2022-09-14T11:25:24-05:00 2021-12-31 720567396 DUPLANTIER HRAPMANN HOGAN & MAHER LLP 1615 POYDRAS STREET SUITE 2100 NEW ORLEANS LA 70112 990 2021-01-01 141958494 ST THOMAS COMMUNITY HEALTH CENTER INC STTH 5045295558 1020 ST ANDREW STREET NEW ORLEANS LA 70130 ROBERT DARROW CFO 5045295558 2022-09-13 1 ROBERT DARROW 999009999 MICHELLE H CUNNINGHAM CPA P01343336 5045868866 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z 1020 ST ANDREW STREET NEW ORLEANS LA 70130 30411911 0 1 X WWW.STTHOMASCHC.ORG X 2006 LA THE MISSION OF ST THOMAS COMMUNITY HEALTH CARE IS TO PROVIDE CULTURALLY COMPETENT HEALTHCARE OF THE HIGHEST QUALITY, REGARDLESS OF THE ABILITY TO PAY, FOSTER RELEVANT RESEARCH AND EDUCATIONAL ACTIVITIES DIRECTED TOWARD ACHIEVING HEALTH INITIATIVES THAT REDUCE HEALTH DISPARITIES IN OUR COMMUNITY. CENTRAL TO OUR MISSION IS ACKNOWLEDGING THE ROLE OF INSTITUTIONAL RACISM AS CAUSATIVE OF THESE DISPARITIES. AS SUCH, OUR WORK IS DIRECTED TOWARD BECOMING AN ANTIRACIST INSTITUTION. 10 10 233 0 0 0 5770567 8160413 19721255 21289765 4219 1960 595887 959773 26091928 30411911 10378 30100 0 0 13842094 14899582 0 12506 12506 12221118 11618141 26073590 26560329 18338 3851582 26754689 29981428 7470656 5368572 19284033 24612856 X THE MISSION OF ST THOMAS COMMUNITY HEALTH CENTER IS TO PROVIDE CULTURALLY COMPETENT HEALTH CARE OF THE HIGHEST QUALITY, REGARDLESS OF THE ABILITY TO PAY; TO FOSTER RELEVANT RESEARCH AND EDUCATIONAL ACTIVITIES DIRECTED TOWARD ACHIEVING COMMUNITY-DRIVEN HEALTH INITIATIVES THAT REDUCE HEALTH DISPARITIES IN OUR COMMUNITY 0 0 21029118 30100 22249538 ST. THOMAS COMMUNITY HEALTH CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), COMMUNITY-BASED, NON-PROFIT, PRIMARY CARE HEALTH CLINIC, WHICH PROVIDES AMBULATORY HEALTH CARE SERVICES, INCLUDING SPECIALTY CARE AND DIAGNOSTIC TESTING SERVICES. SERVING BOTH INSURED AND UNINSURED PATIENTS, A LARGE PERCENTAGE OF PATIENTS ARE THE MEDICALLY INDIGENT, UNDER-INSURED AND UNINSURED OF THE GREATER NEW ORLEANS AND SURROUNDING AREA(S). THE CLINIC OFFERS A FULL RANGE OF PREVENTION AND PRIMARY CARE SERVICES TO PEDIATRIC AND ADULT PATIENTS, AS WELL AS SCREENING, SURGICAL CONSULTATIONS, SPECIALTY CONSULTATIONS IN OB/GYN, RHEUMATOLOGY, CARDIOLOGY, OPTOMETRY, TELEHEALTH AND BEHAVIORAL HEALTH. 