2019-09-05T10:07:09-05:00 2018-12-31 454084437 WARREN AVERETT LLC 316 SOUTH BAYLEN ST SUITE 300 PENSACOLA FL 32502 990 2018-01-01 593105246 ESCAMBIA COMMUNITY CLINICS INC ESCA 8504364630 2315 W JACKSON ST PENSACOLA FL 32505 JOHN PORTER PRESIDENT 8504364630 2019-08-14 1 MARGARET N LORREN P00012084 8504357400 209.136.244.2 2019-08-14 10:35:19 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 B6C793B383526ECE14D6BD138C39CB2248F8A81E 2018 2019-02-21 02:37:17Z X COMMUNITY HEALTH NORTHWEST FLORIDA CHANDRA SMILEY MSW 2315 W JACKSON ST PENSACOLA FL 32505 30021980 0 X WWW.HEALTHCAREWITHINREACH.ORG X 1993 FL TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO RESIDENTS OF ESCAMBIA COUNTY AND THE SURROUNDING AREA. ESCAMBIA COMMUNITY CLINICS, INC. IS COMMITTED TO ASSURING ACCESS TO CARE FOR THE MEDICALLY NEEDY, UNDER INSURED, UNINSURED, AND UNDERSERVED POPULATIONS. ESCAMBIA COMMUNITY CLINICS, INC. SHALL ENDEAVOR TO PROVIDE CARE WITH COMPASSION, DIGNITY AND RESPECT FOR EACH PERSON REGARDLESS OF ABILITY TO PAY FOR SERVICES. 15 15 386 0 0 0 6603298 6482630 19365866 22855653 -2598 138 403401 683559 26369967 30021980 994622 637638 0 0 14998092 18460938 0 0 0 8361425 9975199 24354139 29073775 2015828 948205 11542072 13518299 1966938 2297799 9575134 11220500 X THE MISSION OF ESCAMBIA COMMUNITY CLINICS, INC. IS TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO RESIDENTS OF ESCAMBIA COUNTY AND THE SURROUNDING AREA. ESCAMBIA COMMUNITY CLINICS, INC. IS COMMITTED TO ASSURING ACCESS TO CARE FOR THE MEDICALLY NEEDY, UNDER INSURED, UNINSURED, AND UNDERSERVED POPULATIONS. ESCAMBIA COMMUNITY CLINICS, INC. SHALL ENDEAVOR TO PROVIDE CARE WITH COMPASSION, DIGNITY AND RESPECT FOR EACH PERSON REGARDLESS OF ABILITY TO PAY FOR SERVICES. 0 0 21370235 637638 23539212 PATIENT SERVICES - TO PROVIDE QUALITY AMBULATORY MEDICAL CARE TO THE INDIGENT OF THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. 21370235 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 35 0 1 386 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X WENDY HOEFLICH 8504364630 2315 W JACKSON ST PENSACOLA FL 32505 JOHN PORTER PRESIDENT 2.00 3.00 X X 0 0 0 JULES KARIHER VICE-PRESIDENT 2.00 2.00 X X 0 0 0 JUSTIN LABRATO TREASURER 2.00 2.00 X X 0 0 0 JOHN JOHNSON SECRETARY 1.00 1.00 X X 0 0 0 WALTER BUZZ RITCHIE DIRECTOR 0.50 0.50 X 0 0 0 ANN OSINAME DIRECTOR 0.50 0.50 X 0 0 0 DAISY WHITE DIRECTOR 0.50 0.50 X 0 0 0 FREDDIE CATTOUSE DIRECTOR 0.50 0.50 X 0 0 0 BOB WILSON DIRECTOR 0.50 0.50 X 0 0 0 JOSEPH BRUNIE EMMANUEL JR DIRECTOR 0.50 0.50 X 0 0 0 DOROTHY FOSTER DIRECTOR 0.50 0.50 X 0 0 0 SEAN SEELY DIRECTOR 0.50 0.50 X 0 0 0 BRETT ALDRIDGE DIRECTOR 0.50 0.50 X 0 0 0 THOMAS OWENS DIRECTOR 0.50 0.50 X 0 0 0 BETTYE SCOTT DIRECTOR 0.50 0.50 X 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 