2022-11-22T15:32:34-06:00 2021-12-31 HURRICANE IAN RELIEF WITHUMSMITHBROWNPC 200 S ORANGE AVESTE 1200 ORLANDO FL 328013400 990 2021-01-01 593219191 TREASURE COAST COMMUNITY HEALTH INC % ANDREA FEDOCK TREA 7725711985 1555 INDIAN RIVER BLVD Suite B210 VERO BEACH FL 32960 VICKI SOULE CEO 7725711981 2022-11-21 true VICKI SOULE 999009999 ERIK A HALLUSKA CPA P01954172 4078491569 2021 2022-09-23 18:48:47Z VICKI SOULE 1555 INDIAN RIVER BLVD B210 VERO BEACH FL 32960 27947496 false X WWW.TCCHINC.ORG X 1993 FL PUBLIC HEALTH SERVICES PROVIDED UNDER US DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340 13 13 390 83 0 11180126 12691922 12378363 14688447 -922 23976 473949 543151 24031516 27947496 0 0 0 0 15384092 17837658 0 0 0 6275820 6161700 21659912 23999358 2371604 3948138 13892784 17114794 6738405 6012277 7154379 11102517 X TO PROVIDE ACCESSIBLE, COST-EFFECTIVE, HIGH QUALITY, COMPREHENSIVE HEALTH CARE TO ALL PERSONS REGARDLESS OF THEIR SOCIOECONOMIC CIRCUMSTANCE, AND TO IMPROVE THE OVERALL HEALTH OF THE MEDICALLY UNDERSERVED FAMILIES. false false 20439912 15231598 Since 1995, Treasure Coast Community Health, Inc. (TCCH), a not-for-profit health center, has been a community owned and operated health system, built on a foundation of public/private partnerships. Across our communities, state and nation, community health centers have achieved unparalleled success in improving access, improving health, and providing cost-effective, quality health care to individuals and families in need. Our goal is to provide a lifetime of the highest quality, most affordable, easily accessible, integrated network of healthcare from pediatrics through seniors. TCCH served approximately 26,000 patients during 2021, providing primary preventative healthcare services. TCCH providers reported 88,247in clinic face-to-face patient visits in 2021 and 13,719 telehealth visits. The Chief Executive Officer and management staff are highly credentialed community leaders. All clinical staff is board-eligible or board-certified. TCCH's target population serves a multi-cultural population of all ranges of economic levels, including individuals whose income falls at or below 200% of the Federal Poverty Guidelines. TCCH serves as a federal safety net providing medical, dental, and behavioral health services to underserved, uninsured, underinsured, minority and working poor individuals. In 2021, approximately 78% of patients had income below the 200% Federal poverty level; 2% were greater than the Federal poverty level and 20% were unknown. Twenty-three percent of the patients served were uninsured and of the total uninsured of the uninsured 10% were children. Services are offered on a sliding scale with a minimal payment scale for those under 100% Federal poverty level. Our health programs are based on the following tenets to ensure that patients have access to a continuum of coordinated care and vital support services which can lead to positive health outcomes and healthier behaviors and lifestyles. TCCH provides comprehensive primary and preventative care using a primary care delivery model, called a Patient Centered Medical Home. This model integrates comprehensive care for medical, dental, and mental health/substance abuse services to all people regardless of socioeconomic status. During July of 2021, Treasure Coast began seeing patients one day a week for vision services. This program provides affordable exams and glasses, glaucoma and diabetic retinopathy care. Also to add to TCCH services, during 2021 TCCH started a collaboration with the University of Florida Project ECHO Diabetes program to reach the underserved population. FSU provides extensive education to TCCH providers who in turn treat patients with the most current diabetes care. The program also assigns a diabetes support coach to help patients navigate their new complex world. Breaking