21029118 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 54 0 1 233 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT DARROW 5045295558 1936 MAGAZINE STREET NEW ORLEANS LA 70130 JUDGE CALVIN JOHNSON CHAIRPERSON 4.00 X X 0 0 0 RONALD CHISOM BOARD DIRECTOR 1.00 X 0 0 0 ALVIN EDINBURGH BOARD DIRECTOR 1.00 X 0 0 0 DANNY JACKSON BOARD DIRECTOR 1.00 X 0 0 0 DR RICHARD MILANI BOARD DIRECTOR 1.00 X 0 0 0 CHARLES SANDERS MD BOARD DIRECTOR 1.00 X 0 0 0 PASTOR TORIN SANDERS PHD BOARD DIRECTOR 1.00 X 0 0 0 LLOYD SMITH BOARD DIRECTOR 1.00 X 0 0 0 LYNETTE BRICE SECRETARY 1.00 X X 0 0 0 CAROL SALASSI TREASURER 1.00 X X 0 0 0 DONALD T ERWIN MD PRESIDENT & CEO 40.00 X 316722 0 1861 MARY M ABELL MD ASSOCIATE CEO 40.00 X 353416 0 22468 ROBERT DARROW CFO 40.00 X 199500 0 0 CARL WALKER CMIO 40.00 X 229053 0 13751 PHUONG TRAN CIO 40.00 X 204539 0 17310 VIVIANA FALCO CARDIOLOGIST 40.00 X 408519 0 17400 JONATHAN PAGE CO-CHIEF MEDICAL OFFICER 40.00 X 292499 0 17033 SCOTT FRANCIONI CO-CHIEF MEDICAL OFFICER 40.00 X 264939 0 21745 TAVELL KINDALL NURSE PRACTIONER 40.00 X 185596 0 5068 AMY DERIS PHYSICIAN 40.00 X 200564 0 17071 DONALD COSTELLO OPTOMETRIST 40.00 X 194161 0 16541 CELINE ELSON PSYCHIATRIST 40.00 X 178344 0 0 CHANIEL AGE NURSE PRACTITIONER 40.00 X 164891 0 5068 CHRISTOPHER WESTLEY PHYSICIAN 40.00 X 240474 0 6316 3433217 0 161632 39 0 1 0 RECEPT PHARMACY 1620 W NORTHWEST HWY SUITE 100 GRAPEVINE TX 76051 THIRD PARTY MANAGER OF PHARMACY 1357397 SCRIBEAMERICA LLC 1200 E LAS OLAS BLVD STE 201 FORT LAUDERDALE FL 33301 MEDICAL SCRIBES 365294 TARGET HEALTH SOLUTIONS 7408 STONELEIGH DRIVE HARAHAN LA 70123 QUALITY INITIATIVE AND CONTRACT NEGOTIAT 217000 CONTEMPORARY MEDICAL CARE 1955 HWY 34 SUITE 3B WALL NJ 07719 GRANT DEVELOPMENT 167150 ONLINE OPTIMISM 500 GRANT STREET SUITE 2900 PITTSBURGH PA 15219 SOCIAL MEDIA MARKETING AND WEBSITE SERVI 159353 6 7731489 428924 8160413 PHARMACY REVENUE 621400 10111387 10111387 MEDICAID & MEDICARE 621400 9163659 9163659 PRIVATE INSURANCE 621400 809695 809695 340B INCOME 621400 609639 609639 PATIENT REVENUES 621400 595385 595385 21289765 1960 1960 PATIENT QUALITY INCENTIVES 621400 856814 856814 MEDICARE SHARED SAVINGS 621400 95011 95011 OTHER REVENUE 621400 4434 4434 3514 3514 959773 30411911 22249538 0 1960 30100 30100 2571420 952280 1619140 10499856 8695257 1804599 295635 258657 36978 644709 498481 146228 887962 673118 214844 35707 35707 106809 106809 12506 12506 1759058 1294622 464436 172241 172241 19780 19780 416186 306782 109404 57785 28685 29100 171675 171675 454772 353422 101350 252592 184187 68405 PHARMACY 5151959 4933903 218056 OTHER EXPENSES 1441151 1027777 413374 SUPPLIES 611277 564842 46435 REPAIRS AND MAINTENANCE 287441 246266 41175 679708 636823 42885 26560329 21029118 5518705 12506 992676 1729004 4343794 5854985 256227 290934 677748 941328 110359 118387 209733 0 15456831 3979408 11472183 11477423 8691969 9569367 26754689 29981428 855447 1056463 6615209 4312109 7470656 5368572 X 10736947 15068952 8547086 9543904 19284033 24612856 26754689 29981428 3851582 1477241 0 