2018-11-01T14:49:35-05:00 2017-12-31 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DR SUITE 400 CLEARWATER FL 337625539 990 2017-01-01 593219191 TREASURE COAST COMMUNITY HEALTH INC TREA 7725711985 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 VICKI L SOULE CEO 7725711985 2018-10-31 1 BETTY ISLER CPA P00541979 7275721400 71.41.95.34 2018-10-31 09:46:33 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8795436A6D2F947286B80284B86DAF385C7935EA 2017 2019-02-21 02:37:17Z VICKI L SOULE 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 17636103 0 X WWW.TCCHINC.ORG X 1993 FL PUBLIC HEALTH SERVICES PROVIDED UNDER U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340 14 14 266 19 0 0 5385584 5963175 9145101 11163033 6900 6995 142922 502900 14680507 17636103 417119 0 0 0 9773570 12587274 0 0 0 4095288 4548050 14285977 17135324 394530 500779 8040222 9240686 3636974 4336659 4403248 4904027 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. 0 0 14158476 11649722 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. HEALTH PROGRAMS ARE DESIGNED 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. (CONTINUED ON SCHEDULE O)TCCH SERVES APPROXIMATELY 19,542 PATIENTS ANNUALLY, PROVIDING PRIMARY PREVENTATIVE HEALTHCARE SERVICES. TCCH PROVIDERS REPORTED 76,056 FACE-TO-FACE PATIENT VISITS IN 2017. 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 2017, APPROXIMATELY 92% OF PATIENTS HAD INCOME BELOW THE 200% FEDERAL POVERTY LEVEL. THIRTY-TWO PERCENT OF THE PATIENTS SERVED WERE UNINSURED AND OF THE TOTAL UNINSURED 5% 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. 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 2017, A NEW DENTAL SITE WAS OPENED IN CENTRAL VERO BEACH. THIS NEW ACCESS POINT IS TO ASSIST RESIDENTS IN THIS AREA WITH CONVENIENTLY LOCATED QUALITY DENTAL HEALTHCARE. ALSO DURING 2017, TCCH WAS ABLE TO ADD 2 ADDITIONAL DENTAL CHAIRS IN THE FELLSMERE DENTAL LOCATION TO ACCOMMODATE MORE PATIENTS IN THE NORTHERN PART OF THE COUNTY. 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. 14158476 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 19 0 1 266 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 1 0 FL X ANDREA FEDOCK CFO 7725711981 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 DENISE TONNER MD CHAIRPERSON 1.00 1.00 X 0 0 0 TRISHA CARTWRIGHT VICE CHAIRPERSON 1.00 1.00 X 0 0 0 DR JAMES PARLA TREASURER 1.00 1.00 X 0 0 0 MIGDALIA MCDONALD SECRETARY 1.00 1.00 X 0 0 0 BUDDY AKERS BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM BRYANT BOARD MEMBER 1.00 0.00 X 0 0 0 THEDA HOLLAND BOARD MEMBER 1.00 0.00 X 0 0 0 DR WALTER JANKE BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS MATESIC BOARD MEMBER 1.00 0.00 X 0 0 0 CHERYL MICHEL BOARD MEMBER 1.00 0.00 X 0 0 0 JUDI MILLER BOARD MEMBER 1.00 0.00 X 0 0 0 ELISA SIELINSKI BOARD MEMBER 1.00 0.00 X 0 0 0 ERNESTINE WILLIAMS BOARD MEMBER 1.00 0.00 X 0 0 0 SANDRA ZAVALA BOARD MEMBER 1.00 0.00 X 0 0 0 PHYLLIS BOISVERT BOARD MEMBER (1/1/17-7/26/17) 1.00 0.00 X 0 0 0 JAMES ACKERMAN TREASURER (1/1/17-10/25/17) 1.00 0.00 X 0 0 0 KARL STEENE BOARD MEMBER (1/1/17-11/28/17) 1.00 0.00 X 0 0 0 FRANK ACQUINO BOARD MEMBER (2/22/17-12/20/17) 1.00 0.00 X 0 0 0 POLLY ELAINE COE BOARD MEMBER(1/1/17-1/25/17) 1.00 0.00 X 0 0 0 VICKI SOULE CEO 40.00 1.00 X 204689 0 17719 ANDREA FEDOCK CFO 40.00 1.00 X 109804 0 14305 JESSICA ORMSBY COO 40.00 0.00 X 103713 0 8475 JENNIFER MOORE MEDICAL DIRECTOR/PHYSICIAN 40.00 0.00 X 186191 0 11578 YADIRA PADIN-ROJAS PSYCHIATRIST 40.00 0.00 X 257319 0 20224 MARLENE AKING PHYSICIAN 40.00 0.00 X 261079 0 6432 JACK LONG PHYSICIAN 40.00 0.00 