2025-11-17T16:57:53-06:00 2024-12-31 WITHUMSMITHBROWNPC 200 S ORANGE AVESTE 1200 ORLANDO FL 328013400 990 2024-01-01 593219191 TREASURE COAST COMMUNITY HEALTH INC % JOSE ZIRENA TREA 7725711985 1555 INDIAN RIVER BLVD Suite B210 VERO BEACH FL 32960 heather miranda CEO 7725711981 2024-11-15 true true ERIK A HALLUSKA CPA P01954172 4078491569 2024 2025-03-06 01:10:19Z heather miranda 1555 INDIAN RIVER BLVD B210 VERO BEACH FL 32960 31854776 false X WWW.TCCHINC.ORG X 1993 FL PUBLIC HEALTH SERVICES PROVIDED UNDER US DEPARTMENT OF HEALTH & HUMAN SERVICES SECTIONS 330 & 340. 19 18 457 37 0 0 14186698 14789561 17390440 16860289 102842 108749 3244826 96177 34924806 31854776 0 0 0 0 22564867 25501799 0 0 0 8708672 10564995 31273539 36066794 3651267 -4212018 26875146 22430263 9407372 9174507 17467774 13255756 X TO PROVIDE PATIENT-CENTERED, INTEGRATED OUTPATIENT CARE IN A TECHNOLOGICALLY ADVANCED, FINANCIALLY SECURE AND COMPASSIONATE ENVIRONMENT. TO BE A VALUED LEADER IN PRIMARY HEALTH CARE, IMPROVING THE QUALITY OF LIFE IN INDIAN RIVER COUNTY THROUGH EXCEPTIONAL PRIMARY CARE, EDUCATION AND COMMUNITY COLLABORATION EFFORTS. false false 29394834 0 16860360 Treasure Coast Community Health, Inc. (TCCH), a local nonprofit health center, has been built on a foundation of public/private partnerships. Across our communities, state and nation, community health centers have achieved unparalleled success in improving access, health outcomes, and cost-effective, quality health care to individuals and families in need. The TCCH chief executive officer, along with highly credentialed management staff, focus on this overarching goal to provide integrated healthcare, through high quality, affordable, accessible programs and services from birth throughout the senior years. In 2024, TCCH served 32,878 individual patients through 92,879 clinical and 11,474 telehealth visits; 4,087 patients were best served in a language other than English. All clinical staff are board-eligible or board-certified. TCCH serves a multi-cultural population encompassing all economic levels. Approximately 48% of patients had income below 200% Federal Poverty Level (FPL), 2% were greater than the FPL, and 48% were unknown. Thirty five percent of the patients served were uninsured;7% of the total uninsured were children. TCCH programs and serves are based on community needs, ensuring patients have access to a continuum of coordinated care and vital support services which can lead to positive health outcomes, behaviors, and lifestyles. TCCH is a Patient Centered Medical and Dental Home. This care delivery model provides patients with integrated care across disciplines for complete wellness, encompassing behavioral and mental health, dental, medical, pharmacy and vision services. Breaking Down Barriers to Health Care Since 1993, TCCH has filled healthcare gaps for an ever increasing number of people, including children. Through the infectious disease program and in partnership with our pharmacy team, TCCH is now able to test and treat Hep-C and test and provide PrEP for HIV. TCCH earned the Diabetes Education Accreditation Program by the Association of Diabetes Care & Education Specialists (ADCES). Accreditation represents high quality and the ability to better meet the needs of Medicare recipients and others affected by diabetes. TCCH is one of two ADCES accredited diabetes programs in the Treasure Coast area. Remote patient monitoring became available to patients with a combination of diabetes, congestive heart failure and high blood pressure. Our mobile outreach grew into underserved communities