{"success":true,"data":{"_id":863052869,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"To reduce the burdens of government by serving as a type iii supporting organization for the benefit of and to support the jackson hospital board of trustees and the governing body of the jackson county hospital district.","primary_activities":"A. Applicant was formed under the florida nonprofit corporation act to serve as a type 3 functionally integrated supporting organization within the meaning of section 509(a)(3) of the internal revenue code of 1986, as amended (the code), treasury regulations section 1.509(a)-4(i), and notice 2014-4 that is operated in connection with and for the benefit of the jackson county hospital district, a public, non-profit independent special district established under chapter 2003-363 of the laws of florida (the hospital district). Applicant was formed to reduce the burdens of government by serving as a qualified active low-income community business or qalicb (as defined in code section 45d(d)(2)) to facilitate the financing of (i) certain repairs to the jackson county hospital (the hospital), which suffered significant damage as a result of hurricane michael in 2018, (ii) the relocation and expansion of the hospital's nuclear medicine department, and (iii) the acquisition of medical equipment for use in the hospital (the foregoing is collectively referred to in this application as the project). In connection with the project, applicant will lease the hospital building and the real property on which the hospital is located (the project property) pursuant to a long-term ground lease with the hospital district. Applicant will then sublease the completed project (including the newly acquired equipment) back to the hospital district pursuant to a sublease. 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APPLICANT WAS FORMED TO REDUCE THE BURDENS OF GOVERNMENT BY SERVING AS A QUALIFIED ACTIVE LOW-INCOME COMMUNITY BUSINESS OR QALICB (AS DEFINED IN CODE SECTION 45D(D)(2)) TO FACILITATE THE FINANCING OF (I) CERTAIN REPAIRS TO THE JACKSON COUNTY HOSPITAL (THE HOSPITAL), WHICH SUFFERED SIGNIFICANT DAMAGE AS A RESULT OF HURRICANE MICHAEL IN 2018, (II) THE RELOCATION AND EXPANSION OF THE HOSPITAL'S NUCLEAR MEDICINE DEPARTMENT, AND (III) THE ACQUISITION OF MEDICAL EQUIPMENT FOR USE IN THE HOSPITAL (THE FOREGOING IS COLLECTIVELY REFERRED TO IN THIS APPLICATION AS THE PROJECT). IN CONNECTION WITH THE PROJECT, APPLICANT WILL LEASE THE HOSPITAL BUILDING AND THE REAL PROPERTY ON WHICH THE HOSPITAL IS LOCATED (THE PROJECT PROPERTY) PURSUANT TO A LONG-TERM GROUND LEASE WITH THE HOSPITAL DISTRICT. APPLICANT WILL THEN SUBLEASE THE COMPLETED PROJECT (INCLUDING THE NEWLY ACQUIRED EQUIPMENT) BACK TO THE HOSPITAL DISTRICT PURSUANT TO A SUBLEASE. 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THERE ARE VERY FEW TRANSACTIONS AND THEY ARE ALL IN CONNECTION WITH THE AGREEMENTS BETWEEN THE ENTITIES TO BENEFIT THE HOSPITAL."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"buildings":{"other_cost_or_other_basis":29115600,"book_value":28721326,"depreciation":394274},"equipment":{"other_cost_or_other_basis":5092725,"book_value":4772577,"depreciation":320148},"other_land_buildings":{"other_cost_or_other_basis":549099,"book_value":549099},"total_book_value":34043002}},"ScheduleR":{"tax_exempt_organizations":[{"ein":596001321,"business_name_line1":"JACKSON COUNTY HOSPITAL DISTRICT","primary_activities_text":"HOSPITAL","exempt_code_section_text":"501(C)(3)","public_charity_status_text":"LINE 3","controlled_organization_indicator":false,"legal_domicile_state":"FL","address_line1":"4250 HOSPITAL DRIVE","city":"MARIANNA","state":"FL","zip":"32446","name":"JACKSON COUNTY HOSPITAL DISTRICT","address":"4250 HOSPITAL DRIVE, MARIANNA, FL, 32446"}],"transaction_flags":{"dividends_from_related_organization_indicator":false,"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":true,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"JACKSON COUNTY HOSPITAL DISTRICT","amount_involved":69000,"transaction_type":"J","name":"JACKSON COUNTY HOSPITAL DISTRICT"}]},"source_xml":"202211959349300716_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"To reduce the burdens of government by serving as a type iii supporting organization for the benefit of and to support the jackson hospital board of trustees and the governing body of the jackson county hospital district.","primary_activities":"A. 