2018-02-14T12:49:40-06:00 2017-03-31 273605969 CBIZ MHM LLC 13577 Feather Sound Dr Suite 400 Clearwater FL 337625539 990 2016-04-01 591741303 SUNCOAST COMMUNITY HEALTH CENTERS INC SUNC 8136454681 P O BOX 1349 RUSKIN FL 33575 ROBERT RODRIGUEZ CFO 8136454681 2018-02-06 1 BETTY ISLER CPA P00541979 7275721400 2016 2022-09-23 18:48:47Z BRADLEY HERREMANS P O BOX 1349 RUSKIN FL 33575 39477093 0 X WWW.SUNCOAST-CHC.ORG X 1977 FL TO PROVIDE QUALITY HEALTHCARE ADDRESSING THE TOTAL NEEDS OF THE INDIVIDUAL 10 10 494 10 0 0 8382685 7897221 26221455 31390938 -123384 18123 8400 84132 34489156 39390414 6525 7708 0 0 19659106 23240681 0 0 0 13004658 14308612 32670289 37557001 1818867 1833413 36560667 38471609 8475974 8551419 28084693 29920190 X THE ORGANIZATION IS COMMITTED TO IMPROVING THE LIVES OF MEDICALLY UNDERSERVED PERSONS BY INCREASING ACCESS, REDUCING DISPARITIES, AND ELIMINATING BARRIERS TO HEALTHCARE. 0 0 16133592 7708 19683548 Medical Services:Medical providers, including: Family Practice, Internal Medicine, Pediatrics, Obstetrics, Gynecology and Optometry. Types of Medical Services provided are: General wellness exams, acute and chronic illness management, immunizations, and other medical services.Our comprehensive approach ensures that the whole family receives outstanding medical care, many times by a team of two or more providers. 7181113 8282826 Dental Services:Dental providers, including: Adult and Pediatric Dentist and Hygienist. Types of dental services provided are: dental exams, preventative treatment, cleaning, fillings, and other dental services.Our comprehensive approach ensures that the whole family receives outstanding dental care, many times by a team of two or more providers. 3871475 3159706 Support Services:Support Services, including: On-Site Pharmacies at 5 locations, On-Site Laboratory testing and Drawing at all locations, On-Site Diagnostic Imaging at 4 locations, Case Management, Health Education, Outreach Services, Eligibility and Financial Counseling and Social Services, Finance.Our comprehensive approach ensures that the whole family receives outstanding support, many times by a team of two or more providers. These support services work with the providers on a daily basis. 255319 264858 Mental Health Services:Mental Services providers, include: Behavioral Health Counselors. Types of mental health services provided are: individual counseling, group counseling, and other mental health services.Our comprehensive approach ensures that the whole family receives outstanding mental care, many times by a team of two or more providers. 4487438 Clinic Administration: Medical, Dental and Mental Health providers and Support staff are directly supported by Clinic Staff and Administration. Their goals are to provide safe, friendly and knowledge services to the patient as well as the provider and support staff.Our comprehensive approach ensures that the whole family receives outstanding clinic administration, many times by a team of two or more personnel. Administrative Services:Medical, Dental and Mental Health Providers, Support Services, and Clinic Administration are supported by and receive direction from Administrative Staff. This Administrative staff is made up of Executive Office, Human Resources, Management Information Systems, Public Relations, Finance, Patient Billing, Logistics, Quality Improvement, and Risk Management departments.Our comprehensive approach ensures that the whole organization provides the best customer service to the patient care team which will then be the best customer service to the patient. 