2012-10-31T11:01:14-05:00 2011-12-31 320000304 LEWIS BIRCH & RICARDO LLC 1401 COURT STREET CLEARWATER FL 337566146 990 2011-01-01 593219191 TREASURE COAST COMMUNITY HEALTH INC TREA 7725711980 12196 COUNTY ROAD 512 FELLSMERE FL 32948 ROBERT RAPPEL 7725711980 2012-10-31 1 BETTY ISLER CPA P00541979 7274463058 2011 2016-02-24 21:20:13Z ROBERT RAPPEL 12196 COUNTY ROAD 512 FELLSMERE FL 32948 8714151 0 X WWW.TCCHINC.ORG X 1995 FL PUBLIC HEALTH SERVICES PROVIDED UNDER U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340 14 14 157 20 0 0 2534360 3455552 4289891 4984678 -31633 -5355 20990 271699 6813608 8706574 0 0 0 0 4461094 5578081 0 0 0 2745355 3313203 7206449 8891284 -392841 -184710 6167465 6359727 3679376 4056348 2488089 2303379 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 7096530 7150 5218428 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.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. 7096530 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 29 0 1 157 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X DONNA BEN-BARRAK CFO 7725711981 12196 COUNTY ROAD 512 FELLSMERE FL 32948 ROBERT RAPPEL DO JD 1.00 X 0 0 0 BRYAN R DELP PHD 1.00 X 0 0 0 JAMES KEENAN 1.00 X 0 0 0 CHARLES BREMER 1.00 X 0 0 0 BUDDY AKERS 1.00 X 0 0 0 POLLY ELAINE COE 1.00 X 0 0 0 CURTIS DALILI MD 1.00 X 0 0 0 JOHN ELBERFELD 1.00 X 0 0 0 BARBARA MCFARLAND 1.00 X 0 0 0 FRANK PREBLE 1.00 X 0 0 0 PHYLLIS BOISVERT 1.00 X 0 0 0 CARMEN SANCHEZ 1.00 X 0 0 0 ERNESTINE WILLIAMS 1.00 X 0 0 0 SUSAN ADAMS 1.00 X 0 0 0 VICKI L SOULE 50.00 X 131340 0 8653 LINDA COSTA 50.00 X 114429 0 7938 HERMAN FOUNTAIN 40.00 X 162332 0 9226 MAI TRAN 40.00 X 128318 0 8567 HEIDI TURK 32.00 X 123478 0 16554 MARIAN SAMPSON 40.00 X 123342 0 7245 MARY MULINARY 40.00 X 99963 0 4346 883202 0 62529 6 0 1 0 0 3132070 323482 315297 3455552 PATIENT SVCS-MEDICAID 621110 2852726 2852726 PATIENT SVCS-SELF-PAY 621110 1497291 1497291 PATIENT SVCS-3RD PARTY 621110 311146 311146 PATIENT SVCS-MEDICARE 621110 211941 211941 PHARMACY 446110 111574 111574 4984678 567 567 1655 7577 -5922 -5922 -5922 EHR INCENTIVE INCOME 621110 233750 233750 COPIES 900099 16753 16753 STUDENT TRAINING REIMB 900099 15880 15880 5316 5316 271699 8706574 5218428 0 32594 262360 262360 4483774 3737350 746424 42750 37550 5200 395523 260901 134622 393674 305153 88521 15288 15288 39350 39350 688143 635398 52745 903934 810311 93623 256417 154429 101988 535342 505902 29440 52003 32116 19887 58709 26932 31777 13520 11161 2359 346648 233936 112712 7644 7297 347 BAD DEBT 247492 247492 OUTREACH 66528 66528 LEGAL SETTLEMENTS 47957 47957 RECRUITMENT & RETENTION 34228 24074 10154 8891284 7096530 1794754 0 33873 8997 283135 109521 80008 206230 404663 450187 23550 36673 30816 6754337 1422416 5282251 5331921 46862 198505 6167465 6359727 608880 847207 175318 2895178 3206392 0 2749 3679376 4056348 X 2488089 2303379 2488089 2303379 6167465 6359727 -184710 0 X X 0 1 1 X 1 1 X 2461661 2458298 2786589 2534360 3455552 13696460 2461661 2458298 2786589 2534360 3455552 13696460 13696460 47468 46896 18014 3564 567 116509 187057 21369 20990 271699 501115 14314084 16506529 0.95690 0.97140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 574851 574851 4638283 842250 3796033 1516827 571351 945476 24376 8815 15561 5331921 REFUNDABLE ADVANCES 2749 2749 8706574 8891284 -184710 -184710 8712496 0 8712496 -5922 -5922 8706574 8843327 0 8843327 47957 47957 8891284 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. X X X X 0 0 0 0 0 0 0 0 0 HERMAN FOUNTAIN 161540 0 0 0 792 0 0 0 9226 0 171558 0 0 0 X 154 FAIR MARKET VALUE X 4 469 FAIR MARKET VALUE X 1 302754 FAIR MARKET VALUE X DENTAL EQUIPMENT 1 5393 FAIR MARKET VALUE X SOFTWARE 1 5872 FAIR MARKET VALUE X OFFICE SUPPLIES 2 95 FAIR MARKET VALUE X OTHER NONCASH 2 560 FAIR MARKET VALUE 0 0 1 0 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. SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INC 12196 COUNTY ROAD 512 FELLSMERE FL 32948 272073611 TO AID & SUPPORT TREASURE COAST COMMUNITY HEALTH, INC. FL 501(C)(3) LINE 11A, I TREASURE COAST COMMUNITY HEALTH INC 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 SUPPORTING ORGANIZATION OF TREASURE COAST COMMUNITY HEALTH INC D 161018 LOAN BALANCE