2016-05-16T10:39:50-05:00 2015-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2014-07-01 237267007 TOTAL HEALTH CARE INC % RICHARD GREENE CFO TOTA 4103838300 1501 DIVISION STREET BALTIMORE MD 21217 RICHARD GREENE CFO 4103833104 2016-01-29 true Brian D Todd P00422601 4178658701 2014 2016-08-17 19:52:53Z FAYE ROYALE-LARKINS 1501 DIVISION STREET BALTIMORE MD 21217 50628279 false X WWW.TOTALHEALTHCARE.ORG X 1971 MD THE MISSION OF TOTAL HEALTH CARE IS TO IMPROVE BOTH THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 12 12 536 14 0 0 5772747 6828133 36674680 38763534 562905 722007 138559 -25895 43148891 46287779 0 0 0 0 23228628 24842772 0 169896 169896 19821787 25428294 43050415 50440962 98476 -4153183 30605254 27788899 3623114 4844409 26982140 22944490 X THE MISSION OF TOTAL HEALTH CARE IS TO IMPROVE BOTH THE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. false false 23209744 25517165 Total Health Care is a federally qualified health center that provides high quality, preventive and primary healthcare to patients regardless of their ability to pay. Total Health Care provides services in ten locations throughout West Baltimore City and Anne Arundel County. Services include adult, pediatric, adolescent primary care integrated with behavioral and mental health. In addition, Total Health Care offers some specialty services like infectious disease, laboratory, obstetrics, gynecology, nutrition, dental, and pharmacy. Total Health Care saw 36,457 patients in 2015. 10733262 11800320 THC Pharmacy Program is a 340b retail pharmacy with six pharmacies primarily located in West Baltimore and one in East Baltimore. THC'S participation in the 340b program allows it to offer medications at a discounted rate for all THC patients. All of the pharmacies are conveniently located within the same building as the health clinics so patients can receive their medications the day of their health care visit or resolve any medication-related issues. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1315288 1446049 Total Health Care offers a comprehensive dental program that focuses on preventive oral health inclusive of diagnostic exams, radiographs, hygiene services, fillings, and extractions. As a way to improve oral health literacy and promote prevention, Total Health Care has integrated dental services in its medical, behavioral health, and Ryan White HIV/AIDs services. In addition, pediatric and adolescent patients received dental screenings during their well child visits. 35258294 true true false false false false false false false false true true false false false false true false false false false false false true false false false false false true false false false false false false false false false false false false false false false false false true 60 0 true 536 true false false false false false false false false false false X 12 12 false false true false false false false true true false false true true true true true true true false false MD X RICHARD GREENE CFO 4103833104 1501 DIVISION STREET BALTIMORE MD 21217 KEVIN TYLER SR CHAIRMAN 2.0 0.0 X X 0 0 0 THURMAN ZOLLICOFFER JR VICE CHAIRMAN 10.0 0.0 X X 0 0 0 JOHN LEPLEY TREASURER 2.0 0.0 X X 0 0 0 RUELDA DEMPSTER-THOMAS SECRETARY BEGINNING 11/2014 2.0 0.0 X X 0 0 0 CAROLYN WELCH-LOCKWOOD SECRETARY END 10/14/BOARD MBR 2.0 0.0 X X 0 0 0 LINDA FOLSOM-JACKSON BOARD MEMBER 2.0 0.0 X 0 0 0 BRANDON JOHNSON BOARD MEMBER 2.0 0.0 X 0 0 0 DARIEN E NOLIN BOARD MEMBER 2.0 0.0 X 0 0 0 SHARON POWDRILL BOARD MEMBER 2.0 0.0 X 0 0 0 GRETCHEN M SPELL BOARD MEMBER 2.0 0.0 X 0 0 0 ROSE SUMMERVILLE BOARD MEMBER 2.0 0.0 X 0 0 0 DARLENE ROBINSON BOARD MEMBER BEGINNING 3/2015 2.0 0.0 X 0 0 0 MARY HELEN BURGESS BOARD MEMBER ENDING 10/2014 2.0 0.0 X 0 0 0 JOYCE SMITH BOARD MEMBER ENDING 12/2014 2.0 0.0 X 0 0 0 FAYE