TREASURE COAST COMMUNITY HEALTH INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- TREASURE COAST COMMUNITY HEALTH INC (EIN 59-3219191)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-05
- IRS object ID
- 201322179349300917
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-05T13:48:18-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320000304 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEWIS BIRCH & RICARDO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 COURT STREET | AddressLine1 |
| City | CLEARWATER | City |
| State | FL | State |
| ZIP Code | 337566146 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593219191 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TREASURE COAST COMMUNITY HEALTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TREA | NameControl |
| Phone | 7725711980 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2182 PONCE DE LEON CIRCLE | AddressLine1 |
| City | VERO BEACH | City |
| State | FL | State |
| ZIP Code | 32960 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DR ROBERT RAPPEL | Name |
| Title | CHAIRMAN | Title |
| Phone | 7725711980 | Phone |
| Date Signed | 2013-08-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETTY ISLER CPA | Name |
| PTIN | P00541979 | PTIN |
| Phone | 7274463058 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | VICKI L SOULE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2182 PONCE DE LEON CIRCLE | AddressLine1 |
| City | VERO BEACH | City |
| State | FL | State |
| ZIP Code | 32960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10217596 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TCCHINC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | PUBLIC HEALTH SERVICES PROVIDED UNDER U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340 | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 187 | TotalNbrEmployees |
| Total Nbr Volunteers | 16 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3455552 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3334330 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4984678 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6605169 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -5355 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6619 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 271699 | OtherRevenuePriorYear |
| Other Revenue Current Year | 270192 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8706574 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10216310 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5578081 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6523116 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3313203 | OtherExpensePriorYear |
| Other Expenses Current Year | 3328303 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8891284 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9851419 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -184710 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 364891 | RevenuesLessExpensesCY |
| Total Assets BOY | 6359727 | TotalAssetsBOY |
| Total Assets EOY | 6568593 | TotalAssetsEOY |
| Total Liabilities BOY | 4056348 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3900323 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2303379 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2668270 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7837515 | Expense |
| Revenue | 6839090 | Revenue |
| Description | 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 16,000 PATIENTS ANNUALLY, PROVIDING PRIMARY PREVENTATIVE HEALTHCARE SERVICES. TCCH PROVIDERS REPORTED OVER 57,801 FACE-TO-FACE PATIENT VISITS IN 2012. 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 2012, APPROXIMATELY 86% OF PATIENTS HAD INCOME BELOW THE 200% FEDERAL POVERTY LEVEL. FORTY-THREE PERCENT OF THE PATIENTS SERVED WERE UNINSURED WITH A SUBSET OF THE UNINSURED REPORTING 6.67% 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 OUTREACH PROGRAMS 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. | Description |
| Total Program Service Expense | 7837515 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 187 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREA FEDOCK CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7725711981 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2182 PONCE DE LEON CIRCLE | AddressLine1 |
| City | VERO BEACH | City |
| State | FL | State |
| ZIP Code | 32960 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT RAPPEL DO JD | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| FRANK PREBLE | |||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | ||
| BRYAN DELP | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| CHARLES BREMER | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| SUSAN ADAMS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BUDDY AKERS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PHYLLIS BOISVERT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| POLLY COE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOHN ELBERFELD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CURTIS DALILI | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES KEENAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BOBBIE MCFARLAND | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ILSSE RAMOS-LOPEZ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CARMEN SANCHEZ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ERNESTINE WILLIAMS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DENISE TONNER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| VICKI L SOULE | |||||||
| CEO | 40.00 | 128425 | 0 | 10926 | X | ||
| ANDREA FEDOCK | |||||||
| CFO | 40.00 | 58912 | 0 | 11627 | X | ||
| DONNA BEN-BARRACK | |||||||
| PRIOR CFO | 40.00 | 61590 | 0 | 7877 | X | ||
| LINDA COSTA | |||||||
| PRIOR CFO | 40.00 | 2935 | 0 | 63 | X | ||
| MARIAN SAMPSON | |||||||
| PHYSICIAN | 40.00 | 195210 | 0 | 9404 | X | ||
| HERMAN FOUNTAIN | |||||||
| MEDICAL DIRECTOR | 40.00 | 168308 | 0 | 14633 | X | ||
| CHELLISE CATO | |||||||
| PHYSICIAN | 40.00 | 124176 | 0 | 6426 | X | ||
| ODETTE VAZQUEZ | |||||||
| PHYSICIAN | 40.00 | 123671 | 0 | 9404 | X | ||
| HEIDI TURK | |||||||
| DENTAL DIRECTOR | 32.00 | 122188 | 0 | 21972 | X | ||
| BRIAN KING | |||||||
| COO | 40.00 | 26209 | 0 | 87 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1011624 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 92419 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 29423 | RelatedOrganizations |
| Government Grants | 3268135 | GovernmentGrants |
| All Other Contributions | 36772 | AllOtherContributions |
| Noncash Contributions | 326133 | NoncashContributions |
| Total Contributions | 3334330 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SVCS-MEDICAID | 621110 | 3428650 | 3428650 |
| PATIENT SVCS-SELF-PAY | 621110 | 1453978 | 1453978 |
| PHARMACY | 446110 | 836455 | 836455 |
| PATIENT SVCS-3RD PARTY | 621110 | 607355 | 607355 |
| PATIENT SVCS-MEDICARE | 621110 | 278731 | 278731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6605169 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7905 | TotalRevenueColumn |
| Exclusion | $7,905 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1286 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1286 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1286 | TotalRevenueColumn |
| Exclusion | -$1,286 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| EHR INCENTIVE INCOME | 621110 | 233921 | 233921 | |
| STUDENT TRAINING REIMB | 900099 | 20000 | $20,000 | |
| COPIES | 900099 | 8907 | $8,907 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7364 | TotalRevenueColumn |
| Exclusion | $7,364 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 270192 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10216310 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6839090 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $42,890 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308651 | Total |
| Management And General | 308651 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5222173 | Total |
| Program Services | 4295418 | ProgramServices |
| Management And General | 926755 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53695 | Total |
| Program Services | 47422 | ProgramServices |
| Management And General | 6273 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 471552 | Total |
