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Nonprofiteer
← THE CAMELLIA FOUNDATION INC

Form 990 for tax year 2022

Filed by THE CAMELLIA FOUNDATION INC.

Totals

Total revenue
$6,562,049
Total expenses
$6,568,320
Contributions and grants received
$1,561,723
Grants paid
$20,000
Program service revenue
$4,999,284
Investment income
$1,042
Other revenue
$0
Total assets, end of year
$1,695,882
Total liabilities, end of year
$774,956
Net assets or fund balances, end of year
$920,926
Program services expenses (Part IX)
$6,533,949
Management and general expenses
$34,371
Fundraising expenses
$0
Program service expenses (Part III)
$6,533,949

Program services were 99.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $1,342,630

  • 1f · All other contributions, gifts and grants

    $219,093

  • 1g · Noncash contributions included above

    $681,947

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $4,999,284 · related or exempt $4,999,284

  • 3 · Investment income

    total $1,042 · excluded $1,042

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $20,000 · program services $20,000

  • 5 · Compensation of officers, directors and key employees

    total $137,500 · program services $137,500

  • 7 · Other salaries and wages

    total $3,613,717 · program services $3,613,717

  • 9 · Other employee benefits

    total $221,808 · program services $221,808

  • 10 · Payroll taxes

    total $277,258 · program services $277,258

  • 11c · Fees: accounting

    total $47,454 · program services $22,219 · management and general $25,235

  • 11f · Fees: investment management

    total $175 · management and general $175

  • 11g · Fees: other

    total $17,725 · program services $17,725

  • 12 · Advertising and promotion

    total $12,279 · program services $11,330 · management and general $949

  • 13 · Office expenses

    total $113,141 · program services $112,554 · management and general $587

  • 14 · Information technology

    total $216,170 · program services $212,951 · management and general $3,219

  • 16 · Occupancy

    total $208,400 · program services $208,400

  • 17 · Travel

    total $21,458 · program services $21,458

  • 19 · Conferences, conventions and meetings

    total $46,866 · program services $44,510 · management and general $2,356

  • 20 · Interest

    total $2,008 · program services $2,008

  • 22 · Depreciation, depletion and amortization

    total $75,866 · program services $75,330 · management and general $536

  • 23 · Insurance

    total $170,175 · program services $170,175

  • 24a · Other expenses: VACCINES

    total $782,589 · program services $782,589

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $141,584 · program services $141,584

  • 24c · Other expenses: RENT

    total $96,000 · program services $96,000

  • 24d · Other expenses: REPAIRS

    total $84,781 · program services $84,781

  • 24e · All other expenses

    total $261,366 · program services $260,052 · management and general $1,314

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $220,965 · end of year $329,163

  • 4 · Accounts receivable

    beginning of year $194,977 · end of year $554,133

  • 7 · Other notes and loans receivable

    end of year $38,758

  • 8 · Inventories for sale or use

    beginning of year $60,982 · end of year $100,376

  • 9 · Prepaid expenses and deferred charges

    beginning of year $70,447 · end of year $60,626

  • 10a · Land, buildings and equipment: cost or other basis

    $584,259

  • 10b · Land, buildings and equipment: accumulated depreciation

    $206,140

  • 10c · Land, buildings and equipment, net

    beginning of year $406,805 · end of year $378,119

  • 11 · Investments: publicly traded securities

    beginning of year $226,934 · end of year $127,745

  • 15 · Other assets

    end of year $106,962

  • 17 · Accounts payable and accrued expenses

    beginning of year $144,301 · end of year $137,851

  • 22 · Loans and payables to officers and key people

    beginning of year $108,930 · end of year $215,623

  • 24 · Unsecured notes and loans payable

    end of year $106,962

  • 25 · Other liabilities

    beginning of year $684 · end of year $314,520

  • 27 · Net assets without donor restrictions

    beginning of year $927,195 · end of year $920,926

Mission and programs · 2022

Mission

TO PROVIDE MEDICAL SERVICES AND EDUCATION FOR THE BENEFIT OF UNDERSERVED COMMUNITIES THROUGH SUPPORTING PHYSICIAN TRAINING PROGRAMS AND OPERATING MEDICAL CLINICS, BOTH LOCALLY & GLOBALLY

  • 1) OPERATED LA CLINICAL CAMELLIA IN MEMPHIS TN WHICH TREATED IN EXCESS OF 28,000 PATIENTS AND DELIVERED OVER 600 BABIES FOR MINORITY AND UNDERSERVED COMMUNITIES DURING 2022. 2) PROVIDED PHYSICIAN STAFF TO SERVE LOW RESOURCE PATIENTS IN A RURAL CRITICAL ACCESS HOSPITAL IN COVINGTON, TIPTON COUNTY, TENNESSEE. 3) CONTINUED TO ADMINISTRATE AND FINANCIALLY SUPPORT AN ACCREDITED FELLOWSHIP IN SURGICAL FAMILY MEDICINE AND OBSTETRICS. 4) SUPPORTED THE LARGEST AND MOST COMPREHENSIVE BILINGUAL ENGLISH/SPANISH HEALTHCARE SERVICE IN THE STATE OF TENNESSEE. OVER 14,000 SPANISH SPEAKING PATIENTS ARE SEEN EACH YEAR. 5) OPERATED TELECONFERENCE FACILITY ENHANCING PATIENT CARE AND MEDICAL EDUCATION.

    Expenses $6,483,969

  • 1) ADVISED AND SUPPORTED A BILINGUAL FAMILY MEDICINE CENTER, FELLOWSHIP,AND RELATED FOUNDATION IN CHATTANOOGA, WHOSE MISSIONS AND SERVICES EXEMPLIFY THE MISSION OF CAMELLIA FOUNDATION. PROVIDED BEHAVIORAL HEALTH CONSULTATION SERVICES AND STAFFING.

    Expenses $49,980 · Grants $20,000

As filed on the 2022 return.

Listed in Part VII

  • STEPHANIE ESPINOZA

    PHYSICIAN

    Total calculated
    $206,752
    From this org
    $200,103
    From related orgs
    $0
    Other
    $6,649
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,656
    Bonus
    not reported
    Other
    $4,447
    Deferred
    $3,653
    Nontaxable benefits
    $2,996
    Filer's total
    $206,752

  • LUIS GARCIA

    SECRETARY/TR

    Total calculated
    $154,032
    From this org
    $137,500
    From related orgs
    $0
    Other
    $16,532
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $137,500
    Bonus
    not reported
    Other
    not reported
    Deferred
    $4,125
    Nontaxable benefits
    $12,407
    Filer's total
    $154,032

  • RICKEY R CARSON

    PHYSICIAN

    Total calculated
    $130,503
    From this org
    $130,503
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • PAULO MICHELINI

    PHYSICIAN

    Total calculated
    $122,720
    From this org
    $115,431
    From related orgs
    $0
    Other
    $7,289
    Hours/week
    40

  • SPENCER DEIG

    PHYSICIAN

    Total calculated
    $119,787
    From this org
    $118,662
    From related orgs
    $0
    Other
    $1,125
    Hours/week
    40

  • KYLE GOWEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • HARVEY KAY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • ANTHONY LOPES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • LEE BERKENSTOCK MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • PERRY ROTHROCK MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JOE VENTIMIGLIA PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • CAMELLIA RODNEY

    PRESIDENT

    Total calculated
    $0
    Hours/week
    20

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202333139349303913

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