TREASURE COAST COMMUNITY HEALTH INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TREASURE COAST COMMUNITY HEALTH INC (EIN 59-3219191)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-01
IRS object ID
201112139349300441
Schema version
2010v3.4
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)
Timestamp2011-08-01T13:14:31-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-07-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBETTY ISLER CPAName
Phone7274463058Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts6885901GrossReceipts
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 Employees136TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2786589ContributionsGrantsPriorYear
Contributions Grants Current Year2534360ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3454345ProgramServiceRevenuePriorYear
Program Service Revenue CY4289891ProgramServiceRevenueCY
Investment Income Prior Year18014InvestmentIncomePriorYear
Investment Income Current Year-31633InvestmentIncomeCurrentYear
Other Revenue Prior Year21369OtherRevenuePriorYear
Other Revenue Current Year20990OtherRevenueCurrentYear
Total Revenue Prior Year6280317TotalRevenuePriorYear
Total Revenue Current Year6813608TotalRevenueCurrentYear
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 Year3959234SalariesEtcPriorYear
Salaries Etc Current Year4461094SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2251284OtherExpensePriorYear
Other Expenses Current Year2745355OtherExpensesCurrentYear
Total Expenses Prior Year6210518TotalExpensesPriorYear
Total Expenses Current Year7206449TotalExpensesCurrentYear
Revenues Less Expenses Prior Year69799RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-392841RevenuesLessExpensesCY
Total Assets BOY6382756TotalAssetsBOY
Total Assets EOY6167465TotalAssetsEOY
Total Liabilities BOY3501826TotalLiabilitiesBOY
Total Liabilities EOY3679376TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2880930NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2488089NetAssetsOrFundBalancesEOY
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
Expense5800543Expense
Revenue4289891Revenue
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 14,195 PATIENTS ANNUALLY, PROVIDING OVER 50,656 FACE-TO-FACE PATIENT VISITS. 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. EIGHTY PERCENT OF PATIENTS HAVE INCOMES BELOW THE 200 PERCENT FEDERAL POVERTY LEVEL. MORE THAN HALF OF THE PATIENTS SERVED ARE UNINSURED. SERVICES ARE OFFERED ON A SLIDING SCALE WITH MINIMUM PAYMENT SCALE FOR THOSE UNDER 100 PERCENT FEDERAL POVERTY LEVEL. DURING 2010, 14,195 PATIENTS WERE SERVED.Description
Total Program Service Expense5800543TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Liabilities0ReportOtherLiabilities
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 Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees136NumberOfEmployees
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 Docs1ChangesToOrganizingDocs
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 Line1LINDA COSTA 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 (23 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
BOARD MEMBER1.00X000
RICHARD HANDLER MD
BOARD MEMBER1.00X000
PAUL A MATTFELD
BOARD MEMBER1.00X000
SUSAN ADAMS
BOARD MEMBER1.00X000
PHYLLIS BOISVERT
BOARD MEMBER1.00X000
POLLY ELAINE COE
BOARD MEMBER1.00X000
BARBARA MCFARLAND
BOARD MEMBER1.00X000
ERNESTINE WILLIAMS
BOARD MEMBER1.00X000
JOHN ELBERFELD
BOARD MEMBER1.00X000
JENNIFER JONES
BOARD MEMBER1.00X000
CARMEN SANCHEZ
BOARD MEMBER1.00X000
DONALD G LOFTUS
FORMER CEO40.0082989120001169X
VICKI L SOULE
CEO50.0011849405395X
LINDA COSTA
CFO50.00582360921X
HERMAN FOUNTAIN
MEDICAL DIRECTOR40.0016279202379X
MAI TRAN
PHYSICIAN40.0013004104151X
HEIDI TURK
DENTAL DIRECTOR32.0010835306078X
JUAN BAYOLO
PHYSICIAN40.0011038202867X
COREY WILSON
DENTIST40.0011283905093X
FieldValueIRS element (for citing)
Total Reportable Comp From Org884126TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12000TotalReportableCompFrmRltdOrgs
Total Other Compensation28053TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants2527665GovernmentGrants
All Other Contributions6695AllOtherContributions
Noncash Contributions211878NoncashContributions
Total Contributions2534360TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES-MEDIC62111026292732629273
PATIENT SERVICES-SELF-62111013422821342282
PATIENT SERVICES-3RD P621110161387161387
PATIENT SERVICES-MEDIC621110156949156949
FieldValueIRS element (for citing)
Total Program Service Revenue4289891TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3564TotalRevenueColumn
Exclusion$3,564ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other37096Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other72293Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-35197Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-35197TotalRevenueColumn
Exclusion-$35,197ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
STUDENT TRAINING REIMB90009916040$16,040
COPIES9000994407$4,407
MISCELLANEOUS OTHER IN900099543$543
FieldValueIRS element (for citing)
Total Other Revenue20990TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6813608TotalRevenueColumn
Related Or Exempt Function Income4289891RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$10,643ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total267203Total
Management And General267203ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3534579Total
Program Services3142034ProgramServices
Management And General392545ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36047Total
Program Services32809ProgramServices
Management And General3238ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total325911Total
Program Services207158ProgramServices
Management And General118753ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total297354Total
Program Services252894ProgramServices
Management And General44460ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7587Total
Program Services5725ProgramServices
Management And General1862ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39825Total
Program Services13200ProgramServices
Management And General26625ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total456342Total
Program Services413432ProgramServices
Management And General42910ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total705208Total
Program Services653598ProgramServices
Management And General51610ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total245541Total
Program Services75875ProgramServices
Management And General169666ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total541313Total
Program Services487164ProgramServices
Management And General54149ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total44928Total