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APPLICANT WAS FORMED UNDER THE FLORIDA NONPROFIT CORPORATION ACT TO SERVE AS A TYPE 3 FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATION WITHIN THE MEANING OF SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE CODE), TREASURY REGULATIONS SECTION 1.509(A)-4(I), AND NOTICE 2014-4 THAT IS OPERATED IN CONNECTION WITH AND FOR THE BENEFIT OF THE JACKSON COUNTY HOSPITAL DISTRICT, A PUBLIC, NON-PROFIT INDEPENDENT SPECIAL DISTRICT ESTABLISHED UNDER CHAPTER 2003-363 OF THE LAWS OF FLORIDA (THE HOSPITAL DISTRICT). APPLICANT WAS FORMED TO REDUCE THE BURDENS OF GOVERNMENT BY SERVING AS A QUALIFIED ACTIVE LOW-INCOME COMMUNITY BUSINESS OR QALICB (AS DEFINED IN CODE SECTION 45D(D)(2)) TO FACILITATE THE FINANCING OF (I) CERTAIN REPAIRS TO THE JACKSON COUNTY HOSPITAL (THE HOSPITAL), WHICH SUFFERED SIGNIFICANT DAMAGE AS A RESULT OF HURRICANE MICHAEL IN 2018, (II) THE RELOCATION AND EXPANSION OF THE HOSPITAL'S NUCLEAR MEDICINE DEPARTMENT, AND (III) THE ACQUISITION OF MEDICAL EQUIPMENT FOR USE IN THE HOSPITAL (THE FOREGOING IS COLLECTIVELY REFERRED TO IN THIS APPLICATION AS THE PROJECT). IN CONNECTION WITH THE PROJECT, APPLICANT WILL LEASE THE HOSPITAL BUILDING AND THE REAL PROPERTY ON WHICH THE HOSPITAL IS LOCATED (THE PROJECT PROPERTY) PURSUANT TO A LONG-TERM GROUND LEASE WITH THE HOSPITAL DISTRICT. APPLICANT WILL THEN SUBLEASE THE COMPLETED PROJECT (INCLUDING THE NEWLY ACQUIRED EQUIPMENT) BACK TO THE HOSPITAL DISTRICT PURSUANT TO A SUBLEASE. THE HOSPITAL DISTRICT WILL CONTINUE TO OPERATE THE HOSPITAL."}],"tax_and_disclosure_flags":{"activities_conducted_through_partnership":false,"foreign_financial_account":false,"lobbying_activities":false,"deductible_non_cash_contributions":false,"deductible_contributions_of_art":false,"donor_restricted_or_quasi_endowments":false,"method_of_accounting_accrual":true,"schedule_o_part_iii":true,"schedule_o_part_vi":true},"principal_officer_detail":{"person_name":"KEITH WILLIAMS"},"audit_financial_statement_detail":{"accountant_compile_or_review":false,"federal_grant_audit_required":false},"related_party_due_diligence":{"business_relationship_with_35_controlled_entity":false,"officer_mailing_address":false,"related_entity":true,"related_org_controlled_entity":false,"compensation_from_other_sources":false,"excess_benefit_transaction":false,"annual_disclosure_covered_persons":true},"grant_due_diligence":{"grants_to_organizations":false,"grants_to_individuals":false,"more_than_5000_to_organizations":false,"more_than_5000_to_individuals":false},"books_in_care_of_detail":{"phone":"8507182623","business_name_line1":"BROOKE DONALDSON","address_line1":"4250 HOSPITAL DRIVE","city":"MARIANNA","state":"FL","zip":"32446"},"officers_directors_key_employees":[{"person_name":"KEITH WILLIAMS","title":"PRESIDENT","average_hours_per_week":1.0,"average_hours_per_week_related_org":1.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true,"name":"KEITH WILLIAMS"},{"person_name":"JORGE GARCIA","title":"SECRETARY","average_hours_per_week":0.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true,"name":"JORGE GARCIA"},{"person_name":"ROBERT REIFF","title":"TREASURER","average_hours_per_week":0.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true,"officer":true,"name":"ROBERT REIFF"}]},"ScheduleA":{"public_charity_status":{"supporting_organization_509a3":true,"supporting_org_509a3_type3_functionally_integrated":true,"written_irs_determination":true},"supported_organizations":{"total_supported_organizations":1,"supported_organizations_count":1,"sum_of_amounts":0,"other_support_sum":0,"rows":[{"ein":596001321,"organization_type":"6","support_amount":0,"other_support_amount":0,"governing_document_listed":true,"name":"JACKSON COUNTY HOSPITAL DISTRICT"}]},"supporting_organization_tests":{"contribution_35_controlled":false,"contribution_controller":false,"contribution_family":false,"controlled_by_disqualified_person":false,"disqualified_person_controlling_interest":false,"disqualified_person_ownership_interest":false,"excess_business_holdings_rules":false,"listed_by_name_governing_doc":true,"loan_disqualified_person":false,"organization_change_supported_org":false,"payment_substantial_contributor":false,"support_non_supported_org":false,"supported_org_not_organized_us":false,"supported_org_section_c456":false,"supporting_org_no_irs_determination":false,"type3_all_officers_close_relationship":true,"type3_all_supported_org_voice_investment":true,"type3_all_timely_provided_documents":true,"type3_functionally_integrated_governmental_entity":true},"supplemental_information":{"part_vi":[{"form_and_line_reference":"SECTION