2017-08-09T14:28:40-05:00 2016-12-31 630191630 SMITH DUKES & BUCKALEW LLP 3800 AIRPORT BLVD MOBILE AL 366081667 990 2016-01-01 640592416 COASTAL FAMILY HEALTH CENTER INC COAS 2283742494 PO BOX 475 BILOXI MS 39533 ANGEL GREER CHIEF EXECUTIVE OFFICER 2282742494 2017-07-26 1 MARK R CHAPMAN P00426236 2513431200 2017-07-26 69.85.214.194 2017-07-26 08:45:21 CD P D16F765FC5625A07D4506AB43FA05BEABA538515 9B8B31259D73750CA07850C3C5731242698FE345 2016 2021-01-29 14:40:06Z ANGEL GREER PO BOX 475 BILOXI MS 39533 16847827 0 X COASTALFAMILYHEALTH.ORG X 1976 MS THE PURPOSE OF COASTAL FAMILY HEALTH CENTER, INC. IS TO PROVIDE QUALITY HEALTH CARE AND SOCIAL SERVICES TO ALL PERSONS REGARDLESS OF ECONOMIC STATUS WITH THE UNDERSTANDING THAT THE TERM HEALTH IS AN INCLUSIVE ONE THAT SEEKS TO IMPROVE THE QUALITY OF LIFE FOR THE WHOLE COMMUNITY. 14 14 308 0 54516 0 8657357 8926382 7486236 7864692 2480 2237 3173 54516 16149246 16847827 0 0 0 0 9644141 11191731 0 0 0 5483481 5432627 15127622 16624358 1021624 223469 14644537 14759342 1217274 1108610 13427263 13650732 X THE PURPOSE OF COASTAL FAMILY HEALTH CENTER, INC. IS TO PROVIDE QUALITY HEALTH CARE AND SOCIAL SERVICES TO ALL PERSONS REGARDLESS OF ECONOMIC STATUS WITH THE UNDERSTANDING THAT THE TERM HEALTH IS AN INCLUSIVE ONE THAT SEEKS TO IMPROVE THE QUALITY OF LIFE FOR THE WHOLE COMMUNITY. 0 0 7317548 4729837 MEDICAL SERVICES - PROVIDING HIGH QUALITY MEDICAL SERVICES PRIMARILY TO THE UNINSURED AND THE UNDER-INSURED IS ONE OF OUR PRIMARY EXEMPT PURPOSES. DURING 2016, OUR ORGANIZATION HAD 93,257 PATIENT MEDICAL APPOINTMENTS FOR VARIOUS MEDICAL CONDITIONS WHICH WERE SEEN BY FAMILY PHYSICIANS OR PHYSICIAN ASSISTANTS, INTERNISTS, PEDIATRICIANS, OR NURSE PRACTITIONERS. THESE APPOINTMENTS INVOLVED A TOTAL OF 29,480 OF OUR PATIENTS. 614870 0 HIV SERVICES - OUR ORGANIZATION PROVIDED, ON AN OUTPATIENT BASIS, HIGH-QUALITY EARLY INTERVENTION SERVICES AND PRIMARY CARE RELATED TO HIV PATIENTS. WE PROVIDED A CONTINUUM OF HIV PREVENTIONS FOR AT-RISK INDIVIDUALS WHO ARE HIV-INFECTED. DURING 2016, WE PROVIDED THESE SERVICES TO APPROXIMATELY 500 SUCH PATIENTS, WHO HAD A CUMULATIVE TOTAL OF APPROXIMATELY 2,700 APPOINTMENTS. 1716388 340B DRUG PROGRAM - OUR ORGANIZATION ALSO PROVIDES PHARMACY DRUGS TO MANY OF OUR PATIENTS THROUGH THE FEDERAL 340B DRUG PROGRAM. DURING 2016, WE FILLED APPROXIMATELY 90,000 PHARMACY PRESCRIPTIONS THROUGH 29 PARTICIPATING LOCAL CONTRACTED PHARMACIES. 6066479 1418467 IN ADDITION TO THE SERVICES SHOWN IN PART III, ITEMS A THROUGH C, OUR ORGANIZATION PROVIDES MENTAL HEALTH, LAB, NUTRITION, PATIENT TRANSPORTATION, OB/GYN, OPTOMETRY, AND OTHER ANCILLARY SERVICES TO OUR TOTAL PATIENT COUNT OF APPROXIMATELY 29,000. 6066479 1418467 13998897 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 77 0 1 308 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 0 1 1 1 1 1 1 0 0 X TERRY MIZELLE CFO 2283742494 1046 DIVISION STREET BILOXI MS 39533 KWANTRELL GREEN PRESIDENT 2.00 0.00 X X 0 0 0 MARTHA MILNER VICE-PRESIDENT 1.00 0.00 X X 0 0 0 BERTHA J OATIS SECRETARY 1.00 0.00 X X 0 0 0 ROY TOLBERT TREASURER 1.00 0.00 X X 0 0 0 PAULETTE BRISCOE AT-LARGE 1.00 0.00 X 0 0 0 GINNI TRAN DIRECTOR 1.00 