STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY HEALTH CENTER OF PINELLAS INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTER OF PINELLAS INC (EIN 59-2097521)
Tax period
2018-06-01 to 2019-05-31
Filed
2020-01-31
IRS object ID
202010319349301221
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-01-31T13:14:29-06:00ReturnTs
Tax Period End2019-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593040705PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RIVERO GORDIMER & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 172359AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33672ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592097521EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTERS OF PINELLAS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone7278248100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11344 22ND STREET SOUTHAddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33712ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELODIE DORSOPersonNm
Person TitleCEOPersonTitleTxt
Phone7278248100PhoneNum
Signature2020-01-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAM A LAZZARAPreparerPersonNm
PTINP01342929PTIN
Phone8138757774PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.202.225.84IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-01-31IPDt
IP Tm13:46:55IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id69A26F9334EBCBBAE563FF7F9523795D603EB3D5AtSubmissionCreationDeviceId
At Submission Filing Device Id425BBEDD4FE3D6157E7D42C8E7BC794A0085AF35AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELODIE DORSOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11344 22ND STREET SOUTHAddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33712ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$36,010,230GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.CHCPINELLAS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee410TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,001,367PYContributionsGrantsAmt
CY Contributions Grants$9,002,105CYContributionsGrantsAmt
PY Program Service Revenue$22,869,014PYProgramServiceRevenueAmt
CY Program Service Revenue$26,945,298CYProgramServiceRevenueAmt
PY Investment Income$108,010PYInvestmentIncomeAmt
CY Investment Income$62,827CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$30,978,391PYTotalRevenueAmt
CY Total Revenue$36,010,230CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,587,825PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,062,791CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,279,235PYOtherExpensesAmt
CY Other Expenses$12,234,884CYOtherExpensesAmt
PY Total Expenses$29,867,060PYTotalExpensesAmt
CY Total Expenses$34,297,675CYTotalExpensesAmt
PY Revenues Less Expenses$1,111,331PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,712,555CYRevenuesLessExpensesAmt
Total Assets BOY$25,739,597TotalAssetsBOYAmt
Total Assets EOY$27,856,656TotalAssetsEOYAmt
Total Liabilities BOY$3,495,849TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,900,353TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$22,243,748NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,956,303NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,338,209ExpenseAmt
Revenue$26,945,298RevenueAmt
DescPROVIDE 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.Desc
Total Program Service Expenses$27,338,209TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee410EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES B GILBERT CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7278248107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11344 22ND STREET SOUTHAddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33712ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOSEPH L SMITH
CHAIR1.00Yes (X)Yes (X)$0$0$0
FRANCES SERRANO-LUX
IMMEDIATE PAST CHAIR1.00Yes (X)Yes (X)$0$0$0
CINDY MCNULTY
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
ROGER SELLEW
TREASURER1.00Yes (X)Yes (X)$0$0$0
ALBERTO LENSE
SECRETARY1.00Yes (X)Yes (X)$0$0$0
SHARON ALLY
DIRECTOR1.00Yes (X)$0$0$0
DOROTHEA LEE
DIRECTOR1.00Yes (X)$0$0$0
RONALD J MOLDENHAUER
DIRECTOR1.00Yes (X)$0$0$0
ANN SHERMAN-WHITE
DIRECTOR1.00Yes (X)$0$0$0
MARY TURNER
DIRECTOR1.00Yes (X)$0$0$0
REV CLARENCE WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
LUKE C WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
ELODIE DORSO
CEO40.00Yes (X)$409,084$0$42,382
PAT MABE
FORMER CEO40.00Yes (X)$381,730$0$57,043
EDWARD KUCHER
COO40.00Yes (X)$213,018$0$18,622
JAMES B GILBERT
CFO40.00Yes (X)$145,212$0$25,419
KIM SCHUKNECHT
CHIEF EXPERIENCE OFFICER40.00Yes (X)$141,500$0$13,750
HOWARD RUBIN
CHIEF INFORMATION OFFICER40.00Yes (X)$111,545$0$14,255
AMY GABRIEL
ASST MEDICAL DIRECTOR WS40.00$295,589$0$21,437Yes (X)
NICHELLE THREADGILL MD