ROYALE-LARKINS CEO 40.0 0.0 X 257593 0 14421 THOMAS SIZEMORE CFO ENDING 5/2015 40.0 0.0 X 203027 0 2012 VENDLA ESLER COO 40.0 0.0 X 192665 0 12381 RAMA SHANKAR CMO ENDING 8/2014 40.0 0.0 X 144238 0 18552 MARCIA CORT CMO BEGINNING 8/2014 40.0 0.0 X 130493 0 5839 RUDOLPH ISAACS INTERIM CFO BEGINNING 5/2015 40.0 0.0 X 0 0 0 ARETHUSA KIRK VP MEDICAL AFFAIRS 40.0 0.0 X 200657 0 17059 BEATRICE DENEFIELD PHYSICIAN/PROGRAM DIRECTOR 40.0 0.0 X 217602 0 11681 SAMUEL WILLIAMS PHYSICIAN 40.0 0.0 X 198259 0 31938 BRIAN MONDELL PHYSICIAN 40.0 0.0 X 188126 0 17089 JUDY WEBB-DOANES VP OPERATIONS 40.0 0.0 X 176167 0 22196 AISOSIOYA WILLIAMS PHYSICIAN 40.0 0.0 X 183207 0 4406 2092034 0 157574 47 false true false SPPS METROPOLITAN OBGYN OB/GYN SERVICES 850453 BRAVO HEALTHCARE SOLUTIONS INC HOUSEKEEPING SERVICE 541762 US SECURITY ASSOCIATES INC SECURITY SERVICES 467772 AVISON YOUNG FACILITIES MGMT 336874 STAFF CARE INC MEDICAL STAFFING 319333 26 4961224 1866909 6828133 NET PATIENT SERVICE REVENUE 624100 26321984 26321984 PHARMACY 446110 11800320 11800320 OTHER REVENUE 900099 330980 330980 EHR REVENUE 624100 310250 310250 38763534 717755 717755 0 0 53771 79666 -25895 0 -25895 -25895 4265086 4260834 4252 4252 4252 0 0 0 0 46287779 38763534 696112 X 0 0 0 0 1198937 299122 899815 0 19423446 16103318 3320128 70649 61127 9522 2537423 906395 1631028 1612317 1300779 311538 0 203382 46262 157120 56268 56268 0 169896 169896 71471 71471 6499939 3134628 3365311 485584 4461 481123 1298270 810534 487736 1794859 1794859 0 1936664 856747 1079917 138923 109122 29801 0 342371 80742 261629 3029 3029 0 1278383 748692 529691 281035 3500 277535 MEDICAL SUPPLIES & DRUGS 8132378 8132378 BAD DEBT 2613591 2613591 LICENSES, DUES, SUBSCRIPTIONS 171413 24523 146890 REPAIRS & MAINTENANCE 118838 20925 97913 1896 1448 448 50440962 35258294 15012772 169896 3236810 1603640 77274 213618 1449544 2984048 4047056 3486996 0 0 0 0 0 0 0 555776 497019 255324 21233374 15641821 5387261 5591553 12684098 10042030 3000000 3000000 0 0 0 0 226192 55914 30605254 27788899 3262144 4576500 0 0 153521 267909 0 0 0 0 0 0 0 0 0 0 207449 0 3623114 4844409 X 26982140 22331435 0 613055 0 0 26982140 22944490 30605254 27788899 -4153183 -497522 613055 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 782000 782000 12535452 10159298 2376154 1557925 970208 587717 5934547 4510381 1424166 423450 1934 421516 5591553 0 43200580 -497522 15719 -2613591 -3095394 46295974 71471 -79666 -8195 46287779 47851285 15719 79666 95385 47755900 71471 2613591 2685062 50440962 SCHEDULE D, PART X, LINE 1 UNCERTAIN TAX POSITION: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ (2,613,591) BAD DEBT EXPENSE SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (79,666) RENTAL EXPENSE SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 79,666 RENTAL EXPENSE SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 2,613,591 BAD DEBT EXPENSE X X X X true LINDSAY BEANE GRANT WRITING false 4216251 122293 4093958 4216251 122293 4093958 MD X X X X X false false false false false false false false false FAYE ROYALE-LARKINS CEO 256104 0 0 0 1489 0 3898 0 10523 0 272014 0 0 0 THOMAS SIZEMORE CFO ENDING 5/2015 202330 0 0 0 697 0 0 0 2012 0 205039 0 0 0 VENDLA ESLER COO 191635 0 0 0 1030 0 2852 0 9529 0 205046 0 0 0 RAMA SHANKAR CMO ENDING 8/2014 144054 0 0 0 184 0 2203 0 16349 0 162790 0 0 0 BEATRICE DENEFIELD PHYSICIAN/PROGRAM DIRECTOR 215593 0 0 0 2009 0 0 0 11681 0 229283 0 0 0 SAMUEL WILLIAMS PHYSICIAN 198082 0 0 0 177 0 3059 0 28879 0 230197 0 0 0 BRIAN MONDELL PHYSICIAN 187445 0 0 0 681 0 2898 0 14191 0 205215 0 0 0 JUDY WEBB-DOANES VP OPERATIONS 175934 0 0 0 233 0 1246 0 20950 0 198363 0 0 0 AISOSIOYA WILLIAMS PHYSICIAN 183061 0 0 0 146 0 2746 0 1660 0 187613 0 0 0 ARETHUSA KIRK VP MEDICAL AFFAIRS 200479 0 0 0 178 0 3110 0 13949 0 217716 0 0 0 FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: Founded in 1968, Total Health Care (THC) is Maryland's largest minority operated, non-profit community health organization. Designated as a Federally Qualified Health Center (FQHC), THC provided care to 36,000 patients in Fiscal Year 2015. THC provides integrated health care services across 10 sites, 9 in Baltimore City (8 of which are in the city's most impoverished areas in West Baltimore) and 1 in Anne Arundel County. THC's mission is to improve the health and quality of life of those residing in the communities we serve. This mission is accomplished through the provision of comprehensive medical and behavioral health care, health education, outreach, and preventive health programs that change lifestyles and at-risk behaviors. Service is offered for those without insurance according to a federally approved sliding scale, with financial counseling and limited payment assistance provided to those with an inability to pay. THC especially serves those who experience negative health disparities in relation to the broader population. According to the Baltimore City Health Department, Baltimore residents experience a life expectancy of 71.8 years as compared with the overall nationwide average of 78.6 years. This is due to a greater prevalence of disease, stress and chronic conditions which result in part from an unequal access to appropriate and effective healthcare. Additionally, large disparities exist in so called "social determinants of health" such as violence, poor housing, and a lack of quality education and job opportunities. These disparities are reflected in the City's report that 36.1% of deaths citywide (2005-2009) are "avertable deaths that could have been avoided if all Baltimore communities had the same opportunity at health." THC addresses and works to overcome healthcare disparities by offering access to comprehensive healthcare for Baltimore's most vulnerable populations, including primary medical care for children and adults, dental care, integrated behavioral health (substance abuse treatment and mental health services, including psychiatric care and psychosocial case management), pharmaceutical and ancillary services such as housing assistance, financial counseling, health and nutritional educational services, self-help groups, and HIV/AIDS support services. According to the Uniform Data System (UDS) Mapper-a federal data repository designed to help inform users about Federal (Section 330) Health Center Programs-in Fiscal Year 2015 THC provided medical services to 36,000 individuals. All of THC's services are provided within the context of the Patient Centered Medical Home (PCMH) model. As defined by the Agency for Healthcare Research and Quality, the PCMH is accountable for meeting the large majority of each patient's comprehensive health care needs. THC's PCMH patients enjoy the benefit of a team of experts and specialists to help them navigate treatment services and options for chronic disease and co-morbidities care, primary and behavioral health care planning, family support services, and any other health related support they may need while under care. In 2015, the National Committee for Quality Assurance (NCQA) recognized THC as a Tier 3 PCMH. Recipients of NCQA recognition have demonstrated commitment to service flexibility, outreach, and alignment with meaningful use and continuous quality improvement. FORM 990, PART III, LINE 4B PHARMACY PROGRAM: Total Health Care pharmacists are available to counsel patients on how to safely and effectively use their prescribed medications as well as non prescription medications. Total Health Cares Pharmacy Program also offers Medication Therapy Management Services (MTM) to its patients at no additional charge. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATION BYLAWS: THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE ORGANIZATION'S BYLAWS DURING THE FISCAL YEAR: Mission: The mission of Total Health Care is to improve health and quality of life in the Communities served. ADDITIONAL RESPONSIBILITIES OF THE BOARD OF DIRECTORS INCLUDING: - Establishing and periodically reviewing the Corporation's mission statement - Holding monthly meetings and maintaining records/minutes that verify and document the board's functioning and decision-making - Approving the annual budget/operating plan and monitoring performance against it - Establishing and periodically updating human resources policies and procedures, including: selection and dismissal procedures; employee salary and benefit scales; employee grievance procedures; and equal opportunity practices - Establishing, updating and monitoring the Corporation's code of conduct incorporating procurement, conflict of interest and maintaining confidentiality - Approving and monitoring of the quality improvement, patient safety and emergency preparedness plans - Review and approval of provider privileges and provider credentialing - Conducting an annual Board self-evaluation ADDITIONAL RESPONSIBILITIES OF EACH VOTING DIRECTOR: - Understand and discharge basic director fiduciary duties of loyalty, care and obedience - Prepare for and attend at least 75% of scheduled board meetings - Participate in and assume a fair workload at board and committee meetings - Deal fairly and collaboratively with other directors, the CEO, senior management and providers - Be supportive of the CEO and management - PARTICIPATE IN OUTSIDE EDUCATIONAL OPPORTUNITIES TO REMAIN CURRENT ON CHANGING HEALTHCARE COMMUNITY HEALTH CENTER ISSUES AND TRENDS AFFECTING GOVERNANCE - Participate in identifying individuals whose skills and knowledge may be useful to Total Health Care as potential board members or board committee members - PARTICIPATE IN BOARD, DIRECTOR AND SELF-EVALUATION - PROVIDE INPUT ON THE CEO'S PERFORMANCE EVALUATION - MAINTAIN RELATIONSHIPS WITH THE LOCAL COMMUNITY AND SERVE AS A COMMUNICATION LINK TO RELEVANT STAKEHOLDERS - Attend and support activities sponsored by THC as requested - ANNUALLY GIVE OR DONATE IN-KIND SERVICES TO TOTAL HEALTH CARE AT A LEVEL COMMENSURATE WITH THE DIRECTOR'S ABILITIES - SOLICIT COMMUNITY SUPPORT THROUGH DONOR SOLICITATION AND/OR COMMUNITY ADVOCACY COMPOSITION OF BOARD: A majority (at least 51 %) of Voting Directors of the Board shall be Consumer Directors. No more than one-half (50%) of the remaining Community Directors shall derive more than ten percent ( 10%) of their annual income from the health care industry. Additionally, the number of Directors Emeriti shall not exceed ten percent (10%) of the number of Voting Directors. ADDITIONAL QUALIFICATIONS FOR DIRECTORS: - Directors shall be at least eighteen ( 18) years old - No Director shall be an employee of the Corporation, or spouse or child, parent, brother or sister by blood, adoption or marriage of an employee - Directors shall agree, as a condition of their election to the Board, to participate in appropriate training and educational programs necessary to properly fulfill their responsibilities as Directors TERM AND TERM LIMITS: No Voting Director shall serve more than three (3) full consecutive terms (or 9 years). At which time the Director must take a sabbatical of at least one year, or continue service in an advisory role at the discretion of the Board Chairman. Powers and Duties of the Chair of the Board: - THE CHAIR SHALL APPOINT CHAIRS AND MEMBERS OF ALL COMMITTEES, IN CONSULTATION WITH THE GOVERNANCE COMMITTEE - THE CHAIR SHALL FACILITATE THE CEO'S PERFORMANCE EVALUATION POWERS AND DUTIES OF THE TREASURER: He shall Bring matters of significant financial concern