2019-02-08T10:09:05-06:00 2018-03-31 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DR SUITE 400 CLEARWATER FL 337625539 990 2017-04-01 591741303 SUNCOAST COMMUNITY HEALTH CENTERS INC SUNC 8136454681 P O BOX 1349 RUSKIN FL 33575 ROBERT RODRIGUEZ CFO 8136454681 2019-02-04 1 ALICIA BROWN P01337755 7275721400 71.41.95.34 2019-02-04 13:58:04 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8795436A6D2F947286B80284B86DAF385C7935EA 2017 2019-02-21 02:37:17Z BRADLEY HERREMANS P O BOX 1349 RUSKIN FL 33575 39510243 0 X WWW.SUNCOAST-CHC.ORG X 1977 FL TO PROVIDE QUALITY HEALTHCARE ADDRESSING THE TOTAL NEEDS OF THE INDIVIDUAL 10 10 536 11 0 0 7897221 7210227 31390938 32263732 18123 27884 84132 8400 39390414 39510243 7708 7941 0 0 23240681 24995470 0 0 0 14308612 13760281 37557001 38763692 1833413 746551 38471609 40167752 8551419 9499069 29920190 30668683 X THE ORGANIZATION IS COMMITTED TO IMPROVING THE LIVES OF MEDICALLY UNDERSERVED PERSONS BY INCREASING ACCESS, REDUCING DISPARITIES, AND ELIMINATING BARRIERS TO HEALTHCARE. 0 0 15760457 7941 19803087 MEDICAL SERVICES:MEDICAL PROVIDERS, INCLUDING: FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS, GYNECOLOGY AND OPTOMETRY. TYPES OF MEDICAL SERVICES PROVIDED ARE: GENERAL WELLNESS EXAMS, ACUTE AND CHRONIC ILLNESS MANAGEMENT, IMMUNIZATIONS, AND OTHER MEDICAL SERVICES.OUR COMPREHENSIVE APPROACH ENSURES THAT THE WHOLE FAMILY RECEIVES OUTSTANDING MEDICAL CARE, MANY TIMES BY A TEAM OF TWO OR MORE PROVIDERS. 7743184 7793366 DENTAL SERVICES:DENTAL PROVIDERS, INCLUDING: ADULT AND PEDIATRIC DENTIST AND HYGIENIST. TYPES OF DENTAL SERVICES PROVIDED ARE: DENTAL EXAMS, PREVENTATIVE TREATMENT, CLEANING, FILLINGS, AND OTHER DENTAL SERVICES.OUR COMPREHENSIVE APPROACH ENSURES THAT THE WHOLE FAMILY RECEIVES OUTSTANDING DENTAL CARE, MANY TIMES BY A TEAM OF TWO OR MORE PROVIDERS. 4062981 3622697 SUPPORT SERVICES:SUPPORT SERVICES, INCLUDING: ON-SITE PHARMACIES AT 5 LOCATIONS, ON-SITE LABORATORY TESTING AND DRAWING AT ALL LOCATIONS, ON-SITE DIAGNOSTIC IMAGING AT 4 LOCATIONS, CASE MANAGEMENT, HEALTH EDUCATION, OUTREACH SERVICES, ELIGIBILITY AND FINANCIAL COUNSELING AND SOCIAL SERVICES, FINANCE.OUR COMPREHENSIVE APPROACH ENSURES THAT THE WHOLE FAMILY RECEIVES OUTSTANDING SUPPORT, MANY TIMES BY A TEAM OF TWO OR MORE PROVIDERS. THESE SUPPORT SERVICES WORK WITH THE PROVIDERS ON A DAILY BASIS. 316651 295236 MENTAL HEALTH SERVICES:MENTAL SERVICES PROVIDERS, INCLUDE: BEHAVIORAL HEALTH COUNSELORS. TYPES OF MENTAL HEALTH SERVICES PROVIDED ARE: INDIVIDUAL COUNSELING, GROUP COUNSELING, AND OTHER MENTAL HEALTH SERVICES.OUR COMPREHENSIVE APPROACH ENSURES THAT THE WHOLE FAMILY RECEIVES OUTSTANDING MENTAL CARE, MANY TIMES BY A TEAM OF TWO OR MORE PROVIDERS. 4580848 19623 CLINIC ADMINISTRATION: MEDICAL, DENTAL AND MENTAL HEALTH PROVIDERS AND SUPPORT STAFF ARE DIRECTLY SUPPORTED BY CLINIC STAFF AND ADMINISTRATION. THEIR GOALS ARE TO PROVIDE SAFE, FRIENDLY AND KNOWLEDGE SERVICES TO THE PATIENT AS WELL AS THE PROVIDER AND SUPPORT STAFF.OUR COMPREHENSIVE APPROACH ENSURES THAT THE WHOLE FAMILY RECEIVES OUTSTANDING CLINIC ADMINISTRATION, MANY TIMES BY A TEAM OF TWO OR MORE PERSONNEL. 293943 729723 ADMINISTRATIVE SERVICES:MEDICAL, DENTAL AND MENTAL HEALTH PROVIDERS, SUPPORT SERVICES, AND CLINIC ADMINISTRATION ARE SUPPORTED BY AND RECEIVE DIRECTION FROM ADMINISTRATIVE STAFF. THIS ADMINISTRATIVE STAFF IS MADE UP OF EXECUTIVE OFFICE, HUMAN RESOURCES, MANAGEMENT INFORMATION SYSTEMS, PUBLIC RELATIONS, FINANCE, PATIENT BILLING, LOGISTICS, QUALITY IMPROVEMENT, AND RISK MANAGEMENT DEPARTMENTS.OUR COMPREHENSIVE APPROACH ENSURES THAT THE WHOLE ORGANIZATION PROVIDES THE BEST CUSTOMER SERVICE TO THE PATIENT CARE TEAM WHICH WILL THEN BE THE BEST CUSTOMER SERVICE TO THE PATIENT. 