CHIEF MEDICAL DIRECTOR40.00$256,198$0$22,252Yes (X)
ERICA SCHNEIDER MD
DOCTOR40.00$236,574$0$19,249Yes (X)
JONATHAN NUTTER
DOCTOR40.00$219,619$0$12,196Yes (X)
KATINA BONAPARTE
DOCTOR40.00$203,394$0$7,937Yes (X)
KIM FAULKNER
DOCTOR40.00$201,459$0$13,930Yes (X)
AKIF AHMED
DOCTOR40.00$200,209$0$9,197Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,015,131TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$277,669TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K28IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$7,951,438GovernmentGrantsAmt
All Other Contributions$1,050,667AllOtherContributionsAmt
Noncash Contributions$1,047,919NoncashContributionsAmt
Total Contributions$9,002,105TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621400BusinessCd
Total Revenue Column$26,945,298TotalRevenueColumnAmt
Related Or Exempt Func Income$26,945,298RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$26,945,298TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,827TotalRevenueColumnAmt
Exclusion$62,827ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,010,230TotalRevenueColumnAmt
Related Or Exempt Func Income$26,945,298RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$62,827ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,798,706TotalAmt
Program Services$1,443,278ProgramServicesAmt
Management And General$355,428ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,130,277TotalAmt
Program Services$13,745,296ProgramServicesAmt
Management And General$3,384,981ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$363,723TotalAmt
Program Services$290,978ProgramServicesAmt
Management And General$72,745ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,477,782TotalAmt
Program Services$1,182,225ProgramServicesAmt
Management And General$295,557ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,292,303TotalAmt
Program Services$1,033,842ProgramServicesAmt
Management And General$258,461ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,139TotalAmt
Management And General$25,139ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$52,600TotalAmt
Management And General$52,600ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,428,767TotalAmt
Program Services$2,057,260ProgramServicesAmt
Management And General$1,371,507ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$194,410TotalAmt
Program Services$155,528ProgramServicesAmt
Management And General$38,882ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,444,791TotalAmt
Program Services$1,841,948ProgramServicesAmt
Management And General$602,843ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$972,780TotalAmt
Program Services$925,880ProgramServicesAmt
Management And General$46,900ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$153,770TotalAmt
Program Services$76,885ProgramServicesAmt
Management And General$76,885ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$944,295TotalAmt
Program Services$755,436ProgramServicesAmt
Management And General$188,859ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$187,470TotalAmt
Program Services$149,976ProgramServicesAmt
Management And General$37,494ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT$2,027,020$2,027,020$0$0
MEDICAL SUPPLIES$1,803,842$1,652,657$151,185$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$34,297,675TotalAmt
Program Services$27,338,209ProgramServicesAmt
Management And General$6,959,466ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,016,660BOYAmt
EOY$229,609EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,046,929BOYAmt
EOY$8,827,233EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,268,785BOYAmt
EOY$447,833EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,402,396BOYAmt
EOY$1,978,802EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,310BOYAmt
EOY$9,100EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$190,809BOYAmt
EOY$620,713EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,606,857LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,679,744LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,002,218BOYAmt
EOY$13,927,113EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,513,925BOYAmt
EOY$1,520,812EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$107,000BOYAmt
EOY$107,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$185,565BOYAmt
EOY$188,441EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,739,597BOYAmt
EOY$27,856,656EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,003,342BOYAmt
EOY$3,346,137EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$32,928BOYAmt
EOY$94,637EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$459,579BOYAmt
EOY$459,579EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,495,849BOYAmt
EOY$3,900,353EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,091,344BOYAmt
