2016-09-13T12:28:13-05:00 2015-12-31 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DR STE 400 CLEARWATER FL 33762 990 2015-01-01 593219191 TREASURE COAST COMMUNITY HEALTH INC TREA 7725711985 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 DENISE TONNER CHAIRMAN 7725711985 2016-09-01 1 BETTY ISLER CPA P00541979 7275721400 2015 2017-02-10 21:41:12Z X VICKI L SOULE 12196 COUNTY ROAD 512 FELLSMERE FL 329485463 12207406 0 X WWW.TCCHINC.ORG X 1993 FL PUBLIC HEALTH SERVICES PROVIDED UNDER U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340 13 13 184 22 0 0 3333170 3876047 5459680 8239782 213 2147 273270 89430 9066333 12207406 0 0 0 0 5999236 7521101 0 0 0 2916654 3248374 8915890 10769475 150443 1437931 6675658 7285669 4104871 3276951 2570787 4008718 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 8667341 8290339 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.SEE SCHEDULE O FOR CONTINUATION.TCCH SERVES APPROXIMATELY 16,000 PATIENTS ANNUALLY, PROVIDING PRIMARY PREVENTATIVE HEALTHCARE SERVICES. TCCH PROVIDERS REPORTED 53,280 FACE-TO-FACE PATIENT VISITS IN 2015. THE CHIEF EXECUTIVE OFFICER AND MANAGEMENT STAFF ARE HIGHLY CREDENTIALED COMMUNITY LEADERS. ALL CLINICAL STAFF ARE 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 2015, APPROXIMATELY 74% OF PATIENTS HAD INCOME BELOW THE 200% FEDERAL POVERTY LEVEL. TWENTY-SEVEN PERCENT OF THE PATIENTS SERVED WERE UNINSURED WITH A SUBSET OF THE UNINSURED REPORTING 9.31% CHILDREN. SERVICES ARE OFFERED ON A SLIDING SCALE WITH MINIMUM 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.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. 8667341 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 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 1 0 0 1 14 0 1 184 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 CHAIRMAN 1.00 1.00 X 0 0 0 ROBERT RAPPEL DO JD IMMEDIATE PAST CHAIRMAN 1.00 1.00 X 0 0 0 CHARLES BREMER SECRETARY 1.00 1.00 X 0 0 0 BRYAN DELP TREASURER 1.00 1.00 X 0 0 0 BUDDY AKERS BOARD MEMBER 1.00 0.00 X 0 0 0 TISA BLIDGEN 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 KARL STEENE BOARD MEMBER 1.00 0.00 X 0 0 0 KIMBERLY VECCHIO BOARD MEMBER 1.00 0.00 X 0 0 0 ERNESTINE WILLIAMS BOARD MEMBER 1.00 0.00 X 0 0 0 VICKI SOULE CEO 40.00 1.00 X 159939 0 8471 ANDREA FEDOCK CFO 40.00 1.00 X 98125 0 16815 JESSICA ORMSBY COO 40.00 0.00 X 97834 0 8625 JENNIFER MOORE MEDICAL DIRECTOR/PHYSICIAN 40.00 0.00 X 177777 0 14080 RODRIGO PEREIRA PHYSICIAN 40.00 0.00 X 175979 0 7852 ZENAIDA BONGATO DENTIST 40.00 0.00 X 155242 0 6363 LATIA ILYADIS PHYSICIAN 40.00 0.00 X 154174 0 29825 VIVIENNE CLARK PHYSICIAN 40.00 0.00 X 153667 0 9922 PATRICIA WALTERS PHYSICIAN 40.00 0.00 X 149735 0 10829 1322472 0 112782 13 0 1 0 0 20000 36680 3704178 115189 330137 3876047 PATIENT SERVICES 621110 6987484 6987484 PHARMACY 446110 1252298 1252298 8239782 2147 2147 INCENTIVE INCOME 621110 45758 45758 STUDENT TRAINING REIMBURSEMENTS 900099 11001 11001 COPIES 900099 8854 8854 23817 4799 19018 89430 12207406 8290339 0 41020 581665 159242 422423 5912526 4887441 1025085 56237 46435 