFFAIRS AND COMPLIANCE OFFICER. THEREAFTER, A CONFLICT OF INTEREST ASSESSMENT FORM IS PREPARED BY THE VICE PRESIDENT AND COMPLIANCE OFFICER. ANY POTENTIAL CONFLICTS OF INTEREST ARE RECEIVED BY THE ORGANIZATION'S RISK MANAGEMENT AND COMPLIANCE COMMITTEE WHERE NECESSARY MITIGATING BEHAVIOR IS UNDERTAKEN.
FORM 990, PART VI, SECTION B: QUESTION 15 THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTORS REVIEWS THE "TOTAL COMPENSATION" OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE REVIEW BY THE BOARD OF DIRECTORS IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" IS REASONABLE. THE BOARD OF DIRECTORS RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE BOARD OF DIRECTORS UTILIZES A MARKET ANALYSIS TOOL WHICH INCLUDES COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED ORGANIZATIONS AND COMPENSATION OF INDIVIDUALS WITH A SIMILAR POSITION AND RESPONSIBILITIES. THE COMPENSATION AND BENEFITS OF OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S VICE PRESIDENT & CHIEF HUMAN RESOURCES OFFICER IN CONJUNCTION WITH EACH INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION C: QUESTION 19 THESE DOCUMENTS ARE PROVIDED UPON WRITTEN REQUEST.
FORM 990, PARTXI, LINE 9 TRANSFER OF CAPITALIZED MINOR EQUIPMENT OF $6,946 FROM JESSIE TRICE COLLABORATIVE, INC., INTO JESSIE TRICE COMMUNITY HEALTH CENTER INC.
FORM 990, PART III, LINE 3, CEASE OF PROGRAM SERVICES: THE ORGANIZATION CEASED TO PROVIDED THE HEALTHY START PROGRAM AND THE RADIOLOGY SERVICES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Jessie Trice Community Health System Inc
 
Employer identification number

59-1235617
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)JESSIE TRICE COLLABORATIVE INC
5607 NW 27TH AVE

MIAMI,FL33142
83-3256832 		support jtchs FL 501(C)(3) LINE 12A NA
 
Yes
 
(2)JESSIE TRICE COMMUNITY HEALTH FOUNDATION
5607 NW 27TH AVENUE 1

MIAMI,FL331422826
59-2681559 		HEALTHCARE FL 501(C)(3) LINE 7 NA
 
Yes
 










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) JESSIE TRICE COLLABORATIVE INC

 N,O   FMV
(2) JESSIE TRICE COMMUNITY HEALTH FOUNDATION

 N,O   FMV




Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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