Civic Intelligence

Jackson Hospital Qalicb Inc

EIN 86-3052869 • 501(c)3 • Marianna, FL

Profile

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.

4250 Hospital DriveMarianna, FL 32446

n/A

Siviq Scores

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

Liabilities / Assets

69th percentile

0.43x

Higher debt load relative to assets than 69% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2024

Net Margin

100th percentile

100%

Higher net margin than 100% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

9th percentile

$0

Higher top officer pay than 9% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

13th percentile

-5.5%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets69th percentile

Assets

Down

$31,690,226

Down $1,856,901 (-5.5%) from 2023

Liabilities

Up

$13,524,000

Up $12,000 (+0.1%) from 2023

Net Assets

Down

$18,166,226

Down $1,868,901 (-9.3%) from 2023

Operations
Liabilities / RevenueScore unavailableNet Margin100th percentile

Revenue

Up

-$1,868,901

Up $2,496 (+0.1%) from 2023

Expenses

Flat

$0

Flat from 2023

Net Income

Up

-$1,868,901

Up $2,496 (+0.1%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth13th percentile

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

$40M$30M$20M$10M$0Assets 2021: $37,145,257Liabilities 2021: $13,512,000Net Assets 2021: $23,633,2572021Assets 2022: $35,455,679Liabilities 2022: $13,549,155Net Assets 2022: $21,906,5242022Assets 2023: $33,547,127Liabilities 2023: $13,512,000Net Assets 2023: $20,035,1272023Assets 2024: $31,690,226Liabilities 2024: $13,524,000Net Assets 2024: $18,166,2262024

Highlighted filing

2024

Assets$31,690,226
Liabilities$13,524,000
Net Assets$18,166,226
Open 2024 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$0-$500K-$1.0M-$1.5M-$2.0MRevenue 2021: -$799,948Expenses 2021: $0Net Income 2021: -$799,9482021Revenue 2022: -$1,689,577Expenses 2022: $0Net Income 2022: -$1,689,5772022Revenue 2023: -$1,871,397Expenses 2023: $0Net Income 2023: -$1,871,3972023Revenue 2024: -$1,868,901Expenses 2024: $0Net Income 2024: -$1,868,9012024

Highlighted filing

2024

Revenue-$1,868,901
Expenses$0
Net Income-$1,868,901
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$31,690,226
Liabilities
$13,524,000
Net assets
$18,166,226
Revenue
-$1,868,901
Expenses
$0
Net income
-$1,868,901
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$31.7$13.5$18.2$1.87$0.00$1.87
2023Detailed filing. Detailed filing data is available for this year.$33.5$13.5$20.0$1.87$0.00$1.87
2022Detailed filing. Detailed filing data is available for this year.$35.5$13.5$21.9$1.69$0.00$1.69
2021Detailed filing. Detailed filing data is available for this year.$37.1$13.5$23.6$0.80$0.00$0.80
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jul 24, 2025
Return Version
2024v5.2
Gross Receipts
$127,344
Mission and Program Overview

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$31,977,144$30,260,496▼ $1,716,648
Pd in Cap Srpls Land Bldg Eqp Fund$23,596,101$23,596,101→ $0
Intangible Assets$727,724$701,184▼ $26,540
Cash and Non-Interest-Bearing Accounts$741,899$658,294▼ $83,605
Prepaid Expenses and Deferred Charges$100,360$70,252▼ $30,108
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-3,560,974$-5,429,875▼ $1,868,901
Total Assets$33,547,127$31,690,226▼ $1,856,901
Liabilities
Mortgage Notes Payable Secured by Investment Property$13,500,000$13,500,000→ $0
Accounts Payable and Accrued Expenses$12,000$24,000▲ $12,000
Total Liabilities$13,512,000$13,524,000▲ $12,000
Net Assets / Fund Balance
Total Net Assets Fund Balance$20,035,127$18,166,226▼ $1,868,901
Total Liabilities and Net Assets / Fund Balance$33,547,127$31,690,226▼ $1,856,901

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$26,537,656$2,577,944$29,115,600
Equipment$3,722,840$3,112,190$6,835,030
Compensation and Service Providers
Top Officer Pay9th percentile

Board Members and Trustees

NameTitle
Keith WilliamsPresident
Jorge GarciaSecretary
Robert ReiffTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$-1,868,901
Change in Net Assets
$-1,868,901
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Other officer compensation reviewed
No
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

“A board meeting is called and the 990 is reviewed with the officers.”

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

“Annual review by hospital board”

Form 990, Part VI, Section C, Line 19

“UPON REQUEST”

Filing and Contact Details

Filer

Filer Name
Jackson Hospital Qalicb Inc
EIN
86-3052869
Phone
8507182623
Address
4250 HOSPITAL DRIVE, MARIANNA, FL 32446

Signing Officer

Name
Keith Williams
Title
President
Phone
8505730231
Signed
2025-07-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Keith Williams
Formed
2021
Legal Domicile
Fl
Voting Board Members
3
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Cri Advisors LLC
Address
4267 LAFAYETTE STREET, MARIANNA, FL 32446
Preparer
Sara Hughes
Phone
8505263207
Raw XML Appendix340 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0A. 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.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0THE 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.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1THE 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.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A BOARD MEETING IS CALLED AND THE 990 IS REVIEWED WITH THE OFFICERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ANNUAL REVIEW BY HOSPITAL BOARD
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
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ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KEITH WILLIAMS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum08505730231
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-07-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0JACKSON HOSPITAL QALICB INC
ReturnHeader/Filer/BusinessNameControlTxt0JACK
ReturnHeader/Filer/EIN0863052869
ReturnHeader/Filer/PhoneNum08507182623
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04267 LAFAYETTE STREET
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ReturnHeader/PreparerPersonGrp/PreparationDt02025-07-24
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0SARA HUGHES
ReturnHeader/ReturnTs02025-11-12T12:40:12-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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