2015-02-16T08:23:39-06:00 2014-03-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2013-04-01 591664577 PROJECT HEALTH INC D/B/A THOMAS E LANGLEY MEDICAL CENTER PROJ 3527935900 1425 US SOUTH HIGHWAY 301 SUMTERVILLE FL 33585 THOMAS CHASE CEO 3527935900 2015-01-26 1 SAM A LAZZARA P01342929 8138757774 2013 2016-02-25 16:41:14Z THOMAS CHASE 1425 US SOUTH HIGHWAY 301 SUMTERVILLE FL 33585 10080349 0 X WWW.LANGLEYMEDICAL.COM X 1974 FL OPERATE COMMUNITY HEALTH CENTERS. 11 11 172 13 0 0 5760472 2367933 7535383 7654003 -771 404 39728 58009 13334812 10080349 0 0 0 0 6740738 7041916 0 0 0 4267557 3596706 11008295 10638622 2326517 -558273 14209670 13954706 9129910 9433219 5079760 4521487 PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE WITH COURTESY, DIGNITY AND COMPASSION BY A PROFESSIONAL, WELL TRAINED STAFF TO ANYONE NEEDING THESE SERVICES. 0 0 8862545 7654003 AMBULATORY AND PRIMARY HEALTH CARE SERVICES PROVIDED ON A SLIDING FEE SCHEDULE - SERVICES INCLUDED MEDICAL, DENTAL, PHARMACY, LABORATORY, AND COMMUNITY HEALTH EDUCATION. 8862545 1 0 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 172 1 1 1 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X GARY COSTANTINO CFO 3527935900 1425 U S SOUTH HWY 301 SUMTERVILLE FL 33585 JON SIMPSON CHAIRMAN 1.00 X X 0 0 0 IVORY GRAY VICE CHAIR 1.00 X X 0 0 0 JERRY VOGLER TREASURER 1.00 X X 0 0 0 SHIRLEY PARKER SECRETARY 1.00 X X 0 0 0 JOE DONLON DIRECTOR 1.00 X 0 0 0 DOSSIE SINGLETON DIRECTOR 1.00 X 0 0 0 JIMMIE ENDERLE DIRECTOR 1.00 X 0 0 0 DEANA LINDSAY DIRECTOR 1.00 X 0 0 0 PHILLIP SCARPELLI DIRECTOR 1.00 X 0 0 0 SHERRY OLSZANSKI DIRECTOR 1.00 X 0 0 0 PAULA KNIGHT DIRECTOR 1.00 X 0 0 0 THOMAS CHASE CEO 40.00 X 90863 0 0 GARY COSTANTINO CFO 40.00 X 83959 0 6801 VICKI WYNNS COO 40.00 X 83276 0 259 ALBERT KAPLAN MD MEDICAL DIRECTOR 40.00 X 143885 0 8486 GISELA VARGAS MD DOCTOR 40.00 X 145334 0 6040 JULIE VAVRUSKA DDS DENTIST 40.00 X 147077 0 3808 DEBORAH GREER ARNP REGISTERED NURSE 40.00 X 135892 0 11457 CURTIS CURINGTON DDS DENTIST 40.00 X 133581 0 3861 JAMES TAYLOR RADIOLOGIST 40.00 X 129563 0 0 1093430 0 40712 9 0 1 0 LIFESTREAM BEHAVIORAL CENTER PO BOX 491000 LEESBURG FL 347491000 BEHAVIORAL SCIENCES 109275 1 2315933 52000 2367933 NET PATIENT SERVICE REV 621400 7654003 7654003 7654003 404 404 58009 0 58009 58009 58009 10080349 7654003 0 58413 401983 337360 64623 5689560 4774906 914654 49407 39076 10331 469703 371490 98213 431263 341087 90176 12829 12829 33000 33000 449908 400193 49715 29934 20 29914 525673 463281 62392 299556 269599 29957 482007 299467 182540 431606 390958 40648 755009 611558 143451 137495 123861 13634 PROVISION FOR BAD DEBT 272847 272847 PHARMACEUTICAL SUPPLIES 166842 166842 10638622 8862545 1776077 0 158853 47980 375411 430559 26767 124836 796088 765512 32271 54485 45862 28913 17920971 5430481 12762487 12490490 11931 11931 14209670 13954706 1099337 1742847 10172 28535 7778672 7328662 80000 250000 161729 83175 9129910 9433219 X 5079760 4521487 5079760 4521487 14209670 13954706 -558273 0 X X 0 1 X 1 1 1 X 2516434 2025323 2890432 5760472 2367933 15560594 8377023 8127133 7549399 7535383 7654003 39242941 10893457 10152456 10439831 13295855 10021936 54803535 0 0 0 54803535 40659 37080 31111 35425 58413 202688 40659 37080 31111 35425 58413 202688 30268 16834 16233 205 63540 10964384 10206370 10487175 13331485 10080349 55069763 0.99520 0.99520 0.00370 0.00330 X 1280721 1280721 11405404 2066830 9338574 634949 383934 251015 4099920 2979717 1120203 499977 499977 12490490 CAPITAL LEASES PAYABLE 83175 83175 X 10080349 0 10080349 0 10080349 10638622 0 10638622 0 10638622 PART X, LINE 2: THE ORGANIZATION HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X X X 0 0 0 0 0 0 0 0 0 ALBERT KAPLAN MD MEDICAL DIRECTOR 143885 0 0 0 0 0 0 0 8486 0 152371 0 0 0 GISELA VARGAS MD DOCTOR 145334 0 0 0 0 0 2232 0 3808 0 151374 0 0 0 JULIE VAVRUSKA DDS DENTIST 147077 0 0 0 0 0 0 0 3808 0 150885 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CFO, GARY COSTANTINO PRESENTS THE COPY OF FORM 990 TO THE BOARD OF DIRECTORS AT THEIR MONTHLY MEETING FOR REVIEW. AFTER REVIEW OF THE DOCUMENTS A MOTION IS MADE BY ONE OF THE BOARD MEMBERS TO ACCEPT FORM 990, AND AFTER MOTION IS SECONDED IT IS CONSIDERED APPROVED TO FILE WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS ARE PROVIDED COPIES OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. DIRECTORS ARE REQUIRED TO COMPLETE A WRITTEN QUESTIONNAIRE ABOUT ANY POTENTIAL CONFLICTS THEY MAY HAVE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE CEO'S ANNUAL COMPENSATION. FORM 990, PART VI, SECTION C, LINE 18 PROJECT HEALTH MAKES ITS FORMS 1023, 990, AND 990T AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 PROJECT HEALTH NOTES THAT IT IS NOT REQUIRED TO MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C, FINANCIAL STATEMENTS AND REPORTING: PROJECT HEALTH'S BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION OF THE ORGANIZATION'S INDEPENDENT AUDITORS. THE BOARD MAINTAINS COMMUNICATION WITH THE INDEPENDENT AUDITORS, AS NECESSARY, DURING THE AUDIT AND IS RESPONSIBLE FOR REVIEWING AND APPROVING THE AUDITED FINANCIAL STATEMENTS. THOMAS E LANGELY MEDICAL CENTER FOUNDATION INC 1425 SOUTH US HWY 301 SUMTERVILLE FL 33585 650713573 RAISE FUNDS TO SUPPORT THE ACTIVITIES OF PROJECT HEALTH FL 501(C)(3) 509(A)(3) TYPE II 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0