| Program Services | 294784 | ProgramServices |
| Management And General | 176768 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 467045 | Total |
| Program Services | 365290 | ProgramServices |
| Management And General | 101755 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24259 | Total |
| Management And General | 24259 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46250 | Total |
| Management And General | 46250 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553841 | Total |
| Program Services | 552978 | ProgramServices |
| Management And General | 863 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1192047 | Total |
| Program Services | 1090090 | ProgramServices |
| Management And General | 101957 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163018 | Total |
| Program Services | 125237 | ProgramServices |
| Management And General | 37781 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 598297 | Total |
| Program Services | 494534 | ProgramServices |
| Management And General | 103763 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33061 | Total |
| Program Services | 4343 | ProgramServices |
| Management And General | 28718 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45574 | Total |
| Program Services | 18771 | ProgramServices |
| Management And General | 26803 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7548 | Total |
| Program Services | 3737 | ProgramServices |
| Management And General | 3811 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 375700 | Total |
| Program Services | 268487 | ProgramServices |
| Management And General | 107213 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2937 | Total |
| Management And General | 2937 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 191578 | 191578 | |
| OUTREACH | 58805 | 58805 | |
| RECRUITMENT & RETENTION | 35388 | 26041 | 9347 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9851419 | Total |
| Program Services | 7837515 | ProgramServices |
| Management And General | 2013904 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8997 | BOY |
| EOY | 44863 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109521 | BOY |
| EOY | 103215 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206230 | BOY |
| EOY | 324010 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450187 | BOY |
| EOY | 596730 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23550 | BOY |
| EOY | 44488 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30816 | BOY |
| EOY | 71429 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6849359 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1796758 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5331921 | BOY |
| EOY | 5052601 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198505 | BOY |
| EOY | 331257 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6359727 | BOY |
| EOY | 6568593 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 847207 | BOY |
| EOY | 802032 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3206392 | BOY |
| EOY | 3086042 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 10980 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2749 | BOY |
| EOY | 1269 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4056348 | BOY |
| EOY | 3900323 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2303379 | BOY |
| EOY | 2668270 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2303379 | BOY |
| EOY | 2668270 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6359727 | BOY |
| EOY | 6568593 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 364891 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2458298 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2786589 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2534360 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3455552 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3334330 | CurrentTaxYear |
| Total | 14569129 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2458298 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2786589 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2534360 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3455552 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3334330 | CurrentTaxYear |
| Total | 14569129 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 14569129 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 46896 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18014 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3564 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 567 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7905 | CurrentTaxYear |
| Total | 76946 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 21369 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20990 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 271699 | CurrentTaxYearMinus1Year |
| Current Tax Year | 270192 | CurrentTaxYear |
| Total | 584250 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 15230325 | TotalSupport |
| Gross Receipts From Admissions Etc | 21569255 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.95660 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.95690 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 574851 | OtherCostOrOtherBasis |
| Book Value | 574851 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4661188 | OtherCostOrOtherBasis |
| Depreciation | 1011466 | Depreciation |
| Book Value | 3649722 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1559736 | OtherCostOrOtherBasis |
| Depreciation | 771960 | Depreciation |
| Book Value | 787776 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 53584 | OtherCostOrOtherBasis |
| Depreciation | 13332 | Depreciation |
| Book Value | 40252 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5052601 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATE | 299624 |
| DEPOSITS | 27063 |
| LOAN COSTS, NET | 4570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 331257 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | REFUNDABLE ADVANCES | Description |
| Amount | $1,269 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1269 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 10217596 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 10217596 | RevenueSubtotal |
| Other Revenues Not Included | -1286 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -1286 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 10216310 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9851419 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 9851419 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 9851419 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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, 2012, 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, 2008 REMAIN SUBJECT TO EXAMINATION. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT -1,286. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARIAN SAMPSON | ||||||||||||||
| PHYSICIAN | 194380 | 0 | 710 | 0 | 120 | 0 | 0 | 0 | 9404 | 0 | 204614 | 0 | 0 | 0 |
| HERMAN FOUNTAIN | ||||||||||||||
| MEDICAL DIRECTOR | 165584 | 0 | 1200 | 0 | 1524 | 0 | 0 | 0 | 14633 | 0 | 182941 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 307781 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | MEDICAL EQUIPMENT | 1 | 17776 | FAIR MARKET VALUE |
| X | SOFTWARE | 1 | 576 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2182 PONCE DE LEON CIRCLE | AddressLine1 |
| City | VERO BEACH | City |
| State | FL | State |
| ZIP Code | 32960 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272073611 | EIN |
| Primary Activities | TO AID & SUPPORT TREASURE COAST COMMUNITY HEALTH, INC. | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 11A, I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TREASURE COAST COMMUNITY HEALTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionType |
| Amount Involved | 138606 | AmountInvolved |
| Method Of Amt Determination | ADVANCES TO FUND OPERATIONS | MethodOfAmtDetermination |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART V, LINE 2 - TRANSACTIONS WITH RELATED ORGANIZATIONS | ReturnReference |
| Explanation | 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 12/31/12 IS $299,624. | Explanation |
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