with vaccinations, diagnostic services, and rapid hepatitis C and HIV testing and treatment. TCCH was honored to be named the fiscal agent of the Mental Health Court of the 19th Judicial Circuit Court of Florida that counsels and steers individuals away from incarceration, strengthens their mental health and wellness, and better equips them to handle life's challenges. A sliding fee discount is available based on family size and income. TCCH serves as a safety net for the underserved, uninsured, at risk, and ALICE populations. Healthcare for all, regardless of economic circumstances, remains our core belief. Creating Strategies for a Healthier Community TCCH works to improve quality of life for all residents of Indian River County with strategic focus and appropriate interventions to address chronic illness and other problems, which impact overall community health. As we care for the physical and mental health of those in need, we build a stronger, more economically viable community for all. With consistent support, adults feel empowered to make positive choices regarding personal health, which can lead to constructive change within their own lives and the communities to which they return. Children who experience poverty do not always have access to timely healthcare. They also carry the weight of family stress to school, sometimes suffering through illness rather than add another burden. Parents want the best for their children and sometimes need extra help securing resources. In order to support student's wellness and education, TCCH has continued success with the community school partnership school along with Children's Home Society of Florida, the School District of IRC and Indian River State College to create Dodgertown Elementary. This partnership increases graduation rate, student achievement, teacher retention, attendance, parent involvement and community support. Delivering Affordable, Patient-Centered Health Care TCCH relies on subsidies from federal, state, and other mixed payer sources to help cover the costs programs and services beyond our primary service lines. The women's health fund and dental outreach programs depend upon private tax-deductible donations from foundations and individuals to cover program costs. Local governance ensures that care is patient-centered and responsive to the diverse cultures and needs identified within our community. A majority of Treasure Coast Community Health's volunteer board members are users of our center, representing the communities and the people served. Delivering affordable patient care includes facility maintenance, employee education and expansion projects. In 2024, TCCH embarked on a new EPIC electronic health record including the MyChart app for increased patient communication, organization-wide customer service training, new windows and roof at Vero Dental, state-of-the-art optometry equipment at the Gifford location, hurricane shutters installed at Fellsmere and Vero Dental, GHC building stabilization and generator replacement, and a market analysis completed to solidify contracting an architect for the Oslo pediatric expansion and purchase of the West building. Access to Care Comprehensive primary health services cover all ages and include dental, nursing, laboratory, x-ray, and pharmacy as well as specialty, inpatient care referrals, and follow-up. Priority is placed on making health services easy for patients to access. TCCH health centers integrate the delivery of primary care with consistent outreach, health education, counseling, translation, transportation services and