Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (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 |
||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 1,404,128 | 1,543,347 | 2,059,141 | 1,824,411 | 2,760,430 | 9,591,457 |
| 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 | 1,404,128 | 1,543,347 | 2,059,141 | 1,824,411 | 2,760,430 | 9,591,457 |
| 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. | 9,591,457 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 1,404,128 | 1,543,347 | 2,059,141 | 1,824,411 | 2,760,430 | 9,591,457 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 12,148 | 858 | 234 | 7,577 | 82,097 | 102,914 |
| 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.).. | 15,677 | 16,834 | 200,169 | 6,589 | 1,855 | 241,124 |
| 11 | Total support. Add lines 7 through 10 | 9,935,495 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 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 | ||||
| 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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | THE MISSION OF THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. IS : A. TO PROMOTE THE ACTIVITIES OF NOT-FOR-PROFIT COMMUNITY, HOMELESS, PUBLIC HOUSING PRIMARY CARE AND MIGRANT HEALTH CENTERS PROVIDING PRIMARY HEALTH CARE SERVICES TO FLORIDA'S POOR AND MEDICALLY UNDERSERVED COMMUNITIES. B. TO IMPROVE THE HEALTH AND EQUITY OF BASIC HEALTH SERVICES AMONG THE PEOPLE OF FLORIDA BY BRINGING TOGETHER ORGANIZATIONS AND PERSONS TO WORK FOR THE ADVANCEMENT OF CONSUMER GOVERNED PRIMARY HEALTH CARE ORGANIZATIONS WHICH PROVIDE ACCESSIBLE, QUALITY, COST EFFECTIVE HEALTH SERVICES TO ALL PERSONS REGARDLESS OF THEIR SOCIAL AND ECONOMIC CIRCUMSTANCES. C. TO ENHANCE MANAGERIAL SKILLS, PROFESSIONAL COMPETENCY, AND EFFICIENCY OF OPERATIONS IN PRIMARY CARE CENTERS THROUGH SEMINARS, MEETINGS AND OTHER MEANS OF COMMUNICATION. D. TO PROVIDE EDUCATIONAL OPPORTUNITIES, SERVICES, AND GOODS FOR USE BY MEMBERS AND AFFILIATED PRIMARY CARE CENTERS, AND TO DO SO THROUGH STAFF, SUBSIDIARY CORPORATIONS OR BY CONTRACT WITH UNRELATED ENTITIES. E. TO REPRESENT AND ARTICULATE THE PRIMARY CARE CONCEPT AND CONCERN OF ITS MEMBERS TO LOCAL, STATE, REGIONAL AND NATIONAL AGENCIES AND ORGANIZATIONS AS MAY BE DIRECTED FROM TIME TO TOME BY THE BOARD OF DIRECTED. |
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION'S MISSION: | THE MISSION OF THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS, INC. IS : A. TO PROMOTE THE ACTIVITIES OF NOT-FOR-PROFIT COMMUNITY, HOMELESS, PUBLIC HOUSING PRIMARY CARE AND MIGRANT HEALTH CENTERS PROVIDING PRIMARY HEALTH CARE SERVICES TO FLORIDA'S POOR AND MEDICALLY UNDERSERVED COMMUNITIES. B. TO IMPROVE THE HEALTH AND EQUITY OF BASIC HEALTH SERVICES AMONG THE PEOPLE OF FLORIDA BY BRINGING TOGETHER ORGANIZATIONS AND PERSONS TO WORK FOR THE ADVANCEMENT OF CONSUMER GOVERNED PRIMARY HEALTH CARE ORGANIZATIONS WHICH PROVIDE ACCESSIBLE, QUALITY, COST EFFECTIVE HEALTH SERVICES TO ALL PERSONS REGARDLESS OF THEIR SOCIAL AND ECONOMIC CIRCUMSTANCES. C. TO ENHANCE MANAGERIAL SKILLS, PROFESSIONAL COMPETENCY, AND EFFICIENCY OF OPERATIONS IN PRIMARY CARE CENTERS THROUGH SEMINARS, MEETINGS AND OTHER MEANS OF COMMUNICATION. D. TO PROVIDE EDUCATIONAL OPPORTUNITIES, SERVICES, AND GOODS FOR USE BY MEMBERS AND AFFILIATED PRIMARY CARE CENTERS, AND TO DO SO THROUGH STAFF, SUBSIDIARY CORPORATIONS OR BY CONTRACT WITH UNRELATED ENTITIES. E. TO REPRESENT AND ARTICULATE THE PRIMARY CARE CONCEPT AND CONCERN OF ITS MEMBERS TO LOCAL, STATE, REGIONAL AND NATIONAL AGENCIES AND ORGANIZATIONS AS MAY BE DIRECTED FROM TIME TO TOME BY THE BOARD OF DIRECTED. