2011-08-01T13:14:31-05:00 2010-12-31 LEWIS BIRCH & RICARDO LLC 1401 COURT STREET CLEARWATER FL 337566146 990 2010-01-01 593219191 TREASURE COAST COMMUNITY HEALTH INC TREA 7725711980 12196 COUNTY ROAD 512 FELLSMERE FL 32948 ROBERT RAPPEL 7725711980 2011-07-26 1 BETTY ISLER CPA 7274463058 2010 2016-03-07 17:11:31Z ROBERT RAPPEL 12196 COUNTY ROAD 512 FELLSMERE FL 32948 6885901 0 X WWW.TCCHINC.ORG X 1995 FL PUBLIC HEALTH SERVICES PROVIDED UNDER U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340 14 14 136 15 0 0 2786589 2534360 3454345 4289891 18014 -31633 21369 20990 6280317 6813608 0 0 0 0 3959234 4461094 0 0 0 2251284 2745355 6210518 7206449 69799 -392841 6382756 6167465 3501826 3679376 2880930 2488089 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 5800543 4289891 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 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. 5800543 1 1 0 0 0 0 0 0 0 1 0 0 0 0 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 0 0 0 0 1 18 0 1 136 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X LINDA COSTA 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 RICHARD HANDLER MD 1.00 X 0 0 0 PAUL A MATTFELD 1.00 X 0 0 0 SUSAN ADAMS 1.00 X 0 0 0 PHYLLIS BOISVERT 1.00 X 0 0 0 POLLY ELAINE COE 1.00 X 0 0 0 BARBARA MCFARLAND 1.00 X 0 0 0 ERNESTINE WILLIAMS 1.00 X 0 0 0 JOHN ELBERFELD 1.00 X 0 0 0 JENNIFER JONES 1.00 X 0 0 0 CARMEN SANCHEZ 1.00 X 0 0 0 DONALD G LOFTUS 40.00 X 82989 12000 1169 VICKI L SOULE 50.00 X 118494 0 5395 LINDA COSTA 50.00 X 58236 0 921 HERMAN FOUNTAIN 40.00 X 162792 0 2379 MAI TRAN 40.00 X 130041 0 4151 HEIDI TURK 32.00 X 108353 0 6078 JUAN BAYOLO 40.00 X 110382 0 2867 COREY WILSON 40.00 X 112839 0 5093 884126 12000 28053 8 0 1 0 0 2527665 6695 211878 2534360 PATIENT SERVICES-MEDIC 621110 2629273 2629273 PATIENT SERVICES-SELF- 621110 1342282 1342282 PATIENT SERVICES-3RD P 621110 161387 161387 PATIENT SERVICES-MEDIC 621110 156949 156949 4289891 3564 3564 37096 72293 -35197 -35197 -35197 STUDENT TRAINING REIMB 900099 16040 16040 COPIES 900099 4407 4407 MISCELLANEOUS OTHER IN 900099 543 543 20990 6813608 4289891 0 -10643 267203 267203 3534579 3142034 392545 36047 32809 3238 325911 207158 118753 297354 252894 44460 7587 5725 1862 39825 13200 26625 456342 413432 42910 705208 653598 51610 245541 75875 169666 541313 487164 54149 44928 18172 26756 34197 14876 19321 3076 1756 1320 318221 215371 102850 2328 665 1663 BAD DEBT 235935 235935 OUTREACH 77846 23580 54266 RECRUITMENT & RETENTION 31500 6074 25426 OTHER EXPENSES 1508 225 1283 7206449 5800543 1405906 0 204816 33873 207333 283135 80008 287802 404663 65332 36673 6582345 1300094 5598757 5282251 18716 46862 6382756 6167465 614725 608880 175318 2887101 2895178 3501826 3679376 X 2880930 2488089 2880930 2488089 6382756 6167465 -392841 0 X X 0 1 1 X 1 1 X 2144104 2461661 2458298 2786589 2534360 12385012 2144104 2461661 2458298 2786589 2534360 12385012 12385012 18959 47468 46896 18014 3564 134901 187057 21369 20990 229416 12749329 12830047 0.97140 0.98650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 574851 574851 4573708 703044 3870664 1416155 590753 825402 17631 6297 11334 5282251 6813608 7206449 -392841 0 -392841 6858405 9600 9600 6848805 -35197 -35197 6813608 7216049 9600 9600 7206449 0 7206449 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. X X X X 0 0 0 0 0 0 0 0 0 HERMAN FOUNTAIN 162792 0 0 0 0 0 0 0 2379 0 165171 0 0 0 X 1 211878 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 4 THE 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 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 1 0 0