Civic Intelligence

The Medical Center at Ocean Reef Inc

EIN 23-7438190 • 501(c)3 • Key Largo, FL

Profile

Provide medical services to the public

50 Barracuda LaneKey Largo, FL 33037

www.mcor.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

84th percentile

0.63x

Higher debt load relative to assets than 84% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

50th percentile

0.16x

Higher debt load relative to revenue than 50% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

56th percentile

7.3%

Higher net margin than 56% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

90th percentile

$333,497

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 3.4% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Asset Growth

88th percentile

34%

Faster asset growth than 88% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

71st percentile

23%

Faster revenue growth than 71% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Assets

Down

$1,825,204

Down $398,458 (-18%) from 2023

Liabilities

Up

$1,622,917

Up $245,955 (+18%) from 2023

Net Assets

Down

$202,287

Down $644,413 (-76%) from 2023

Revenue

Up

$7,862,702

Up $294,056 (+3.9%) from 2023

Expenses

Up

$8,507,115

Up $771,103 (+10.0%) from 2023

Net Income

Down

-$644,413

Down $477,047 (-285%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0Assets 2012: $1,187,476Liabilities 2012: $329,449Net Assets 2012: $858,0272012Assets 2013: $1,112,320Liabilities 2013: $393,346Net Assets 2013: $718,9742013Assets 2014: $970,886Liabilities 2014: $414,730Net Assets 2014: $556,1562014Assets 2015: $1,095,175Liabilities 2015: $599,388Net Assets 2015: $495,7872015Assets 2016: $1,125,010Liabilities 2016: $695,050Net Assets 2016: $429,9602016Assets 2017: $3,354,740Liabilities 2017: $905,290Net Assets 2017: $2,449,4502017Assets 2019: $2,409,656Liabilities 2019: $1,002,423Net Assets 2019: $1,407,2332019Assets 2020: $2,067,618Liabilities 2020: $1,351,334Net Assets 2020: $716,2842020Assets 2021: $2,795,196Liabilities 2021: $1,484,485Net Assets 2021: $1,310,7112021Assets 2022: $2,623,807Liabilities 2022: $1,609,741Net Assets 2022: $1,014,0662022Assets 2023: $2,223,662Liabilities 2023: $1,376,962Net Assets 2023: $846,7002023Assets 2024: $1,825,204Liabilities 2024: $1,622,917Net Assets 2024: $202,2872024

Highlighted filing

2024

Assets$1,825,204
Liabilities$1,622,917
Net Assets$202,287

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2012: $3,517,0722012Expenses 2013: $3,694,7542013Revenue 2014: $3,387,566Expenses 2014: $3,565,809Net Income 2014: -$178,2432014Revenue 2015: $3,512,783Expenses 2015: $3,554,689Net Income 2015: -$41,9062015Revenue 2016: $3,618,663Expenses 2016: $3,753,109Net Income 2016: -$134,4462016Revenue 2017: $6,400,824Expenses 2017: $5,459,385Net Income 2017: $941,4392017Revenue 2019: $4,748,964Expenses 2019: $5,135,189Net Income 2019: -$386,2252019Revenue 2020: $4,628,429Expenses 2020: $5,319,376Net Income 2020: -$690,9472020Revenue 2021: $6,585,064Expenses 2021: $5,990,637Net Income 2021: $594,4272021Revenue 2022: $6,940,801Expenses 2022: $7,237,446Net Income 2022: -$296,6452022Revenue 2023: $7,568,646Expenses 2023: $7,736,012Net Income 2023: -$167,3662023Revenue 2024: $7,862,702Expenses 2024: $8,507,115Net Income 2024: -$644,4132024

Highlighted filing

2024

Revenue$7,862,702
Expenses$8,507,115
Net Income-$644,413

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 7, 2025
Return Version
2023v6.0
Gross Receipts
$7,862,702
Mission and Program Overview

Mission

Provide medical services to the public

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,366,258$1,050,525▼ $315,733
Accounts Receivable$265,839$233,683▼ $32,156
Inventories for Sale or Use$89,824$96,632▲ $6,808
Prepaid Expenses and Deferred Charges$55,752$67,551▲ $11,799
Cash and Non-Interest-Bearing Accounts$112,442$32,741▼ $79,701
Other Notes and Loans Receivable, Net$3,840$490▼ $3,350
Total Assets$2,223,662$1,825,204▼ $398,458
Other Assets Total$329,707$343,582▲ $13,875
Liabilities
Deferred Revenue$679,000$883,433▲ $204,433
Accounts Payable and Accrued Expenses$379,965$395,902▲ $15,937
Other Liabilities$317,997$343,582▲ $25,585
Total Liabilities$1,376,962$1,622,917▲ $245,955
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$846,700$202,287▼ $644,413
Total Net Assets Fund Balance$846,700$202,287▼ $644,413
Total Liabilities and Net Assets / Fund Balance$2,223,662$1,825,204▼ $398,458

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$980,254$2,747,258$3,727,512
Other Land Buildings$50,445$461,755$512,200
Buildings$19,826$17,431$37,257
Other Assets Org$343,582--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Suzanne RomeoPhysicianFT$215,032$128,585$343,617
Manuel B TorresPhysicianFT$288,783$15,000$303,783
Rene FernandezPhysicianFT$225,731$62,831$288,562
Carlos SmithPhysicianFT$206,559$50,371$256,930
Richard BaxleyPhysicianFT$215,000$19,200$234,200
William Keith YoungAsst. Sec/treasurer/CEOPT$191,363$37,936$229,299

