2024-01-26T14:45:30-06:00 2023-03-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2022-04-01 591664577 PROJECT HEALTH INC PROJ 3527935900 1425 US SOUTH HIGHWAY 301 SUMTERVILLE FL 33585 THOMAS CHASE CEO 3527935900 2024-01-19 1 THOMAS CHASE 999009999 0 SAM A LAZZARA P01342929 8138757774 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LANGLEY HEALTH SERVICES THOMAS CHASE 1425 US SOUTH HIGHWAY 301 SUMTERVILLE FL 33585 26197064 0 X WWW.LANGLEYMEDICAL.COM X 1974 FL PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE TO ANYONE NEEDING THESE SERVICES. SERVICES ARE PROVIDED WITH COURTESY, DIGNITY AND COMPASSION BY PROFESSIONAL, WELL TRAINED STAFF. 14 14 253 14 0 0 9695106 9895761 16887913 16276889 27099 0 20574 24414 26630692 26197064 0 0 0 0 16270445 17947619 0 0 0 7269150 8020164 23539595 25967783 3091097 229281 20480192 22077066 7299483 8667076 13180709 13409990 PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE WITH COURTESY, DIGNITY AND COMPASSION BY A PROFESSIONAL, WELL TRAINED STAFF TO ANYONE NEEDING THESE SERVICES. 0 0 19335868 16301303 AMBULATORY AND PRIMARY HEALTH CARE SERVICES PROVIDED ON A SLIDING FEE SCHEDULE - SERVICES INCLUDED MEDICAL, DENTAL, PHARMACY, LABORATORY, AND COMMUNITY HEALTH EDUCATION. 19335868 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 42 0 1 253 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 FL X TAMMY BOWMAN CONTROLLER 3527935900 1425 U S SOUTH HWY 301 SUMTERVILLE FL 33585 IVORY GRAY CHAIRMAN 1.00 X X 0 0 0 JUNE TICKLE VICE CHAIR 1.00 X X 0 0 0 JIM BODENNER TREASURER 1.00 X X 0 0 0 BROOKE MORRIS SECRETARY 1.00 X X 0 0 0 ROBERT COOPER DIRECTOR 1.00 X 0 0 0 JOE DONLON DIRECTOR 1.00 X 0 0 0 MARIA BELLO DIRECTOR 1.00 X 0 0 0 SHERRY OLSZANSKI DIRECTOR 1.00 X 0 0 0 WANDA FRANCIS DIRECTOR 1.00 X 0 0 0 PAULA KNIGHT DIRECTOR 1.00 X 0 0 0 KRISTY LINDKE DIRECTOR 1.00 X 0 0 0 DEANA LINDSAY DIRECTOR 1.00 X 0 0 0 BROOKE MORRIS DIRECTOR 1.00 X 0 0 0 JON SIMPSON DIRECTOR 1.00 X 0 0 0 THOMAS CHASE CEO 40.00 X 330784 0 27000 VICKI WYNNS COO 40.00 X 166208 0 13500 JOHN SIVON CSO 40.00 X 171404 0 13581 REBECCA HALLMAN ACOO 40.00 X 124638 0 8535 AMBER JUNE JUDD ARNP ACCO 40.00 X 260475 0 3546 ALEXANDER MOYER CCO 40.00 X 163197 0 0 MORRIS BREITSTEIN CFO 40.00 X 101574 0 16131 DEBORAH GREER ARNP REGISTERED NURSE 40.00 X 172321 0 27000 KOMALA BHUSHAN MD DOCTOR 40.00 X 338526 0 0 JULIE A VAVRUSKA MD DOCTOR 40.00 X 170038 0 0 TAYLOR JOSHUA WILSON MD DOCTOR 40.00 X 171738 0 0 CARMEN RODRIGUEZ MD DOCTOR 40.00 X 178365 0 0 2349268 0 109293 32 0 1 0 0 9446795 448966 9895761 NET PATIENT SERVICE REVENUE 621400 16276889 16276889 16276889 24414 0 24414 24414 24414 26197064 16276889 0 24414 1318280 1049281 268999 13481718 10730729 2750989 254663 179714 74949 1850930 1306194 544736 1042028 735354 306674 62257 62257 126386 126386 1637908 1260221 377687 173515 1891 171624 346168 130491 215677 758333 725421 32912 1171924 541464 630460 95533 31454 64079 266779 13632 253147 714821 213493 501328 285885 40374 245511 PHARMACEUTICAL SUPPLIES 1559543 1555043 4500 PROVISION FOR BAD DEBT 821112 821112 25967783 19335868 6631915 0 7337448 8044376 238219 238367 564886 505640 1639027 1179942 30481 29138 115301 135865 21473240 10695896 10531211 10777344 23619 1166394 20480192 22077066 2354991 2847388 4850542 4579079 93950 1240609 7299483 8667076 X 13180709 13409990 13180709 13409990 20480192 22077066 229281 0 X X 0 1 X 1 1 1 X 6643782 6106086 10785197 9695106 9895761 43125932 11141176 12373446 12727300 16560679 16276889 69079490 17784958 18479532 23512497 26255785 26172650 112205422 0 