TREASURE COAST COMMUNITY HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TREASURE COAST COMMUNITY HEALTH INC (EIN 59-3219191)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-31
IRS object ID
201233059349300223
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-10-31T11:01:14-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN320000304EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEWIS BIRCH & RICARDO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11401 COURT STREETAddressLine1
CityCLEARWATERCity
StateFLState
ZIP Code337566146ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593219191EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TREASURE COAST COMMUNITY HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTREANameControl
Phone7725711980Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112196 COUNTY ROAD 512AddressLine1
CityFELLSMERECity
StateFLState
ZIP Code32948ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT RAPPELName
TitleBOARD CHAIRTitle
Phone7725711980Phone
Date Signed2012-10-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBETTY ISLER CPAName
PTINP00541979PTIN
Phone7274463058Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT RAPPELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112196 COUNTY ROAD 512AddressLine1
CityFELLSMERECity
StateFLState
ZIP Code32948ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8714151GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TCCHINC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionPUBLIC HEALTH SERVICES PROVIDED UNDER U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees157TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2534360ContributionsGrantsPriorYear
Contributions Grants Current Year3455552ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4289891ProgramServiceRevenuePriorYear
Program Service Revenue CY4984678ProgramServiceRevenueCY
Investment Income Prior Year-31633InvestmentIncomePriorYear
Investment Income Current Year-5355InvestmentIncomeCurrentYear
Other Revenue Prior Year20990OtherRevenuePriorYear
Other Revenue Current Year271699OtherRevenueCurrentYear
Total Revenue Prior Year6813608TotalRevenuePriorYear
Total Revenue Current Year8706574TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4461094SalariesEtcPriorYear
Salaries Etc Current Year5578081SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2745355OtherExpensePriorYear
Other Expenses Current Year3313203OtherExpensesCurrentYear
Total Expenses Prior Year7206449TotalExpensesPriorYear
Total Expenses Current Year8891284TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-392841RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-184710RevenuesLessExpensesCY
Total Assets BOY6167465TotalAssetsBOY
Total Assets EOY6359727TotalAssetsEOY
Total Liabilities BOY3679376TotalLiabilitiesBOY
Total Liabilities EOY4056348TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2488089NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2303379NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7096530Expense
Grants7150Grants
Revenue5218428Revenue
DescriptionSINCE 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.TCCH SERVES OVER 15,506 PATIENTS ANNUALLY, REPRESENTING OVER 11% OF INDIAN RIVER COUNTY RESIDENTS. TCCH PROVIDERS REPORTED OVER 52,671 FACE-TO-FACE PATIENT VISITS IN 2011. THE CHIEF EXECUTIVE OFFICER AND MANAGEMENT STAFF ARE HIGHLY CREDENTIALED COMMUNITY LEADERS. ALL CLINICAL STAFF ARE BOARD-ELIGIBLE OR BOARD-CERTIFIED. THE PATIENTS THAT RECEIVE SERVICES AT TCCH ARE OF MULTI-CULTURES. TCCH'S TARGET POPULATION IS COMPRISED OF THOSE INDIVIDUALS WHOSE INCOME FALLS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES, WHICH INCLUDE THE UNINSURED, UNDERINSURED, MINORITY AND WORKING POOR. IN 2011, APPROXIMATELY 91% OF PATIENTS HAD INCOME BELOW THE 200% FEDERAL POVERTY LEVEL. MORE THAN HALF OF THE PATIENTS SERVED WERE UNINSURED WITH A SUBSET OF THE UNINSURED REPORTING 9.19% CHILDREN. SERVICES ARE OFFERED ON A SLIDING SCALE WITH MINIMUM PAYMENT SCALE FOR THOSE UNDER 100% FEDERAL POVERTY LEVEL.Description
Total Program Service Expense7096530TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees157NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DONNA BEN-BARRAK CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7725711981TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112196 COUNTY ROAD 512AddressLine1
CityFELLSMERECity
StateFLState
ZIP Code32948ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT RAPPEL DO JD
CHAIRMAN1.00X000
BRYAN R DELP PHD
VICE CHAIRMAN1.00X000
JAMES KEENAN
TREASURER1.00X000
CHARLES BREMER
SECRETARY1.00X000
BUDDY AKERS
CO-CHAIR1.00X000
POLLY ELAINE COE
BOARD MEMBER1.00X000
CURTIS DALILI MD
BOARD MEMBER1.00X000
JOHN ELBERFELD
BOARD MEMBER1.00X000
BARBARA MCFARLAND
BOARD MEMBER1.00X000
FRANK PREBLE
BOARD MEMBER1.00X000
PHYLLIS BOISVERT
BOARD MEMBER1.00X000
CARMEN SANCHEZ
BOARD MEMBER1.00X000
ERNESTINE WILLIAMS
BOARD MEMBER1.00X000
SUSAN ADAMS
BOARD MEMBER1.00X000
VICKI L SOULE
CEO50.0013134008653X
LINDA COSTA
CFO50.0011442907938X
HERMAN FOUNTAIN
MEDICAL DIRECTOR40.0016233209226X
MAI TRAN
PHYSICIAN40.0012831808567X
HEIDI TURK
DENTAL DIRECTOR32.00123478016554X
MARIAN SAMPSON
PHYSICIAN40.0012334207245X
MARY MULINARY
PHARMACIST40.009996304346X
FieldValueIRS element (for citing)
Total Reportable Comp From Org883202TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation62529TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants3132070GovernmentGrants
All Other Contributions323482AllOtherContributions
Noncash Contributions315297NoncashContributions
Total Contributions3455552TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SVCS-MEDICAID62111028527262852726
PATIENT SVCS-SELF-PAY62111014972911497291
PATIENT SVCS-3RD PARTY621110311146311146
PATIENT SVCS-MEDICARE621110211941211941
PHARMACY446110111574111574
FieldValueIRS element (for citing)
Total Program Service Revenue4984678TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column567TotalRevenueColumn
Exclusion$567ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1655Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other7577Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-5922Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5922TotalRevenueColumn
Exclusion-$5,922ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
EHR INCENTIVE INCOME621110233750233750
COPIES90009916753$16,753
STUDENT TRAINING REIMB90009915880$15,880

