2023-04-10T15:06:40-05:00 2022-05-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2021-06-01 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 2023-03-01 1 ELODIE DORSO 999009999 SAM A LAZZARA P01342929 8138757774 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ELODIE DORSO 14100 58TH STREET NORTH CLEARWATER FL 33760 60340422 0 X HTTP://WWW.CHCPINELLAS.ORG X 1980 FL TO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL. 11 11 564 11 0 0 18051464 24924936 32162221 35308406 443025 34227 72245 72853 50728955 60340422 0 0 0 0 30772728 37428386 0 0 0 19303600 22568846 50076328 59997232 652627 343190 44410464 43637625 24407493 23335334 20002971 20302291 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 47310171 35308406 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. 47310171 1 1 0 0 0 0 0 0 0 0 1 1 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 26 0 1 564 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 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 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 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 PORTER RONALD TITLE DIRECTOR 1.00 X 0 0 0 DORSO ELODIE CHIEF EXECUTIVE OFFICER 40.00 X 637929 0 44918 GILBERT JAMES B CHIEF FINANCIAL OFFICER 40.00 X 211489 0 31271 KUCHER EDWARD CHIEF OPERATING OFFICER 40.00 X 237942 0 33569 RUBIN HOWARD CHIEF INFORMATION OFFICER 40.00 X 194760 0 32863 SCHUKNECHT KIM CHIEF EXPERIENCE OFFICER 40.00 X 225859 0 26659 THREADGILL JEANBAPTISTE NICHELLE CHIEF MEDICAL OFFICER 40.00 X 352544 0 23084 AHMAD AKIF FAMILY PRACTICE PROVIDER 40.00 X 228995 0 9628 GABRIEL AMY ASSISTANT MEDICAL DIRECTOR 40.00 X 327242 0 17206 KINDER MICHAEL OB PROVIDER 40.00 X 238979 0 11107 SCHNEIDER ERICA OB PROVIDER 40.00 X 275017 0 18877 GREENBERG SCOTT OB PROVIDER 40.00 X 253313 0 3546 3184069 0 252728 73 0 1 0 0 20921764 4003172 1450074 24924936 NET PATIENT SERVICE REVENUE 621400 35308406 35308406 35308406 34227 34227 OTHER REVENUE 900099 72853 72853 72853 60340422 35381259 0 34227 1860523 1405417 455106 28867303 21806019 7061284 946244 714782 231462 3623233 2736947 886286 2131083 1609795 521288 89518 89518 62700 62700 5161182 5149270 11912 776977 621582 155395 68285 55403 12882 2439344 2102230 337114 178100 151981 26119 441434 441434 1058012 799812 258200 448561 358849 89712 MEDICAL SUPPLIES 4850273 3862019 988254 BAD DEBT 3019713 3019713 DONATED GOODS 1300074 1300074 OTHER EXPENSES 1244840 1244840 1429833 1174844 254989 59997232 47310171 12687061 0 2693639 4217623 9763853 1235159 840773 2767128 3230564 3621547 11502500 11502500 14068 33366 312120 444576 25595105 8960767 13642918 16634338 1836715 2619566 354400 354400 218914 207422 44410464 43637625 8494288 11522784 116925 8333 15796280 11804217 24407493 23335334 X 19832801 20133613 170170 168678 20002971 20302291 44410464 43637625 X 343190 -43870 X X 0 1 X 1 1 1 X 8001367 9002105 12624287 18051464 24924936 72604159 8001367 9002105 12624287 18051464 24924936 72604159 72604159 108010 62827 401468 443025 34227 1049557 73653716 49814312 0.98580 0.98040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 404211 404211 16239943 4285978 11953965 875763 386263 489500 6038628 4288526 1750102 2036560 2036560 16634338 MONEY MARKET FUNDS 241799 C EQUITY SECURITIES 1470026 C CERTIFICATES OF DEPOSIT 907741 C 2619566 X 60340422 0 60340422 0 60340422 59997232 0 59997232 0 59997232 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, 2018 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 452707 0 185222 0 0 0 29933 0 14985 0 682847 0 0 0 THREADGILL JEANBAPTISTE NICHELLE CHIEF MEDICAL OFFICER 308221 0 44323 0 0 0 20174 0 2910 0 375628 0 0 0 GABRIEL AMY ASSISTANT MEDICAL DIRECTOR 315567 0 11675 0 0 0 10441 0 6765 0 344448 0 0 0 SCHNEIDER ERICA OB PROVIDER 265442 0 9575 0 0 0 10256 0 8621 0 293894 0 0 0 KUCHER EDWARD CHIEF OPERATING OFFICER 217720 0 20222 0 0 0 18766 0 14803 0 271511 0 0 0 GREENBERG SCOTT OB PROVIDER 247596 0 5717 0 0 0 3546 0 0 0 256859 0 0 0 SCHUKNECHT KIM CHIEF EXPERIENCE OFFICER 195859 0 30000 0 0 0 18043 0 8616 0 252518 0 0 0 KINDER MICHAEL OB PROVIDER 230529 0 8450 0 0 0 8719 0 2388 0 250086 0 0 0 GILBERT JAMES B CHIEF FINANCIAL OFFICER 181489 0 30000 0 0 0 17702 0 13569 0 242760 0 0 0 AHMAD AKIF FAMILY PRACTICE PROVIDER 220895 0 8100 0 0 0 8323 0 1305 0 238623 0 0 0 RUBIN HOWARD CHIEF INFORMATION OFFICER 179538 0 15222 0 0 0 17264 0 15599 0 227623 0 0 0 X 1 150000 FAIR MARKET VALUE X 4 1300074 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 XI, LINE 9: TRANSFER TO RELATED ENTITIES -43,870. 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 1 0 0 1 1 0 0 1 0 CHCP REAL ESTATE HOLDING COMPANY INC R 43870 COST CHCP REAL ESTATE HOLDING COMPANY INC K 447525 COST