2020-11-16T16:11:21-06:00 2019-12-31 WITHUMSMITHBROWNPC 200 S ORANGE AVESTE 1200 ORLANDO FL 328013400 990 2019-01-01 591964612 Premier Community HealthCare Group Inc % AARON BRANDT PREM 3525182000 PO Box 232 Dade City FL 33526 JOSEPH D RESNICK CEO 3525182000 2020-10-26 true ERIK A HALLUSKA CPA P01954172 4078491569 67.130.105.98 22006220203215000211 2020-11-16 P 2F67B3F0CBADB49A27C3EE28EE4CD3009671CF95 4341CD023A83B6FC3D99B0C78250105BDAB45668 2019 2021-01-29 14:40:06Z AARON BRANDT PO Box 232 Dade City FL 33526 22229948 false X www.premierhc.org X 1980 FL TO HELP PEOPLE LIVE HEALTHIER LIVES BY PROVIDING ACCESSIBLE, HIGH QUALITY, AND COMPREHENSIVE HEALTH SERVICES FOR ANYONE IN OUR COMMUNITY. 12 12 293 20 0 9118972 9239109 12173682 12878543 34487 112296 0 0 21327141 22229948 0 0 0 0 13355722 14068390 0 0 86680 6365429 7935540 19721151 22003930 1605990 226018 14004429 15068236 3059134 3896923 10945295 11171313 TO PROVIDE ACCESSIBLE HEALTHCARE SERVICES FOR ALL SINCE 1979. PREMIER COMMUNITY HEALTHCARE GROUP, INC. A FEDERALLY QUALIFIED HEALTH CENTER HAS PROVIDED COMPREHENSIVE PRIMARY, PREVENTATIVE, AND SUPPLEMENTAL HEALTH CARE SERVICES TO THE MEDICALLY UNDERSERVED AND VULNERABLE RESIDENTS OF PASCO AND HERNANDO COUNTIES, FLORIDA. PREMIER IS A SAFETY NET FOR THE MEDICALLY UNDERSERVED, AND PROVIDES A DISCOUNT FEE PROGRAM BASED ON FEDERAL POVERTY GUIDELINES TO DETERMINE FINANCIAL RESPONSIBILITY FOR EACH PATIENT. ALSO, IN ACCORDANCE WITH PREMIER'S POLICY, PREMIER SERVES THE CONSUMERS THAT HAVE NO FINANCIAL MEANS, TURNING NO ONE AWAY REGARDLESS OF THE INABILITY TO PAY. During 2019, Premier provided culturally and linguistically appropriate health care services to 37,370 users through 132,886 visits/encounters. Of those served, 45% were without any health insurance. Of those that reported their income 50% were at or below 100% of the poverty level. false false 12359355 8413100 SEE SCHEDULE O 4264869 2903127 SEE SCHEDULE O 1259654 857455 SEE SCHEDULE O 17883878 true true false true false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 17 0 true 293 true false false false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false X AARON BRANDT 3525182000 PO BOX 232 DADE CITY FL 33526 JOSEPH RESNICK CHIEF EXECUTIVE OFFICER 40.0 0.0 X 306131 0 37635 JENNIFER HARPER MEDICAL DOCTOR 40.0 0.0 X 277080 0 10434 DONNA CONNORS MEDICAL DOCTOR 40.0 0.0 X 252886 0 17417 MICHELLE VILLAR-DIAZ MEDICAL DOCTOR 40.0 0.0 X 242962 0 22191 FARHAN REHMAN MEDICAL DOCTOR 40.0 0.0 X 215502 0 29141 DELISA HERON CHIEF MEDICAL OFFICER 40.0 0.0 X 201266 0 17313 JOSE PERALTA DENTIST 40.0 0.0 X 202820 0 10115 KESHA STEVENS MEDICAL DOCTOR 40.0 0.0 X 186320 0 22191 WILMA DESOUZA MEDICAL DOCTOR 40.0 0.0 X 182768 0 22191 JOHN PETRILLI MEDICAL DOCTOR 40.0 0.0 X 183389 0 14047 ROBIN FLICKER DENTIST 40.0 0.0 X 180875 0 16055 WAYNE BAKER DENTIST 40.0 0.0 X 168645 0 18307 MARIA NAZCOS-BATISTA DENTIST 40.0 0.0 X 158902 0 4033 LISA PAINTER DENTIST 40.0 0.0 X 143323 0 6411 AARON BRANDT CHIEF FINANCIAL OFFICER 40.0 0.0 X 127141 0 11971 JACQUELINE FLOREZ HUAMN RESOURCE OFFICER 40.0 0.0 X 102934 0 18067 CHERYL POLLOCK BUSINESS DEVELOPMENT OFFICER 40.0 0.0 X 102773 0 10639 TRISTAN PETERSON CHAIR-DIRECTOR 1.0 0.0 X 0 0 0 NELSON CRUZ DIRECTOR 1.0 0.0 X 0 0 0 CHRISTINE COLLINS VICE-CHAIR DIRECTOR 1.0 0.0 X X 0 0 0 MARLA BANTA DIRECTOR 1.0 0.0 X 0 0 0 LILLIAN MUTAVA DIRECTOR 1.0 0.0 X 0 0 0 TOM STEARNS TREASURER - DIRECTOR 1.0 0.0 X X 0 0 0 CHERYL HINTON SECRETARY - DIRECTOR 1.0 0.0 X X 0 0 0 GEORGINA RIVERA-SINGLE CHAIR - DIRECTOR 1.0 