5191442 1044582 32758064 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 131 0 1 536 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 FL X ROBERT RODRIGUEZ 8133497563 313 S LAKEWOOD DR BRANDON FL 33511 NINA SHANAHAN CHAIRPERSON 0.50 X 0 0 0 PAT ODOR VICE CHAIRPERSON 0.50 X 0 0 0 PATRICIA HINSON SECRETARY 0.50 X 0 0 0 CARLOS GARCIA TREASURER 0.50 X 0 0 0 NELSON RAMOS DIRECTOR 0.50 X 0 0 0 GWENDOLYN SMALLEY DIRECTOR 0.50 X 0 0 0 KRYSTAL LOCKHART DIRECTOR (10/1/17 - PRESENT) 0.50 X 0 0 0 CONNIE HUBER DIRECTOR 0.50 X 0 0 0 RICH GLORIOSO DIRECTOR 0.50 X 0 0 0 NANCY HEWLETT DIRECTOR 0.50 X 0 0 0 GEORGE HAMMOND DIRECTOR (4/1/17 - 9/30/17) 0.50 X 0 0 0 BRADLEY HERREMANS CHIEF EXECUTIVE OFFICER 40.00 X 253942 0 17141 ROBERT RODRIGUEZ CHIEF FINANCIAL OFFICER 40.00 X 190436 0 18758 SONIA GOODWIN CHIEF OPERATING OFFICER 40.00 X 146073 0 10070 RICHARD GYLES PEDIATRIC DENTAL DIRECTOR 40.00 X 260659 0 29911 SUBHAKARARA MEDIDI MEDICAL DIRECTOR 40.00 X 265137 0 37283 HARVEY VALDEZ DENTAL DIRECTOR 40.00 X 178230 0 17869 JEFFREY HUNT PHARMACY DIRECTOR 40.00 X 151633 0 29383 BRIAN SHAUB PHYSICIAN 40.00 X 195550 0 16036 EVELYN MANINGO PHYSICIAN 40.00 X 193623 0 13544 BRETT FRAIZER PHYSICIAN 40.00 X 194485 0 18941 PRIYANKA IYER DENTIST 40.00 X 196859 0 17081 HARRISON BLACK DENTIST 40.00 X 191203 0 32344 2417830 0 258361 36 0 1 0 QUEST DIAGNOSTICS PO BOX 822557 PHILADELPHIA PA 19182 OUTSIDE LABORATORY 654206 ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY 615 VONDERBURG DR BRANDON FL 33511 MEDICAL PROVIDER 379812 WOMEN'S HEALTH CARE 5 TAMPA GENERAL CIRCLE STE 240 TAMPA FL 33606 MEDICAL PROVIDER 247370 CERTIFIED BUILDERS INC 19225 BLOUNT ROAD LUTZ FL 33558 BUILDING CONTRACTOR 221082 THOMAS A DIGERONIMO & ASSOCIATES 3302 W BAKER ST PLANT CITY FL 33563 MEDICAL PROVIDER 191220 11 7109718 100509 7210227 MEDICAL SERVICES 621498 19803087 19803087 DENTAL SERVICES 621498 7793366 7793366 SUPPORT SERVICES 621498 3622697 3622697 ADMINISTRATIVE SERVICES 621498 729723 729723 MENTAL HEALTH SERVICES 621498 295236 295236 19623 19623 32263732 20971 20971 8400 0 8400 8400 8400 6913 0 6913 6913 6913 39510243 32263732 0 36284 X 7941 7941 1437512 638847 798665 66584 66584 18626910 16065659 2561251 992014 833402 158612 2464156 2127394 336762 1408294 1143648 264646 42223 42223 54100 54100 5778442 5508251 270191 54120 14171 39949 2448132 1529915 918217 281015 15085 265930 1309103 1247079 62024 155339 82834 72505 103070 80918 22152 1166299 1081187 85112 87918 43083 44835 DRUGS & MEDICAL SUPPLIE 2195452 2186998 8454 BAD DEBT 85068 85068 38763692 32758064 6005628 0 8623671 7219042 3596468 3734539 1399293 3823870 3651567 327011 459279 31746737 8644227 21493135 23102510 500000 500000 107454 101522 38471609 40167752 3232416 4335181 1139 202299 5317864 4961589 8551419 9499069 X 29849173 30592346 71017 76337 29920190 30668683 38471609 40167752 X 746551 1923 19 X X 0 1 X 1 1 1 X 8961817 11265687 8382685 7897221 7210227 43717637 8961817 11265687 8382685 7897221 7210227 43717637 43717637 9540 10794 10001 15399 29371 75105 43792742 135556643 0.99830 0.99710 X 0 0 0 38763692 38763692 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 250000 250000 250000 250000 1000000 1500000 2591402 2591402 23282451 5476056 17806395 1415068 989396 425672 4457816 2178775 2279041 23102510 X 39505253 1923 1923 39503330 6913 6913 