2020-01-31T13:14:29-06:00 2019-05-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2018-06-01 592097521 COMMUNITY HEALTH CENTERS OF PINELLAS INC COMM 7278248100 1344 22ND STREET SOUTH ST PETERSBURG FL 33712 ELODIE DORSO CEO 7278248100 2020-01-31 1 SAM A LAZZARA P01342929 8138757774 209.202.225.84 2020-01-31 13:46:55 ES P 69A26F9334EBCBBAE563FF7F9523795D603EB3D5 425BBEDD4FE3D6157E7D42C8E7BC794A0085AF35 2018 2020-09-23 17:36:50Z ELODIE DORSO 1344 22ND STREET SOUTH ST PETERSBURG FL 33712 36010230 0 X HTTP://WWW.CHCPINELLAS.ORG X 1980 FL TO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL. 12 12 410 12 0 0 8001367 9002105 22869014 26945298 108010 62827 0 0 30978391 36010230 0 0 0 0 19587825 22062791 0 0 0 10279235 12234884 29867060 34297675 1111331 1712555 25739597 27856656 3495849 3900353 22243748 23956303 X THE MISSION OF CHCP IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO ALL. THE VISION OF THE BOARD AND STAFF IS TO ENSURE THAT OUR SERVICES ARE PROVIDED WITH DIGNITY, AT THE LOWEST POSSIBLE COST TO OUR PATIENTS, IN LOCATIONS, AND AT TIMES MOST CONVENIENT TO THE POPULATION WE SERVE. WE EMPHASIZE HEALTH MAINTENANCE, PREVENTION, PROMOTION AND EDUCATION IN SELF-CARE. CHCP'S EMBRACES A HOLISTIC PHILOSOPHY OF HEALTH CARE, AND ENCOURAGES THE SPIRITUAL, PSYCHOLOGICAL, AS WELL AS THE PHYSICAL ASPECTS OF HEALTH CARE. 0 0 27338209 26945298 PROVIDE QUALITY HEALTH CARE SERVICES TO THE MEDICALLY UNDER-SERVED POPULATION OF PINELLAS COUNTY, FLORIDA. PROVIDES PRENATAL CARE, PEDIATRICS, FAMILY AND INTERNAL MEDICINE, AND FAMILY PLANNING SERVICES THROUGH CLINICS. SERVICES EMPHASIZE HEALTH MAINTENANCE, PREVENTION, PROMOTION AND EDUCATION IN SELF-CARE. SERVICES ARE PROVIDED WITH DIGNITY, AT THE LOWEST POSSIBLE COST TO PATIENTS, AT TIMES AND LOCATIONS MOST CONVENIENT TO THE POPULATION SERVED. 27338209 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 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 0 0 0 0 1 13 0 1 410 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X JAMES B GILBERT CFO 7278248107 1344 22ND STREET SOUTH ST PETERSBURG FL 33712 JOSEPH L SMITH CHAIR 1.00 X X 0 0 0 FRANCES SERRANO-LUX IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 CINDY MCNULTY VICE CHAIR 1.00 X X 0 0 0 ROGER SELLEW TREASURER 1.00 X X 0 0 0 ALBERTO LENSE SECRETARY 1.00 X X 0 0 0 SHARON ALLY DIRECTOR 1.00 X 0 0 0 DOROTHEA LEE DIRECTOR 1.00 X 0 0 0 RONALD J MOLDENHAUER DIRECTOR 1.00 X 0 0 0 ANN SHERMAN-WHITE DIRECTOR 1.00 X 0 0 0 MARY TURNER DIRECTOR 1.00 X 0 0 0 REV CLARENCE WILLIAMS DIRECTOR 1.00 X 0 0 0 LUKE C WILLIAMS DIRECTOR 1.00 X 0 0 0 ELODIE DORSO CEO 40.00 X 409084 0 42382 PAT MABE FORMER CEO 40.00 X 381730 0 57043 EDWARD KUCHER COO 40.00 X 213018 0 18622 JAMES B GILBERT CFO 40.00 X 145212 0 25419 KIM SCHUKNECHT CHIEF EXPERIENCE OFFICER 40.00 X 141500 0 13750 HOWARD RUBIN CHIEF INFORMATION OFFICER 40.00 X 111545 0 14255 AMY GABRIEL ASST MEDICAL DIRECTOR WS 40.00 X 295589 0 21437 NICHELLE THREADGILL MD CHIEF MEDICAL DIRECTOR 40.00 X 256198 0 22252 ERICA SCHNEIDER MD DOCTOR 40.00 X 236574 0 19249 JONATHAN NUTTER DOCTOR 40.00 X 219619 0 12196 KATINA BONAPARTE DOCTOR 40.00 X 203394 0 7937 KIM FAULKNER DOCTOR 40.00 X 201459 0 13930 AKIF AHMED DOCTOR 40.00 X 200209 0 9197 3015131 0 277669 28 0 1 0 0 7951438 1050667 1047919 9002105 NET PATIENT SERVICE REVENUE 621400 26945298 26945298 26945298 62827 62827 36010230 26945298 0 62827 1798706 1443278 355428 17130277 13745296 3384981 363723 290978 72745 1477782 1182225 295557 1292303 1033842 258461 25139 25139 52600 52600 3428767 2057260 1371507 194410 155528 38882 2444791 1841948 602843 972780 925880 46900 153770 76885 