other social services. TCCH care coordinators provide case management support for patients that require additional services within the community that are not provided by Treasure Coast Community Health. Building Bridges of Support in our Community TCCH continuously seeks community partnerships that enable us to enhance patient-access resources and remain at the forefront in the search for solutions toward improving the delivery of health care. TCCH stakeholders include academic institutions, foundations, businesses, federal, state, and local governments, community service organizations, hospitals, nursing homes, private physicians groups, churches, charitable organizations, and many others. 29394834 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false true false false false false true true false false true 37 0 true 457 true false false false false false false false false false false false false X 19 18 false false false false false false false true true false false true true true true true true true true true true FL X JOSE ZIRENA 7725711981 1555 INDIAN RIVER BLVD STE B210 VERO BEACH FL 32960 Sarwat Gad MD BH Director/Psychiatrist 34.0 0.0 X 325846 0 44527 YADIRA PADIN-ROJAS MD PSYCHIATRIST 40.0 0.0 X 269831 0 47641 VICKI SOULE FACHE MBA CEO 40.0 1.0 X 261157 0 48310 JULIETTE VALERIANO MD PHYSICIAN 36.0 0.0 X 229221 0 52574 JENNIFER MOORE MD CMO 40.0 0.0 X 231876 0 18615 Dayana Reveron Alvalle MD Internal Medicine 40.0 0.0 X 209668 0 9450 Khaldoun Elzoobi Md Pediatrician 40.0 0.0 X 196440 0 21378 ELIZABETH Young CHRO 40.0 0.0 X 131971 0 42222 JOEY TORRES CIO 40.0 0.0 X 139572 0 20818 ANDREA FEDOCK MBA CFO 40.0 0.0 X 106948 0 15020 JUDI MILLER CHAIR 6.0 1.0 X X 0 0 0 TINA NICHOLSON Vice Chair 5.0 1.0 X X 0 0 0 Betsy Adolphe Treasurer 1.0 1.0 X X 0 0 0 VERA SMITH SECRETARY 2.0 1.0 X X 0 0 0 BUDDY AKERS BOARD MEMBER 2.0 1.0 X 0 0 0 Andrea Barkett BOARD MEMBER 1.0 1.0 X 0 0 0 KELLY CAMBRON BOARD MEMBER 2.0 1.0 X 0 0 0 Ed Fialrowski BOARD MEMBER 1.0 1.0 X 0 0 0 Lt James Hare BOARD MEMBER 1.0 1.0 X 0 0 0 WILFRED HART BOARD MEMBER 2.0 1.0 X 0 0 0 THEDA HOLLAND BOARD MEMBER 2.0 1.0 X 0 0 0 Trevor Loomis BOARD MEMBER 1.0 1.0 X 0 0 0 Mary Lintermann BOARD MEMBER 1.0 1.0 X 0 0 0 Wanda Major BOARD MEMBER 1.0 1.0 X 0 0 0 Michele Miller BOARD MEMBER 1.0 1.0 X 0 0 0 REVEREND WILLIAM SHELLY BOARD MEMBER 2.0 1.0 X 0 0 0 Mary Spear BOARD MEMBER 1.0 1.0 X 0 0 0 Susan Thompson BOARD MEMBER 1.0 1.0 X 0 0 0 ERNESTINE WILLIAMS BOARD MEMBER 2.0 1.0 X 0 0 0 2102530 0 320555 53 false true false Proctor Construction Company LLC 2050 US Hwy 1 Suite 200 VERO BEACH FL 32960 Professional SVCS. 341776 Greenway PO Box 203658 DALLAS TX 75320 EHR Support Services 269297 New Horizons of the Treasure Coast 4500 Midway Rd FORT PIERCE FL 34981 Mental Health SVCS. 187555 Physicians Angels Inc PO Box 308 MAUMEE OH 43537 Virtual Scribe Srvs. 159424 HEALTH CHOICE NETWORK OF FLORIDA I 9064 NORTHWEST 13 TERRACE MIAMI FL 33172 EHR SUPPORT SERVICES 848700 7 38000 133732 6433313 8184516 1497107 14789561 PATIENT SERVICES 621110 13165246 13165246 PHARMACY 446110 3695043 3695043 16860289 108749 108749 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 REBATE AND REFUNDS 900099 36253 36253 COPIES 900099 8528 8528 INCENTIVE INCOME 900099 71 71 51325 51325 96177 31854776 16860360 204855 0 0 0 0 1016509 1016509 0 20686195 16414268 4271927 421410 338460 82950 1786312 1434697 351615 1591373 1278130 313243 0 0 75186 75186 0 0 0 1671815 1603742 68073 0 302198 249240 52958 0 0 590885 468793 122092 51347 16358 34989 0 0 264252 95581 168671 0 864767 698061 166706 296818 214312 82506 MEDICAL