0.00 X 0 0 0 XENIA GEORGINA WICKLINE DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH HUDSON DIRECTOR 1.00 0.00 X 0 0 0 HAO GINNI THI-CAM TRAN DIRECTOR 1.00 0.00 X 0 0 0 JUDY GRANT DIRECTOR 1.00 0.00 X 0 0 0 GARY HERBERT AT-LARGE 1.00 0.00 X 0 0 0 PERRY JACKSON DIRECTOR 1.00 0.00 X 0 0 0 CAROLYN PERRY DIRECTOR 1.00 0.00 X 0 0 0 ANGEL GREER CHIEF EXECUTIVE OFFICER 40.00 0.00 X 136183 0 0 136183 0 0 1 0 0 0 LABORATORY CORPORATION OF AMERICA PO BOX 12140 BURLINGTON NC 27216 MEDICAL LAB TESTS 645965 DR MICHAEL D DORCIK PLLC 12511 MCCULLY DRIVE BILOXI MS 39532 MEDICAL 247362 FORGE WORKS CONSULTING INC 11212 CHURCHWOOD COURT RICHMOND VA 23233 MEDICAL CONSULTING 130102 CHIEN-LI CHUNG CAMELTHORN LLC 70 ADAMS PLACE GLEN RIDGE NJ 07028 INFORMATION TECHNOLOGY 116014 4 7883348 1043034 8926382 MEDICAL SERVICES 621990 4729837 4729837 PHARMACY 340B SERVICES 621990 1716388 1716388 DENTAL SERVICES 621990 285801 285801 1132666 1132666 7864692 2237 2237 OTHER INCOME 621990 54516 54516 54516 16847827 7864692 54516 2237 8884547 7525520 1359027 194024 163590 30434 1458064 1201823 256241 655096 552340 102756 9585 9585 42150 42150 17378 17378 40325 40325 72507 72507 889193 462868 426325 39396 27822 11574 1995 1995 762402 736653 25749 129760 47889 81871 CONTRACT LAB & MEDICAL 1778435 1778435 MEDICAL, DENTAL & LAB S 1238434 1238434 EDUCATION & PUBLICATION 173014 132121 40893 LICENSES & DUES 23285 23285 214768 41517 173251 16624358 13998897 2625461 0 2454134 2400440 69620 424460 1519884 1448203 162917 345350 74396 67856 16684054 6650060 10326621 10033994 36965 39039 14644537 14759342 812694 1108610 404580 0 1217274 1108610 X 13427263 13650732 13427263 13650732 14644537 14759342 223469 0 X 0 1 X 0 1 1 X 9196795 8134654 8967386 8657357 8926382 43882574 9196795 8134654 8967386 8657357 8926382 43882574 43882574 3085 16980 1925 2480 2237 26707 11364 50973 114163 3173 54516 234189 44143470 0.99410 0.99490 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: VARIOUS SMALL INCONSEQUENTIAL RECEIPTS RECEIVED THROUGHOUT THE YEAR RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 331630 331630 12084830 3795781 8289049 218816 25396 193420 3975318 2825210 1150108 73460 3673 69787 10033994 16847827 0 16847827 0 16847827 16624358 0 16624358 0 16624358 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL WITH THE CHIEF FINANCIAL OFFICER BEFORE FILING. THE FORM 990 IS REVIEWED AND SIGNED BY THE CHIEF EXECUTIVE OFFICER. IT IS ALSO MADE AVAILABLE TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE CEO THROUGH CLOSE OVERSIGHT OF, AND FREQEUENT INTERACTION WITH, DEPARTMENT HEADS AND THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A A COMPREHENSIVE MARKET SURVEY WAS PERFORMED IN 2008 BY THE BOARD'S PERSONNEL COMMITTEE TO EVALUATE AND ADJUST THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE TO REFLECT THE LOCAL MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION IS NOT REQUIRED TO, AND DOES NOT, MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ITS FORM 990, HOWEVER, IS PREPARED FROM ITS ANNUAL AUDITED FINANCIAL STATEMENTS AND, AS SUCH, ITS ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH REVIEW OF ITS ANNUAL TAX RETURN.