2020-12-11T15:25:54-06:00 2020-05-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2019-06-01 592097521 COMMUNITY HEALTH CENTERS OF PINELLAS INC COMM 7278248100 14100 58TH STREET NORTH CLEARWATER FL 33760 ELODIE DORSO CEO 7278248100 2020-12-02 1 SAM A LAZZARA P01342929 8138757774 209.202.225.84 2020-12-02 11:02:54 ES P 2C0F17D866C646147219742D8017A98B04ACB861 1D48D5154011648C24DCBA8EEBC3CA708CDB402D 2019 2021-01-29 14:40:06Z X ELODIE DORSO 14100 58TH STREET NORTH CLEARWATER FL 33760 40842149 0 X HTTP://WWW.CHCPINELLAS.ORG X 1980 FL TO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL. 12 12 475 12 0 0 9002105 12624377 26945298 27733525 62827 401468 0 82779 36010230 40842149 0 0 0 0 22062791 25052829 0 0 0 12234884 15462713 34297675 40515542 1712555 326607 27856656 37479222 3900353 17639802 23956303 19839420 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 32031227 27733525 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. 32031227 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 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 1 0 0 0 1 23 0 1 475 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 14100 58TH STREET NORTH CLEARWATER FL 33760 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 JEREMY MEREDITH 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 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 532230 0 31164 EDWARD KUCHER COO 40.00 X 269715 0 19670 JAMES B GILBERT CFO 40.00 X 166903 0 38943 KIM SCHUKNECHT CHIEF EXPERIENCE OFFICER 40.00 X 152192 0 16126 HOWARD RUBIN CHIEF INFORMATION OFFICER 40.00 X 164692 0 29337 SHALINI SOLANKI ASST MEDICAL DIRECTOR FAMILY MEDICINE 40.00 X 241315 0 2311 AMY GABRIEL ASST MEDICAL DIRECTOR OB/GYN 40.00 X 313799 0 14205 NICHELLE THREADGILL MD CHIEF MEDICAL DIRECTOR 40.00 X 280066 0 15556 ERICA SCHNEIDER MD DOCTOR 40.00 X 253973 0 24617 JONATHAN NUTTER DOCTOR 40.00 X 242751 0 14237 KATINA BONAPARTE DOCTOR 40.00 X 217930 0 7470 MICHAEL KINDER DOCTOR 40.00 X 215027 0 10130 AKIF AHMED DOCTOR 40.00 X 217856 0 10130 3268449 0 233896 49 0 1 0 0 11257175 1367202 1332990 12624377 NET PATIENT SERVICE REVENUE 621400 27733525 27733525 27733525 401468 401468 OTHER REVENUE 900099 82779 82779 82779 40842149 27816304 0 401468 X 2120912 1671237 449675 19082100 15036323 4045777 381245 300414 80831 2001215 1576919 424296 1467357 1156249 311108 122690 122690 51150 51150 4595099 2757060 1838039 233210 186568 46642 2895790 2405048 490742 1325679 1113006 212673 167162 83581 83581 1088201 857481 230720 246957 197566 49391 BAD DEBT 2500828 2500828 MEDICAL SUPPLIES 2235947 2188947 47000 40515542 32031227 8484315 0 229609 5846583 8827233 4069196 447833 579497 1978802 4275038 5686320 9100 18779 620713 344215 23227784 8752968 13927113 14474816 1520812 1587553 107000 354400 188441 242825 27856656 37479222 3346137 3721416 94637 105813 459579 13812573 3900353 17639802 X 23807331 19667829 148972 171591 23956303 19839420 27856656 37479222 X 326607 -4443490 X X 0 1 X 1 1 1 X 6436596 6456232 8001367 9002105 12624287 42520587 6436596 6456232 8001367 9002105 12624287 42520587 42520587 2273000 66950 108010 62827 401468 2912255 45432842 91703755 0.93590 0.93370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 300000 300000 15359372 3807555 11551817 781053 420927 360126 6592822 4524486 2068336 194537 194537 14474816 X 40866700 24551 24551 40842149 0 40842149 40540093 24551 24551 40515542 0 40515542 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, 2016 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. X X X X 0 0 0 0 0 0 0 0 0 ELODIE DORSO CEO 382230 0 150000 0 0 0 27256 0 3908 0 563394 0 0 0 EDWARD KUCHER COO 219715 0 50000 0 0 0 15260 0 4410 0 289385 0 0 0 JAMES B GILBERT CFO 146903 0 20000 0 0 0 12688 0 26255 0 205846 0 0 0 KIM SCHUKNECHT CHIEF EXPERIENCE OFFICER 143192 0 9000 0 0 0 11748 0 4378 0 168318 0 0 0 HOWARD RUBIN CHIEF INFORMATION OFFICER 157192 0 7500 0 0 0 10913 0 18424 0 194029 0 0 0 SHALINI SOLANKI ASST MEDICAL DIRECTOR FAMILY MEDICIN 234715 0 6600 0 0 0 2009 0 302 0 243626 0 0 0 AMY GABRIEL ASST MEDICAL DIRECTOR OB/GYN 298009 0 15790 0 0 0 8360 0 5845 0 328004 0 0 0 NICHELLE THREADGILL MD CHIEF MEDICAL DIRECTOR 246366 0 20700 0 13000 0 15405 0 151 0 295622 0 0 0 ERICA SCHNEIDER MD DOCTOR 241433 0 12540 0 0 0 8005 0 16612 0 278590 0 0 0 JONATHAN NUTTER DOCTOR 229611 0 13140 0 0 0 7427 0 6810 0 256988 0 0 0 KATINA BONAPARTE DOCTOR 204980 0 12950 0 0 0 6565 0 905 0 225400 0 0 0 MICHAEL KINDER DOCTOR 202537 0 12490 0 0 0 6577 0 3553 0 225157 0 0 0 AKIF AHMED DOCTOR 205366 0 12490 0 0 0 6577 0 3553 0 227986 0 0 0 X 5 1332990 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 IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,757,060. MANAGEMENT AND GENERAL EXPENSES 1,838,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,595,099. FORM 990, PART XI, LINE 9: TRANSFER TO CHCP REAL ESTATE HOLDING COMPANY, INC. -4,443,490. 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. CHCP REAL ESTATE HOLDING COMPANY INC 14100 58TH STREET NORTH CLEARWATER FL 33760 844800293 TO BENEFIT AND CARRY OUT THE PURPOSES OF CHCP FL 501(C)(3) LINE 12A, I COMMUNITY HEALTH CENTERS OF PINELLAS FOUNDATION INC 0 COMMUNITY HEALTH CENTERS OF PINELLAS FOUNDATION INC 14100 58TH STREET NORTH CLEARWATER FL 33760 842812917 TO OPERATE EXCLUSIVELY TO BENEFIT CHCP FL 501(C)(3) LINE 12B, II COMMUNITY HEALTH CENTERS OF PINELLAS FOUNDATION INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 CHCP REAL ESTATE HOLDING COMPANY INC R 4443490 COST FORM 990, SCHEDULE R, PART V, LINE 2(1) COMMUNITY HEALTH CENTERS OF PINELLAS, INC. TRANSFERRED ASSETS OF $4,443,490 TO CHCP REAL ESTATE HOLDING COMPANY, INC. TO FACILITATE A NEW MARKETS TAX CREDIT TRANSACTION DURING THE YEAR ENDED MAY 31, 2020.