2020-01-07T07:24:18-06:00 2019-03-31 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DR SUITE 400 CLEARWATER FL 337625539 990 2018-04-01 591741303 SUNCOAST COMMUNITY HEALTH CENTERS INC SUNC 8136454681 P O BOX 1349 RUSKIN FL 33575 ROBERT RODRIGUEZ CFO 8136454681 2020-01-07 1 ALICIA HOLLOWAY P01337755 7275721400 71.41.95.34 2020-01-07 07:23:57 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8795436A6D2F947286B80284B86DAF385C7935EA 2018 2020-09-23 17:36:50Z BRADLEY HERREMANS P O BOX 1349 RUSKIN FL 33575 42386495 0 X WWW.SUNCOAST-CHC.ORG X 1977 FL TO PROVIDE QUALITY HEALTHCARE ADDRESSING THE TOTAL NEEDS OF THE INDIVIDUAL 10 10 553 10 0 0 7210227 9279556 32263732 32514145 27884 239138 8400 8700 39510243 42041539 7941 9914 0 0 24995470 26177571 0 0 0 13760281 14061257 38763692 40248742 746551 1792797 40167752 43625480 9499069 12054008 30668683 31571472 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 16029477 9914 18058354 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. 8174864 9199260 DENTAL SERVICES:DENTAL PROVIDERS, INCLUDING: ADULT AND PEDIATRIC DENTIST AND HYGIENIST. TYPES OF DENTAL SERVICES PROVIDED ARE: DENTAL EXAMS, PREVENTATIVE TREATMENT, CLEANING, FILLINGS, EXTRACTIONS, 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. 5156802 18861 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. 451002 322136 MENTAL HEALTH SERVICES:MENTAL SERVICES PROVIDERS INCLUDE: BEHAVIORAL HEALTH AND SUBSTANCE ABUSE 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. 3855601 4192628 SUPPORT SERVICES:SUPPORT SERVICES INCLUDE: 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. 549153 722906 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. 4855756 5237670 34216899 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 1 1 0 0 0 1 139 0 1 553 1 0 0 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 ELBERT PAT ODOR CHAIRMAN 0.50 0.00 X 0 0 0 PATRICIA HINSON VICE CHAIR 0.50 0.00 X 0 0 0 CARLOS GARCIA SECRETARY 0.50 0.00 X 0 0 0 KRYSTAL LOCKHART TREASURER 0.50 0.00 X 0 0 0 NELSON RAMOS DIRECTOR 0.50 0.00 X 0 0 0 GWENDOLYN SMALLEY DIRECTOR 0.50 0.00 X 0 0 0 CONNIE HUBER DIRECTOR 0.50 0.00 X 0 0 0 RICH GLORIOSO DIRECTOR 0.50 0.00 X 0 0 0 NANCY HEWLETT DIRECTOR 0.50 0.00 X 0 0 0 ARMANDINA NINA SHANAHAN DIRECTOR 0.50 0.00 X 0 0 0 BRADLEY HERREMANS CHIEF EXECUTIVE OFFICER 40.00 0.00 X 265523 0 17923 ROBERT RODRIGUEZ CHIEF FINANCIAL OFFICER 40.00 0.00 X 194215 0 21876 SONIA GOODWIN CHIEF OPERATING OFFICER 40.00 0.00 X 149309 0 12812 RICHARD GYLES PEDIATRIC DENTAL DIRECTOR 40.00 0.00 X 269098 0 30866 SUBHAKARARA MEDIDI MEDICAL DIRECTOR 40.00 0.00 X 269752 0 42703 HARVEY VALDEZ DENTAL DIRECTOR 40.00 0.00 X 181972 0 21850 JEFFREY HUNT PHARMACY DIRECTOR 40.00 0.00 X 153710 0 34833 EVELYN MANINGO ASSOCIATE MEDICAL DIRECTOR 40.00 0.00 X 215280 0 16432 BRETT FRAIZER ASSOCIATE MEDICAL DIRECTOR 40.00 0.00 X 208612 0 18425 BRIAN SHAUB ASSOCIATE MEDICAL DIRECTOR 40.00 0.00 X 207696 0 19725 PRIYANKA IYER DENTIST 40.00 0.00 X 204852 0 16283 HARRISON BLACK DENTIST 40.00 0.00 X 199419 0 38254 2519438 0 291982 35 0 1 0 QUEST DIAGNOSTICS PO BOX 530440 ATLANTA GA 303530458 LABORATORY SERVICES 708079 ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY 615 VONDERBURG DR BRANDON FL 33511 PURCHASED PHYSICIAN SERVICES 406434 WOMEN'S HEALTH CARE 5 TAMPA GENERAL CIRCLE STE 240 TAMPA FL 33606 PURCHASED PHYSICIAN SERVICES 252815 SOUTH FLORIDA BAPTIST HOSPITAL 301 N ALEXANDER ST PLANT CITY FL 33563 PURCHASED PHYSICIAN SERVICES 226490 TAMPA BAY PULMONARY MEDICINE 402 NOLAND DR BRANDON FL 33511 PURCHASED PHYSICIAN SERVICES 170209 10 9196591 82965 9279556 MEDICAL SERVICES 621498 18058354 18058354 DENTAL SERVICES 621498 9199260 9199260 SUPPORT SERVICES 621498 4192628 4192628 ADMINISTRATIVE SERVICES 621498 722906 722906 MENTAL HEALTH SERVICES 621498 322136 322136 18861 18861 32514145 28261 28261 8700 0 8700 8700 8700 555833 344956 210877 210877 210877 42041539 32514145 0 247838 X 9914 9914 1651905 667497 