A PART IV SECTION E 1C","explanation":"THE ORGANIZATION WAS CREATED TO PROVIDE SUPPORT TO JACKSON COUNTY HOSPITAL DISTRICT, A GOVERNMENTAL ENTITY WITH THE FEIN 59-6001321. THE AGREEMENTS AND TRANSACTIONS ENGAGED IN BY THE ORGANIZATION ARE ALL UNDERTAKEN TO BENEFIT THE HOSPITAL."},{"form_and_line_reference":"SCHEDULE A, PART IV SECTION D3","explanation":"THE SUPPORTED GOVERNMENTAL ORGANIZATION (THE HOSPITAL) WAS INVOLVED IN CREATING AND MAINTAINING THE BOOKS FOR THE ENTITY FOR THE BENEFIT OF THE HOSPITAL. THERE ARE VERY FEW TRANSACTIONS AND THEY ARE ALL IN CONNECTION WITH THE AGREEMENTS BETWEEN THE ENTITIES TO BENEFIT THE HOSPITAL."}]}},"ScheduleB":{"attached":false,"required":false},"ScheduleD":{"land_buildings_equipment":{"buildings":{"other_cost_or_other_basis":29115600,"book_value":26537656,"depreciation":2577944},"equipment":{"other_cost_or_other_basis":6835030,"book_value":3722840,"depreciation":3112190},"total_book_value":30260496}},"ScheduleR":{"tax_exempt_organizations":[{"ein":596001321,"business_name_line1":"JACKSON COUNTY HOSPITAL DISTRICT","primary_activities_text":"HOSPITAL","exempt_code_section_text":"501(C)(3)","public_charity_status_text":"LINE 3","controlled_organization_indicator":false,"legal_domicile_state":"FL","address_line1":"4250 HOSPITAL DRIVE","city":"MARIANNA","state":"FL","zip":"32446","name":"JACKSON COUNTY HOSPITAL DISTRICT","address":"4250 HOSPITAL DRIVE, MARIANNA, FL, 32446"}],"transaction_flags":{"dividends_from_related_organization_indicator":false,"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":true,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"JACKSON COUNTY HOSPITAL DISTRICT","amount_involved":127344,"transaction_type":"J","name":"JACKSON COUNTY HOSPITAL DISTRICT"}]},"Ratings":{"Mission Deployment Rate":{"score":null},"Program Expense Ratio":{"score":null},"Fundraising Efficiency":{"score":null,"percentile":null},"Filing Consistency Score":{"score":1.0},"Grant Itemization Coverage":{"score":null},"Independent Voting Board Pct":{"score":0.6666666666666666},"Operating Margin":{"score":-1.0,"percentile":0.07391165328325347},"Operating Reserve Ratio":{"score":null,"percentile":null},"Liabilities to Assets Ratio":{"score":0.4267561865920426,"percentile":0.16685502999860471},"Officer Compensation Ratio":{"score":null,"percentile":null},"Program Expense Growth":{"score":null,"percentile":null},"Revenue Growth":{"score":null,"percentile":null},"Asset Growth":{"score":-0.05302922760453012,"percentile":0.18124704429614838},"Foreign Oversight Score":{"score":null},"Major-Donor Itemization":{"score":null},"Related-Party Transparency":{"score":null},"Pay-Setting Controls":{"score":1.0,"weight":5,"atoms":{"Compensation committee":{"value":true},"Independent compensation consultant":{"value":true},"Form 990 of other organizations reviewed":{"value":true},"Written employment contract":{"value":true},"Compensation survey or study":{"value":true},"Board or committee approval":{"value":true}}},"Governance Policy Score":{"score":0.3333333333333333,"weight":5,"atoms":{"Conflict of interest policy":{"value":true},"Whistle blower policy":{"value":false},"Document retention policy":{"value":false},"Compensation process for CEO":{"value":false},"Compensation process for other employees":{"value":false},"Form 990 provided to governing body":{"value":true},"Minutes of governing body":{"value":true},"Audit committee":{"value":false},"Independent audit financial statements":{"value":false}}},"Categories":{"Financial Efficiency":{"score":null,"weight":45},"Transparency & Controls":{"score":1.0,"weight":20},"Accountability":{"score":0.5277777777777777,"weight":14},"Sustainability":{"score":0.09250032862632371,"weight":13},"Growth":{"score":0.18124704429614838,"weight":8}},"Overall Score":{"score":0.5462067184618232,"percentile":0.10088006060138528}},"source_xml":"202533169349305358_public.xml"},"sector":"Public, Societal Benefit","donation_categories":[],"zakat_policy":null},"error":null}