0.0 X X 0 0 0 IVETTE VAQUER-MENDOZA DIRECTOR 1.0 0.0 X 0 0 0 CHERYL CHADICK DIRECTOR 1.0 0.0 X 0 0 0 SISTER ROBERTA BAILEY DIRECTOR 1.0 0.0 X 0 0 0 JARRETT KRIENES DIRECTOR 1.0 0.0 X 0 0 0 3235717 0 288158 17 false true false ASHIT VIJAPURA PA ASSOCIATES 107 NORTH ALEXANDER ST PLANT CITY FL 33563 PYSCHIATRY 477050 SCRIBEAMERICA PO BOX 417756 BOSTON MA 022417756 PRESCRIPTIONS 184091 SHERRIE-ANN WEBB 4841 BALLANTRAE BLVD LAND OLAKES FL 34638 PEDIATRICS SPECIALTY 121472 3 8639965 599144 548917 9239109 PATIENT SERVICE REVENUE 621110 11714690 11714690 PHARMACY REVENUE 621110 971383 971383 MEDICAL RECORD FEES 621110 192470 192470 12878543 112296 112296 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22229948 12878543 112296 0 0 0 0 3216647 2763316 453331 0 8652815 7373254 1209608 69953 0 1389517 1124407 257364 7746 809411 691241 113400 4770 0 46288 256 46032 51652 286 51366 30000 166 29834 0 0 1948267 1857094 91173 195977 8278 187699 475895 284125 191770 692989 591816 97089 4084 0 441559 381862 59697 108604 34550 74054 0 0 117446 33218 84228 0 541505 465639 75866 178585 1339 177246 IN-KIND EXPENSE 548917 539707 9210 DRUGS AND MEDICAL SUPPLIES 1251160 1249985 1175 DUES AND SUBSCRIPTIONS 296939 33474 263465 OTHER 90386 1131 89255 919371 448734 470510 127 22003930 17883878 4033372 86680 X 4555 8379 6432553 5138342 357580 663796 965513 1548501 0 0 0 0 0 0 0 0 0 98457 9730920 2303216 6144433 7427704 0 0 46393 46393 0 0 15838 0 37564 136664 14004429 15068236 1284541 1652388 0 0 0 0 0 0 0 0 0 0 1374731 1776550 0 0 399862 467985 3059134 3896923 X 10945295 11171313 0 0 10945295 11171313 14004429 15068236 226018 X false true X true true true X 588719 7276476 7090028 9118972 9331809 33406004 0 0 0 27350 90000 92700 92700 302750 588719 7303826 7180028 9211672 9424509 33708754 0 0 0 33708754 1792 26104 28741 34487 112296 203420 0 1792 26104 28741 34487 112296 203420 0 40834 113696 154530 590511 7370764 7322465 9246159 9536805 34066704 0.98949 0.99347 0.00597 0.00225 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7500 22500 30000 22066630 22096630 1000000 250000 909103 1000000 1000000 1000000 3909103 5863655 22000 24000 25000 30000 101000 227276 250000 250000 250000 977276 1465914 7500 7500 907248 907248 6950084 1450114 5499970 33751 19885 13866 1362224 640729 721495 477613 192488 285125 7427704 0 CAPITAL LEASE OBLIGATION 467985 SEVERANCE OBLIGATION 0 467985 22059558 92700 92700 21966858 263090 263090 22229948 21833540 92700 92700 21740840 263090 263090 22003930 FORM 990, SCHEDULE D, PART X, LINE 2: Accounting principles generally accepted in the United States of America prescribe requirements for the recognition of income taxes in financial statements, and the amounts recognized are affected by income tax positions taken by the Organization in its tax returns. The organizations status as an exempt organization is defined as an income tax position under these requirements. While management believes it has complied with the Internal Revenue Code, the sustainability of some income tax positions taken by the Organization in its tax returns may be uncertain. There are minimum thresholds of likelihood that uncertain tax positions are required to meet before being recognized in the financial statements. Management does not believe that the Organization has any material uncertain tax positions at December 31, 2019. In the event interest and penalties were due relating to an unsustainable tax position, they would be treated as a component of income tax expense. FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS: 