2015-05-15T13:40:03-05:00 2014-06-30 420714325 MCGLADREY LLP 100 INTERNATIONAL DRIVE STE 1400 BALTIMORE MD 21202 990 2013-07-01 237267007 TOTAL HEALTH CARE INC TOTA 4103838300 1501 DIVISION STREET BALTIMORE MD 21217 THOMAS SIZEMORE CFO 4103838300 2015-05-15 1 JULIA FLANNERY CPA P00928918 4102469300 2013 2016-04-25 22:37:26Z FAYE ROYALE-LARKINS 1501 DIVISION STREET BALTIMORE MD 21217 52538945 0 X WWW.TOTALHEALTHCARE.ORG X 1971 MD SEE SCHEDULE O 14 14 431 14 0 0 5054234 5772747 35709169 36674680 1986690 562905 130561 138559 42880654 43148891 0 0 0 0 22577006 23228628 0 0 58250 18194322 19821787 40771328 43050415 2109326 98476 29463786 30605254 3414268 3623114 26049518 26982140 THE MISSION OF THC IS TO IMPROVE HEALTH AND QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. THE VISION IS BY 2024, EVERY PERSON IN THE COMMUNITIES SERVED BY THC WILL HAVE ACCESS TO A PATIENT-CENTERED MEDICAL HOME THAT ADVANCES HEALTH EQUITY ACROSS MARYLAND. 0 0 33642305 36674680 THE CENTER PROVIDES HIGH QUALITY PRIMARY CARE AND RELATED SERVICES FOR MEDICALLY UNDERSERVED PERSONS AND PROMOTES ACCESS TO HEALTH SERVICE IN EIGHT HEALTH CENTERS LOCATED IN THE GREATER BALTIMORE AREA. OVER THE PAST YEAR, THC SERVICED 38,358 PATIENTS WITH A TOTAL OF 160,548 VISITS. THE VISITS CONSISTED OF 60.76% MEDICAL, 10.14% DENTAL, 14.48% MENTAL HEALTH AND 14.61% SUBSTANCE ABUSE. OF THE PATIENTS SERVICES, 68.75% WERE MEDICAID, 18.45% WERE SELF PAY/UNINSURED, 7.67% WERE THIRD PARTY, AND 5.13% WERE MEDICARE. THC ALSO PROVIDES OUTREACH SERVICES TO ITS PATIENTS AS WELL AS IN THE SURROUNDING COMMUNITIES. 33642305 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 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 0 0 0 0 1 47 0 1 431 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 1 1 1 1 1 1 1 1 0 MD X THOMAS SIZEMORE CFO 4103833104 1501 W SARATOGA STREET BALTIMORE MD 21223 KEVIN TYLER SR CHAIRMAN 2.00 X X 0 0 0 GRETCHEN SPELL VICE-CHAIR (7/13-11/13) 2.00 X X 0 0 0 CAROLYN WELCH-LOCKWOOD SECRETARY 2.00 X X 0 0 0 TRACEY L MCKOY CPA TREASURER (7/13-11/13) 2.00 X X 0 0 0 SHARON POWDRILL MEMBER-AT-LARGE 2.00 X 0 0 0 MARY HELEN BURGESS BOARD MEMBER 2.00 X 0 0 0 RUELDA DEMPSTER-THOMAS BOARD MEMBER 2.00 X 0 0 0 CRYSTLE KHALIL BOARD MEMBER 2.00 X 0 0 0 JOHN LEPLEY TREASURER (11/13-6/14) 2.00 X X 0 0 0 LYNETTE LOCKE BOARD MEMBER 2.00 X 0 0 0 JOYCE SMITH BOARD MEMBER 2.00 X 0 0 0 ROSE SUMMERVILLE BOARD MEMBER 2.00 X 0 0 0 DON WASHINGTON BOARD MEMBER 2.00 X 0 0 0 THURMAN ZOLLICOFFER JR VICE-CHAIR (11/13-6/14) 2.00 X X 0 0 0 FAYE ROYALE-LARKINS CEO 40.00 X 235801 0 11299 VENDLA ESLER COO 40.00 X 165669 0 7590 RAMA SHANKAR CMO 40.00 X 230219 0 26546 MARK BATSON CFO (THROUGH JUNE 2013) 40.00 X 90228 0 2050 THOMAS SIZEMORE CFO (BEGAN JULY 2013) 40.00 X 83636 0 0 BEATRICE DENEFIELD PHYSICIAN/PROGRAM DIRECTOR 40.00 X 200484 0 8261 ARETHUSA KIRK ASSISTANT MEDICAL DIRECTOR 40.00 X 178815 0 9613 SOPHIA ROBINSON PHYSICIAN 40.00 X 167429 0 10959 JAYASHREE AMBLE PHYSICIAN 40.00 X 166464 0 2389 JACQUELINE FULTON PHYSICIAN 40.00 X 164806 0 3517 1683551 0 82224 38 0 1 0 ICETECH INC 940 W NORTH AVE BALTIMORE MD 21217 IT SUPPORT 830914 COMMUNITY HEALTH INTEGRATED 802 CROMWELL PARK DR SUITE V GLEN BURNIE MD 21061 