COMMUNITY HEALTH CENTER OF PINELLAS INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTER OF PINELLAS INC (EIN 59-2097521)
- Tax period
- 2012-06-01 to 2013-05-31
- Filed
- 2013-11-22
- IRS object ID
- 201333269349300223
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-22T13:50:02-06:00 | Timestamp |
| Tax Period End Date | 2013-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593040705 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RIVERO GORDIMER & COMPANY PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 172359 | AddressLine1 |
| City | TAMPA | City |
| State | FL | State |
| ZIP Code | 33672 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592097521 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTERS OF PINELLAS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 7278248100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1344 22ND STREET SOUTH | AddressLine1 |
| City | ST PETERSBURG | City |
| State | FL | State |
| ZIP Code | 33712 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAT MABE | Name |
| Title | CEO | Title |
| Phone | 7278248100 | Phone |
| Date Signed | 2013-11-22 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SAM A LAZZARA | Name |
| PTIN | P01342929 | PTIN |
| Phone | 8138757774 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAT MABE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1344 22ND STREET SOUTH | AddressLine1 |
| City | ST PETERSBURG | City |
| State | FL | State |
| ZIP Code | 33712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19429178 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.CHCPINELLAS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY HEALTH CARE SERVICES TO ALL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 179 | TotalNbrEmployees |
| Total Nbr Volunteers | 70 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5929460 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7817283 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9718521 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10804368 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2814 | InvestmentIncomePriorYear |
| Investment Income Current Year | 562527 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15650795 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19184178 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8573657 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10029524 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5628813 | OtherExpensePriorYear |
| Other Expenses Current Year | 6126348 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14202470 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16155872 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1448325 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3028306 | RevenuesLessExpensesCY |
| Total Assets BOY | 14538194 | TotalAssetsBOY |
| Total Assets EOY | 18487373 | TotalAssetsEOY |
| Total Liabilities BOY | 5117876 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6025749 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9420318 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12461624 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 13137854 | Expense |
| Revenue | 10804368 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 13137854 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 11 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 179 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD H PARRY CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7278248107 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1344 22ND STREET SOUTH | AddressLine1 |
| City | ST PETERSBURG | City |
| State | FL | State |
| ZIP Code | 33712 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DR DAVID WELCH | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| EVELYN BETHELL | ||||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X | ||
| CINDY MCNULTY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RONALD J MOLDENHAUER | ||||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| JOSEPH L SMITH | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| FRANCES SERRANO-LUX | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| MARY TURNER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ROGER SELLEW | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| REV CLARENCE WILLIAMS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LUKE WILLIAMS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| PAT MABE | ||||||||
| CEO | 40.00 | 284454 | 0 | 26853 | X | |||
| EDWARD PARRY | ||||||||
| CFO | 40.00 | 129725 | 0 | 0 | X | |||
| JULIE WEILAND MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | 222801 | 0 | 10003 | X | |||
| ANDREW VILLAMAGNA MD | ||||||||
| DOCTOR | 40.00 | 158366 | 0 | 3319 | X | |||
| ANGELA STOEHR MD | ||||||||
| DOCTOR | 40.00 | 190516 | 0 | 9034 | X | |||
| YARITZA COLON MD | ||||||||
| DOCTOR | 40.00 | 177801 | 0 | 8633 | X | |||
| KHAN ADNAN MD | ||||||||
| DOCTOR | 40.00 | 171023 | 0 | 8450 | X | |||
| NICHEL T JEANBAPTISTE MD | ||||||||
| DOCTOR | 40.00 | 169375 | 0 | 8400 | X | |||
| NATASHA HUGHES MD | ||||||||
| DOCTOR | 40.00 | 146266 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1650327 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 74692 | TotalOtherCompensation |
| Number Individuals GT100 K | 21 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEHLE VENTURES INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19817 GLAZING GLOBE LANE | AddressLine1 |
| City | LUTZ | City |
| State | FL | State |
| ZIP Code | 33558 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | MANAGEMENT CONSULTING | DescriptionOfServices |
| Compensation | 174000 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 6932997 | GovernmentGrants |
| All Other Contributions | 884286 | AllOtherContributions |
| Noncash Contributions | 859041 | NoncashContributions |
| Total Contributions | 7817283 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 10804368 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10804368 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10804368 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1086 | TotalRevenueColumn |
| Exclusion | $1,086 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 806441 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 245000 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 561441 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 561441 | TotalRevenueColumn |
| Exclusion | $561,441 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19184178 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10804368 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $562,527 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 634979 | Total |
| Program Services | 317490 | ProgramServices |
| Management And General | 317489 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8117593 | Total |
| Program Services | 6811958 | ProgramServices |
| Management And General | 1305635 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174226 | Total |
| Program Services | 141123 | ProgramServices |
| Management And General | 33103 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 467408 | Total |
| Program Services | 378600 | ProgramServices |
| Management And General | 88808 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 635318 | Total |
| Program Services | 514608 | ProgramServices |
| Management And General | 120710 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4072 | Total |
| Management And General | 4072 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44120 | Total |
| Management And General | 44120 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1699138 | Total |
| Program Services | 1019483 | ProgramServices |
| Management And General | 679655 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84062 | Total |