Down Barriers to Health Care - Outreach programs bring our highly skilled health care professionals out into the community to fill in the gaps by reaching out to people who confront barriers to care. In addition, our patient service hours are tailored to eliminate barriers to care through increased access. During 2021, Treasure Coast Community Health made strong connections with organizations and individuals through out the county. We rolled up our sleeves and served a critical need assisting with COVID-19 testing and vaccinations. Treasure Coast distributed 24,482 vaccines and performed 14,346 rapid and PCR tests for COVID 19. TCCH staff worked 60-70 hours in the normal 40 hour per week shifts helping to ensure the community's COVID 19 disease management needs were met. Treasure Coast Community Health strives to help fill the need for affordable, quality health care. Creating Strategies for a Healthier Community. Focus on health and quality of life in Indian River County. Patient needs are identified with focused strategies and appropriate interventions developed to address chronic illness and other problems which impact overall community health. Delivering Affordable, Patient-Centered Health care. Unlike other providers, our centers rely on subsidies from federal, state and other mixed payer sources to help cover the costs of services furnished to Treasure Coast Community Health patients. Many of our awareness programs, such as the women's health fund program, depend upon private tax-deductible donations from foundations and individuals to cover the program costs. Local governance ensures that care is patient-centered and responsive to the diverse cultures and needs identified within our community. A majority of Treasure Coast Community Health's volunteer board members are users of our center, representing the communities and the people served. Access to Care. Comprehensive primary health services covers all ages and includes dental, nursing, laboratory, x-ray, and pharmacy as well as specialty, inpatient care referrals, and follow-up. Priority is placed on making health services easy for patients to access. Importantly, our health centers integrate the delivery of primary care with aggressive outreach, health education, counseling, translation, transportation services and other social services. Our Health Navigators provide case management support for patients that require additional services within the community that are not provided by Treasure Coast Community Health. Building Bridges of Support in our Community. Continuously seek community partnerships that enable us to enhance patient-access resources, which leads to growth and development and to remain at the forefront of leadership in the search for solutions toward a better approach in the delivery of health care. Treasure Coast Community Health stakeholders include academic institutions, foundations, businesses, federal, state and local governments, community service organizations, hospitals, nursing homes, private physicians groups, churches, charitable organizations and many others. 20439912 true true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false true false false false false true true false false true 21 0 true 390 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true true true FL X ANDREA FEDOCK 7725711981 1555 INDIAN RIVER BLVD STE B210 VERO BEACH FL 32960 MARLENE AKING PHYSICIAN 40.0 0.0 X 295380 0 28687 DIAN PICOU PSYCHIATRIST 34.0 0.0 X 293656 0 25461 YADIRA PADIN-ROJAS PSYCHIATRIST 40.0 0.0 X 271194 0 31191 VICKI SOULE CEO 40.0 1.0 X 235533 0 40729 JENNIFER MOORE CMO 40.0 0.0 X 219412 0 5157 JULIETTE VALERIANO PHYSICIAN 36.0 0.0 X 177890 0 25579 ANH PHAM PHYSICIAN 40.0 0.0 X 176913 0 2925 ANDREA FEDOCK CFO 40.0 1.0 X 135118 0 11574 JOEY TORRES CIO 40.0 0.0 X 122011 0 13853 ELIZABETH YOUNG CHRO 40.0 0.0 X 102637 0 19051 BUDDY