EOY$23,807,331EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$152,404BOYAmt
EOY$148,972EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,243,748BOYAmt
EOY$23,956,303EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,739,597BOYAmt
EOY$27,856,656EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,712,555ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,724,471CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,436,596CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,456,232CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,001,367CurrentTaxYearMinus1YearAmt
Current Tax Year$9,002,105CurrentTaxYearAmt
Total$36,620,771TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,724,471CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,436,596CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,456,232CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,001,367CurrentTaxYearMinus1YearAmt
Current Tax Year$9,002,105CurrentTaxYearAmt
Total$36,620,771TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$36,620,771PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$88,943CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,273,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,950CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$108,010CurrentTaxYearMinus1YearAmt
Current Tax Year$62,827CurrentTaxYearAmt
Total$2,599,730TotalAmt
FieldValueIRS element (for citing)
Total Support$39,220,501TotalSupportAmt
Gross Receipts Rltd Activities$110,224,134GrossReceiptsRltdActivitiesAmt
Public Support CY1700.93370PublicSupportCY170Pct
Public Support PY1700.92280PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$300,000OtherCostOrOtherBasisAmt
Book Value$300,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,925,683OtherCostOrOtherBasisAmt
Depreciation$3,390,578DepreciationAmt
Book Value$11,535,105BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$765,442OtherCostOrOtherBasisAmt
Depreciation$331,267DepreciationAmt
Book Value$434,175BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,584,340OtherCostOrOtherBasisAmt
Depreciation$3,957,899DepreciationAmt
Book Value$1,626,441BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,392OtherCostOrOtherBasisAmt
Book Value$31,392BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,927,113TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MONEY MARKET FUNDS$69,709C
EQUITY SECURITIES$483,181C
CERTIFICATES OF DEPOSIT$958,927C
FIXED INCOME$8,995C
FieldValueIRS element (for citing)
Total Book Value Securities$1,520,812TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$36,089,670TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$79,440DonatedServicesAndUseFcltsAmt
Revenue Not Reported$79,440RevenueNotReportedAmt
Revenue Subtotal$36,010,230RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$36,010,230TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$34,377,115TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$79,440DonatedServicesUseFcltsAmt
Expenses Not Reported$79,440ExpensesNotReportedAmt
Expenses Subtotal$34,297,675ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$34,297,675TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMANAGEMENT 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, 2015 REMAIN SUBJECT TO EXAMINATION BY TAXING AUTHORITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ELODIE DORSO
CEO$334,084$0$75,000$0$0$0$36,022$0$6,360$0$451,466$0$0$0
PAT MABE
FORMER CEO$299,181$0$72,115$0$10,434$0$50,683$0$6,360$0$438,773$0$0$0
EDWARD KUCHER
COO$198,018$0$15,000$0$0$0$12,262$0$6,360$0$231,640$0$0$0
JAMES B GILBERT
CFO$145,212$0$0$0$0$0$4,708$0$20,711$0$170,631$0$0$0
KIM SCHUKNECHT
CHIEF EXPERIENCE OFFICER$141,500$0$0$0$0$0$13,750$0$0$0$155,250$0$0$0
AMY GABRIEL
ASST MEDICAL DIRECTOR WS$290,189$0$5,400$0$0$0$16,637$0$4,800$0$317,026$0$0$0
NICHELLE THREADGILL MD
CHIEF MEDICAL DIRECTOR$231,548$0$24,650$0$0$0$22,252$0$0$0$278,450$0$0$0
ERICA SCHNEIDER MD
DOCTOR$233,074$0$3,500$0$0$0$14,449$0$4,800$0$255,823$0$0$0
JONATHAN NUTTER
DOCTOR$217,869$0$1,750$0$0$0$5,836$0$6,360$0$231,815$0$0$0
KATINA BONAPARTE
DOCTOR$200,894$0$2,500$0$0$0$7,937$0$0$0$211,331$0$0$0
KIM FAULKNER
DOCTOR$197,959$0$3,500$0$0$0$7,271$0$6,659$0$215,389$0$0$0
AKIF AHMED
DOCTOR$197,959$0$2,250$0$0$0$2,538$0$6,659$0$209,406$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$1,047,919NoncashContributionsRptF990Amt
Method Of Determining RevenuesWHOLESALE VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 15EVERY 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 18THE COMMUNITY HEALTH CENTERS OF PINELLAS, INC. MAKES ITS FORMS 1023 AND 990 AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE 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 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.