39510243 38763692 0 38763692 0 38763692 PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER THE PROVISIONS OF 501(C)(3) OF THE INTERNAL REVENUE CODE AND CHAPTER 220.13 OF THE FLORIDA STATUTES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER HAS ADOPTED THE FASB GUIDANCE REGARDING "UNCERTAINTY FOR INCOME TAXES" AS CODIFIED IN FASB ASC 740-10. AT MARCH 31, 2018, MANAGEMENT DOES NOT BELIEVE IT HAS TAKEN ANY TAX POSITIONS THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON DISPOSAL OF EQUIPMENT 6,913. X X X 0 0 0 0 0 0 0 0 0 BRADLEY HERREMANS CHIEF EXECUTIVE OFFICER 164642 0 89300 0 0 0 17141 0 0 0 271083 0 0 0 ROBERT RODRIGUEZ CHIEF FINANCIAL OFFICER 134816 0 52020 0 3600 0 12747 0 6011 0 209194 0 0 0 SONIA GOODWIN CHIEF OPERATING OFFICER 111478 0 30995 0 3600 0 9617 0 453 0 156143 0 0 0 RICHARD GYLES PEDIATRIC DENTAL DIRECTOR 230610 0 30049 0 0 0 17710 0 12201 0 290570 0 0 0 SUBHAKARARA MEDIDI MEDICAL DIRECTOR 218233 0 43304 0 3600 0 18225 0 19058 0 302420 0 0 0 HARVEY VALDEZ DENTAL DIRECTOR 143875 0 30755 0 3600 0 11875 0 5994 0 196099 0 0 0 JEFFREY HUNT PHARMACY DIRECTOR 136861 0 14772 0 0 0 10863 0 18520 0 181016 0 0 0 BRIAN SHAUB PHYSICIAN 187407 0 8143 0 0 0 13222 0 2814 0 211586 0 0 0 EVELYN MANINGO PHYSICIAN 179064 0 14559 0 0 0 13304 0 240 0 207167 0 0 0 BRETT FRAIZER PHYSICIAN 175087 0 19398 0 0 0 13241 0 5700 0 213426 0 0 0 PRIYANKA IYER DENTIST 194760 0 2099 0 0 0 13304 0 3777 0 213940 0 0 0 HARRISON BLACK DENTIST 188120 0 3083 0 0 0 13486 0 18858 0 223547 0 0 0 JAN RODRIGUEZ SON OF CFO 66584 SEE PART V 0 PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: DESCRIPTION OF TRANSACTION: EMPLOYEE COMPENSATION IS PAID TO JAN RODRIGUEZ FOR SERVICES PROVIDED AS CLINIC ADMINISTRATOR. JAN HAS A MASTERS IN HEALTH ADMINISTRATION. HIS SUPERVISOR IS SONIA GOODWIN, CHIEF OPERATING OFFICER. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED AND APPROVED BY THE CEO, CFO, AND FINANCIAL CONTROLLER. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT ALL OFFICERS, DIRECTORS, AND EMPLOYEES DISCLOSE ANY CONFLICTS IMMEDIATELY UPON DISCOVERY. COMPLIANCE IS CONSISTENTLY MONITORED AND REVIEWED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION'S BOARD OF DIRECTORS IS RESPONSIBLE FOR REVIEWING AND APPROVING EMPLOYMENT CONTRACTS AND COMPENSATION LEVELS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. EMPLOYEE PERFORMANCE HISTORY AND INDUSTRY STANDARDS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS ARE USED TO SET COMPENSATION. THE DELIBERATION AND APPROVAL PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIALS STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,169,523. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,169,523. SPECIALIST CARE SERVICES: PROGRAM SERVICE EXPENSES 3,338,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,338,728. CONTRACTED ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 194,934. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,934. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 75,257. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,257. FORM 990, PART XI, LINE 9: ADJUSTMENT TO UNREALIZED NET ASSETS 19. FORM 990, PART XII, LINE 2C: SUNCOAST HAS A FINANCE COMMITTEE THAT REPORTS TO THE BOARD OF DIRECTORS. THE FINANCE COMMITTEE RECOMMENDS SELECTION OF THE INDEPENDENT ACCOUNTANTS TO THE BOARD OF DIRECTORS EVERY 5 TO 6 YEARS. THE FINANCE COMMITTEE REVIEWS THE AUDIT REPORT AND RELATED FINANCIALS PRESENTED BY THE INDEPENDENT AUDITORS AND RECOMMENDS TO THE BOARD OF DIRECTORS FOR APPROVAL.