34.00 6.00 X 186850 0 12449 WENDY HOEFLICH CHIEF FINANCIAL OFFICER 40.00 X 130770 0 21302 THOMAS ANDERSON CHIEF ADMINISTRATIVE OFFIC 40.00 X 109251 0 21880 JOHN CARNES CHIEF INFORMATION OFFICER 40.00 X 94457 0 18296 GEORGE SMITH CHIEF MEDICAL OFFICER 40.00 X 217177 0 29001 SUNNY NOTIMOH CHIEF EMPLOYEE SERVICES OF 40.00 X 101948 0 20547 ANN PAPADELIAS CHIEF COMMUNITY ENGAGEMENT 40.00 X 100490 0 19381 JACINTA WATKINS CHIEF DENTAL OFFICER 40.00 X 240069 0 25339 MARIAN STEWART MEDICAL DOCTOR 40.00 X 212108 0 26394 P MICHELLE GRIER-HALL MEDICAL DOCTOR 40.00 X 249785 0 28534 QUETHELINE HELVETIUS MEDICAL DOCTOR 40.00 X 195966 0 10918 SHEENA PATE MEDICAL DOCTOR 40.00 X 189907 0 9845 DIANE HUDSON MEDICAL DOCTOR 40.00 X 188855 0 23792 2217633 0 267678 12 0 1 0 0 5319480 1163150 6482630 PATIENT SERVICES 621990 14267838 14267838 340B PRESCRIPTION DRUG ASSISTANCE 621990 6283570 6283570 CAPITATION REVENUE 621990 2304245 2304245 22855653 138 138 OTHER CLINIC REVENUE 900099 743329 743329 OTHER INCOME 900099 -59770 -59770 683559 30021980 23539212 0 138 637638 637638 1349208 944445 404763 13920632 9511555 4409077 2120052 1448953 671099 1071046 733215 337831 279886 279886 48727 48727 48025 48025 1597446 1254651 342795 192911 48228 144683 65248 33896 31352 379916 265941 113975 1117632 832252 285380 223601 190061 33540 441637 353309 88328 156519 93911 62608 SUPPLIES 3087636 2999633 88003 BAD DEBT 857605 857605 REPAIRS AND MAINTENANCE 468240 280944 187296 PRESCRIPTION DRUGS 443164 443164 567006 440834 126172 29073775 21370235 7703540 0 5256826 5405424 125092 125137 3885158 4595238 180066 99548 3318365 1601122 1338148 1717243 630553 1367855 126229 207854 11542072 13518299 1607125 2262773 45330 35026 314483 0 1966938 2297799 X 9575134 11220500 9575134 11220500 11542072 13518299 948205 697161 0 X X 0 1 X 1 1 1 X 970932 376634 594298 1358193 677349 680844 989240 547139 442101 1717243 INVESTMENT IN ESCAMBIA COMMUNITY HOLDINGS, INC. 1367855 C 1367855 X PART X, LINE 2: ESCAMBIA COMMUNITY CLINICS, INC. (ECC) HAS BEEN GRANTED AN EXEMPTION FROM INCOME TAXES UNDER INTERNAL REVENUE CODE, SECTION 501(C)(3) AS A NOT-FOR-PROFIT CORPORATION. ECC IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE DISCLOSURE OR ACCRUAL IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. 1 ESCAMBIA COMMUNITY HOLDINGS INC 2315 W JACKSON ST PENSACOLA FL 32505 371573135 501(C)3 360638 TO BE USED TO PAY DOWN DEBT ON THE NEW FACILITY 1 X X 0 0 0 0 0 0 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 176850 0 10000 0 0 0 9196 0 3253 0 199299 0 0 0 WENDY HOEFLICH CHIEF FINANCIAL OFFICER 118770 0 12000 0 0 0 4577 0 16725 0 152072 0 0 0 GEORGE SMITH CHIEF MEDICAL OFFICER 200865 0 16312 0 0 0 10678 0 18323 0 246178 0 0 0 JACINTA WATKINS CHIEF DENTAL OFFICER 203089 