2017-11-03T08:06:23-05:00 2016-12-31 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DRIVE 400 CLEARWATER FL 33762 990 2016-01-01 593219191 TREASURE COAST COMMUNITY HEALTH INC TREA 7725711985 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 VICKI L SOULE CEO 7725711985 2017-11-02 1 BETTY ISLER CPA P00541979 7275721400 71.41.95.34 2017-11-02 15:14:35 ED P 53982D7F397A57200CCEAC974E09133295FD1DA0 4732DDC698B9DBEF1921037AD876F0B52D6451E7 2016 2021-01-29 14:40:06Z VICKI L SOULE 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 14682342 0 X WWW.TCCHINC.ORG X 1993 FL PUBLIC HEALTH SERVICES PROVIDED UNDER U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340 14 14 244 28 0 0 3876047 5385584 8239782 9145101 2147 6900 89430 142922 12207406 14680507 0 417119 0 0 7521101 9773570 0 0 0 3248374 4095288 10769475 14285977 1437931 394530 7285669 8040222 3276951 3636974 4008718 4403248 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 11755965 417119 9270160 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 17,100 PATIENTS ANNUALLY, PROVIDING PRIMARY PREVENTATIVE HEALTHCARE SERVICES. TCCH PROVIDERS REPORTED 57,916 FACE-TO-FACE PATIENT VISITS IN 2016. 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 2016, APPROXIMATELY 83% OF PATIENTS HAD INCOME BELOW THE 200% FEDERAL POVERTY LEVEL. TWENTY-FIVE PERCENT OF THE PATIENTS SERVED WERE UNINSURED AND OF THE TOTAL UNINSURED 9.5% 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 2016, A NEW SITE WAS OPENED IN THE NORTHEAST PART OF THE COUNTY IN SEBASTIAN. THE NEW ACCESS POINT IS TO ASSIST RESIDENTS IN THIS AREA WITH CONVENIENTLY LOCATED QUALITY HEALTHCARE. 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. 11755965 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 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 19 0 1 244 1 0 0 0 0 0 0 0 0 0 0 X 14 14 1 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 JAMES ACKERMAN TREASURER 1.00 1.00 X 0 0 0 CHARLES BREMER SECRETARY 1.00 1.00 X 0 0 0 BUDDY AKERS BOARD MEMBER 1.00 0.00 X 0 0 0 PHYLLIS BOISVERT BOARD MEMBER 1.00 0.00 X 0 0 0 TRISHA CARTWRIGHT BOARD MEMBER 1.00 0.00 X 0 0 0 POLLY ELAINE COE BOARD MEMBER 1.00 0.00 X 0 0 0 RACHEL DOOLITTLE BOARD MEMBER 1.00 0.00 X 0 0 0 ELVIRE FRANCOIS BOARD MEMBER 1.00 0.00 X 0 0 0 EMALINE FRANCOIS 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 KARL STEENE BOARD MEMBER 1.00 0.00 X 0 0 0 VICKI SOULE CEO 40.00 1.00 X 174514 0 13694 ANDREA FEDOCK CFO 40.00 1.00 X 112266 0 13445 JESSICA ORMSBY COO 40.00 0.00 X 107677 0 7853 JENNIFER MOORE MEDICAL DIRECTOR/PHYSICIAN 40.00 0.00 X 187907 0 8995 YADIRA PADIN-ROJAS PSYCHIATRIST 40.00 0.00 X 235811 0 20013 MARLENE AKING PHYSICIAN 40.00 0.00 X 197616 0 6218 RODRIGO PEREIRA PHYSICIAN 40.00 0.00 X 172246 0 9790 LAURENCE GREENSPOON PHYSICIAN 40.00 0.00 X 152693 0 16510 JOHN KESTRANEK DENTIST 40.00 0.00 X 144878 0 11634 1485608 0 108152 19 0 1 0 0 30000 2220 27744 5159057 166563 827290 5385584 PATIENT SERVICES 621110 8084104 8084104 PHARMACY 446110 1060997 1060997 9145101 8735 8735 1835 -1835 -1835 -1835 0 2220 0 0 INCENTIVE INCOME 621110 122373 122373 COPIES 900099 10985 10985 STUDENT TRAINING REIMBURSEMENTS 900099 5999 5999 3565 2686 879 142922 14680507 9270160 0 24763 417119 417119 626350 163428 462922 7758791 6593921 1164870 85324 