2013-05-03T10:17:11-07:00 2012-12-31 631110081 S W Chiepalich CPA P C 5905 Airport Blvd Mobile AL 36608 990 2012-01-01 640592416 Coastal Family Health Center Inc COAS 2283742494 P O Box 475 Bilox MS 39533 Angel Greer 2283742494 2013-04-01 1 Steve Chiepalich P01277684 2516103792 2013-03-29 X 2012 2016-03-07 17:11:31Z Angel Greer Post Office Box 475 Biloxi MS 39533 13945081 0 X Coastalfamilyhealth.org X 1976 MS The purpose of Coastal Family Health Center, Inc. is to provide quality health care and social services to all persons regardless of economic status with the understanding that the term health is an inclusive one that seeks to improve the quality of life for the whole community. 16 16 255 0 0 0 9048249 8874320 5055558 4927302 -22753 110773 15980 11364 14097034 13923759 0 0 0 0 8840454 8719794 0 0 0 5172627 4232693 14013081 12952487 83953 971272 13820252 15047392 910170 1166038 12910082 13881354 X The purpose of Coastal Family Health Center, Inc. is to provide quality health care and social services to all persons regardless of economic status with the understanding that the term health is an inclusive one that seeks to improve the quality of life for the whole community. 0 0 7720628 4223139 Medical Services - Providing high quality medical services primarily to the uninsured and the under-insured is one of our primary exempt purposes. During 2012, our organization had 67,708 patient medical appointments for various medical conditions which were seen by family physicians or physician assistants, internists, pediatricians, or nurse practitioners. These appointments involved a total of 26,093 of our patients 633047 0 91616 HIV Services - Our organization provided, on an outpatient basis, high-quality early intervention services and primary care related to HIV patients. We provided a continuum of HIV preventions for at-risk individuals who are HIV-infected. During 2012, we provided these services to approximately 350 such patients, who had a cumulative total of approximately 1,000 appointments. 783965 0 448661 Dental Services - Our organization also provides dental services primarily to the uninsured and the under-insured. During 2012, we had 9,566 dental appointments provided by one of our dentists to 4,487 of our dental patients. 2053790 0 0 Other services 2053790 0 0 11191430 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 40 0 1 255 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X Katherine Hill 2283742494 1046 Division Street Biloxi MS 39533 Kwantrell Green 2 X 0 0 0 Martha Milner 1 X 0 0 0 Bertha J Oatis 1 X 0 0 0 Brandon Jacobs 1 X 0 0 0 Judy Jones 1 X 0 0 0 Paulette Briscoe 1 X 0 0 0 Christine McLeod 1 X 0 0 0 Judy Grant 1 X 0 0 0 Gary Herbert 1 X 0 0 0 Joseph Hudson 1 X 0 0 0 L E Parker 1 X 0 0 0 Karlyn Stephens 1 X 0 0 0 Roy Tolbert 1 X 0 0 0 Ethel Davis 1 X 0 0 0 Judy Roberts 1 X 0 0 0 Angel Greer 40 X 127939 0 0 127939 0 0 12 0 0 0 J W Puckett & Co 12284 Intraplex Parkway Gulfport MS 39503 Clinic construction 1385385 Laboratory Corporation of America P O Box 12140 Burlington NC 27216 Medical lab tests 485290 Mike Dorcik P A 12511 McCully Drive Bilox MS 39532 Contract medical services 138806 AT & T 85 Annex Atlanta GA 30385 Communication services 138462 Emmon Enterprises LLC Jani-King of Mississippi Coast 122 W Pine Street Ponchatoula LA 70454 Janitorial 132687 5 0 0 0 0 7338182 1536138 0 8874320 Medical Services 621990 4223139 4223139 0 0 Dental services 621210 448661 448661 0 0 Optometry services 621320 163886 163886 0 0 HIV services 621990 91616 91616 0 0 0 0 0 0 4927302 3085 3085 0 0 0 129010 0 21322 0 107688 107688 107688 0 0 0 11364 11364 0 0 11364 13923759 5046354 0 3085 127939 0 127939 0 0 7015762 6273497 742265 206483 181338 25145 829151 728414 100737 540459 474824 65635 12851 12851 25849 25849 51005 51005 779531 482972 296559 34922 25575 9347 620822 543232 77590 116865 72861 44004 Medical, dental & lab supplies 799537 799537 0 0 Contract lab & medical services 1161552 1161552 0 0 Licenses & dues 287504 215772 71732 0 Education, dues & publications 125371 91587 33784 0 216884 140269 76615 12952487 11191430 1761057 0 2270555 3073863 514608 562413 1544046 1119285 36318 34933 56644 72828 14383227 4202372 9394866 10180855 3215 3215 13820252 15047392 616521 867387 293649 298651 910170 1166038 X 12910082 13881354 0 0 0 0 12910082 13881354 13820252 15047392 971272 0 0 0 0 0 X 0 1 0 1 1 X 10110515 9216936 10282880 9116771 9196795 47923897 10110515 9216936 10282880 9116771 9196795 47923897 47923897 42640 35068 10250 4723 3085 95766 43604 5121 27923 15980 11364 103992 48123655 0.99585 0.99523 X Small, inconsequential cash receipts throughout the year. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 331630 331630 0 10025086 2234609 7790477 0 85910 5011 80899 0 2424768 1962752 462016 0 1515833 0 1515833 10180855 14157602 0 75129 0 266402 341531 13816071 0 107688 107688 13923759 13027616 75129 0 0 0 75129 12952487 0 0 0 12952487 SchD_P11_S00_L02d Schedule D, Part XI, Line 2d Refundable grant revenues are netted in revenues on the tax return but shown as as other expense item on the audited financial statement. SchD_P11_S00_L04b Schedule D, Part XI, Line 4b Gain on sale of assets other than inventory is included in revenues on the tax return but shown as an other income item on the audited financial statement. F990_P03_S00_L04d Form 990, Part III, Line 4d In addition to the above services, our organization provides mental health, lab, nutrition, patient transportation, OB/GYN, pharmacy, and other ancillary services. Our pharmacy fills over 150 prescriptions per day and our total patient count is over 30,000. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The Form 990 is reviewed in detail with the Chief Financial Officer before filing. The Form 990 is reviewed and signed by the Chief Executive Officer. It is subsequently discussed on a cursory basis with the Board by the organization's independent auditor. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The Conflict of Interest Policy is monitored and enforced by the CEO through close oversight of, and frequent interaction with, department heads and the Board. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 A comprehensive market survey was performed in 2008 by the Board's Personnel Committee to evaluate and adjust the Chief Executive Officer's compensation package to reflect the local market. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The organization is not required to, and does not, make its governing documents or conflict of interest policy available to the public. Its Form 990, however, is prepared from its annual audited financial statements and, as such, its annual financial statements are available to the public through review of its annual tax return.