Nonprofit · EIN 86-3052869
JACKSON HOSPITAL QALICB INC
Tax-exempt · MARIANNA, FL 32446
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | -$1,868,901 | $0 | -$1,868,901 | $31,690,226 | $13,524,000 | $18,166,226 |
| December 31, 2023 | 990 | -$1,871,397 | $0 | -$1,871,397 | $33,547,127 | $13,512,000 | $20,035,127 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $0
- Investment income
- $0
- Net rental income
- -$1,868,901
- Other revenue
- -$1,868,901
Expenses
- Grants and similar amounts paid
- $0
- Salaries, compensation and benefits (total)
- $0
- Professional fundraising fees
- $0
Balance sheet and other
- Total assets, start of year
- $33,547,127
- Total assets, end of year
- $31,690,226
- Total liabilities, end of year
- $13,524,000
- Net assets, end of year
- $18,166,226
- Land, buildings and equipment
- $30,260,496
- Gross receipts
- $127,344
- Employees
- 0
- Volunteers
- 0
- Year formed
- 2021
- State of legal domicile
- FL
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| KEITH WILLIAMS | PRESIDENT Trustee or director, Officer | 1 | $0 |
| JORGE GARCIA | SECRETARY Trustee or director, Officer | 0 | $0 |
| ROBERT REIFF | TREASURER Trustee or director, Officer | 0 | $0 |
990 for the year ended December 31, 2023: 3 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| KEITH WILLIAMS | PRESIDENT Trustee or director, Officer | 1 | $0 |
| JORGE GARCIA | SECRETARY Trustee or director, Officer | 0 | $0 |
| ROBERT REIFF | TREASURER Trustee or director, Officer | 0 | $0 |
Address and contacts
- Address (IRS master file)
- 4250 HOSPITAL DR, MARIANNA, FL 32446-1917
- In care of
- % CHIEF FINANCIAL OFFICER
- Principal officer (990 for 2024)
- KEITH WILLIAMS, 4250 HOSPITAL DRIVE, MARIANNA, FL 32446
- Signed the 990
- KEITH WILLIAMS, PRESIDENT
- Phone
- (850) 718-2623
- Return prepared by
- CRI ADVISORS LLC
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.
Program accomplishments
- 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.
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 86-3052869
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization, Type III functionally integrated
- Donations deductible (Pub 78)
- Supporting organization, 50% limit
- Exempt since
- 2021
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Community improvement and capacity building (S99)
- Assets (IRS master file)
- $31,690,226
- Income (IRS master file)
- $127,344
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | -$1,868,901 | $0 | $31,690,226 | IRS |
| 990 | December 2023 | -$1,871,397 | $0 | $33,547,127 | XML |
| 990 | December 2022 | -$1,689,577 | $0 | $35,455,679 | IRS |
| 990 | December 2021 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 86-3052869).
Questions about JACKSON HOSPITAL QALICB INC
- What is the EIN of JACKSON HOSPITAL QALICB INC?
- The employer identification number (EIN) of JACKSON HOSPITAL QALICB INC is 86-3052869.
- Is JACKSON HOSPITAL QALICB INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2021.
- Are donations to JACKSON HOSPITAL QALICB INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Supporting organization, 50% limit).
- Which annual return does JACKSON HOSPITAL QALICB INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of JACKSON HOSPITAL QALICB INC due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did JACKSON HOSPITAL QALICB INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of JACKSON HOSPITAL QALICB INC?
- The 990 for the year ended December 31, 2024 names KEITH WILLIAMS.
- Who are the officers and directors of JACKSON HOSPITAL QALICB INC?
- The 990 for the year ended December 31, 2024 lists 3 people; 0 received compensation from the organization.
- How much revenue does JACKSON HOSPITAL QALICB INC have?
- On its 990 for the year ended December 31, 2024 it reported revenue of -$1,868,901, expenses of $0 and total assets of $31,690,226 at year end.
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All nonprofits in MARIANNA · Florida · Community improvement and capacity building