76885 944295 755436 188859 187470 149976 37494 BAD DEBT 2027020 2027020 0 0 MEDICAL SUPPLIES 1803842 1652657 151185 0 34297675 27338209 6959466 0 4016660 229609 3046929 8827233 1268785 447833 1402396 1978802 5310 9100 190809 620713 21606857 7679744 14002218 13927113 1513925 1520812 107000 107000 185565 188441 25739597 27856656 3003342 3346137 32928 94637 459579 459579 3495849 3900353 X 22091344 23807331 152404 148972 22243748 23956303 25739597 27856656 1712555 0 X X 0 1 X 1 1 1 X 6724471 6436596 6456232 8001367 9002105 36620771 6724471 6436596 6456232 8001367 9002105 36620771 36620771 88943 2273000 66950 108010 62827 2599730 39220501 110224134 0.93370 0.92280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 300000 300000 14925683 3390578 11535105 765442 331267 434175 5584340 3957899 1626441 31392 31392 13927113 MONEY MARKET FUNDS 69709 C EQUITY SECURITIES 483181 C CERTIFICATES OF DEPOSIT 958927 C FIXED INCOME 8995 C 1520812 X 36089670 79440 79440 36010230 0 36010230 34377115 79440 79440 34297675 0 34297675 PART X, LINE 2: MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE CENTER'S TAX EXEMPT STATUS. THE CENTER IS NOT AWARE OF ANY TAX POSITIONS IT HAS TAKEN THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. TAX YEARS AFTER MAY 31, 2015 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. X X X X 0 0 0 0 0 0 0 0 0 ELODIE DORSO CEO 334084 0 75000 0 0 0 36022 0 6360 0 451466 0 0 0 PAT MABE FORMER CEO 299181 0 72115 0 10434 0 50683 0 6360 0 438773 0 0 0 EDWARD KUCHER COO 198018 0 15000 0 0 0 12262 0 6360 0 231640 0 0 0 JAMES B GILBERT CFO 145212 0 0 0 0 0 4708 0 20711 0 170631 0 0 0 KIM SCHUKNECHT CHIEF EXPERIENCE OFFICER 141500 0 0 0 0 0 13750 0 0 0 155250 0 0 0 AMY GABRIEL ASST MEDICAL DIRECTOR WS 290189 0 5400 0 0 0 16637 0 4800 0 317026 0 0 0 NICHELLE THREADGILL MD CHIEF MEDICAL DIRECTOR 231548 0 24650 0 0 0 22252 0 0 0 278450 0 0 0 ERICA SCHNEIDER MD DOCTOR 233074 0 3500 0 0 0 14449 0 4800 0 255823 0 0 0 JONATHAN NUTTER DOCTOR 217869 0 1750 0 0 0 5836 0 6360 0 231815 0 0 0 KATINA BONAPARTE DOCTOR 200894 0 2500 0 0 0 7937 0 0 0 211331 0 0 0 KIM FAULKNER DOCTOR 197959 0 3500 0 0 0 7271 0 6659 0 215389 0 0 0 AKIF AHMED DOCTOR 197959 0 2250 0 0 0 2538 0 6659 0 209406 0 0 0 X 5 1047919 WHOLESALE VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO PRESENT THE FORM 990 TO THE FINANCE COMMITTEE FOR A DETAILED REVIEW AND DISCUSSION. AFTER THE FORM HAS BEEN APPROVED BY THE FINANCE COMMITTEE, A COPY OF THE FORM 990 IS PRESENTED TO THE ENTIRE BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE COMMUNITY HEALTH CENTERS OF PINELLAS, INC. REQUIRE ALL BOARD MEMBERS TO COMPLETE AN ANNUAL DISCLOSURE OF ANY POTENTIAL CONFLICTS OF INTEREST. AN EMPLOYEE OF THE ORGANIZATION HAS BEEN ASSIGNED THE RESPONSIBILITY OF MONITORING ALL VENDOR CONTRACTS FOR POTENTIAL CONFLICTS. ALSO, THE ORGANIZATION PLACES CONTRACTS OUT FOR COMPETITIVE BIDDING. FORM 990, PART VI, SECTION B, LINE 15 EVERY OTHER YEAR, A REVIEW PROCESS IS PERFORMED OF SIGNIFICANT SALARIED POSITIONS AS WELL AS ANY TIME A POSITION IS FILLED. THE REVIEW PROCESS CONSISTS OF INQUIRIES TO A SALARY SURVEY PROVIDER, INQUIRIES TO OTHER FQHC'S (FEDERALLY QUALIFIED HEALTH CARE CENTERS) AND INQUIRIES TO THE HR DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 18 THE COMMUNITY HEALTH CENTERS OF PINELLAS, INC. MAKES ITS FORMS 1023 AND 990 AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE COMMUNITY HEALTH CENTERS OF PINELLAS, INC. NOTES THAT IT IS NOT REQUIRED TO MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C, FINANCIAL STATEMENTS AND REPORTING: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.