9802 496269 377936 118333 474404 369474 104930 4831 2040 2791 50460 50460 311767 311267 500 303754 227764 75990 254285 153450 100835 606689 553038 53651 28723 5898 22825 42302 25907 16395 4176 1095 3081 336576 277121 59455 24610 24610 MEDICAL & DENTAL SUPPLI 914840 914840 BAD DEBT 231538 231538 OUTREACH 79725 79725 RECRUITMENT & RETENTION 54098 43130 10968 10769475 8667341 2102134 0 159008 541974 10750 544075 229591 77703 817337 1038331 27838 26357 89538 91262 7316576 2847742 4704900 4468834 636696 497133 6675658 7285669 1016203 623364 2941115 2649965 6075 3622 141478 0 4104871 3276951 X 2555787 3998718 15000 10000 2570787 4008718 6675658 7285669 1437931 0 X X 0 1 X 1 1 1 X 3455552 3334330 3436455 3333170 3876047 17435554 3455552 3334330 3436455 3333170 3876047 17435554 17435554 567 7905 1908 213 2147 12740 271699 270192 233441 273270 89430 1138032 18586326 31078561 0.93810 0.93690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15000 10000 15000 10000 10000 15000 10000 15000 10000 10000 1.00000 0 0 574851 574851 4890075 1552491 3337584 1806050 1263636 542414 45600 31615 13985 4468834 DUE FROM AFFILIATE 425494 DEPOSITS 16247 LOAN COSTS, NET 38185 OTHER RECEIVABLES 17207 497133 X 12207406 0 12207406 0 12207406 10769475 0 10769475 0 10769475 PART V, LINE 4: TEMPORARILY RESTRICTED NET ASSETS ARE COMPRISED OF FUNDING RESTRICTED TO SUPPORT OPERATING ACTIVITIES IN FUTURE PERIODS. PART X, LINE 2: TCCH AND THE 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, 2015, 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, 2011 REMAIN SUBJECT TO EXAMINATION. X X X X 0 0 0 0 0 0 0 0 0 VICKI SOULE CEO 159186 0 0 0 753 0 4776 0 3695 0 168410 0 0 0 JENNIFER MOORE MEDICAL DIRECTOR/PHYSICIAN 177501 0 0 0 276 0 0 0 14080 0 191857 0 0 0 RODRIGO PEREIRA PHYSICIAN 175871 0 0 0 108 0 2749 0 5103 0 183831 0 0 0 ZENAIDA BONGATO DENTIST 154769 0 0 0 473 0 2425 0 3938 0 161605 0 0 0 LATIA ILYADIS PHYSICIAN 154066 0 0 0 108 0 0 0 29825 0 183999 0 0 0 VIVIENNE CLARK PHYSICIAN 153487 0 0 0 180 0 4636 0 5286 0 163589 0 0 0 PATRICIA WALTERS PHYSICIAN 149615 0 0 0 120 0 4532 0 6297 0 160564 0 0 0 X 2 323177 CDC VACCINE COST LIST X SOFTWARE 1 6960 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 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 MARKET SURVEYS FOR THE GEOGRAPHICAL AREA TO ESTABLISH AN APPROPRIATE SALARY GRADE/PAY RANGE FOR POSITIONS. 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. 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 11A, I TREASURE COAST COMMUNITY HEALTH INC 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INC C 36680 AMOUNTS TRANSFERRED PART V, LINE 2 - TRANSACTIONS WITH RELATED ORGANIZATIONS TCCH CONTINUES TO FUND 100% OF THE SUPPPORTING ORGANIZATION'S ACTIVITIES. THE BOARD'S PLAN IS 5 YEARS FOR THE SUPPORTING ORGANIZATION TO BE SELF-SUSTAINING. THE SUPPORTING ORGANIZATION WAS FORMED DURING 2010. THE ADVANCES TO FUND OPERATIONS ARE RECORDED AS AN INTERCOMPANY LOAN. THE AMOUNT DISCLOSED IN RELATION TO LINE 1D REPRESENT THE CURRENT YEAR ADVANCES. THE CUMULATIVE BALANCE AS OF 12/31/15 IS $425,494.