0 0 112205422 52852 72743 32707 24329 24414 207045 52852 72743 32707 24329 24414 207045 17837810 18552275 23545204 26280114 26197064 112412467 0.99820 0.99770 0.00180 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1280721 1280721 12340208 4872156 7468052 1600998 921310 679688 5805451 4902430 903021 445862 445862 10777344 DEPOSITS 23619 RIGHT-OF-USE LEASE ASSET 1142775 1166394 DUE TO AFFILIATE 93950 RIGHT OF USE LEASE LIABILITY 1146659 1240609 X PART X, LINE 2: THE ORGANIZATION HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X X 0 0 0 0 0 0 0 0 0 THOMAS CHASE CEO 330784 0 0 0 0 0 0 0 27000 0 357784 0 0 0 KOMALA BHUSHAN MD DOCTOR 338526 0 0 0 0 0 0 0 0 0 338526 0 0 0 AMBER JUNE JUDD ARNP ACCO 260475 0 0 0 0 0 0 0 3546 0 264021 0 0 0 DEBORAH GREER ARNP REGISTERED NURSE 172321 0 0 0 0 0 0 0 27000 0 199321 0 0 0 JOHN SIVON CSO 171404 0 0 0 0 0 0 0 13581 0 184985 0 0 0 VICKI WYNNS COO 166208 0 0 0 0 0 13500 0 0 0 179708 0 0 0 CARMEN RODRIGUEZ MD DOCTOR 178365 0 0 0 0 0 0 0 0 0 178365 0 0 0 TAYLOR JOSHUA WILSON MD DOCTOR 171738 0 0 0 0 0 0 0 0 0 171738 0 0 0 JULIE A VAVRUSKA MD DOCTOR 170038 0 0 0 0 0 0 0 0 0 170038 0 0 0 ALEXANDER MOYER CCO 163197 0 0 0 0 0 0 0 0 0 163197 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CEO REPORTING, THOMAS CHASE PRESENTS THE COPY OF FORM 990 TO THE BOARD OF DIRECTORS AT THEIR MONTHLY MEETING FOR REVIEW. AFTER REVIEW OF THE DOCUMENTS A MOTION IS MADE BY ONE OF THE BOARD MEMBERS TO ACCEPT FORM 990, AND AFTER MOTION IS SECONDED IT IS CONSIDERED APPROVED TO FILE WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS ARE PROVIDED COPIES OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. DIRECTORS ARE REQUIRED TO COMPLETE A WRITTEN QUESTIONNAIRE ABOUT ANY POTENTIAL CONFLICTS THEY MAY HAVE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD IS AWARE OF THE PROVISIONS OF SECTION 4958. IN SETTING THE COMPENSATION FOR THE CEO, THE BOARD HAS COMPARATIVE DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), AND FOR YEARS WHICH DATA IS AVAILABLE, DATA FROM THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS (FACHC). THE EXECUTIVE COMMITTEE CONSIDERS THIS DATA, REVIEWS THE PERFORMANCE OF THE CEO AND NEGOTIATES CONTRACTS AND CONTRACT EXTENSIONS FROM TIME TO TIME. THE PROCESS IS DOCUMENTED. THE CURRENT CONTRACT OF THE CEO COMMENCED ON APRIL 1, 2021 AND CONTINUED THROUGH MARCH 31, 2023. THE CONTRACT FOR THE APRIL 1, 2023 THROUGH MARCH 31, 2025 CONTRACT IS IN NEGOTIATION AT TIME OF FILING. HISTORICALLY, THE DATA FROM NACHC (AND FACHC WHEN APPLICABLE), HAS ALSO BEEN ANALYZED AND REPORTED TO THE BOARD AND HAS BEEN USED TO CONSIDER THE SALARIES OF THE COO, CFO, CMO AND DIRECTOR OF DEVELOPMENT." THOSE SALARIES ARE SET BY THE CEO AND ADJUSTED FROM TIME TO TIME. FORM 990, PART VI, SECTION C, LINE 18 PROJECT HEALTH MAKES ITS FORMS 1023 AND 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 PROJECT HEALTH NOTES THAT IT IS NOT REQUIRED TO MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C, FINANCIAL STATEMENTS AND REPORTING: PROJECT HEALTH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION OF THE ORGANIZATION'S INDEPENDENT AUDITORS. THE BOARD MAINTAINS COMMUNICATION WITH THE INDEPENDENT AUDITORS, AS NECESSARY, DURING THE AUDIT AND IS RESPONSIBLE FOR REVIEWING AND APPROVING THE AUDITED FINANCIAL STATEMENTS. THOMAS E LANGELY MEDICAL CENTER FOUNDATION INC 1425 SOUTH US HWY 301 SUMTERVILLE FL 33585 650713573 RAISE FUNDS TO SUPPORT THE ACTIVITIES OF PROJECT HEALTH FL 501(C)(3) 509(A)(3) TYPE II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0