0 36980 0 0 0 8133 0 17206 0 265408 0 0 0 MARIAN STEWART MEDICAL DOCTOR 190424 0 21684 0 0 0 10345 0 16049 0 238502 0 0 0 P MICHELLE GRIER-HALL MEDICAL DOCTOR 219620 0 30165 0 0 0 11252 0 17282 0 278319 0 0 0 QUETHELINE HELVETIUS MEDICAL DOCTOR 178708 0 17258 0 0 0 9817 0 1101 0 206884 0 0 0 SHEENA PATE MEDICAL DOCTOR 166285 0 23622 0 0 0 6576 0 3269 0 199752 0 0 0 DIANE HUDSON MEDICAL DOCTOR 180155 0 8700 0 0 0 8572 0 15220 0 212647 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS OF ESCAMBIA COMMUNITY CLINICS, INC. HAVE BEEN AMENDED AND RESTATED. THE NAME OF THIS CORPORATION SHALL BE ESCAMBIA COMMUNITY CLINICS, INC. DBA COMMUNITY HEALTH NORTHWEST FLORIDA. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE AND FINANCE COMMITTEE REVIEWS AND DISCUSSES THE RETURN AT THEIR MONTHLY MEETING PRIOR TO THE RETURN BEING FILED. THE CURRENT YEAR RETURN IS COMPARED TO THE PRIOR YEAR AND ANY ISSUES ARE DISCUSSED AND SETTLED AT THE MEETING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS. AN EXERCISE IS PERFORMED WHERE COMPARISONS ARE MADE TO LIKE POSITIONS WITHIN THE COMMUNITY AS WELL AS TO SALARY SURVEYS WITH BOTH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS THAT ARE PUBLISHED ANNUALLY. THESE FACTORS ALONG WITH THE PERFORMANCE EVALUATION ARE CONSIDERED IN ANNUAL SALARY DECISIONS. IT IS THE OBJECTIVE OF THE BOARD THAT THE EXECUTIVE DIRECTOR IS PAID WITHIN THE 40-50TH PERCENTILE OF COMPARABLE POSITIONS. FOR OFFICERS, THE EXECUTIVE DIRECTOR IS RESPONSIBLE FOR SALARY DETERMINATIONS. HER PROCESS MIRRORS THE PROCESS OUTLINED ABOVE FOR THE EXECUTIVE DIRECTOR'S SALARY. ADDITIONALLY, SHE RECEIVED APPROVAL FROM THE HR COMMITTEE TO MAKE ADJUSTMENTS TO OFFICER SALARIES. THESE PROCESSES ARE THE SAME FOR BOTH BASE SALARY AND YEAR-END BONUS DETERMINATIONS. FORM 990, PART VI, SECTION C, LINE 19 MANAGEMENT DISCLOSES GOVERNING DOCUMENTS IN RESPONSE TO WRITTEN REQUESTS OF THE DOCUMENTS. FORM 990, PART XII, FINANCIAL STATEMENTS AND REPORTING THE EXECUTIVE AND FINANCE COMMITTEE SERVES AS THE ORGANIZATION'S AUDIT COMMITTEE. THIS COMMITTEE ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. COMMUNITY CLINIC SERVICES INC 2315 W JACKSON ST PENSACOLA FL 32505 811786990 TO SUPPORT HEALTH CARE FACILITIES IN MEDICALLY UNDERSERVED AREAS FL 501(C)(3) LINE 12A, I ESCAMBIA COMMUNITY CLINICS INC 1 ESCAMBIA COMMUNITY HOLDINGS INC 2315 W JACKSON ST PENSACOLA FL 32505 371573135 TO SUPPORT HEALTH CARE FACILITIES IN MEDICALLY UNDERSERVED AREAS FL 501(C)(3) LINE 12A, I ESCAMBIA COMMUNITY CLINICS INC 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 ESCAMBIA COMMUNITY HOLDINGS INC B 360638 CASH VALUE COMMUNITY CLINIC SERVICES INC M 279886 PER CONTRACT COMMUNITY CLINIC SERVICES INC O 237291 PER CONTRACT COMMUNITY CLINIC SERVICES INC M 277000 CASH VALUE