984408 58881 58881 19537556 17160092 2377464 966141 839864 126277 2504510 2245928 258582 1458578 1193478 265100 15111 15111 70650 70650 5373386 5191417 181969 86586 9199 77387 2200736 1623233 577503 807091 57815 749276 1350742 1281177 69565 188758 103861 84897 106155 67288 38867 1351172 1270545 80627 86261 43093 43168 DRUGS/MEDICAL SUPPLIES 2351198 2320206 30992 BAD DEBT 73411 73411 40248742 34216899 6031843 0 7219042 7141391 3734539 2640443 1399293 906965 3651567 3802254 459279 431906 34830800 8099469 23102510 26731331 500000 500000 101522 1471190 40167752 43625480 4335181 2432878 202299 583266 4961589 9037864 9499069 12054008 X 30592346 31513972 76337 57500 30668683 31571472 40167752 43625480 X 1792797 20239 -910247 X X 0 1 X 1 1 1 X 11265687 8382685 7897221 7210227 9279556 44035376 11265687 8382685 7897221 7210227 9279556 44035376 44035376 10794 10001 15399 29371 36961 102526 44137902 146611626 0.99770 0.99830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 40248742 40248742 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 250000 250000 250000 250000 1000000 1500000 2434878 2434878 26912426 5087779 21824647 1595495 897931 697564 3888001 2113759 1774242 26731331 X 41850920 20239 20239 41830681 210858 210858 42041539 40248742 0 40248742 0 40248742 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, 2019, 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 PROPERTY AND EQUIPMENT 210,877. ADJUSTMENT TO BEGINNING NET ASSETS -19. X 1 1 X X X 0 0 0 0 0 0 0 0 0 BRADLEY HERREMANS CHIEF EXECUTIVE OFFICER 172283 0 93240 0 0 0 17923 0 0 0 283446 0 0 0 ROBERT RODRIGUEZ CHIEF FINANCIAL OFFICER 140243 0 50372 0 3600 0 13035 0 8841 0 216091 0 0 0 SONIA GOODWIN CHIEF OPERATING OFFICER 113708 0 32001 0 3600 0 9835 0 2977 0 162121 0 0 0 RICHARD GYLES PEDIATRIC DENTAL DIRECTOR 235289 0 33809 0 0 0 18276 0 12590 0 299964 0 0 0 SUBHAKARARA MEDIDI MEDICAL DIRECTOR 223019 0 43133 0 3600 0 18563 0 24140 0 312455 0 0 0 HARVEY VALDEZ DENTAL DIRECTOR 146585 0 31787 0 3600 0 12140 0 9710 0 203822 0 0 0 JEFFREY HUNT PHARMACY DIRECTOR 138408 0 15302 0 0 0 11096 0 23737 0 188543 0 0 0 EVELYN MANINGO ASSOCIATE MEDICAL DIRECTOR 200455 0 14825 0 0 0 14555 0 1877 0 231712 0 0 0 BRETT FRAIZER ASSOCIATE MEDICAL DIRECTOR 188360 0 20252 0 0 0 14200 0 4225 0 227037 0 0 0 BRIAN SHAUB ASSOCIATE MEDICAL DIRECTOR 196602 0 11094 0 0 0 14064 0 5661 0 227421 0 0 0 PRIYANKA IYER DENTIST 198069 0 6783 0 0 0 13898 0 2385 0 221135 0 0 0 HARRISON BLACK DENTIST 191457 0 7962 0 0 0 14080 0 24174 0 237673 0 0 0 PART I, LINE 1A EMPLOYEES WHO RECEIVE AN ANNUAL INCENTIVE BONUS RECEIVE IT GROSSED-UP FOR FEDERAL TAXES. JAN RODRIGUEZ SON OF CFO 58881 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 CFO AND CONTROLLER PRIOR TO FILING WITH THE IRS. 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 HUMAN RESOURCE DEPARTMENT PROVIDES COMPARATIVE DATA TO THE BOARD OF DIRECTORS TO COMPLETE THE ANNUAL REVIEW OF THE CEO. THE DELIBERATION AND APPROVAL PROCESS IS DOCUMENTED IN THE BOARD MINUTES. THE CEO PREPARES ANNUAL EVALUATIONS OF HIS/HER DIRECT REPORTS. 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 1,986,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,986,138. SPECIALIST CARE SERVICES: PROGRAM SERVICE EXPENSES 3,205,279. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,205,279. CONTRACTED ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 108,526. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,526. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 73,443. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,443. FORM 990, PART XI, LINE 9: IMPAIRMENT LOSS ON ASSETS HELD FOR SALE -910,247. 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. SUNCOAST CAREER ACADEMY INC 313 S LAKEWOOD DR BRANDON FL 33511 833039656 ENTRY-LEVEL TRAINING IN HEALTH SCIENCE FIELDS (INACTIVE TAX YEAR 2018) FL 501(C)(3) LINE 2 SUNCOAST COMMUNITY HEALTH CENTERS INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0