4742757 264858 31928937 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 154 0 1 494 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 FL X ROBERT RODRIGUEZ 8136454681 2814 14TH AVE SE RUSKIN FL 33570 NINA SHANAHAN CHAIRPERSON 1.50 X 0 0 0 PAT ODOR VICE CHAIRPERSON 0.50 X 0 0 0 PATRICIA HINSON SECRETARY 0.50 X 0 0 0 CARLOS GARCIA TREASURER 0.50 X 0 0 0 NELSON RAMOS DIRECTOR 0.50 X 0 0 0 GWENDOLYN SMALLEY DIRECTOR 0.50 X 0 0 0 GEORGE HAMMOND DIRECTOR 0.50 X 0 0 0 CONNIE HUBER DIRECTOR 0.50 X 0 0 0 RICH GLORIOSO DIRECTOR 0.50 X 0 0 0 NANCY HEWLETT DIRECTOR 0.50 X 0 0 0 BRADLEY HERREMANS CHIEF EXECUTIVE OFFICER 40.00 X 250916 0 16997 ROBERT RODRIGUEZ CHIEF FINANCIAL OFFICER 40.00 X 187577 0 20552 SONIA GOODWIN CHIEF OPERATING OFFICER 40.00 X 142028 0 14017 RICHARD GYLES PEDIATRIC DENTAL DIRECTOR 40.00 X 239987 0 24067 SUBHAKARARA MEDIDI MEDICAL DIRECTOR 40.00 X 240071 0 27815 HARVEY VALDEZ DENTAL DIRECTOR 40.00 X 171819 0 18188 BRIAN SHAUB PHYSICIAN 40.00 X 189952 0 16332 EVELYN MANINGO PHYSICIAN 40.00 X 182972 0 15001 BRETT FRAIZER PHYSICIAN 40.00 X 179466 0 13885 DANA PERRIN PHYSICIAN 40.00 X 171489 0 23185 EVER RIVERA PEDIATRICIAN 40.00 X 166144 0 13019 2122421 0 203058 33 0 1 0 ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY 615 VONDERBURG DR BRANDON FL 33511 MEDICAL PROVIDER 417695 QUEST DIAGNOSTICS PO BOX 530440 ATLANTA GA 303530458 OUTSIDE LABORATORY 378864 VALENCIA EMERGENCY PHYSICIANS PO BOX 38045 PHILADELPHIA PA 19101 MEDICAL PROVIDER 275049 SOUTH FLORIDA BAPTIST HOSPITAL 301 N ALEXANDER ST PLANT CITY FL 33563 MEDICAL PROVIDER 229560 THOMAS A DIGERONIMO & ASSOCIATS 3302 W BAKER ST PLANT CITY FL 33563 MEDICAL PROVIDER 200924 10 7832978 64243 7897221 MEDICAL SERVICES 621498 19683550 19683550 DENTAL SERVICES 621498 8282824 8282824 SUPPORT SERVICES 621498 3159706 3159706 MENTAL HEALTH SERVICES 621498 264858 264858 31390938 7349 7349 8050 0 8050 8050 8050 97453 86679 10774 10774 10774 76082 76082 76082 39390414 31390938 0 102255 X 7708 7708 1445132 639156 805976 65056 65056 17715721 15422888 2292833 978852 839702 139150 1698976 1487617 211359 1336944 1106886 230058 21569 21569 68350 68350 6458841 6226003 232838 49966 9443 40523 2362195 1546709 815486 536620 61277 475343 1175345 1118611 56734 173046 112216 60830 96169 83788 12381 1239506 1142749 96757 80986 34986 46000 DRUGS & MEDICAL SUPPLIE 2146882 2125005 21877 BAD DEBT (RECOVERIES) -100863 -100863 37557001 31928937 5628064 0 8510031 8623671 1182247 3596468 302983 3217907 3823870 175390 327011 29001598 7508463 22393686 21493135 52443 500000 500000 225980 107454 36560667 38471609 2286074 3232416 529414 1139 5660486 5317864 8475974 8551419 X 28020813 29849173 63880 71017 28084693 29920190 36560667 38471609 1833413 2084 0 X X 0 1 X 1 1 1 X 7344761 8961817 11265687 8382685 7897221 43852171 7344761 8961817 11265687 8382685 7897221 43852171 43852171 5723 9540 10794 10001 15399 51457 76082 76082 43979710 123669694 0.99710 0.99920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 37557001 37557001 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 250000 250000 250000 250000 1000000 1500000 1716402 1716402 22988475 4770161 18218314 1168289 884252 284037 3128432 1854050 1274382 21493135 X 39381724 2084 2084 39379640 10774 10774 39390414 37557001 0 37557001 0 37557001 Part X, Line 2: The Center is exempt from federal and state income tax under the provisions of 501(c)(3) of the Internal Revenue Code and Chapter 220.13 of the