2024-03-15T09:30:32-05:00 2023-04-30 593204548 JAMES MOORE & CO PL 5931 NW 1ST PL GAINESVILLE FL 326072063 990 2022-05-01 202779327 CENTERPLACE HEALTH INC CENT 9415290249 1750 17TH STREET BLDG N SARASOTA FL 34234 KARI ELLINGSTAD CHIEF EXECUTIVE OFFICER 9415290249 2024-03-14 1 KARI ELLINGSTAD 999009999 0 CORINNE LAROCHE P01500189 3523781331 2024-03-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KARI ELLINGSTAD 1750 17TH STREET BLDG N SARASOTA FL 34234 19386691 0 X HTTPS://CENTERPLACEHEALTH.ORG/ X 2014 FL A FQHC (FEDERALLY QUALIFIED HEALTHCARE CENTER) EMPLOYING MEDICAL & DENTAL PROVIDERS SPECIALIZING IN QUALITY PRIMARY CARE SERVICES TO PATIENTS THAT ARE UNDERSERVED, UNDERINSURED AND/OR UNINSURED. 12 12 236 12 0 0 5650811 7807736 11581893 11571760 1807 7195 0 0 17234511 19386691 0 0 0 0 11205225 12593528 0 0 0 5375438 4698416 16580663 17291944 653848 2094747 4724060 5660266 2173345 1014804 2550715 4645462 X CENTERPLACE HEALTH, AS A FQHC (FEDERALLY QUALIFIED HEALTHCARE CENTER), EMPLOYS MEDICAL AND DENTAL PROVIDERS SPECIALIZING IN QUALITY, EFFICIENT AND EFFECTIVE PRIMARY CARE SERVICES AND PREVENTABLE HEALTH EDUCATION TO PATIENTS THAT ARE AT RISK, VULNERABLE, UNDERSERVED, UNDERINSURED AND/OR UNINSURED. 0 0 11697965 11571760 CENTERPLACE HEALTH, AS A FQHC (FEDERALLY QUALIFIED HEALTHCARE CENTER), EMPLOYS MEDICAL AND DENTAL PROVIDERS SPECIALIZING IN QUALITY, EFFICIENT AND EFFECTIVE PRIMARY CARE SERVICES AND PREVENTABLE HEALTH EDUCATION TO PATIENTS THAT ARE AT RISK, VULNERABLE, UNDERSERVED, UNDERINSURED AND/OR UNINSURED. 11697965 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 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 0 0 0 0 1 22 0 1 236 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 1 0 0 0 0 1 1 0 0 1 0 1 1 1 1 0 X CHRISTINA GARAWAY 9415290249 1750 17TH STREET BLDG N SARASOTA FL 34234 WILLIAM LITTLE CHAIR 5.00 X X 0 0 0 MARIA SOMERA RAMIREZ VICE CHAIR 5.00 X X 0 0 0 HOWARD BERMAN TREASURER 5.00 X X 0 0 0 ARNOLD DENNARD SECRETARY 5.00 X X 0 0 0 IRENE FLESHNER IMMEDIATE PAST CHAIR 5.00 X X 0 0 0 SCOTT BUSHWAY DIRECTOR, AS OF 10/2022 5.00 X 0 0 0 MARYLEE GROSSO DIRECTOR, AS OF 1/2023 5.00 X 0 0 0 MIKHAIL SCOTT DIRECTOR, AS OF 10/2022 5.00 X 0 0 0 CRYSTAL BROOKS DIRECTOR, AS OF 1/2023 5.00 X 0 0 0 MAUREEN O'BRIEN DIRECTOR, AS OF 1/2023 5.00 X 0 0 0 MARIA DECARLO DIRECTOR 5.00 X 0 0 0 GLORIA DEHAVEN DIRECTOR 5.00 X 0 0 0 JAMES REID CFO, UNTIL 12/2022 40.00 X 171186 0 21867 MELISSA PARKER CEO, UNTIL 6/2022 40.00 X 70062 0 8442 KARI ELLINGSTAD CEO, AS OF 9/2022 40.00 X 59086 0 6409 LISA GONZALEZ-ABELLO CMO 40.00 X 189613 0 27963 CHRISTINE TRUPIANO MD PROVIDER 40.00 X 310780 0 23983 JOSEPH SINGER MD PROVIDER 40.00 X 284279 0 23054 ANTHONY DORBU MD