263,090 FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE NETTED WITH REVENUES ON FINANCIAL STATEMENTS: 263,090 X X X false false false false false false false false false JOSEPH RESNICK CHIEF EXECUTIVE OFFICER 263810 35625 6696 8782 28853 343766 JENNIFER HARPER MEDICAL DOCTOR 276765 315 8313 2121 287514 WAYNE BAKER DENTIST 160385 8260 5059 13248 186952 ROBIN FLICKER DENTIST 180765 110 5426 10629 196930 DONNA CONNORS MEDICAL DOCTOR 252886 7587 9830 270303 JOSE PERALTA DENTIST 202820 6085 4030 212935 FARHAN REHMAN MEDICAL DOCTOR 191197 24305 6465 22676 244643 JOHN PETRILLI MEDICAL DOCTOR 183389 5502 8545 197436 WILMA DESOUZA MEDICAL DOCTOR 182768 5483 16708 204959 MICHELLE VILLAR-DIAZ MEDICAL DOCTOR 242962 5483 16708 265153 KESHA STEVENS MEDICAL DOCTOR 180054 6266 5483 16708 208511 DELISA HERON CHIEF MEDICAL OFFICER 201266 6038 11275 218579 MARIA NAZCOS-BATISTA DENTIST 156402 2500 4033 162935 X 548917 COST false true false FORM 990, PART VI, SECTION B, LINE 11B THE CEO, CFO, AND BOARD OF DIRECTORS REVIEW FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THESE FORMS ARE REVIEWED BY THE COMPLIANCE OFFICER AND ACTION IS TAKEN IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S CEO INCLUDES THE USE OF AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND APPROVAL BY THE BOARD. THE SAME PROCESS IS USED BY THE CEO TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART III, LINE 4A Primary Care/Pediatrics Family Medicine & Pediatric services for children and adults include routine care for preventive and chronic conditions. Primary Care accounts for 62,805 clinic visits (41%) of the services, provided by Premier to its patients. Women's Health - OB/GYN Women's Health Services include comprehensive OB/GYN services to women of all ages and stages of life. Of the 37,370 users in 2019, 48% were women 18 years of age and older. Obstetrics services were offered at two clinic locations, resulted in 343 births during the year. Gynecological services including well-woman annual visits are offered at the sites with womens health services as well as the primary care clinics. FORM 990, PART III, LINE 4B Dental Services: Dental services include comprehensive oral health care for children and adults. During 2019, Premier provided dental 26,547 dental services to 11,616 patients. Oral Health accounts for 20% of the clinical services provided by Premier to its patients. Services include general dentistry, pediatric dentistry, specialty and emergency dental care. During 2019, Premier launched a new service during the summer to significantly improve access to dental services for children and isolated community members. The Mobile Dental Clinic operates year-round and schedules dental preventive and restorative services for children during the school day and during summer programs at various social service agencies. During 2019, 545 children were seen by the Mobile Dental Clinic. The goal for 2020 is to serve a minimum of 750 children/youth on the Mobile Dental Clinic. FORM 990, PART III, LINE 4C Behavioral Healthcare Services: Behavioral Health services include comprehensive mental health services for children and adults. During 2019, Premier provided 10,975 behavioral health services for its users. Behavioral Health accounts for 8% of the clinical services provided by Premier to its patients. Services include: -Psychosocial Assessment -Medication Management -Crisis Intervention -Patient Care Coordination -Chronic Care Management -Counseling and Therapy