2022-11-03T12:07:22-05:00 2021-12-31 454084437 WARREN AVERETT LLC 350 W CEDAR STREET SUITE 400 PENSACOLA FL 32502 990 2021-01-01 593105246 ESCAMBIA COMMUNITY CLINICS INC ESCA 8504364630 2315 W JACKSON ST PENSACOLA FL 32505 CHANDRA SMILEY CEO 8504364630 2022-11-01 1 CHANDRA SMILEY 999009999 CLAIRE C DUREN CPA P01577924 8504357400 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z COMMUNITY HEALTH NORTHWEST FLORIDA CHANDRA SMILEY MSW 2315 W JACKSON ST PENSACOLA FL 32505 41875862 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. 14 14 473 1 0 0 12734577 10396376 26822442 30788897 -17213 1323 753477 689266 40293283 41875862 979664 733410 0 0 24513265 25912708 0 0 0 10819666 12573997 36312595 39220115 3980688 2655747 18862246 21893175 2940658 3315840 15921588 18577335 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 25466553 733410 31478163 PATIENT SERVICES - TO PROVIDE QUALITY AMBULATORY MEDICAL CARE TO THE INDIGENT OF THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. 25466553 1 1 0 0 0 0 0 0 0 0 1 0 1 1 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 15 0 1 473 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X JASON BREWSTER 8504364630 2315 WEST JACKSON STREET 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 WALTER BUZZ RITCHIE SECRETARY 1.00 1.00 X 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 GRACE MCCAFFERY DIRECTOR 0.50 0.50 X 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 34.00 6.00 X 230497 0 13505 JASON BREWSTER CHIEF FINANCIAL OFFICER 40.00 X 139924 0 25724 THOMAS ANDERSON CHIEF ADMINISTRATIVE OFFIC 40.00 X 125549 0 29651 JOHN CARNES CHIEF INFORMATION OFFICER 40.00 X 122560 0 24713 GEORGE SMITH CHIEF MEDICAL OFFICER 40.00 X 224160 0 34423 SUNNY NOTIMOH CHIEF EMPLOYEE SERVICES OF 40.00 X 112581 0 23056 ANN PAPADELIAS CHIEF COMMUNITY ENGAGEMENT 40.00 X 120747 0 27286 JACINTA WATKINS-LAMONTAGNE CHIEF DENTAL OFFICER 40.00 X 220225 0 26761 DARRELL MILLER CHIEF PHARMACY OFFICER 40.00 X 160900 0 24325 P MICHELLE GRIER-HALL MEDICAL DOCTOR 40.00 X 214754 0 35919 GABRIEL HERNANDEZ MEDICAL DOCTOR 40.00 X 216214 0 14404 MATTHEW SOUTHWICK MEDICAL DOCTOR 40.00 X 215487 0 14574 JOSEPH-CHARLES MARDINI MEDICAL DOCTOR 40.00 X 227852 0 25305 MARIAN STEWART MEDICAL DOCTOR 40.00 X 200097 0 34713 2531547 0 354359 14 0 1 0 0 9181145 1215231 10396376 PATIENT SERVICES 621990 18528328 18528328 340B PRESCRIPTION DRUG ASSISTANCE 621990 8406008 8406008 CAPITATION REVENUE 621990 3554110 3554110 PHARMACY SERVICES 621990 300451 300451 30788897 1323 1323 OTHER CLINIC REVENUE 812900 432645 432645 OTHER INCOME 812900 256621 256621 689266 41875862 31478163 0 1323 733410 733410 1686588 1180612 505976 18524712 10969113 7555599 4252957 2528830 1724127 1448451 869071 579380 34621 19041 15580 71025 39064 31961 1933289 1901516 31773 285029 71257 213772 59279 34954 24325 595579 416905 178674 1651340 990804 660536 117847 94278 23569 6389 6389 788097 630478 157619 303344 182006 121338 SUPPLIES 3310236 2109466 1200770 PRESCRIPTION DRUGS 1566354 1566354 MISCELLANEOUS EXPENSE 992748 539977 452771 REPAIRS AND MAINTENANCE 549364 329618 219746 309456 253410 56046 39220115 25466553 13753562 0 10183296 5024261 125192 2026246 4239614 7199545 153015 242696 66809 89527 6243356 3480600 1723093 2762756 1611072 1867693 650610 826978 109545 1853473 18862246 21893175 2574786 3048473 500 500 365372 266867 2940658 3315840 X 15921588 18577335 15921588 18577335 18862246 21893175 2655747 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1662960 953737 709223 2665608 1303841 1361767 1914788 1223022 691766 2762756 INVESTMENT IN ESCAMBIA COMMUNITY HOLDINGS, INC. 1867693 C 1867693 DUE TO/FROM ECH 1770478 DUE TO/FROM CCS -322205 DEPOSITS 405200 1853473 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) 439455 0 TO BE USED TO PAY DOWN DEBT ON THE NEW FACILITY 1 X X 0 0 0 0 0 0 0 0 0 GEORGE SMITH CHIEF MEDICAL OFFICER 207006 0 17154 0 0 0 14056 0 20367 0 258583 0 0 0 JOSEPH-CHARLES MARDINI MEDICAL DOCTOR 181142 0 46710 0 0 0 8725 0 16580 0 253157 0 0 0 P MICHELLE GRIER-HALL MEDICAL DOCTOR 202700 0 12054 0 0 0 13597 0 22322 0 250673 0 0 0 JACINTA WATKINS-LAMONTAGNE CHIEF DENTAL OFFICER 204231 0 15994 0 0 0 7708 0 19053 0 246986 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 190497 0 40000 0 0 0 12382 0 1123 0 244002 0 0 0 MARIAN STEWART MEDICAL DOCTOR 188481 0 11616 0 0 0 12461 0 22252 0 234810 0 0 0 GABRIEL HERNANDEZ MEDICAL DOCTOR 189554 0 26660 0 0 0 13254 0 1150 0 230618 0 0 0 MATTHEW SOUTHWICK MEDICAL DOCTOR 204183 0 11304 0 0 0 13482 0 1092 0 230061 0 0 0 DARRELL MILLER CHIEF PHARMACY OFFICER 150900 0 10000 0 0 0 9983 0 14342 0 185225 0 0 0 JASON BREWSTER CHIEF FINANCIAL OFFICER 124924 0 15000 0 0 0 8645 0 17079 0 165648 0 0 0 THOMAS ANDERSON CHIEF ADMINISTRATIVE OFFIC 115549 0 10000 0 0 0 7861 0 21790 0 155200 0 0 0 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 439455 CASH VALUE COMMUNITY CLINIC SERVICES INC O 251920 PER CONTRACT COMMUNITY CLINIC SERVICES INC M 297017 PER CONTRACT