Florida Statutes. Accordingly, no provision for income taxes is reflected in the accompanying financial statements. The Center has adopted the FASB guidance regarding "Uncertainty for Income Taxes" as codified in FASB ASC 740-10. At March 31, 2017, management does not believe it has taken any tax positions that are subject to a significant degree of uncertainty. Part XI, Line 4b - Other Adjustments: GAIN ON DISPOSAL OF EQUIPMENT 10,774. X X X 0 0 0 0 0 0 0 0 0 BRADLEY HERREMANS CHIEF EXECUTIVE OFFICER 161415 0 89501 0 0 0 16937 0 60 0 267913 0 0 0 ROBERT RODRIGUEZ CHIEF FINANCIAL OFFICER 132159 0 51818 0 3600 0 12796 0 7756 0 208129 0 0 0 SONIA GOODWIN CHIEF OPERATING OFFICER 109302 0 29126 0 3600 0 9587 0 4430 0 156045 0 0 0 RICHARD GYLES PEDIATRIC DENTAL DIRECTOR 214650 0 25337 0 0 0 16312 0 7755 0 264054 0 0 0 SUBHAKARARA MEDIDI MEDICAL DIRECTOR 208298 0 28173 0 3600 0 16804 0 11011 0 267886 0 0 0 HARVEY VALDEZ DENTAL DIRECTOR 141040 0 27179 0 3600 0 11686 0 6502 0 190007 0 0 0 BRIAN SHAUB PHYSICIAN 177207 0 12745 0 0 0 12844 0 3488 0 206284 0 0 0 EVELYN MANINGO PHYSICIAN 168017 0 14955 0 0 0 12374 0 2627 0 197973 0 0 0 BRETT FRAIZER PHYSICIAN 163722 0 15744 0 0 0 12226 0 1659 0 193351 0 0 0 DANA PERRIN PHYSICIAN 161318 0 10171 0 0 0 12120 0 11065 0 194674 0 0 0 EVER RIVERA PEDIATRICIAN 165992 0 152 0 0 0 11311 0 1708 0 179163 0 0 0 JAN RODRIGUEZ SON OF CFO 65056 SEE PART V 0 PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION IS PAID TO JAN RODRIGUEZ FOR SERVICES PROVIDED AS CLINIC ADMINISTRATOR. JAN HAS A MASTERS IN HEALTH ADMINISTRATION. HIS SUPERVISOR IS SONIA GOODWIN, CHIEF OPERATING OFFICER. Form 990, Part VI, Section B, line 11b FORM 990 IS REVIEWED AND APPROVED BY SENIOR MANAGEMENT. A COPY IS THEN PROVIDED TO THE ORGANIZATION'S BOARD FOR FINAL REVIEW AND COMMENT PRIOR TO FILING. Form 990, Part VI, Section B, line 12c THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT ALL OFFICERS, DIRECTORS, AND EMPLOYEES DISCLOSE ANY CONFLICTS IMMEDIATELY UPON DISCOVERY. COMPLIANCE IS CONSISTENTLY MONITORED AND REVIEWED ON AN ANNUAL BASIS. Form 990, Part VI, Section B, line 15a THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING EMPLOYMENT CONTRACTS AND COMPENSATION LEVELS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. EMPLOYEE PERFORMANCE HISTORY AND INDUSTRY STANDARDS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS ARE USED TO SET COMPENSATION. THE DELIBERATION AND APPROVAL PROCESS IS DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIALS STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, line 11g CONTRACTED MEDICAL SERVICES: Program service expenses 2,222,353. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,222,353. SPECIALIST CARE SERVICES: Program service expenses 4,003,650. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,003,650. CONTRACTED ADMINISTRATIVE SERVICES: Program service expenses 0. Management and general expenses 179,060. Fundraising expenses 0. Total expenses 179,060. PAYROLL SERVICES: Program service expenses 0. Management and general expenses 53,778. Fundraising expenses 0. Total expenses 53,778. Form 990, Part XII, line 2c: The Suncoast Board of Directors is responsible for the selection of the independent CPA firm. The CPA firm works with Suncoast management to plan and conduct the audit. The CPA firm issues a draft audit report to Suncoast management. Suncoast management reviews the report and responds where appropriate. The CPA firm reports their findings to the Suncoast Board of Directors.