MEDICAL STAFFING/PROVIDER 818872 SPPS METROPOLITAN OBGYN 301 ST PAUL PLACE BALTIMORE MD 21202 OB/GYN SERVICES 794766 QUEST DIAGNOSTICS PO BOX 740880 CINCINNATI OH 45274 DIAGNOSTIC TESTING 539670 WATKINS SECURITY AGENCY 2901 DRUID PARK DRIVE SUITE A 106 BALTIMORE MD 21215 SECURITY 401845 14 5772747 5772747 PATIENT FEES 900099 26214936 26214936 PHARMACY 900099 10459744 10459744 36674680 935105 935105 9017854 9390054 -372200 -372200 -372200 MISC INCOME 900099 138559 138559 138559 43148891 36674680 0 701464 952472 697989 254483 18585659 13568701 5016958 89515 78053 11462 2090029 1606515 483514 1510953 1270531 240422 237501 8183 229318 94410 51275 43135 75979 75979 4192096 2564100 1627996 248418 36493 211925 1724149 1492389 231760 93944 200 93744 1327793 1313312 14481 133113 112906 20207 100828 78555 22273 1242312 881386 360926 267053 82972 184081 COST OF PHARMACEUTICALS 6525674 6525674 BAD DEBT EXPENSE 1594277 1594277 DUES & LICENSES 1403040 1369186 33854 OTHER EXPENSES 561200 309608 193342 58250 43050415 33642305 9349860 58250 2635721 3236810 641890 77274 847206 1449544 2044858 4047056 546938 497019 19750702 14363441 5518569 5387261 14009132 12684098 3000000 3000000 219472 226192 29463786 30605254 3138429 3262144 71586 153521 204253 207449 3414268 3623114 X 26049518 26982140 26049518 26982140 29463786 30605254 98476 834146 0 X 0 1 X 1 1 1 X 782000 782000 12408100 9714884 2693216 1268537 825797 442740 5292065 3822760 1469305 5387261 INVESTMENT IN CLOSELY-HELD CORPORATION 3000000 C 3000000 DEFERRED RENT 207449 207449 X 42312781 834146 -1594277 -760131 43072912 75979 75979 43148891 41380159 0 41380159 75979 1594277 1670256 43050415 PART X, LINE 2: THE CENTER HAS ADOPTED ACCOUNTING GUIDANCE REGARDING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS POLICY, THE CENTER MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS EVALUATED THE CENTER'S TAX POSITIONS AND HAS CONCLUDED THAT THE CENTER HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. AS OF JUNE 30, 2014 AND 2013, THERE ARE NO MATERIAL UNRECOGNIZED/DERECOGNIZED TAX BENEFITS OR TAX PENALTIES OR INTEREST. THE CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE OR LOCAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE JUNE 30, 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS -1,594,277. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR UNCOLLECTIBLE ACCOUNTS 1,594,277. X X 0 0 0 0 0 0 0 0 0 FAYE ROYALE-LARKINS CEO 234454 0 0 0 1347 0 1477 0 9822 0 247100 0 0 0 VENDLA ESLER COO 165094 0 0 0 575 0 58 0 7532 0 173259 0 0 0 RAMA SHANKAR CMO 229889 0 0 0 330 0 2249 0 24297 0 256765 0 0 0 BEATRICE DENEFIELD PHYSICIAN/PROGRAM DIRECTOR 197101 0 0 0 3383 0 0 0 8261 0 208745 0 0 0 ARETHUSA KIRK ASSISTANT MEDICAL DIRECTOR 178660 0 0 0 155 0 2366 0 7247 0 188428 0 0 0 SOPHIA ROBINSON PHYSICIAN 167223 0 0 0 206 0 2561 0 8398 0 178388 0 0 0 JAYASHREE AMBLE PHYSICIAN 165554 0 0 0 910 0 2389 0 0 0 168853 0 0 0 JACQUELINE FULTON PHYSICIAN 163908 0 0 0 898 0 2667 0 850 0 168323 0 0 0 FORM 990, PART I, LINE 1 SINCE 1968, TOTAL HEALTH CARE (THC) HAS BEEN WORKING TO CLOSE HEALTHCARE DISPARITIES BY PROVIDING COMPREHENSIVE, QUALITY CARE TO PEOPLE LIVING IN SOME OF BALTIMORE'S LOWEST INCOME AND MOST