PROVIDER 40.00 X 252615 0 21443 MARCUS FOOS MD PROVIDER 40.00 X 174835 0 21830 SAHAR DOWIDAR MD PROVIDER 40.00 X 146620 0 21343 1659076 0 176334 16 0 1 0 ARCH HEALTHCARE INC 3231 GULF GATE DR STE 202 SARASOTA FL 34231 HEALTHCARE SERVICES 174376 NURSECORE DEPT 41753 PO BOX 650823 DALLAS TX 75265 STAFFING SERVICES 161846 CENTERSTONE OF FLORIDA INC PO BOX 9478 BRANDENTON FL 34206 HEALTHCARE SERVICES 147478 3 6448665 1359071 5000 7807736 MEDICAID FEES 624100 7048080 7048080 PHARMACY FEES 624100 2135498 2135498 PATIENT FEES 624100 2011691 2011691 MEDICARE FEES 624100 376491 376491 11571760 7195 7195 19386691 11571760 0 7195 X 557480 390066 167414 10070215 7046085 3024130 140247 98130 42117 1075875 752785 323090 749711 524570 225141 73120 73120 76842 76842 1083640 642815 440825 33225 945 32280 187002 109320 77682 195061 48736 146325 580935 374450 206485 33626 33626 17829 15132 2697 16 16 150426 106563 43863 108503 26457 82046 PHARMACEUTICALS/SUPPLIE 983839 913031 70808 BAD DEBT EXPENSE 323121 323121 DISPENSING FEE 265662 265662 DUES & SUBSCRIPTIONS 243534 158792 84742 342035 224426 117609 17291944 11697965 5593979 0 213705 -20564 1037595 869791 6000 2755443 4047179 198238 264616 902783 409539 519079 493244 4724060 5660266 1183796 866827 30000 0 149900 147977 809649 0 2173345 1014804 X 2550715 4645462 2550715 4645462 4724060 5660266 2094747 0 X 0 0 0 X 4278200 3876798 5985261 5850810 7807735 27798804 4278200 3876798 5985261 5850810 7807735 27798804 1267024 26531780 918 10522 2540 1807 7195 22982 27821786 41587144 0.95360 0.93780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21552 5190 16362 823606 390070 433536 57625 14279 43346 493244 X X 0 0 0 0 0 0 0 0 0 CHRISTINE TRUPIANO MD PROVIDER 310780 0 0 0 0 0 9323 0 14660 0 334763 0 0 0 JOSEPH SINGER MD PROVIDER 284279 0 0 0 0 0 8528 0 14526 0 307333 0 0 0 ANTHONY DORBU MD PROVIDER 252615 0 0 0 0 0 7578 0 13865 0 274058 0 0 0 LISA GONZALEZ-ABELLO CMO 189613 0 0 0 0 0 6378 0 21585 0 217576 0 0 0 MARCUS FOOS MD PROVIDER 174835 0 0 0 0 0 5245 0 16585 0 196665 0 0 0 JAMES REID CFO, UNTIL 12/2022 171186 0 0 0 0 0 0 0 21867 0 193053 0 0 0 SAHAR DOWIDAR MD PROVIDER 146620 0 0 0 0 0 4399 0 16944 0 167963 0 0 0 PART I, LINE 3 COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION AMOUNTS ARE DETERMINED BY AVAILABLE SALARY SURVEY DATA AND COMPENSATION PAID BY SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST ONLY OF THE OFFICERS OF THE CORPORATION AND WILL MEET AS NEEDED TO CONDUCT BUSINESS OF THE CORPORATION AS DEFINED IN THE BYLAWS TO: (A) TAKE ACTIONS ON BEHALF OF THE BOARD BETWEEN MEETINGS, AS NECESSARY; (B) CONDUCT THE BUSINESS OF THE BOARD; (C) OVERSEE THE EVALUATION OF THE CEO, INCLUDING ALL PROCESSES RELATED TO THIS