AKERS BOARD MEMBER 2.0 0.0 X 0 0 0 THEDA HOLLAND BOARD MEMBER 2.0 0.0 X 0 0 0 JUDI MILLER CHAIRPERSON 6.0 0.0 X X 0 0 0 ERNESTINE WILLIAMS BOARD MEMBER 2.0 0.0 X 0 0 0 MIGDALIA MCDONALD VICE CHAIRPERSON 5.0 0.0 X X 0 0 0 VERA SMITH SECRETARY 2.0 2.0 X X 0 0 0 TINA NICHOLSON BOARD MEMBER 4.0 0.0 X 0 0 0 BRENDA BRADLEY BOARD MEMBER 2.0 0.0 X 0 0 0 WILDRED HART BOARD MEMBER 2.0 0.0 X 0 0 0 REVEREND WILLIAM SHELLY BOARD MEMBER 2.0 0.0 X 0 0 0 JIM PARLA BOARD MEMBER 2.0 1.0 X 0 0 0 ELISA SIELINSKI CHAIRPERSON 5.0 4.0 X 0 0 0 CHERYL MICHEL PAST TREASURER(UNTIL 11/24/21) 2.0 3.0 X 0 0 0 2029744 0 204207 10 false true false 0 12092940 598982 1310069 12691922 PATIENT SERVICES 621110 12754462 12754462 PHARMACY 446110 1933985 1933985 14688447 6150 6150 0 0 0 0 0 17826 0 17826 17826 17826 0 0 0 0 0 0 0 0 0 INCENTIVE INCOME 621110 348696 348696 REBATES AND REFUNDS 900099 43300 43300 COPIES 900099 11086 11086 140069 140069 543151 27947496 15037143 218431 0 0 0 0 904807 904807 0 14400193 11686180 2714013 1195844 1096995 98849 235861 216365 19496 1100953 1009948 91005 0 38378 38378 50488 50488 0 0 0 486517 483117 3400 0 166344 137587 28757 0 0 664664 550729 113935 34227 8456 25771 0 0 115376 115376 0 662675 570460 92215 126776 80651 46125 RECRUITMENT AND RETENTION 73414 35040 38374 OUTREACH 120588 117696 2892 MEDICAL AND DENTAL SUPPLIES 1812214 1810916 1298 REPAIRS AND MAINTENANCE 887653 790573 97080 922386 825016 97370 23999358 20439912 3559446 0 X 1011132 1960000 4790679 6392846 555040 664234 1986835 2377089 0 0 0 0 0 0 151855 64472 145620 183567 10970478 5706565 5003554 5263913 0 0 0 0 80100 63557 0 0 167969 145116 13892784 17114794 1525305 2036525 0 0 0 192169 0 0 0 0 0 0 2277814 3783583 2928192 0 7094 0 6738405 6012277 X 7148329 11090419 6050 12098 7154379 11102517 13892784 17114794 3948138 X true true X true true true X 5963175 6733857 8089254 11180126 12691922 44658334 0 0 5963175 6733857 8089254 11180126 12691922 44658334 0 44658334 6995 6995 3151 3820 6150 27111 0 23151 44264 133190 151533 194457 546595 45232040 0.98732 0.99550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 580851 580851 6201878 2971781 3230097 267743 267743 0 3865282 2469363 1395919 57046 0 57046 5263913 0 0 X 28086752 157082 157082 27929670 17826 17826 27947496 24138614 157082 157082 23981532 17826 17826 23999358 Part XI,LINE 4b Gain on the sale of assets NETTED AGAINST EXPENSES FOR AUDITED FINANCIAL STATEMENT PRESENTATION, RECLASSIFED AS REVENUE FOR TAX RETURN PURPOSES Part XII, line 4b Gain on the sale of assets NETTED AGAINST EXPENSES FOR AUDITED FINANCIAL STATEMENT PRESENTATION, RECLASSIFED AS REVENUE FOR TAX RETURN PURPOSES PART X, LINE 2: TCCH is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code and from Florida income tax under Chapter 220 of the Florida Statutes. Accordingly, no provision for income taxes has been included in the accompanying consolidated financial statements. Accounting principles generally accepted in the United States of America prescribe requirements for the recognition of income taxes in financial statements, and the amounts recognized are affected by income tax positions taken by the Center in its tax returns. The Center's status as an exempt organization is defined as an income tax position under these requirements. While management believes it has complied with the Internal Revenue Code, the sustainability of some income tax positions taken by the Center in its tax returns may be uncertain. There are minimum thresholds of likelihood that uncertain tax positions are required to meet before being recognized in the financial statements. Management does not believe that the Center has any material uncertain tax positions at December 31, 2021 and 2020. In the event interest and penalties were due relating to an unsustainable tax position, they would be treated as a component of income tax expense. No interest or