70751 14573 700098 567268 132830 603007 483391 119616 3159 3159 50250 50250 328952 318665 10287 525137 397937 127200 344008 187257 156751 672302 547263 125039 26257 3090 23167 46030 28210 17820 4941 1321 3620 358350 300043 58307 17153 17153 MEDICAL & DENTAL SUPPLI 1295576 1294839 737 BAD DEBT 190887 190887 OUTREACH 91521 91521 MEDICARE PAYBACK 76978 76978 63787 22076 41711 14285977 11755965 2530012 0 541974 157947 544075 1446396 77703 190270 1038331 1033580 26357 29282 91262 160945 8091518 3202301 4468834 4889217 497133 132585 7285669 8040222 623364 1009351 2649965 2535442 3622 73615 0 18566 3276951 3636974 X 3998718 4388248 10000 15000 4008718 4403248 7285669 8040222 394530 0 X X 0 1 X 1 1 1 X 3334330 3436455 3333170 3876047 5385584 19365586 3334330 3436455 3333170 3876047 5385584 19365586 19365586 7905 1908 213 2147 8735 20908 270192 233441 273270 89430 142922 1009255 20395749 35238984 0.94950 0.93810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 574851 574851 5356696 1763422 3593274 1968021 1403268 564753 191950 35611 156339 4889217 DEFERRED LEASE INCENTIVE 18566 18566 X 14682342 0 14682342 -1835 -1835 14680507 13791880 0 13791880 494097 494097 14285977 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, 2016, 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, 2012 REMAIN SUBJECT TO EXAMINATION. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT -1,835. PART XII, LINE 4B - OTHER ADJUSTMENTS: FORGIVENESS OF INTER-ENTITY DEBT 417,119. MEDICARE PAYBACK 76,978. 1 SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INC 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 272073611 501(C)3 417119 0 N/A N/A FORGIVENESS OF DEBT 1 PART I, LINE 2: SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH, INC. (SOTCCH), A RELATED 501(C)(3) ORGANIZATION, IS THE SOLE RECIPIENT OF FINANCIAL ASSISTANCE. SOTCCH WAS FORMED DURING 2010 AS A SUPPORTING ORGANIZATION OF TCCH. THE BOARD HAD A 5 YEAR PLAN FOR THE SUPPORTING ORGANIZATION TO BE SELF-SUSTAINING. DURING THAT 5 YEAR PERIOD, TCCH FUNDED 100% OF THE SOTCCH ACTIVITIES. ADVANCES TO FUND OPERATIONS WERE RECORDED AS AN INTERCOMPANY LOAN. THE INTERCOMPANY LOAN WAS FORGIVEN DURING THE YEAR (SEE SCHEDULE R, PART V, LINE 2). THE ORGANIZATION'S BOARD MEMBERS ALSO SERVE ON THE BOARD OF THE RELATED ENTITY. THIS COMMON BOARD OVERSIGHT ALLOWS THE ORGANIZATION TO MONITOR THE ACTIVITIES OF THE SUPPORTING ORGANIZATION AND THE USE OF FUNDS. X X X 0 0 0 0 0 0 0 0 0 VICKI SOULE CEO 160545 0 12500 0 1469 0 5235 0 8459 0 188208 0 0 0 JENNIFER MOORE MEDICAL DIRECTOR/PHYSICIAN 183297 0 3850 0 760 0 0 0 8995 0 196902 0 0 0 YADIRA PADIN-ROJAS PSYCHIATRIST 235295 0 0 0 516 0 7074 0 12939 0 255824 0 0 0 MARLENE AKING PHYSICIAN 195772 0 1500 0 344 0 0 0 6218 0 203834 0 0 0 RODRIGO PEREIRA PHYSICIAN 169348 0 2850 0 48 0 5167 0 4623 0 182036 0 0 0 LAURENCE GREENSPOON PHYSICIAN 149051 0 2850 0 792 0 4581 0 11929 0 169203 0 0 0 JOHN KESTRANEK DENTIST 142612 0 1750 0 516 0 0 0 11634 0 156512 0 0 0 X 1 687505 CDC VACCINE COST X MED EQUIP/SUPP 3 139785 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS ELVIRE FRANCOIS AND EMALINE FRANCOIS ARE MOTHER AND DAUGHTER. 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 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INC B 417119 DEBT FORGIVEN (SEE SCHEDULE I)