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column5316TotalRevenueColumn
Exclusion$5,316ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue271699TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8706574TotalRevenueColumn
Related Or Exempt Function Income5218428RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$32,594ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total262360Total
Management And General262360ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4483774Total
Program Services3737350ProgramServices
Management And General746424ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total42750Total
Program Services37550ProgramServices
Management And General5200ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total395523Total
Program Services260901ProgramServices
Management And General134622ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total393674Total
Program Services305153ProgramServices
Management And General88521ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15288Total
Management And General15288ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39350Total
Management And General39350ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total688143Total
Program Services635398ProgramServices
Management And General52745ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total903934Total
Program Services810311ProgramServices
Management And General93623ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total256417Total
Program Services154429ProgramServices
Management And General101988ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total535342Total
Program Services505902ProgramServices
Management And General29440ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total52003Total
Program Services32116ProgramServices
Management And General19887ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total58709Total
Program Services26932ProgramServices
Management And General31777ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13520Total
Program Services11161ProgramServices
Management And General2359ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total346648Total
Program Services233936ProgramServices
Management And General112712ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7644Total
Program Services7297ProgramServices
Management And General347ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT247492247492
OUTREACH6652866528
LEGAL SETTLEMENTS4795747957
RECRUITMENT & RETENTION342282407410154

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8891284Total
Program Services7096530ProgramServices
Management And General1794754ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY33873BOY
EOY8997EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY283135BOY
EOY109521EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY80008BOY
EOY206230EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY404663BOY
EOY450187EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY23550EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY36673BOY
EOY30816EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6754337LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1422416LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5282251BOY
EOY5331921EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY46862BOY
EOY198505EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6167465BOY
EOY6359727EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY608880BOY
EOY847207EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY175318BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2895178BOY
EOY3206392EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY2749EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3679376BOY
EOY4056348EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2488089BOY
EOY2303379EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2488089BOY
EOY2303379EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6167465BOY
EOY6359727EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-184710ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2461661CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2458298CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2786589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2534360CurrentTaxYearMinus1Year
Current Tax Year3455552CurrentTaxYear
Total13696460Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2461661CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2458298CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2786589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2534360CurrentTaxYearMinus1Year
Current Tax Year3455552CurrentTaxYear
Total13696460Total
FieldValueIRS element (for citing)
Public Support Total17013696460PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47468CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46896CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18014CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3564CurrentTaxYearMinus1Year
Current Tax Year567CurrentTaxYear
Total116509Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years187057CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years21369CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20990CurrentTaxYearMinus1Year
Current Tax Year271699CurrentTaxYear
Total501115Total
FieldValueIRS element (for citing)
Total Support14314084TotalSupport
Gross Receipts From Admissions Etc16506529GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95690PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97140PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis574851OtherCostOrOtherBasis
Book Value574851BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4638283OtherCostOrOtherBasis
Depreciation842250Depreciation
Book Value3796033BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1516827OtherCostOrOtherBasis
Depreciation571351Depreciation
Book Value945476BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24376OtherCostOrOtherBasis
Depreciation8815Depreciation
Book Value15561BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5331921TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionREFUNDABLE ADVANCESDescription
Amount$2,749Amount
FieldValueIRS element (for citing)
Total Of Amounts2749TotalOfAmounts
Total Revenue8706574TotalRevenue
Total Expenses8891284TotalExpenses
Excess Or Deficit For Year-184710ExcessOrDeficitForYear
Excess Or Deficit Per FS-184710ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8712496TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8712496RevenueSubtotal
Other Revenues Not Included-5922OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-5922RevenueNotRptdOnFinStmt
Total Revenue Per Form9908706574TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8843327TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8843327ExpensesSubtotal
Other Expenses Not Included47957OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt47957ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908891284TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2011, 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, 2007 REMAIN SUBJECT TO EXAMINATION.
PART XII, LINE 4B - OTHER ADJUSTMENTS:LOSS ON SALE OF PROPERTY AND EQUIPMENT -5,922.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:LEGAL SETTLEMENTS 47,957.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonHERMAN FOUNTAINNamePerson
Base Compensation Filing Org161540BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org792OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org9226NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org171558TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990154NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F990469NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990302754NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XDENTAL EQUIPMENT15393FAIR MARKET VALUE
XSOFTWARE15872FAIR MARKET VALUE
XOFFICE SUPPLIES295FAIR MARKET VALUE
XOTHER NONCASH2560FAIR MARKET VALUE
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CALL 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 15THE 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 19THE 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112196 COUNTY ROAD 512AddressLine1
CityFELLSMERECity
StateFLState
ZIP Code32948ZIPCode
FieldValueIRS element (for citing)
EIN272073611EIN
Primary ActivitiesTO AID & SUPPORT TREASURE COAST COMMUNITY HEALTH, INC.PrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11A, IPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TREASURE COAST COMMUNITY HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeDTransactionType
Amount Involved161018AmountInvolved
Method Of Amt DeterminationLOAN BALANCEMethodOfAmtDetermination

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