| Program Services | 29422 | ProgramServices |
| Management And General | 54640 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 700304 | Total |
| Program Services | 503380 | ProgramServices |
| Management And General | 196924 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 616316 | Total |
| Program Services | 608337 | ProgramServices |
| Management And General | 7979 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44307 | Total |
| Program Services | 28564 | ProgramServices |
| Management And General | 15743 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 195985 | Total |
| Program Services | 156788 | ProgramServices |
| Management And General | 39197 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422330 | Total |
| Program Services | 337864 | ProgramServices |
| Management And General | 84466 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127383 | Total |
| Program Services | 101906 | ProgramServices |
| Management And General | 25477 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES | 1527538 | 1527538 |
| BAD DEBT | 660793 | 660793 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16155872 | Total |
| Program Services | 13137854 | ProgramServices |
| Management And General | 3018018 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2923387 | BOY |
| EOY | 2836029 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 400818 | BOY |
| EOY | 1154157 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 786596 | BOY |
| EOY | 680672 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 734930 | BOY |
| EOY | 1487522 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27161 | BOY |
| EOY | 27407 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190529 | BOY |
| EOY | 213500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14692123 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2939335 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9028673 | BOY |
| EOY | 11752788 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245000 | BOY |
| EOY | 147000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201100 | BOY |
| EOY | 188298 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14538194 | BOY |
| EOY | 18487373 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 840108 | BOY |
| EOY | 993515 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1063874 | BOY |
| EOY | 523254 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3006847 | BOY |
| EOY | 4314933 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207047 | BOY |
| EOY | 194047 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5117876 | BOY |
| EOY | 6025749 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9219218 | BOY |
| EOY | 12273326 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201100 | BOY |
| EOY | 188298 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9420318 | BOY |
| EOY | 12461624 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14538194 | BOY |
| EOY | 18487373 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 3028306 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 13000 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5915939 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4843863 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4540085 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5929460 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7817283 | CurrentTaxYear |
| Total | 29046630 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5915939 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4843863 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4540085 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5929460 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7817283 | CurrentTaxYear |
| Total | 29046630 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 29046630 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2117 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 638 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 35597 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2814 | CurrentTaxYearMinus1Year |
| Current Tax Year | 562527 | CurrentTaxYear |
| Total | 603693 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 29650323 | TotalSupport |
| Gross Receipts From Admissions Etc | 42706778 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.97960 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99800 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 200000 | OtherCostOrOtherBasis |
| Book Value | 200000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11594763 | OtherCostOrOtherBasis |
| Depreciation | 1236194 | Depreciation |
| Book Value | 10358569 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32542 | OtherCostOrOtherBasis |
| Depreciation | 13370 | Depreciation |
| Book Value | 19172 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2577154 | OtherCostOrOtherBasis |
| Depreciation | 1689771 | Depreciation |
| Book Value | 887383 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 287664 | OtherCostOrOtherBasis |
| Book Value | 287664 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11752788 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OBLIGATION UNDER INTEREST RATE SWAP | Description |
| Amount | $194,047 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 194047 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 19405187 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 13000 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 208009 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 221009 | RevenueNotRptdF990 |
| Revenue Subtotal | 19184178 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 19184178 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16363881 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 208009 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 208009 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16155872 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 16155872 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE ORGANIZATION HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10 AND DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAT MABE | ||||||||||||||
| CEO | 239454 | 0 | 45000 | 0 | 0 | 0 | 23534 | 0 | 3319 | 0 | 311307 | 0 | 0 | 0 |
| JULIE WEILAND MD | ||||||||||||||
| MEDICAL DIRECTOR | 215051 | 0 | 7750 | 0 | 0 | 0 | 6684 | 0 | 3319 | 0 | 232804 | 0 | 0 | 0 |
| ANDREW VILLAMAGNA MD | ||||||||||||||
| DOCTOR | 152116 | 0 | 6250 | 0 | 0 | 0 | 0 | 0 | 3319 | 0 | 161685 | 0 | 0 | 0 |
| ANGELA STOEHR MD | ||||||||||||||
| DOCTOR | 187266 | 0 | 3250 | 0 | 0 | 0 | 5715 | 0 | 3319 | 0 | 199550 | 0 | 0 | 0 |
| YARITZA COLON MD | ||||||||||||||
| DOCTOR | 171388 | 0 | 6413 | 0 | 0 | 0 | 5314 | 0 | 3319 | 0 | 186434 | 0 | 0 | 0 |
| KHAN ADNAN MD | ||||||||||||||
| DOCTOR | 165524 | 0 | 5499 | 0 | 0 | 0 | 5131 | 0 | 3319 | 0 | 179473 | 0 | 0 | 0 |
| NICHEL T JEANBAPTISTE MD | ||||||||||||||
| DOCTOR | 164625 | 0 | 4750 | 0 | 0 | 0 | 5081 | 0 | 3319 | 0 | 177775 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 6 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 859041 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | WHOLESALE VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 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 1,019,483. MANAGEMENT AND GENERAL EXPENSES 679,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,699,138. | OTHER FEES |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION'S FINANCE COMMITTEE IS RESPONSIBLE FOR ENGAGING THE INDEPENDENT AUDITORS. THE COMMITTEE CONDUCTS PLANNING MEETINGS WITH THE AUDITORS, IS AVAILABLE FOR DISCUSSION DURING THE AUDIT PROCESS, REVIEWS THE AUDITED FINANCIAL STATEMENTS, AND RECOMMENDS THEM FOR APPROVAL BY THE BOARD OF DIRECTORS. | AUDIT OVERSIGHT |