2014-08-12T11:22:11-05:00 2013-12-31 273605969 CBIZ MHM LLC 1401 COURT STREET CLEARWATER FL 337566146 990 2013-01-01 593219191 TREASURE COAST COMMUNITY HEALTH INC TREA 7725711980 2182 PONCE DE LEON CIRCLE VERO BEACH FL 32960 DR ROBERT RAPPEL CHAIRMAN 7725711980 2014-07-31 1 BETTY ISLER CPA P00541979 7274463058 2013 2015-11-30 17:44:51Z VICKI L SOULE 2182 PONCE DE LEON CIRCLE VERO BEACH FL 32960 9461056 0 X WWW.TCCHINC.ORG X 1995 FL PUBLIC HEALTH SERVICES PROVIDED UNDER U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340 11 11 194 11 0 0 3334330 3436455 6605169 5789252 6619 1908 270192 233441 10216310 9461056 0 0 0 0 6523116 6427459 0 0 0 3328303 3281523 9851419 9708982 364891 -247926 6568593 6404285 3900323 3983941 2668270 2420344 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 7703269 5997502 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 OVER 15,000 PATIENTS ANNUALLY, PROVIDING PRIMARY PREVENTATIVE HEALTHCARE SERVICES. TCCH PROVIDERS REPORTED OVER 49,474 FACE-TO-FACE PATIENT VISITS IN 2013. 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 2013, APPROXIMATELY 84% OF PATIENTS HAD INCOME BELOW THE 200% FEDERAL POVERTY LEVEL. FIFTY-TWO PERCENT OF THE PATIENTS SERVED WERE UNINSURED WITH A SUBSET OF THE UNINSURED REPORTING 12.85% 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. 7703269 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 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 21 0 1 194 1 0 0 0 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 1 0 FL X ANDREA FEDOCK CFO 7725711981 2182 PONCE DE LEON CIRCLE VERO BEACH FL 32960 ROBERT RAPPEL DO JD CHAIRMAN 1.00 1.00 X 0 0 0 DENISE TONNER MD VICE CHAIRMAN 1.00 0.00 X 0 0 0 BRYAN DELP 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 DEBBIE AVERY BOARD MEMBER 1.00 0.00 X 0 0 0 PHYLLIS BOISVERT BOARD MEMBER 1.00 0.00 X 0 0 0 POLLY COE BOARD MEMBER 1.00 0.00 X 0 0 0 BOBBIE MCFARLAND BOARD MEMBER 1.00 0.00 X 0 0 0 ROBIN RAIFF BOARD MEMBER 1.00 0.00 X 0 0 0 ERNESTINE WILLIAMS BOARD MEMBER 1.00 0.00 X 0 0 0 VICKI L SOULE CEO 40.00 1.00 X 147375 0 8635 ANDREA FEDOCK CFO 40.00 1.00 X 83047 0 12375 MARIAN SAMPSON PHYSICIAN 40.00 0.00 X 182687 0 7840 JUDITH BROOKS PHYSICIAN 40.00 0.00 X 171207 0 2726 JENNIFER MOORE PHYSICIAN 40.00 0.00 X 140308 0 9407 CHELLISE CATO PHYSICIAN 40.00 0.00 X 134621 0 5097 WILL INNOCENT PHYSICIAN 40.00 0.00 X 128206 0 6525 987451 0 52605 9 0 1 0 0 20000 80753 3210849 124853 276088 3436455 PATIENT SVCS-MEDICAID 621110 2998978 2998978 PATIENT SVCS-SELF-PAY 621110 1528726 1528726 PHARMACY 446110 662433 662433 PATIENT SVCS-3RD PARTY 621110 378408 378408 PATIENT SVCS-MEDICARE 621110 220707 220707 5789252 1908 1908 EHR INCENTIVE INCOME 621110 208250 208250 COPIES 900099 9831 9831 STUDENT TRAINING REIMB 900099 7000 7000 8360 8360 233441 9461056 5997502 0 27099 251432 251432 5236169 4292402 943767 22891 21359 1532 456323 304225 152098 460644 354739 105905 51485 51485 51450 51450 569308 564175 5133 260262 168562 91700 186717 109376 77341 608823 479675 129148 29605 7177 22428 38160 17137 21023 8805 3897 4908 389583 315163 74420 21943 21943 MEDICAL & DENTAL SUPPLI 761017 761017 BAD DEBT 176866 176866 RECRUITMENT & RETENTION 93290 93290 OUTREACH 34209 34209 9708982 7703269 2005713 0 44863 147502 103215 12525 324010 57640 596730 587135 44488 30341 71429 47501 7233971 2185770 5052601 5048201 331257 473440 6568593 6404285 802032 873143 3086042 3101126 10980 8527 1269 1145 3900323 3983941 X 2668270 2410344 10000 2668270 2420344 6568593 6404285 -247926 0 X X 0 1 X 1 1 1 X 2786589 2534360 3455552 3334330 3436455 15547286 2786589 2534360 3455552 3334330 3436455 15547286 15547286 18014 3564 567 7905 1908 31958 21369 20990 271699 270192 233441 817691 16396935 25123335 0.94820 0.95660 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: EHR INCENTIVE - 2011 AMOUNT: $ 233,750. 2012 AMOUNT: $ 233,921. 2013 AMOUNT: $ 208,250. STUDENT TRAINING REIMB - 2010 AMOUNT: $ 16,040. 2011 AMOUNT: $ 15,880. 2012 AMOUNT: $ 20,000. 2013 AMOUNT: $ 7,000. COPIES - 2010 AMOUNT: $ 4,407. 2011 AMOUNT: $ 16,753. 2012 AMOUNT: $ 8,907. 2013 AMOUNT: $ 9,831. OTHER REVENUE - 2009 AMOUNT: $ 21,369. 2010 AMOUNT: $ 543. 2011 AMOUNT: $ 5,316. 2012 AMOUNT: $ 7,364. 2013 AMOUNT: $ 8,360. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000 10000 1.00000 0 0 574851 574851 4734187 1185395 3548792 1703243 980529 722714 221690 19846 201844 5048201 DUE FROM AFFILIATE 417147 DEPOSITS 20197 LOAN COSTS, NET 3998 OTHER RECEIVABLES 32098 473440 REFUNDABLE ADVANCES 1145 1145 X 9461056 0 9461056 0 9461056 9708982 0 9708982 0 9708982 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, 2013, 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, 2009 REMAIN SUBJECT TO EXAMINATION. X X X X 0 0 0 0 0 0 0 0 0 VICKI L SOULE CEO 146741 0 0 0 634 0 4451 0 4184 0 156010 0 0 0 MARIAN SAMPSON PHYSICIAN 182587 0 0 0 100 0 0 0 7840 0 190527 0 0 0 JUDITH BROOKS PHYSICIAN 160032 0 11020 0 155 0 2330 0 396 0 173933 0 0 0 X 1 267810 FAIR MARKET VALUE X OFFICE EQUIP 1 8278 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 2182 PONCE DE LEON CIRCLE VERO BEACH FL 32960 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 80753 AMOUNTS TRANSFERRED SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INC D 117523 ADVANCES TO FUND OPERATIONS 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 12/31/13 IS $417,147.