2023-09-27T14:13:18-05:00 2022-12-31 454084437 WARREN AVERETT LLC 350 W CEDAR STREET SUITE 400 PENSACOLA FL 32502 990 2022-01-01 593105246 ESCAMBIA COMMUNITY CLINICS INC ESCA 8504364630 2315 W JACKSON ST PENSACOLA FL 32505 CHANDRA SMILEY CEO 8504364630 2023-09-14 1 CHANDRA SMILEY 999009999 1 CLAIRE C DUREN CPA P01577924 8504357400 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z COMMUNITY HEALTH NORTHWEST FLORIDA CHANDRA SMILEY MSW 2315 W JACKSON ST PENSACOLA FL 32505 52587348 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. 15 15 494 16 0 0 10396376 13019549 30788897 38837891 1323 -81675 689266 720116 41875862 52495881 733410 613424 0 0 25912708 28372531 0 0 0 12573997 22081525 39220115 51067480 2655747 1428401 21893175 29531679 3315840 9525943 18577335 20005736 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 35583004 613424 39558007 PATIENT SERVICES - TO PROVIDE QUALITY AMBULATORY MEDICAL CARE TO THE INDIGENT OF THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. 35583004 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 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 21 0 1 494 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 BRETT ALDRIDGE 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 THOMAS OWENS DIRECTOR 0.50 0.50 X 0 0 0 GRACE MCCAFFERY DIRECTOR 0.50 0.50 X 0 0 0 SHIRLEY HENDERSON DIRECTOR 0.50 0.50 X 0 0 0 CLARA LONG DIRECTOR 0.50 0.50 X 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 34.00 6.00 X 255322 0 34497 JASON BREWSTER CHIEF FINANCIAL OFFICER 40.00 X 144196 0 27889 THOMAS ANDERSON CHIEF OPERATIONS OFFICER 40.00 X 129005 0 31707 JOHN CARNES CHIEF INFORMATION OFFICER 40.00 X 121105 0 26719 GEORGE SMITH CHIEF MEDICAL OFFICER 40.00 X 233661 0 36156 ANGES RIVERS CHIEF COMMERCIAL OFFICER 40.00 X 119218 0 25977 JACINTA WATKINS-LAMONTAGNE CHIEF DENTAL OFFICER 40.00 X 218993 0 28278 DARRELL MILLER CHIEF PHARMACY OFFICER 40.00 X 163710 0 25050 P MICHELLE GRIER-HALL MEDICAL DOCTOR 40.00 X 225904 0 37805 GABRIEL HERNANDEZ MEDICAL DOCTOR 40.00 X 224927 0 14707 MATTHEW SOUTHWICK MEDICAL DOCTOR 40.00 X 223075 0 16856 JOSEPH-CHARLES MARDINI DDS 40.00 X 236538 0 31503 CRISTINA RESCZENSKI MEDICAL DOCTOR 40.00 X 227869 0 2296 2523523 0 339440 13 0 1 0 0 11444443 1575106 13019549 PATIENT SERVICES 621990 18492687 18492687 340B PRESCRIPTION DRUG ASSISTANCE 621990 12674527 12674527 CAPITATION REVENUE 621990 3880658 3880658 PHARMACY SERVICES 621990 3790019 3790019 38837891 9792 9792 91467 -91467 -91467 -91467 OTHER CLINIC REVENUE 812900 533898 533898 OTHER INCOME 812900 186218 186218 720116 52495881 39558007 0 -81675 613424 613424 1621482 972889 648593 20996757 12598054 8398703 4130085 2478051 1652034 1624207 974524 649683 41251 22688 18563 44521 24487 20034 2326275 2275404 50871 510432 127608 382824 49428 34725 14703 578383 404868 173515 2234628 1202498 1032130 249857 199886 49971 4903 4903 1128615 902892 225723 341943 205166 136777 PRESCRIPTION DRUGS 8166010 8166010 SUPPLIES 4188669 2817728 1370941 MISCELLANEOUS EXPENSE 996612 700462 296150 REPAIRS AND MAINTENANCE 672722 403633 269089 547276 453104 94172 51067480 35583004 15484476 0 5024261 7133631 2026246 2035665 7199545 4963404 242696 351142 89527 177096 8874301 4328270 2762756 4546031 1867693 2053911 826978 721713 1853473 7549086 21893175 29531679 3048473 3265261 500 500 266867 130086 0 6130096 3315840 9525943 X 18577335 20005736 18577335 20005736 21893175 29531679 1428401 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2511958 1172777 1339181 4161964 1801249 2360715 2200379 1354244 846135 4546031 INVESTMENT IN ESCAMBIA COMMUNITY HOLDINGS, INC. 2053911 C 2053911 DUE TO/FROM ECH 1722176 DUE TO/FROM CCS -585348 DEPOSITS 345445 RIGHT OF USE ASSET 6066813 7549086 OPERATING LEASE LIABILITY 6130096 6130096 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) 313590 0 TO BE USED TO PAY DOWN DEBT ON THE NEW FACILITY 1 X X 0 0 0 0 0 0 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 210322 0 45000 0 0 0 15246 0 19251 0 289819 0 0 0 GEORGE SMITH CHIEF MEDICAL OFFICER 226041 0 7620 0 0 0 14828 0 21328 0 269817 0 0 0 JOSEPH-CHARLES MARDINI DDS 196712 0 39826 0 0 0 13865 0 17638 0 268041 0 0 0 P MICHELLE GRIER-HALL MEDICAL DOCTOR 219904 0 6000 0 0 0 14451 0 23354 0 263709 0 0 0 JACINTA WATKINS-LAMONTAGNE CHIEF DENTAL OFFICER 210353 0 8640 0 0 0 7568 0 20710 0 247271 0 0 0 MATTHEW SOUTHWICK MEDICAL DOCTOR 217075 0 6000 0 0 0 14267 0 2589 0 239931 0 0 0 GABRIEL HERNANDEZ MEDICAL DOCTOR 197731 0 27196 0 0 0 13520 0 1187 0 239634 0 0 0 CRISTINA RESCZENSKI MEDICAL DOCTOR 223369 0 4500 0 0 0 906 0 1390 0 230165 0 0 0 DARRELL MILLER CHIEF PHARMACY OFFICER 153710 0 10000 0 0 0 10341 0 14709 0 188760 0 0 0 JASON BREWSTER CHIEF FINANCIAL OFFICER 132196 0 12000 0 0 0 9013 0 18876 0 172085 0 0 0 THOMAS ANDERSON CHIEF OPERATIONS OFFICER 122005 0 7000 0 0 0 8175 0 23532 0 160712 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 IN 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 313590 CASH VALUE COMMUNITY CLINIC SERVICES INC O 256958 PER CONTRACT COMMUNITY CLINIC SERVICES INC M 302957 PER CONTRACT ESCAMBIA COMMUNITY HOLDINGS INC N 75084 PER CONTRACT