2024-01-24T15:29:36-06:00 2023-05-31 593040705 RIVERO GORDIMER & COMPANY PA P O BOX 172359 TAMPA FL 33672 990 2022-06-01 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 2024-01-17 1 ELODIE DORSO 999009999 1 SAM A LAZZARA P01342929 8138757774 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ELODIE DORSO 14100 58TH STREET NORTH CLEARWATER FL 33760 66617397 0 X HTTP://WWW.CHCPINELLAS.ORG X 1980 FL TO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL. 11 11 582 11 0 0 24924936 20933586 35308406 44153246 34227 259577 72853 1270988 60340422 66617397 0 0 0 0 37428386 40383775 0 0 0 22568846 24576786 59997232 64960561 343190 1656836 43637625 58125397 23335334 45042876 20302291 13082521 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 53279361 44153246 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. 53279361 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 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 13 0 1 582 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 SMITH JOSEPH L DIRECTOR, CHAIRMAN 1.00 X X 0 0 0 MCNULTY CINDY DIRECTOR, VICE CHAIR 1.00 X X 0 0 0 SELLEW ROGER DIRECTOR, TREASURER 1.00 X X 0 0 0 LENSE ALBERTO DIRECTOR, SECRETARY 1.00 X X 0 0 0 WILLIAMS LUKE C DIRECTOR 1.00 X 0 0 0 WILLIAMS CLARENCE DIRECTOR 1.00 X 0 0 0 SHERMAN-WHITE ANN DIRECTOR 1.00 X 0 0 0 LEE DOROTHEA DIRECTOR 1.00 X 0 0 0 MEREDITH JEREMY DIRECTOR 1.00 X 0 0 0 MCFADDEN PRISCILLA DIRECTOR 1.00 X 0 0 0 PORTER RONALD DIRECTOR 1.00 X 0 0 0 DORSO ELODIE CHIEF EXECUTIVE OFFICER 40.00 X 744049 0 63375 GILBERT JAMES B CHIEF FINANCIAL OFFICER 40.00 X 229688 0 66366 KUCKER EDWARD CHIEF OPERATING OFFICER 40.00 X 236637 0 66366 RUBIN HOWARD CHIEF INFORMATION OFFICER 40.00 X 208970 0 46902 SCHUKNECHT KIM CHIEF EXPERIENCE OFFICER 40.00 X 235022 0 59308 THREADGILL JEANBAPTISTE NICHELLE CHIEF MEDICAL OFFICER 40.00 X 400179 0 29822 GABRIEL AMY ASSISTANT MEDICAL DIRECTOR 40.00 X 365525 0 12279 RODRIGUEZ CARLOS ASSISTANT MEDICAL DIRECTOR FAMILY MEDICINE 40.00 X 326200 0 22755 SCHNEIDER ERICA OB PROVIDER 40.00 X 294243 0 49096 GREENBERG SCOTT OB PROVIDER 40.00 X 270449 0 20954 KINDER MICHAEL OB PROVIDER 40.00 X 244369 0 28908 3555331 0 466131 87 0 1 0 0 17126888 3806698 712110 20933586 NET PATIENT SERVICE REVENUE 621400 44153246 44153246 44153246 259577 259577 OTHER REVENUE 900099 1270988 1270988 1270988 66617397 45424234 0 259577 X 2054545 1575840 478705 31278857 23990942 7287915 1076404 882651 193753 3705517 3038524 666993 2268452 1860131 408321 89534 89534 100175 100175 6925959 6925959 1090660 894341 196319 108426 88909 19517 1900271 1558222 342049 347793 285190 62603 382713 382713 1332444 1021987 310457 604784 495923 108861 SUPPLIES 4587707 3761920 825787 BAD DEBT 3296672 3296672 REPAIRS AND MAINTENANCE 1532161 1256372 275789 TELEPHONE 981806 805081 176725 1295681 1157984 137697 64960561 53279361 11681200 0 4217623 2373508 1235159 4692114 2767128 874764 3621547 5671087 11502500 17834900 33366 145585 444576 391388 29728152 10473675 16634338 19254477 2619566 2636400 354400 354400 207422 3896774 43637625 58125397 11522784 10753130 8333 158054 11804217 29960585 0 4171107 23335334 45042876 X 20133613 12915409 168678 167112 20302291 13082521 43637625 58125397 X 1656836 -8876606 X X 0 1 X 1 1 1 X 9002105 12624287 18051464 24924936 20933586 85536378 9002105 12624287 18051464 24924936 20933586 85536378 85536378 62827 401468 443025 34227 259577 1201124 86737502 26945298 0.98620 0.98580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 404211 404211 16104323 4599458 11504865 1047893 558244 489649 7966289 5315973 2650316 4205436 4205436 19254477 GROUND LEASE RECEIVABLE 167112 DEPOSITS 38744 RIGHT OF USE LEASE ASSET, OPERATING 3690918 3896774 OPERATING LEASE LIABILITY 4171107 4171107 X 66617397 0 66617397 0 66617397 64960561 0 64960561 0 64960561 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, 2019 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 524049 0 220000 0 0 0 41000 0 22375 0 807424 0 0 0 THREADGILL JEANBAPTISTE NICHELLE CHIEF MEDICAL OFFICER 356824 0 43355 0 0 0 28749 0 1073 0 430001 0 0 0 GABRIEL AMY ASSISTANT MEDICAL DIRECTOR 352670 0 12855 0 0 0 260 0 12019 0 377804 0 0 0 RODRIGUEZ CARLOS ASSISTANT MEDICAL DIRECTOR FAMILY ME 299322 0 26878 0 0 0 12940 0 9815 0 348955 0 0 0 SCHNEIDER ERICA OB PROVIDER 283188 0 11055 0 0 0 18980 0 30116 0 343339 0 0 0 KUCKER EDWARD CHIEF OPERATING OFFICER 216637 0 20000 0 0 0 36250 0 30116 0 303003 0 0 0 GILBERT JAMES B CHIEF FINANCIAL OFFICER 199688 0 30000 0 0 0 36250 0 30116 0 296054 0 0 0 SCHUKNECHT KIM CHIEF EXPERIENCE OFFICER 205022 0 30000 0 0 0 46650 0 12658 0 294330 0 0 0 GREENBERG SCOTT OB PROVIDER 259694 0 10755 0 0 0 20250 0 704 0 291403 0 0 0 KINDER MICHAEL OB PROVIDER 240614 0 3755 0 0 0 18980 0 9928 0 273277 0 0 0 RUBIN HOWARD CHIEF INFORMATION OFFICER 188970 0 20000 0 0 0 23250 0 23652 0 255872 0 0 0 X 4 712110 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 6,925,959. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,925,959. FORM 990, PART XI, LINE 9: TRANSFER TO RELATED ENTITIES -8,876,606. 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 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 INC 0 EVARA HEALTH INSTITUTE INC 14100 58TH STREET NORTH CLEARWATER FL 33760 923942082 TO OPERATE EXCLUSIVELY TO BENEFIT CHCP FL 501(C)(3) LINE 12A, I COMMUNITY HEALTH CENTERS OF PINELLAS 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 227856 COST COMMUNITY HEALTH CENTERS OF PINELLAS FOUNDATION INC R 8648750 COST CHCP REAL ESTATE HOLDING COMPANY INC K 564278 COST