AND DENTAL SUPPLIES 3747401 3735006 12395 REPAIRS AND MAINTENANCE 1947593 1430461 517132 LICENSE AND FEES 207793 198628 9165 RECRUITMENT AND RETENTION 130337 72859 57478 414603 129729 284874 36066794 29394834 6671960 0 X 5226217 2537968 3061036 1076614 1005539 584303 1361886 1974242 0 0 0 0 0 0 73736 127929 3778609 2830537 19616784 7897886 10385857 11718898 0 0 0 0 0 0 0 0 1982266 1579772 26875146 22430263 2408876 2875240 0 0 44889 78169 0 0 0 0 0 0 5066461 4773477 0 0 1887146 1447621 9407372 9174507 X 17455676 13243658 12098 12098 17467774 13255756 26875146 22430263 -4212018 X false true X true true true X 11180126 12691922 12093226 14186698 14789561 64941533 0 0 11180126 12691922 12093226 14186698 14789561 64941533 0 64941533 3820 6150 7476 102842 108749 229037 0 151533 194457 99867 168188 96177 710222 65880792 69252736 0.98574 0.98527 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2898838 2898838 9424627 3484380 5940247 276912 276912 5142574 4136594 1005980 1873833 1873833 11718898 OTHER RECEIVABLES 29241 DUE FROM FOUNDATION 103715 DEPOSITS 125083 RIGHT-OF-USE ASSETS 1321733 1579772 0 RIGHT-OF-USE LIABILITY 1037520 CAPITAL LEASES 410101 1447621 X 31981828 190800 190800 31791028 63748 63748 31854776 36193846 190800 190800 36003046 63748 63748 36066794 PART X, LINE 2: TCCH and the affiliate are exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code and from Florida income tax under Chapter 220 of the Florida Statutes. Accordingly, no provision for income taxes has been included in the accompanying consolidated financial statements. Accounting principles generally accepted in the United States of America prescribe requirements for the recognition of income taxes in financial statements, and the amounts recognized are affected by income tax positions taken by the Center in its tax returns. The Center's status as an exempt organization is defined as an income tax position under these requirements. While management believes it has complied with the Internal Revenue Code, the sustainability of some income tax positions taken by the Center in its tax returns may be uncertain. There are minimum thresholds of likelihood that uncertain tax positions are required to meet before being recognized in the financial statements. Management does not believe that the Center has any material uncertain tax positions at December 31, 2024 and 2023. In the event interest and penalties were due relating to an unsustainable tax position, they would be treated as a component of income tax expense. No interest or penalties were due for the years ended December 31, 2024 and 2023. PART XI & XII, LINES 4B: Miscellaneous student training costs of $63,748 were charged against other revenues for financial statement presentation but have been reclassified to expenses for tax return presentation. X X X X X false false false false false false false true false Sarwat Gad MD BH Director/Psychiatrist 283577 0 0 0 42269 0 16832 0 27695 0 370373 0 0 0 YADIRA PADIN-ROJAS MD PSYCHIATRIST 249401 0 0 0 20430 0 27840 0 19801 0 317472 0 0 0 VICKI SOULE FACHE MBA CEO 215547 0 15000 0 30610 0 30500 0 17810 0 309467 0 0 0 JULIETTE VALERIANO MD PHYSICIAN 210285 0 0 0 18936 0 30500 0 22074 0 281795 0 0 0 JENNIFER MOORE MD CMO 191045 0 0 0 40831 0 1458 0 17157 0 250491 0 0 0 Dayana Reveron Alvalle MD Internal Medicine 209576 0 0 0 92 0 4216 0 5234 0 219118 0 0 0 Khaldoun Elzoobi Md Pediatrician 195750 0 0 0 690 0 21378 0 0 0 217818 0 0 0 ELIZABETH Young CHRO 120677 0 0 0 11294 0 29768 0 12454 0 174193 0 0 0 JOEY TORRES CIO 128452 0 0 0 11120 0 14102 0 6716 0 160390 0 0 0 PART