to the Executive Committee and the Board for its review and action. He shall lead monitoring of the Corporation's investments to ensure their adherence to the Corporation's investment policy and values. He shall serve as the Board's principal contact with the Corporation's external auditors. He shall perfoRM all other duties incident to the office of the Treasurer, subject to the control of the Board, and shall perfoRM such other duties as maybe assigned by the Board. Distribution of Assets Upon Dissolution: No Officer, Director, Member or employee shall be entitled to share in the distribution of any of the corporate assets upon the dissolution of the Corporation. All such persons shall be deemed to have expressly consented and agreed that upon such dissolution or winding up of the affairs of the Corporation, whether voluntary or involuntary, the assets of the Corporation, after all debts have been satisfied, then remaining in the hands of the Board, shall be distributed, transferred, conveyed, delivered and paid over, in such amounts as the Board may determine, or as may be determined by a court of competent jurisdiction upon the application of the Board, exclusively to charitable organizations (i) which then qualify for exemption from Federal income taxation under the provisions of Code Section 501(c)(3) and the Treasury Regulations thereunder (as they now exist or as they may hereafter be amended) and-(ii) CONTRIBUTIONS to which are deductible under Code Section 170(C)(2) and the Treasury Regulations thereunder (as they now exist or as they hereafter may be amended). Moreover, the Board of Directors' distribution, transference, conveyance, delivery and payment of such remaining assets to a qualified charitable organization shall be for the purpose of improving medical care in the Corporation's catchment area in accordance with the provisions of the Corporation's Articles of Incorporation. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE FINAL DRAFT OF FORM 990 IS REVIEWED BY THE CEO AND CFO, THEN SUBSEQUENTLY PRESENTED TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: TOTAL HEALTH CARE, INC. HAS A WRITTEN CONFLICT OF INTEREST POLICY. KEY EMPLOYEES, OFFICERS AND DIRECTORS UPDATE ANNUALLY THEIR DISCLOSURE STATEMENTS. ANY CONFLICTS ARE REVIEWED BY THE BOARD. IF THE POTENTIAL CONFLICT INVOLVES A BOARD MEMBER, THE POTENTIALLY CONFLICTED BOARD MEMBER SHALL ABSTAIN FROM PARTICIPATING IN THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS. THE DECISION OF THE BOARD IS FINAL. IF THE BOARD DETERMINES A CONFLICT DOES NOT EXIST, THE INTERESTED PERSON MAY PROCEED WITH THE TRANSACTION; HOWEVER, HE OR SHE WILL NOT BE ELIGIBLE TO VOTE ON RELATED ISSUES SHOULD THEY ARISE. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE DIRECTOR COMPENSATION REVIEW: THE COMPENSATION OF THE CEO IS ESTABLISHED BY THE BOARD OF DIRECTORS AND IS DETERMINED ANNUALLY. CHANGES TO THE CEO'S BASE COMPENSATION AS WELL AS ANY APPLICABLE BONUS PAYOUTS ARE MADE BASED UPON THE CEO'S PERFORMANCE FOR THE YEAR BEING EVALUATED. PERIODICALLY THE BOARD OF DIRECTORS CONDUCTS A MARKET SURVEY OF COMPARABLE COMPENSATION DATA TO ENSURE THAT THE CEO IS BEING FAIRLY COMPENSATED RELATIVE TO MARKET TRENDS. THE BOARD OF DIRECTORS RECORDS AND APPROVES THE TOTAL COMPENSATION PACKAGE FOR THE CEO ON AN ANNUAL BASIS. THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTED A COMPENSATION REVIEW IN 2014. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: ALL ORGANIZATIONAL DOCUMENTS, FINANCIAL STATEMENTS, AND ITS CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: $ 1,025,610 CONSULTING 1,784,276 TEMPORARY HELP 3,157,002 CONTRACT SERVICES 314,682 LABORATORY 169,478 PHARMACY 23,865 PURCHASED SERVICES 20,440 EMPLOYMENT AGENCY FEES 3,251 RADIOLOGY 1,335 VISION ------------ $ 6,499,939