Board Members and Trustees

NameTitle
James SlatteryChairman
Frank MckeeVice Chairman
Brian KeeleyDirector
Dominic Di NapoliDirector
Harold BrewerDirector
James MccannDirector
Keith HillDirector
Laurel YoungDirector
Michael B BermanDirector
Rudy SchuppDirector
Tom Davidson SrDirector
W Pack StclairDirector
William U ParfetDirector
Norman ScottEx Officio
Charlie JohnstonRepresentative
John WelchRepresentative
Barbara PearsonSecretary
Michael T FayTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$3,084,066
Program Service Revenue
$4,175,135
Investment Income
$0
Other Revenue
$603,501
Change in Net Assets
$-644,413

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,862,702
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$7,862,702
Total Revenue per Form 990
$7,862,702
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,715,578
Other Expenses$2,791,537
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,581,498$747,019-$4,328,517
Other Employee Benefits$652,414$181,002-$833,416
All Other Expenses$135,907$642,770-$778,677
Depreciation Depletion$337,603$37,511-$375,114
Payroll Taxes$237,685$53,082-$290,767
Pension Plan Contributions$217,708$45,170-$262,878
Other Expenses$242,344$254,087-$242,344
Insurance$117,156$118,192-$235,348
Fees for Services Management-$45,000-$45,000
Fees for Services Legal-$39,792-$39,792
Fees for Services Accounting-$9,100-$9,100
Total Functional Expenses$6,334,390$2,172,725$0$8,507,115

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$8,507,115
Total Expenses per Audited Statements$8,507,115
Total Expenses per Form 990$8,507,115
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Retentioin Plan Liabilities$343,582
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

Tax return is reviewed by the chief operating officer before signing and filing.

Form 990, Part VI, Section B, Line 12C

Management regularly and consistently monitors and enforces compliance with this policy.

Form 990, Part VI, Section B, Line 15

There is no compensation for the chief executive officer or directors other than the chief operating officer who is a key employee. The compensation of key employees is under the review of the board of directors. Statistical comparisons of comparable salaries are used to aid in the review.

Form 990, Part VI, Section C, Line 19

The organization makes the governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
The Medical Center at Ocean Reef Inc
EIN
23-7438190
Phone
3053672600
Address
50 BARRACUDA LANE, KEY LARGO, FL 33037

Signing Officer

Name
William Keith Young
Title
Asst. Sec./treasurer
Phone
3053672600
Signed
2025-05-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William Keith Young
Formed
1974
Legal Domicile
Fl
Voting Board Members
16
Independent Board Members
16
Employees
45
Volunteers
0

Preparer

Firm
Nichols Cauley & Associates LLC
Address
1300 BELLEVUE AVENUE, DUBLIN, GA 31021-4152
Preparer
Christopher Mcguire
Phone
4782751163
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E

Telephone & utilities: program service expenses 0. Management and general expenses 192,231. Fundraising expenses 0. Total expenses 192,231. Billing expense: program service expenses 0. Management and general expenses 159,163. Fundraising expenses 0. Total expenses 159,163. Postage: program service expenses 0. Management and general expenses 71,534. Fundraising expenses 0. Total expenses 71,534. Facility risk mgmt/training: program service expenses 55,118. Management and general expenses 0. Fundraising expenses 0. Total expenses 55,118. Uniforms: program service expenses 0. Management and general expenses 54,900. Fundraising expenses 0. Total expenses 54,900. Miscellaneous expense: program service expenses 10,465. Management and general expenses 43,444. Fundraising expenses 0. Total expenses 53,909. Bank charges: program service expenses 0. Management and general expenses 44,277. Fundraising expenses 0. Total expenses 44,277. Lab expense: program service expenses 38,320. Management and general expenses 0. Fundraising expenses 0. Total expenses 38,320. Pharmacy delivery expense: program service expenses 0. Management and general expenses 35,638. Fundraising expenses 0. Total expenses 35,638. Physical therapy expense: program service expenses 23,004. Management and general expenses 0. Fundraising expenses 0. Total expenses 23,004. Landscaping: program service expenses 0. Management and general expenses 21,825. Fundraising expenses 0. Total expenses 21,825. Professional services: program service expenses 0. Management and general expenses 13,343. Fundraising expenses 0. Total expenses 13,343. Consulting pharmacist exp: program service expenses 9,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,000. Community education: program service expenses 0. Management and general expenses 2,483. Fundraising expenses 0. Total expenses 2,483. Dues and subscriptions: program service expenses 0. Management and general expenses 2,014. Fundraising expenses 0. Total expenses 2,014. Licenses: program service expenses 0. Management and general expenses 1,918. Fundraising expenses 0. Total expenses 1,918.

FORM 990, PART XII, LINE 2C:

There have been no changes since the prior year.

Financial Statement Notes

PART X, LINE 2:

The medical center's audited financial statements include a disclosure that says the medical center has evaluated their tax positions and determined they have no uncertain tax positions as of june 30, 2024.

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IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
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