penalties were due for the years ended December 31, 2021 and 2020. X X X X X false false false false false false false true false VICKI SOULE CEO 215525 15520 4488 26000 14729 276262 JENNIFER MOORE CMO 218629 783 5157 224569 MARLENE AKING PHYSICIAN 284588 10000 792 26000 2687 324067 DIAN PICOU PSYCHIATRIST 282932 10000 724 25461 319117 YADIRA PADIN-ROJAS PSYCHIATRIST 260443 10000 751 26000 5191 302385 JULIETTE VALERIANO PHYSICIAN 177374 516 18944 6635 203469 ANH PHAM PHYSICIAN 176569 344 2925 179838 PART I, LINE 7 THE GOVERNING BOARD ASSESSES PERFORMANCE AND DETERMINES DISCRETIONARY BONUS AMOUNTS FOR THE CEO. THE CEO, WITH INPUT FROM THE DIRECT SUPERVISOR, EVALUATES THE PERFORMANCE OF ALL OTHER EMPLOYEES TO DETERMINE BONUS RECIPIENTS AND AMOUNTS. DISCRETIONARY BONUSES ARE USED TO REWARD EMPLOYEES WHO SHOWED EXEMPLARY PERFORMANCE AT A PARTICULAR TIME. X 1 860253 cdc vaccine cost X medical supplies 1 449816 FMV false true false FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS SCHEDULED FOR REVIEW PRIOR TO FILING. THE FORM IS INCLUDED IN THE FINANCE COMMITTEE'S MONTHLY PACKET OF INFORMATION FOR A DETAILED REVIEW. THE FORM IS THEN INCLUDED AS PART OF THE GOVERNING BOARD'S MONTHLY PACKET OF INFORMATION FOR REVIEW AND DISCUSSION. A VOTE TO APPROVE THE FORM FOR SUBMISSION IS MADE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C TREASURE COAST COMMUNITY HEALTH HAS A CONFLICT OF INTEREST POLICY THAT IS MONITORED AND REVIEWED BY THE FINANCE COMMITTEE. ALL DIRECTORS, OFFICERS, AND MEMBERS OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY DURING THE ANNUAL TRAINING PROCESS. THE POLICY REQUIRES THAT ALL ACTUAL AND POSSIBLE CONFLICTS OF INTEREST BE DISCLOSED AND ALL MATERIAL FACTS BE PRESENTED TO THE FINANCE COMMITTEE FOR EVALUATION. THE GOVERNING BOARD IS ALSO AWARE THAT THEY ARE TO RECUSE THEMSELVES FROM THE VOTING PROCESS SHOULD THERE BE ANY CONFLICT OF INTEREST WITH REGARD TO THE VOTING MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION FOLLOWS A SALARY PRACTICES POLICY TO DETERMINE COMPENSATION. THE PROCESS USES THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S SURVEY TO ESTABLISH AN APPROPRIATE SALARY GRADE/PAY RANGE FOR POSITIONS DUE TO THE SMALL COMPARATIVE BODY LOCALLY. THE BOARD OF DIRECTORS HAS A FORMAL REVIEW PROCESS FOR THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. ON AN ANNUAL BASIS ALL BOARD MEMBERS ARE SURVEYED FOR THEIR SCORING OF THE CEO ON MULTIPLE CRITERIA. A COMMITTEE REVIEWS THAT COMPLETED SURVEYS AND TALLIES THE SCORES FOR REVIEW BY THE EXECUTIVE COMMITTEE. THE COMPLETION OF THE REVIEW IS THEN SHARED WITH THE CEO ALONG WITH THE NEXT YEAR'S GOALS AND EXPECTATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON INDIVIDUAL REQUEST. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL FINANCIAL STATEMENT AUDIT AND THE SELECTION OF THE INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT RETAINED TO CONDUCT THE AUDIT. THE FINANCE COMMITTEE INCLUDES THE TREASURER OF THE GOVERNING BOARD AS CHAIRPERSON. THE COMMITTEE MEETS MONTHLY. DUTIES ARE TO REVIEW THE FINANCES OF THE ORGANIZATION AND MAKE APPROPRIATE FINANCIAL REPORTS TO THE GOVERNING BOARD, TO DEVELOP POLICIES RELATED TO MONIES, TO MONITOR THE ORGANIZATION'S ASSET PERFORMANCE, TO DEVELOP THE ANNUAL BUDGET AND ITS FINANCIAL PRIORITIES, TO REVIEW THE ORGANIZATION'S ANNUAL AUDIT AND TO MAKE PERTINENT RECOMMENDATIONS TO THE GOVERNING BOARD. THESE INCLUDE INVESTMENTS, CASH FLOW ANALYSIS, MONTHLY REVIEW OF PROFITS AND LOSSES, AND CAPITAL PLANNING. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SUPPORTING ORGANIZATION OF TREASURE COAS 1555 INDIAN RIVER BLVD STE B210 VERO BEACH FL 32960 272073611 AID & SUPPORT FL 501(c)(3) LINE 12A, I TREASURE COA true false false true true false false false false false false false false false true true false true false false SUPPORTING ORGANIZATION OF TCCH INC C,D,M 59133 FMV