X 261460 0 5364 LATIA ILYADIS PHYSICIAN 40.00 0.00 X 157299 0 26569 MUHAMMAD SIDDIQUI PHYSICIAN 40.00 0.00 X 177739 0 12282 1719293 0 122948 25 0 1 0 0 30000 1290 29351 5830787 71747 746006 5963175 PATIENT SERVICES 621110 9814714 9814714 PHARMACY 446110 1348319 1348319 11163033 6995 6995 0 1290 0 0 INCENTIVE INCOME 621110 479749 479749 COPIES 900099 10460 10460 REBATES & REFUNDS 900099 3876 3876 8815 6940 1875 502900 17636103 11649722 0 24806 656476 164149 492327 10148453 8495973 1652480 113132 92588 20544 920566 746359 174207 748647 597333 151314 21275 21275 49750 49750 323632 302985 20647 428901 344365 84536 386426 317287 69139 779499 674169 105330 32867 8104 24763 50713 34189 16524 43948 39953 3995 457118 398833 58285 17558 17558 MEDICAL/DENTAL SUPPLIES 1523425 1523425 BAD DEBT 292623 292623 OUTREACH 105934 105934 RECRUITMENT & RETENTION 34381 20207 14174 17135324 14158476 2976848 0 157947 776988 1446396 1091600 190270 127204 1033580 1286142 29282 22449 160945 91003 9320505 3600243 4889217 5720262 132585 125038 8040222 9240686 1009351 888515 2535442 2671099 73615 761347 18566 15698 3636974 4336659 X 4388248 4889027 15000 15000 4403248 4904027 8040222 9240686 500779 0 X X 0 1 X 1 1 1 X 3436455 3333170 3876047 5385584 5963175 21994431 3436455 3333170 3876047 5385584 5963175 21994431 21994431 1908 213 2147 8735 6995 19998 233441 273270 89430 142922 739063 22753492 40299748 0.96660 0.94950 X 574851 574851 5976511 2035049 3941462 2659921 1565194 1094727 109222 109222 5720262 DEFERRED LEASE INCENTIVE 15698 15698 X 17693733 57630 57630 17636103 0 17636103 17192954 57630 57630 17135324 0 17135324 PART X, LINE 2: TCCH AND ITS AFFILIATE ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, FLORIDA INCOME TAX UNDER CHAPTER 220 OF THE FLORIDA STATUTES AND UNDER SECTION 509(A)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. THE CENTER HAS ADOPTED FASB GUIDANCE REGARDING UNCERTAINTY IN INCOME TAXES AS CODIFIED IN FASB ASC TOPIC 740-10. AT DECEMBER 31, 2017, MANAGEMENT DOES NOT BELIEVE IT HAS TAKEN ANY TAX POSITIONS THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. THE CENTER'S INCOME TAX FILINGS FOR PERIODS AFTER THE YEAR ENDED DECEMBER 31, 2013 REMAIN SUBJECT TO EXAMINATION. X X X X 0 0 0 0 0 0 0 0 0 VICKI SOULE CEO 187536 0 12500 0 4653 0 6141 0 11578 0 222408 0 0 0 JENNIFER MOORE MEDICAL DIRECTOR/PHYSICIAN 179724 0 6250 0 217 0 0 0 11578 0 197769 0 0 0 YADIRA PADIN-ROJAS PSYCHIATRIST 256815 0 0 0 504 0 7720 0 12504 0 277543 0 0 0 MARLENE AKING PHYSICIAN 257563 0 3000 0 516 0 0 0 6432 0 267511 0 0 0 JACK LONG PHYSICIAN 261350 0 0 0 110 0 0 0 5364 0 266824 0 0 0 LATIA ILYADIS PHYSICIAN 155704 0 1500 0 95 0 4719 0 21850 0 183868 0 0 0 MUHAMMAD SIDDIQUI PHYSICIAN 174242 0 3250 0 247 0 0 0 12282 0 190021 0 0 0 X 1 746006 CDC VACCINE COST 0 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B ONCE PREPARED BY THE CPA FIRM, THE BOARD OF DIRECTORS REVIEWED AND APPROVED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, AND MEMBERS OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. 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 POLICY IS MONITORED AND REVIEWED BY THE FINANCE COMMITTEE AND DIRECTION GIVEN TO MANAGEMENT. 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. 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'S 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 COAST COMMUNITY HEALTH INC 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 272073611 TO AID & SUPPORT TREASURE COAST COMMUNITY HEALTH, INC. FL 501(C)(3) LINE 12A, I TREASURE COAST COMMUNITY HEALTH INC 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0