Program Services18172ProgramServices
Management And General26756ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total34197Total
Program Services14876ProgramServices
Management And General19321ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3076Total
Program Services1756ProgramServices
Management And General1320ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total318221Total
Program Services215371ProgramServices
Management And General102850ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2328Total
Program Services665ProgramServices
Management And General1663ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT235935235935
OUTREACH778462358054266
RECRUITMENT & RETENTION31500607425426
OTHER EXPENSES15082251283

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7206449Total
Program Services5800543ProgramServices
Management And General1405906ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY204816BOY
EOY33873EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY207333BOY
EOY283135EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY80008EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY287802BOY
EOY404663EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY65332BOY
EOY36673EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6582345LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1300094LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5598757BOY
EOY5282251EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18716BOY
EOY46862EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6382756BOY
EOY6167465EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY614725BOY
EOY608880EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY175318EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2887101BOY
EOY2895178EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3501826BOY
EOY3679376EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2880930BOY
EOY2488089EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2880930BOY
EOY2488089EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6382756BOY
EOY6167465EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-392841ReconcilationRevenueExpenses
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 Years2144104CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2461661CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2458298CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2786589CurrentTaxYearMinus1Year
Current Tax Year2534360CurrentTaxYear
Total12385012Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2144104CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2461661CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2458298CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2786589CurrentTaxYearMinus1Year
Current Tax Year2534360CurrentTaxYear
Total12385012Total
FieldValueIRS element (for citing)
Public Support Total17012385012PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18959CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47468CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46896CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18014CurrentTaxYearMinus1Year
Current Tax Year3564CurrentTaxYear
Total134901Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years187057CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year21369CurrentTaxYearMinus1Year
Current Tax Year20990CurrentTaxYear
Total229416Total
FieldValueIRS element (for citing)
Total Support12749329TotalSupport
Gross Receipts From Admissions Etc12830047GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97140PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98650PublicSupportPertcentPriorYear
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 Basis4573708OtherCostOrOtherBasis
Depreciation703044Depreciation
Book Value3870664BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1416155OtherCostOrOtherBasis
Depreciation590753Depreciation
Book Value825402BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17631OtherCostOrOtherBasis
Depreciation6297Depreciation
Book Value11334BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5282251TotalOfBookValueLandBuildings
Total Revenue6813608TotalRevenue
Total Expenses7206449TotalExpenses
Excess Or Deficit For Year-392841ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-392841ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6858405TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities9600DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F9909600RevenueNotRptdF990
Revenue Subtotal6848805RevenueSubtotal
Other Revenues Not Included-35197OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-35197RevenueNotRptdOnFinStmt
Total Revenue Per Form9906813608TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7216049TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities9600DonatedServicesUseOfFacilities
Expenses Not Rptd F9909600ExpensesNotRptdF990
Expenses Subtotal7206449ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907206449TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:TCCH IS 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). THE AFFILIATE HAS APPLIED FOR TAX EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND BELIEVES THE EXEMPTION WILL BE GRANTED. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. THE CENTER HAS ADOPTED THE FASB GUIDANCE REGARDING UNCERTAINTY IN INCOME TAXES AS CODIFIED IN FASB ASC TOPIC 740-10. AT DECEMBER 31, 2010, MANAGEMENT DOES NOT BELIEVE IT HAS TAKEN ANY TAX POSITIONS THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. THE CENTERS 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 -35,197.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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 Org162792BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org2379NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org165171TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990211878NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
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 (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION'S BY-LAWS WERE AMENDED TO CLARIFY THE COMPOSITION OF THE BOARD AND QUALIFICATIONS OF THE DIRECTORS. REVISIONS ALSO INCLUDED CLARIFICATION OF THE DUTIES AND RESPONSIBILITIES OF THE BOARD AND ITS COMMITTEES.
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.
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 12C
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 B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON INDIVIDUAL REQUEST.FORM 990, PART VI, SECTION C, LINE 19
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.FORM 990, PART XII, LINE 2C:

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 Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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