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIRMAN, VICE CHAIRMAN, SECRETARY, TREASURER, PARLIAMENTARIAN, IMMEDIATE PAST CHAIRMAN, THREE REGIONAL REPRESENTATIVES, AND A CLINICIAN REPRESENTATIVE. IT MAY ACT FOR THE BOARD BETWEEN MEETINGS OF THE BOARD, BUT ALL DECISIONS OF THE EXECUTIVE COMMITTEE ARE SUBJECT TO REVIEW AND APPROVAL OF THE BOARD AT ITS NEXT MEETING. FIVE OF THE NINE OFFICERS CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS. THE EXECUTIVE COMMITTEE MAY NOT, ON ITS OWN ACCORD, AMEND, REPEAL AND/OR REVISE THE ORGANIZATION'S ARTICLES OF INCORPORATION AND/OR BYLAWS NOR MAY IT TERMINATE AND/OR HIRE ANY EMPLOYEE OF THE ORGANIZATION INCLUDING, BUT NOT LIMITED TO, THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS THREE CLASSES OF MEMBERSHIP: ORGANIZATIONAL MEMBER, ASSOCIATE/SUSTAINING MEMBER, AND INDIVIDUAL MEMBER. ONLY ORGANIZATIONAL MEMBERS IN GOOD STANDING HAVE THE RIGHT TO SERVE ON THE BOARD OF DIRECTORS AND ARE ELIGIBLE TO VOTE AT DULY CALLED MEETINGS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S BOARD OF DIRECTORS CONSIST OF THE CHIEF EXECUTIVE OFFICER OF EACH ORGANIZATIONAL MEMBER. OFFICERS ARE ELECTED AND APPOINTED BY THE MEMBERS OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ALSO HAVE THE RIGHT TO TERMINATE THE MEMBERSHIP OF ANY MEMBER FOR CAUSE UPON A TWO-THIRDS VOTE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ORGANIZATION'S BOARD OF DIRECTORS CONSIST OF THE CHIEF EXECUTIVE OFFICER OF EACH ORGANIZATIONAL MEMBER. THE BOARD OF DIRECTORS MAY EXERCISE ALL POWERS OF THE ORGANIZATION AND DO ALL LAWFUL ACTS INCLUDING BUT NOT LIMITED TO, MANAGING THE BUSINESS OF THE ORGANIZATION IN ACCORDANCE WITH THE LAWS OF THE STATE OF FLORIDA, THE ARTICLES OF INCORPORATION OR THE BYLAWS. THE BOARD OF DIRECTORS MAY DELEGATE THE DAY-TO-DAY OPERATION OF THE ORGANIZATION TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX PREPARER AND ORGANIZATION REVIEW FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 15A | ANNUALLY THE BOARD OF DIRECTORS, THROUGH THE EXECUTIVE COMMITTEE, DOES A REVIEW OF THE CEO'S SALARY AND/OR ANY ADJUSTMENTS. INCLUDED IN THIS REVIEW IS: DATA ANALYSIS OBTAINED FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' (NACHC) SALARY COMPENSATION DATA, DATA FROM THE NATIONAL NONPROFIT ASSOCIATION EXECUTIVE SUMMARY ANALYSIS, OTHER STATE PRIMARY CARE ASSOCIATIONS, A REVIEW OF THE CEO'S RECORDS OVER THE PAST 12 MONTHS, WHICH INCLUDES OUR ANNUAL 330 AUDIT RESULTS. THE EXECUTIVE COMMITTEE ARRIVES AT THEIR RECOMMENDATION AND THEN IT IS PUT FORTH TO THE ENTIRE BOARD FOR A CONSENSUS/VOTE. |
| FORM 990, PART VI, SECTION C, LINE 18 | AVAILABLE UPON REQUEST |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART IX, LINE 11G | OTHER CONTRACT FEES: PROGRAM SERVICE EXPENSES 929,287. MANAGEMENT AND GENERAL EXPENSES 79,379. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,008,666. PAYROLL SERVICE FEES : PROGRAM SERVICE EXPENSES 16,039. MANAGEMENT AND GENERAL EXPENSES 1,370. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,409. CONSULTING FEES : PROGRAM SERVICE EXPENSES 60,731. MANAGEMENT AND GENERAL EXPENSES 5,188. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,919. |
| FORM 990, PART XIII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| Software ID: | |
| Software Version: |