2022-03-04T13:10:32-06:00 2021-05-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2020-06-01 592097521 COMMUNITY HEALTH CENTERS OF PINELLAS INC D/B/A EVARA HEALTH COMM 7278248100 14100 58TH STREET NORTH CLEARWATER FL 33760 ELODIE DORSO CEO 7278248100 2022-02-16 1 ELODIE DORSO 999009999 SAM A LAZZARA P01342929 8138757774 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ELODIE DORSO 14100 58TH STREET NORTH CLEARWATER FL 33760 50728955 0 X HTTP://WWW.CHCPINELLAS.ORG X 1980 FL TO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL. 12 12 496 12 0 0 12624377 18051464 27733525 32162221 401468 443025 82779 72245 40842149 50728955 0 0 0 0 25052829 30772728 0 0 0 15462713 19303600 40515542 50076328 326607 652627 37479222 44410464 17639802 24407493 19839420 20002971 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 38910290 32234466 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. 38910290 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 16 0 1 496 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 SELLEW ROGER TITLE DIRECTOR, TREASURER 1.00 X 0 0 0 SERRANO-LUX FRANCES TITLE DIRECTOR, IMMEDIATE PAST CHAIRMAN 1.00 X 0 0 0 SMITH JOSEPH L TITLE DIRECTOR, CHAIRMAN 1.00 X 0 0 0 WILLIAMS LUKE C TITLE DIRECTOR 1.00 X 0 0 0 MCNULTY CINDY TITLE DIRECTOR, VC 1.00 X 0 0 0 WILLIAMS CLARENCE TITLE DIRECTOR 1.00 X 0 0 0 SHERMAN-WHITE ANN TITLE DIRECTOR 1.00 X 0 0 0 LENSE ALBERTO TITLE DIRECTOR, SECRETARY 1.00 X 0 0 0 ALLY SHARON TITLE DIRECTOR 1.00 X 0 0 0 LEE DOROTHEA TITLE DIRECTOR 1.00 X 0 0 0 MEREDITH JEREMY TITLE DIRECTOR 1.00 X 0 0 0 MCFADDEN PRISCILLA TITLE DIRECTOR 1.00 X 0 0 0 DORSO ELODIE CHIEF EXECUTIVE OFFICER 40.00 X 596585 0 38718 GILBERT JAMES B CHIEF FINANCIAL OFFICER 40.00 X 195096 0 36814 KUCHER EDWARD CHIEF OPERATING OFFICER 40.00 X 260249 0 20126 RUBIN HOWARD CHIEF INFORMATION OFFICER 40.00 X 186393 0 32542 SCHUKNECHT KIM CHIEF EXPERIENCE OFFICER 40.00 X 188210 0 20591 THREADGILL JEANBAPTISTE NICHELLE DOCTOR 40.00 X 319255 0 16516 AHMAD AKIF DOCTOR 40.00 X 231507 0 10789 GABRIEL AMY ASSISTANT MEDICAL DIRECTOR OB/GYN 40.00 X 327480 0 14896 KINDER MICHAEL OB PROVIDER 40.00 X 237972 0 10987 SCHNEIDER ERICA OB PROVIDER 40.00 X 283771 0 16833 SOLANKI SHALINI FORMER ASSISTANT MEDICAL DIRECTOR FAMILY MEDICINE 40.00 X 253854 0 18188 3080372 0 237000 63 0 1 0 0 16593054 1458410 1265600 18051464 NET PATIENT SERVICE REVENUE 621400 32162221 32162221 32162221 443025 443025 OTHER REVENUE 900099 72245 72245 72245 50728955 32234466 0 443025 X 2120912 1622112 498800 23741251 18157736 5583515 608176 465144 143032 2559335 1957425 601910 1743054 1333119 409935 72300 72300 5517137 3820000 1697137 220110 176088 44022 1787460 1373355 414105 113746 58538 55208 357504 357504 1053458 933867 119591 336015 268812 67203 MEDICAL SUPPLIES 4881921 4158657 723264 BAD DEBT 3570257 3570257 0 TELEPHONE 984415 787532 196883 MINOR EQUIPMENT AND REN 164037 131230 32807 245240 96418 148822 50076328 38910290 11166038 0 5846583 2693639 4069196 9763853 579497 840773 4275038 3230564 5686320 11502500 18779 14068 344215 312120 22564150 8921232 14474816 13642918 1587553 1836715 354400 354400 242825 218914 37479222 44410464 3721416 8383683 105813 227530 13812573 15796280 17639802 24407493 X 19667829 19832801 171591 170170 19839420 20002971 37479222 44410464 X 652627 -489076 X X 0 1 X 1 1 1 X 6456232 8001367 9002105 12624287 18051464 54135455 6456232 8001367 9002105 12624287 18051464 54135455 54135455 66950 108010 62827 401468 443025 1082280 55217735 71322039 0.98040 0.93590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 300000 300000 15355754 4234221 11121533 778813 510983 267830 5902484 4176028 1726456 227099 227099 13642918 X 50728955 0 50728955 0 50728955 50076328 0 50076328 0 50076328 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, 2017 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. X X X X 0 0 0 0 0 0 0 0 0 DORSO ELODIE CHIEF EXECUTIVE OFFICER 419585 0 165000 0 12000 0 28246 0 10472 0 635303 0 0 0 GILBERT JAMES B CHIEF FINANCIAL OFFICER 162277 0 29265 0 3554 0 13938 0 22876 0 231910 0 0 0 KUCHER EDWARD CHIEF OPERATING OFFICER 232380 0 24315 0 3554 0 15466 0 4660 0 280375 0 0 0 RUBIN HOWARD CHIEF INFORMATION OFFICER 168469 0 14370 0 3554 0 13706 0 18836 0 218935 0 0 0 SCHUKNECHT KIM CHIEF EXPERIENCE OFFICER 162510 0 19700 0 6000 0 13406 0 7185 0 208801 0 0 0 THREADGILL JEANBAPTISTE NICHELLE DOCTOR 271886 0 43815 0 3554 0 16498 0 18 0 335771 0 0 0 AHMAD AKIF DOCTOR 219807 0 11700 0 0 0 6986 0 3803 0 242296 0 0 0 GABRIEL AMY ASSISTANT MEDICAL DIRECTOR OB/GYN 313980 0 13500 0 0 0 8860 0 6036 0 342376 0 0 0 KINDER MICHAEL OB PROVIDER 226672 0 11300 0 0 0 7184 0 3803 0 248959 0 0 0 SCHNEIDER ERICA OB PROVIDER 270871 0 12900 0 0 0 8625 0 8208 0 300604 0 0 0 SOLANKI SHALINI FORMER ASSISTANT MEDICAL DIRECTOR FA 240854 0 13000 0 0 0 7923 0 10265 0 272042 0 0 0 X 5 1265600 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 3,820,000. MANAGEMENT AND GENERAL EXPENSES 1,639,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,459,060. OTHER EXPENSES AND FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 58,077. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,077. FORM 990, PART XI, LINE 9: TRANSFER TO RELATED ENTITIES -489,076. 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 315477 COST COMMUNITY HEALTH CENTERS OF PINELLAS FOUNDATION INC R 173599 COST