X X 1 X 1 X 1 1 1 X 4285281 3443224 3066582 5770567 8160413 24726067 4285281 3443224 3066582 5770567 8160413 24726067 962303 23763764 22782 21955 9326 4219 1960 60242 473314 2477198 537987 595887 959773 5044159 29830468 90595946 0.79660 0.77540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 331300 331300 12639264 2114905 10524359 1550503 1162578 387925 747194 516944 230250 188570 184981 3589 11477423 BENEFICIAL INTEREST IN TRUST 9543904 UTILITY & SECURITY DEPOSITS 25463 9569367 32028720 1477241 139568 1616809 30411911 0 30411911 26699897 139568 139568 26560329 0 26560329 1 TAMBOURINE AND FAN 900 ST PHILLIP ST NEW ORLEANS LA 70116 29100 0 GENERAL SUPPORT 1 PART I, LINE 2: THE PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IS AS FOLLOWS: A REPRESENTATIVE OF TAMBOURINE AND FAN MEETS WITH CEO, DR ERWIN, PERIODICALLY AND PROVIDES REPORTING ON HOW THE FUNDS WERE USED AND PROJECT OUTCOMES. X X X 0 0 0 0 0 0 0 0 0 VIVIANA FALCO CARDIOLOGIST 408519 0 0 0 0 0 17400 0 0 0 425919 0 0 0 MARY M ABELL MD ASSOCIATE CEO 353416 0 0 0 0 0 17400 0 5068 0 375884 0 0 0 DONALD T ERWIN MD PRESIDENT & CEO 316722 0 0 0 0 0 1800 0 61 0 318583 0 0 0 JONATHAN PAGE CO-CHIEF MEDICAL OFFICER 292499 0 0 0 0 0 17033 0 0 0 309532 0 0 0 SCOTT FRANCIONI CO-CHIEF MEDICAL OFFICER 264939 0 0 0 0 0 13186 0 8559 0 286684 0 0 0 CHRISTOPHER WESTLEY PHYSICIAN 240474 0 0 0 0 0 1248 0 5068 0 246790 0 0 0 CARL WALKER CMIO 229053 0 0 0 0 0 11700 0 2051 0 242804 0 0 0 PHUONG TRAN CIO 204539 0 0 0 0 0 12242 0 5068 0 221849 0 0 0 AMY DERIS PHYSICIAN 200564 0 0 0 0 0 12003 0 5068 0 217635 0 0 0 DONALD COSTELLO OPTOMETRIST 194161 0 0 0 0 0 11619 0 4922 0 210702 0 0 0 ROBERT DARROW CFO 199500 0 0 0 0 0 0 0 0 0 199500 0 0 0 TAVELL KINDALL NURSE PRACTIONER 185596 0 0 0 0 0 0 0 5068 0 190664 0 0 0 CELINE ELSON PSYCHIATRIST 178344 0 0 0 0 0 0 0 0 0 178344 0 0 0 CHANIEL AGE NURSE PRACTITIONER 164891 0 0 0 0 0 0 0 5068 0 169959 0 0 0 990 PART VII SECTION A LINE 6 DONALD T ERWIN, CEO, WAS PAID $86,509 THROUGH AN UNRELATED ENTITY, CLIMBING INC, FOR HIS SERVICES TO THE CENTER THROUGH APRIL 30, 2021. ON MAY 1, 2021, DONALD ERWIN BECAME AN EMPLOYEE. 990 PART VII SECTION A LINE 9 ROBERT DARROW, CFO, WAS PAID $199,500 THROUGH AN UNRELATED ENTITY, FQHC HEALTHCARE CONSULTING, LLC FOR HIS SERVICES TO THE CENTER. DONALD ERWIN CEO 86509 THE CEO PROVIDED HIS SERVICES THROUGH AN ENTITY, CLIMBING INC, OF WHICH HE IS OWNER, UNTIL APRIL 2021 WHEN HE BECAME AN EMPLOYEE OF THE ST THOMAS COMMUNITY HEALTH CENTER. 0 ROBERT DARROW CFO 199500 THE CFO PROVIDES HIS SERVICES THROUGH AN ENTITY, FQHC HEALTHCARE CONSULTING, LLC, OF WHICH HE IS THE SOLE MEMBER. 