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Nonprofiteer
← ATLANTIC COAST ASC GP 1 INC

Form 990 for tax year 2022

Filed by ATLANTIC COAST ASC GP 1 INC.

Totals

Total revenue
$1,090,547
Total expenses
$602,553
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$1,090,547
Investment income
$0
Other revenue
$0
Total assets, end of year
$6,692,303
Total liabilities, end of year
$54,496
Net assets or fund balances, end of year
$6,637,807
Program services expenses (Part IX)
$0
Management and general expenses
$602,553
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% 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.

  • 2a · Program service revenue: Ambulatory Surgical Fa

    total $1,090,547 · related or exempt $1,090,547

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $191,196 · management and general $191,196

  • 9 · Other employee benefits

    total $4,382 · management and general $4,382

  • 10 · Payroll taxes

    total $68,914 · management and general $68,914

  • 11b · Fees: legal

    total $18,128 · management and general $18,128

  • 11c · Fees: accounting

    total $13,184 · management and general $13,184

  • 11g · Fees: other

    total $2,727 · management and general $2,727

  • 13 · Office expenses

    total $1,151 · management and general $1,151

  • 15 · Royalties

    total $200,000 · management and general $200,000

  • 16 · Occupancy

    total $14,184 · management and general $14,184

  • 17 · Travel

    total $718 · management and general $718

  • 19 · Conferences, conventions and meetings

    total $39 · management and general $39

  • 22 · Depreciation, depletion and amortization

    total $392 · management and general $392

  • 23 · Insurance

    total $6,817 · management and general $6,817

  • 24a · Other expenses: Purchased Services

    total $72,925 · management and general $72,925

  • 24b · Other expenses: Facilities

    total $2,742 · management and general $2,742

  • 24e · All other expenses

    total $5,054 · management and general $5,054

Balance sheet

Part X, book values.

  • 13 · Investments: program-related

    beginning of year $6,213,758 · end of year $6,692,303

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,695 · end of year $54,496

  • 27 · Net assets without donor restrictions

    beginning of year $6,210,063 · end of year $6,637,807

Mission and programs · 2022

Mission

To serve the objectives and purposes of its parent, Atlantic Coast ASC Holding Company, Inc. in supporting and benefiting Florida Community Health Network Corp/Memorial Foundation and the South Broward Hospital district and its residents through ownership of a 51% controlling interest in Ambulatory Surgical Facility of South Florida, LLLP, DBA Memorial Same Day Surgery Centers (ASFSF). ASFSF operates ambulatory surgical facilities in the hospital district providing quality health services to residents of the district at reasonable costs, operating in accordance with the community benefit standards of tax exempt healthcare organizations.

Activities or mission (Part I)

To serve the objectives and purposes of its parent, Atlantic Coast ASC Holding Company, Inc. in supporting and benefiting the South Broward Hospital District and its residents in furtherance of the health care mission of the district, enhancing the delivery of health care services and being responsive to the health needs of the residents of the district. Acquired and holding a 51% controlling general partner interest in Ambulatory Surgical Facility of South Florida LLLP, DBA Memorial Same Day Surgery Center (ASFSF). ASFSF operates ambulatory surgical facilities in the South Broward Hospital District, providing quality health services to the residents of the district at reasonable costs, and operating in accordance with the community benefit standards applicable to tax exempt healthcare organizations, including promoting health of the general public, providing charity and indigent care and participating in government payor programs on a nondiscriminatory basis.

  • Controlling interest in ASFSF, as described in detail on Schedule O, with the mission to provide efficient and reduced cost healthcare services to the community, in accordance with the policies of the district.

    Revenue $1,090,547

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Steve Einhorn

    Director

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Scott Wester

    Director

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • Paul Sallwasser

    CEO

    Total calculated
    $504,894
    From this org
    $0
    From related orgs
    $504,894
    Other
    $0
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $420,466 related
    Bonus
    $0 + $84,428 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $504,894 related

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

The filer's explanations (Part III)

Part I, Line 3
The organization's CEO is compensated by a related 501(c)(3) tax-exempt organization, Florida Community Health Network Corp. The methods used by the related organization for determining the CEO's compensation include use of a compensation committee and approval by the board or compensation committee.

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

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Ambulatory Surgical Facility of South Florida LLLP

    Related · Operating and/or managing Ambulatory Surgical Facility · FL · 51% owned · share of income $652,407 · share of assets $1,275,698 · general or managing partner

    Directly controlled by Atlantic Coast ASC GP1 Inc

  • SBE Holdings LLC

    N/A · Member of South Broward Endoscopy, LLC · FL

  • Cohen Medical Associates LLC

    N/A · Primary Care Medical Practice · FL

  • Cypress Creek Outpatient Surgical Center Holding Company LLC

    N/A · Holding Company · FL

  • Amsurg FCHN ASC Ventures LLC

    N/A · Holding Company · FL

  • Hallandale Outpatient Surgery Center LTD

    N/A · Operate Ambulatory Surgery Center · FL

  • MHS Staffing Resources LLC

    N/A · Temporary Staffing Services · FL

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Atlantic Coast Holdings Inc

    C · Invest in Health Care ventures within or close to SBHD · FL

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202303149349303390

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