CHALLENGING NEIGHBORHOODS. AGENCY-WIDE, THOUGH EIGHT SEPARATE CLINICS, WE PROVIDE PRIMARY MEDICAL, PEDIATRIC, INFECTIOUS DISEASE, DENTAL AND EYE CARE ALONG WITH INTEGRATED BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE RECOVERY) SERVICES. WE ALSO OFFER SIX PHARMACIES; AN ARRAY OF SKILLS TRAINING AND HEALTH COURSES LIKE DISEASE MANAGEMENT, SMOKING CESSATION AND NUTRITION; AND SUPPORTIVE PERSONNEL LIKE CASE MANAGERS AND COMMUNITY HEALTH WORKERS. THC IS AT THE VANGUARD OF COMMUNITY HEALTH CLINICS IN ADOPTING BEST-PRACTICES SUCH AS THE PATIENT CENTERED MEDICAL HOME MODEL. OVER THE PAST YEAR, THC SERVED 38,358 PATIENTS FOR A TOTAL OF 160,548 VISITS WHICH CONSISTED OF 61% MEDICAL, 10% DENTAL AND ABOUT 14.5% EACH OF MENTAL HEALTH AND SUBSTANCE ABUSE RECOVERY. OUR MISSION HAS BEEN AND REMAINS FOCUSED ON IMPROVING THE QUALITY OF LIFE THE INDIVIDUALS WE SERVE EXPERIENCE. THC'S PATIENTS LIVE MOSTLY IN THE COMMUNITIES OF WEST BALTIMORE AND ARE AMONG THE MOST MEDICALLY UNDERSERVED RESIDENTS OF OUR CITY. 284,286 PEOPLE LIVE WITHIN THESE AREAS, NEARLY 73% OF WHOM ARE AFRICAN AMERICAN AND OVER 44% OF WHOM HAVE INCOMES LESS THAN 200% OF THE FEDERAL POVERTY LEVEL. ALMOST 86% OF THC'S PATIENTS ARE AFRICAN AMERICAN AND OVER 93% ARE CONSIDERED LOW INCOME (EARNING LESS THAN 80% OF BALTIMORE CITY'S MEDIAN INCOME OF $23,802). OUR PATIENTS FACE A HOST OF HEALTH CHALLENGES, INCLUDING LOW BIRTH WEIGHT, DIABETES, HYPERTENSION, OBESITY, INFECTIOUS DISEASES, SUBSTANCE ABUSE, UNDIAGNOSED OR UNTREATED MENTAL ILLNESSES, AND PREMATURE MORTALITY. THC'S ENTIRE SERVICE GEOGRAPHY HAS BEEN DESIGNATED A "MEDICALLY UNDERSERVED" AREA BY THE FEDERAL GOVERNMENT. NEARLY ONE-QUARTER OF OUR ADULTS AND 9% OF OUR CHILDREN REMAIN UNINSURED. ALMOST 70% OF OUR PATIENTS ARE COVERED BY MEDICAID - PATIENTS WHO, ALTHOUGH THEIR MEDICAL CARE MAY BE COVERED, FACE DAUNTING BARRIERS LIKE UNHEALTHY HOUSING, EXPOSURE TO AND EXPERIENCE OF VIOLENCE, POOR FOOD OPTIONS AND A LACK OF TRANSPORTATION OR CHILDCARE THAT CAN PREVENT THEIR ACCESSING AND/OR FOLLOWING THROUGH WITH MEDICAL CARE. PATIENTS WHO ARE INSURED CAN FACE THE SOMETIMES INSURMOUNTABLE AND ALWAYS CHALLENGING BURDENS OF DEDUCTIBLES AND CO-PAYS. INDEED, THE NATIONAL CENTER FOR HEALTH STATISTICS REPORTED IN 2013 THAT 14% OF MEDICAID AND 9% OF PRIVATE INSURANCE PATIENTS SKIP PRESCRIBED MEDICATIONS BECAUSE THEY CANNOT AFFORD OUT-OF-POCKET CO-PAYS AND DEDUCTIBLES. ALL OF THESE ARE THE INDIVIDUALS FOR WHOM THC EXISTS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FINAL DRAFT OF THE 990 WILL BE REVIEWED BY THE CEO AND CFO, THEN SUBSEQUENTLY PRESENTED TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C TOTAL HEALTH CARE, INC. HAS A WRITTEN CONFLICT OF INTEREST POLICY. KEY EMPLOYEES, OFFICERS AND DIRECTORS UPDATE ANNUALLY THEIR DISCLOSURE STATEMENT. 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 15 THE COMPENSATION OF THE CEO IS ESTABLISHED BY THE BOARD OF DIRECTORS AND IS DETERMINED ANNUALLY. CHANGES TO THE CEOS BASE COMPENSATION AS WELL AS ANY APPLICABLE BONUS PAYOUTS ARE MADE BASED UPON THE CEOS 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. FORM 990, PART VI, SECTION C, LINE 19 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).