I, LINE 7 THE GOVERNING BOARD ASSESSES PERFORMANCE AND DETERMINES DISCRETIONARY BONUS AMOUNTS FOR THE CEO. THE CEO, WITH INPUT FROM THE DIRECT SUPERVISOR, EVALUATES THE PERFORMANCE OF ALL OTHER EMPLOYEES TO DETERMINE BONUS RECIPIENTS AND AMOUNTS. DISCRETIONARY BONUSES ARE USED TO REWARD EMPLOYEES WHO SHOWED EXEMPLARY PERFORMANCE AT A PARTICULAR TIME. X 16305 1491426 FMV X MEDICAL AND PHARMACY SUPPLIES FROM CDC 1 5681 FMV false true false SCHEDULE M, PART I, COLUMN (B): THE NUMBER ON PART I, COLUMN B FOR LINE 20 - DRUGS AND MEDICAL SUPPLIES REPRESENTS THE NUMBER OF ITEMS DONATED. THE NUMBER ON PART I, COLUMN B FOR LINE 25 - MEDICAL AND PHARMACY SUPPLIES REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS SCHEDULED FOR REVIEW PRIOR TO FILING. THE FORM IS INCLUDED IN THE FINANCE COMMITTEE'S MONTHLY PACKET OF INFORMATION FOR A DETAILED REVIEW. THE FORM IS THEN INCLUDED AS PART OF THE GOVERNING BOARD'S MONTHLY PACKET OF INFORMATION FOR REVIEW AND DISCUSSION. A VOTE TO APPROVE THE FORM FOR SUBMISSION IS MADE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C TREASURE COAST COMMUNITY HEALTH HAS A CONFLICT OF INTEREST POLICY THAT IS MONITORED AND REVIEWED BY THE FINANCE COMMITTEE. ALL DIRECTORS, OFFICERS, AND MEMBERS OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY DURING THE ANNUAL TRAINING PROCESS. THE POLICY REQUIRES THAT ALL ACTUAL AND POSSIBLE CONFLICTS OF INTEREST BE DISCLOSED AND ALL MATERIAL FACTS BE PRESENTED TO THE FINANCE COMMITTEE FOR EVALUATION. THE GOVERNING BOARD IS ALSO AWARE THAT THEY ARE TO RECUSE THEMSELVES FROM THE VOTING PROCESS SHOULD THERE BE ANY CONFLICT OF INTEREST WITH REGARD TO THE VOTING MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION FOLLOWS A SALARY PRACTICES POLICY TO DETERMINE COMPENSATION. THE PROCESS USES THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S SURVEY TO ESTABLISH AN APPROPRIATE SALARY GRADE/PAY RANGE FOR POSITIONS DUE TO THE SMALL COMPARATIVE BODY LOCALLY. THE BOARD OF DIRECTORS HAS A FORMAL REVIEW PROCESS FOR THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. ON AN ANNUAL BASIS ALL BOARD MEMBERS ARE SURVEYED FOR THEIR SCORING OF THE CEO ON MULTIPLE CRITERIA. A COMMITTEE REVIEWS THAT COMPLETED SURVEYS AND TALLIES THE SCORES FOR REVIEW BY THE EXECUTIVE COMMITTEE. THE COMPLETION OF THE REVIEW IS THEN SHARED WITH THE CEO ALONG WITH THE NEXT YEAR'S GOALS AND EXPECTATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON INDIVIDUAL REQUEST. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE ANNUAL FINANCIAL STATEMENT AUDIT AND THE SELECTION OF THE INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT RETAINED TO CONDUCT THE AUDIT. THE FINANCE COMMITTEE INCLUDES THE TREASURER OF THE GOVERNING BOARD AS CHAIRPERSON. THE COMMITTEE MEETS MONTHLY. DUTIES ARE TO REVIEW THE FINANCES OF THE ORGANIZATION AND MAKE APPROPRIATE FINANCIAL REPORTS TO THE GOVERNING BOARD, TO DEVELOP POLICIES RELATED TO MONIES, TO MONITOR THE ORGANIZATION'S ASSET PERFORMANCE, TO DEVELOP THE ANNUAL BUDGET AND ITS FINANCIAL PRIORITIES, TO REVIEW THE ORGANIZATION'S ANNUAL AUDIT AND TO MAKE PERTINENT RECOMMENDATIONS TO THE GOVERNING BOARD. THESE INCLUDE INVESTMENTS, CASH FLOW ANALYSIS, MONTHLY REVIEW OF PROFITS AND LOSSES, AND CAPITAL PLANNING. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. TREASURE COAST community health FDN 1555 INDIAN RIVER BLVD STE B210 VERO BEACH FL 32960 272073611 AID & SUPPORT FL 501(c)(3) LINE 12A, I TCCH true false false true false false false false false false false false false true true true false false false TREASURE COAST COMMUNITY HEALTH FOUNDATION C 133732 FMV