0 FORM 990, PART VI, SECTION A, LINE 2 LINE 2 EXPLANATION - CEO EXECUTIVE DIRECTOR AND THE MEDICAL DIRECTOR ARE MARRIED. FORM 990, PART VI, SECTION A, LINE 6 LINE 6 EXPLANATION - THE MEMBERS OF THIS CORPORATION SHALL BE THE CURRENT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A LINE 7A EXPLANATION - THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS. SPECIFICALLY, THE BOARD OF DIRECTORS SHALL: 1. DETERMINE THE HEALTH CARE SERVICES PROVIDED BY THE CENTER 2. DETERMINE THE CENTER'S HOURS OF OPERATION 3. APPROVE ANY GRANT APPLICATION, FUNDING APPLICATION, ANNUAL BUDGET, ADOPT AND IMPLEMENT OTHER FISCAL POLICIES 4. ADOPT AND IMPLEMENT PERSONNEL POLICIES FOR THE CENTER 5. ESTABLISH GENERAL POLICIES OF THE CORPORATION AND OF THE CENTER 6. TO MAKE ALL DECISIONS REGARDING HIRING AND FIRING AND CONDUCTING ANNUAL EVALUATIONS OF THE COMMUNITY HEALTH CENTER'S (ST. THOMAS COMMUNITY HEALTH CENTER'S) CHIEF EXECUTIVE OFFICER / EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B LINE 7B EXPLANATION - THE BOARD OF DIRECTORS SHALL BE SELF-PERPETUATING AND SHALL ELECT SUCCESSOR DIRECTORS FROM ELIGIBLE PERSONS IN THE COMMUNITY. FORM 990, PART VI, SECTION B, LINE 11B LINE 11A EXPLANATION - CLINIC MANAGEMENT REVIEWS THE 990 IN DETAIL WITH THE FINANCE COMMITTEE. THE FINANCE COMMITTEE PRESENTS THE TAX RETURN AT A BOARD MEETING FOR DISCUSSION. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND MANAGERS ARE RESPONSIBLE FOR ASSURING ADHERENCE TO THE CONFLICT OF INTEREST POLICY AND ARE TASKED WITH ENSURING THAT THE EMPLOYEES WHO REPORT TO THEM SIGN A COPY OF THE CONFLICT OF INTEREST POLICY, BOTH ON AN ANNUAL BASIS AND AS CONFLICTS ARISE SPECIFICALLY. MANAGEMENT WILL DETERMINE ANY STEPS THAT CAN BE TAKEN, INCLUDING CORRECTIVE ACTION, TO RESOLVE A CONFLICT OF INTEREST NOT IN THE BEST INTERESTS OF ST. THOMAS COMMUNITY HEALTH CENTER. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE CONDUCTS PERIODIC EVALUATIONS OF THE COMMUNITY HEALTH CENTER'S OFFICERS AND EXECUTIVE DIRECTOR. SOURCES OF COMPARATIVE DATA USED INCLUDE WEBSITE SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, LOUISIANA PRIMARY CARE ASSOCIATION, SALARY.COM, CAREERBUILDER.COM, LOCAL HEALTHCARE SALARY SURVEYS, OTHER COMMUNITY HEALTH CENTER TAX RETURNS, AND REPORTS OBTAINED FROM MEDICAL EXECUTIVE COMPENSATION FIRMS. FORM 990, PART VI, SECTION C, LINE 19 THE CORPORATION MAKES DOCUMENTS AVAILABLE UPON REQUEST. PART XII, LINE 2C: NEITHER THE ORGANIZATION'S OVERSIGHT PROCESS NOR ITS AUDITOR SELECTION PROCESS HAS CHANGED FROM THE PRIOR YEAR. ST THOMAS SPECIALTY SERVICES LLC 2014 MAGAZINE ST NEW ORLEANS LA 70130 825310780 HEALTHCARE SERVICES LA 193248 104505 ST THOMAS COMMUNITY HEALTH CENTER INC