EIN 86-3052869

Jackson Hospital Qalicb

IRS 501(c) type
501(c)(3)
Num. employees
0
City
Marianna
State
Year formed
2021
Most recent tax filings
2022-12-01
Description
Jackson Hospital Qalicb operates as a type III supporting organization to reduce the government's burden of serving the Jackson Hospital Board of Trustees and the Governing Body of the Jackson County Hospital District. This applicant was created to functionally integrate as a supporting organization under section 509(a)(3) of the Internal Revenue Code. It is located in Marianna, FL.
Total revenues
$-1,689,577
2022
Total expenses
$0
2022
Total assets
$35,455,679
2022
Num. employees
0
2022

Program areas at Jackson Hospital Qalicb

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. The Hospital district will continue to operate the Hospital.

Personnel at Jackson Hospital Qalicb

NameTitleCompensation
Keith WilliamsPresident$0
Jorge GarciaSecretary$0

Financials for Jackson Hospital Qalicb

RevenuesFYE 12/2022
Total grants, contributions, etc.$0
Program services$0
Investment income and dividends$0
Tax-exempt bond proceeds$0
Royalty revenue$0
Net rental income$-1,689,577
Net gain from sale of non-inventory assets$0
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous revenues$0
Total revenues$-1,689,577
Data update history
May 26, 2023
Updated personnel
Identified 2 new personnel
May 14, 2023
Used new vendors
Identified 1 new vendor, including
Nonprofit Types
HospitalsHealth organizationsHeadquarter / parent organizations
Issues
Health
Characteristics
Tax deductible donationsNo full-time employees
General information
Address
4250 Hospital Dr
Marianna, FL 32446
County
Jackson County, FL
Phone
(850) 718-2623
IRS details
EIN
86-3052869
Fiscal year end
December
Taxreturn type
Form 990
Year formed
2021
Eligible to receive tax-deductible contributions (Pub 78)
Yes
Categorization
NTEE code, primary
E20: Hospitals and Primary Medical Care Facilities
NAICS code, primary
622: Hospitals
Parent/child status
Central organization
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