FUNCTION INCLUDING ESTABLISHING CRITERIA, INTERVIEWING, AND PREPARING SUMMARY INFORMATION TO THE BOARD; AND (D) RECOMMEND SUCCESSION PLANNING FOR KEY FQHC LEADERSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION APPROVED CHANGES TO ITS BYLAWS ON 11/15/2022. SIGNIFICANT CHANGES INCLUDE THE FOLLOWING: - SPECIFYING WHICH GRANT APPLICATIONS AND AMENDMENTS REQUIRE BOARD APPROVAL. - ADDING LANGUAGE FOR LEAVE OF ABSENCE REQUESTS BY BOARD MEMBERS. - REMOVAL OF THE 'RESPONSIBILITIES AND DUTIES OF A BOARD DIRECTOR' SECTION. - UPDATING THE 'GOVERNANCE COMMITTEE' LANGUAGE TO BE MORE SUCCINCT AND ACCURATE. - RENAMING THE 'CLINICAL COMMITEE' TO THE 'QUALITY COMMITTE AND COMBINING WITH THE 'COMPLIANCE COMMITTEE' TO CREATE THE 'QUALITY AND COMPLIANCE COMMITTEE', AS WELL AS SIMPLIFYING THE LANGUAGE. - DISBANDING THE 'MARKETING AND COMMUNICATIONS COMMITTEE AND REMOVING THE RELATED SECTION. - ADDING THE SECTION FOR THE 'AUDIT COMMITTEE', WHICH IS COMPRISED OF BOARD MEMBERS AND WILL MEET AS NECESSARY TO REVIEW AND APPROVE THE ANNUAL INDEPENDENT FINANCIAL AUDIT AS WELL AS OTHER AUDITS AS OCCURRING. - UPDATING THE FISCAL YEAR LANGUAGE FOR ACCURACY. - ADDING LANGUAGE STATING THAT AN ADDITIONAL TERM OF OFFICE MAY BE EXTENDED TO A BOARD MEMBER IN EXCEPTIONAL CIRCUMSTANCES OR TO MEET THE NEEDS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 DRAFT IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO ISSUANCE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION AMOUNTS ARE DETERMINED BY AVAILABLE SALARY SURVEY DATA AND COMPENSATION PAID BY SIMILAR ORGANIZATIONS. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER IS APPROVED BY THE CEO. COMPENSATION OF KEY EMPLOYEES IS APPROVED BY THE CHIEF FINANCIAL OFFICER. COMPENSATION AMOUNTS ARE DETERMINED BY AVAILABLE SALARY SURVEY DATA AND COMPENSATION PAID BY SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC BY REQUEST BY VISITING THE HEADQUARTERS OF THE ORGANIZATION WITH SUFFICIENT NOTICE GIVEN. FORM 990, PART IX, LINE 24E RECRUITING: PROGRAM SERVICE EXPENSES 95,831. MANAGEMENT AND GENERAL EXPENSES 37,563. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,394. LABORATORY FEES: PROGRAM SERVICE EXPENSES 82,597. MANAGEMENT AND GENERAL EXPENSES 34,206. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,803. LICENSING/CRENDENTIALING: PROGRAM SERVICE EXPENSES 35,304. MANAGEMENT AND GENERAL EXPENSES 18,841. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,145. OTHER: PROGRAM SERVICE EXPENSES 10,694. MANAGEMENT AND GENERAL EXPENSES 17,517. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,211. BANK/FINANCE EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,482. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,482.