2012-05-14T14:47:37-05:00 2011-06-30 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2010-07-01 650063921 CAMILLUS HEALTH CONCERN INC CAMI 3053741065 336 NW 5TH STREET POBOX 012408 MIAMI FL 33101 RAPHAEL MIESZALA 3053741065 2012-05-14 1 MARTIN GREIF 2123721000 2010 2016-02-24 21:20:13Z RAYMOND J KAYAL SR 336 NW 5TH STREET POBOX 012408 MIAMI FL 33101 3880502 0 X CAMILLUSHOUSE.ORG X 1988 FL CAMILLUS HEALTH CONCERN, INC. IS A NOT-FOR-PROFIT ORGANIZATION INCORPORATED IN THE STATE OF FLORIDA FOR THE PURPOSE OF PROVIDING READILY ACCESSIBLE PRIMARY HEALTHCARE AND RELATED SERVICES TO THE HOMELESS AND INDIGENT POPULATIONS OF MIAMI DADE COUNTY, FLORIDA. THE CENTER SERVED APPROXIMATELY 3,965 PATIENTS WHO HAD A TOTAL OF APPROXIMATELY 25,418 VISITS FOR THE YEAR ENDED 6/30/11. 15 15 66 45 0 0 3763506 3285766 388257 418909 19993 4247 209980 171580 4381736 3880502 0 0 0 0 3199016 2944403 0 0 0 984628 968490 4183644 3912893 198092 -32391 1702087 1627719 339562 297585 1362525 1330134 X THE MISSION OF CAMILLUS HEALTH CONCERN IS TO PROVIDE CHRISTIAN HOSPITALITY AND RESPECT FOR LIFE THROUGH DIRECT SERVICE OF BEHAVIORAL HEALTH AND HEALTH CARE TO PERSONS WHO ARE POOR AND HOMELESS IN SOUTH FLORIDA. 0 0 1493502 273317 PRIMARY CARE SERVICES: ADULT PRIMARY HEALTH SERVICES ENCOMPASS THE FULL RANGE OF SERVICES, INCLUDING PREVENTIVE CARE, EPISODIC CARE FOR ACUTE ILLNESS, CHRONIC DISEASE MANAGEMENT, AND SPECIALTY AND SURGICAL REFERRALS AS NEEDED. PEDIATRIC PRIMARY HEALTH SERVICES INCLUDE IMMUNIZATIONS, HEALTH MAINTENANCE, DISEASE PREVENTION, AND EDUCATION. WOMEN'S PREVENTIVE HEALTH SERVICES FOCUS ON HEALTH MAINTENANCE AND PREVENTION, PROVIDING CERVICAL AND BREAST CANCER SCREENINGS. IN FY 2011, SERVICES WERE PROVIDED TO 3,491 PATIENTS FOR A TOTAL OF 13,769 VISITS. 381635 99780 MENTAL HEALTH SERVICES: MENTAL HEALTH SERVICES INCLUDE INDIVIDUAL AND GROUP COUNSELING BY PSYCHOLOGY INTERNS AND OTHER MENTAL HEALTH STAFF, AND A PSYCHIATRIC SERVICE THAT PROVIDES MEDICATION MANAGEMENT. THE MENTAL HEALTH SERVICES ARE FULLY INTEGRATED WITH THE PRIMARY HEALTH CARE AND CASE MANAGEMENT COMPONENTS OF CHC, ENSURING CONTINUITY OF CARE FOR PATIENTS. IN FY 2011, SERVICES WERE PROVIDED TO 1,020 USERS FOR A TOTAL OF 5,171 VISITS. 250341 45251 ORAL HEALTH SERVICES: ORAL HEALTH SERVICES INCLUDE PREVENTIVE AND BASIC SERVICES, INCLUDING DENTAL HYGIENE AND EDUCATION, TEMPORARY RESTORATIONS (FILLINGS), GUM TREATMENT, X-RAYS, AND EXTRACTIONS, AS WELL AS DENTURES. IN FY 2011, SERVICES WERE PROVIDED TO 861 PATIENTS FOR A TOTAL OF 2,722 VISITS. 817688 561 CASE MANAGEMENT (SOCIAL SERVICES) A FULL RANGE OF CASE MANAGEMENT SERVICES INCLUDES HOUSING PLACEMENT, EMPLOYMENT REFERRALS, SUPPORTIVE COUNSELING, AND ASSISTANCE IN ACCESSING BENEFITS.TRANSPORTATION TO FACILITATE ACCESS TO CARE, TRANSPORTATION SERVICES INCLUDES VAN TRANSPORTATION, TAXI, AND TOKENS FOR THE BUS AND METRO RAIL. PATIENT SERVICES: PATIENT SERVICES REPRESENTATIVES GUIDE PATIENTS TO EVERY STAGE OF THE PROCESS WHILE AT CHC. THEY ALSO HANDLE THE REGISTRATION PROCESS, MEDICAL RECORDS, AND PATIENT ACCOUNTS.OCCUPANCY (OCCUP): OCCUPANCY INCLUDES THE COST OF THE MAINTENANCE, SERVICE, AND UPKEEP OF THE CHC BUILDING. 817688 561 2943166 1 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 7 0 1 66 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0 FL X JOSE ZIRENA 3055774840 336 NW 5TH STREET MIAMI FL 33128 PAUL AHR 10.00 X 0 0 0 ROBERT DICKINSON 1.00 X X 0 0 0 ROGER CARLTON 1.00 X X 0 0 0 CHIP VANDENBERG 1.00 X X 0 0 0 PEDRO JOSE GREER JR MD 1.00 X X 0 0 0 CRYSTAL CONNOR ESQ 1.00 X X 0 0 0 MARIA ALONSO 1.00 X 0 0 0 JAMES ANGLETON 1.00 X 0 0 0 KATE M CALLAHAN PHD 1.00 X X 0 0 0 MICHAEL CARRICARTE 1.00 X 0 0 0 MARK S CAVALIERE 1.00 X 0 0 0 ALBERTO COSIO 1.00 X 0 0 0 PAUL DIMARE 1.00 X 0 0 0 MIGUEL G FARRA CPA JD 1.00 X 0 0 0 RENE GARCIA 1.00 X 0 0 0 ALAN GREER ESQ 1.00 X 0 0 0 MARY HELEN HAYDAN EDD 1.00 X X 0 0 0 ROD A HILDEBRANT 1.00 X 0 0 0 RONALD KOHN CCIM 1.00 X 0 0 0 STEVEN MARIN 1.00 X 0 0 0 BROTHER RICHARD MCPHEE 1.00 X 0 0 0 ALFREDO MESA 1.00 X 0 0 0 BR RAPHAEL - MICHAEL MIESZALA BGS 1.00 X X 0 0 0 DANIEL A OSMAN MD 1.00 X 0 0 0 REP YOLLY ROBERSON 1.00 X 0 0 0 WILLIAM D TALBERT III CDME 1.00 X 0 0 0 MARC A WILLIAMS 1.00 X 0 0 0 FATHER EDUARDO ALVAREZ SJ 1.00 X 0 0 0 MARK D BLOOM 1.00 X 0 0 0 CHARLIE CANOVA 1.00 X 0 0 0 RAY CASAS 1.00 X 0 0 0 JOHN W CHIDSEY 1.00 X 0 0 0 ROBERT F COTTER 1.00 X 0 0 0 JOHN DUBOIS 1.00 X 0 0 0 SUE GALLAGHER 1.00 X 0 0 0 THEODORE GELMAN 1.00 X 0 0 0 JULIE GRIMES 1.00 X 0 0 0 EUGENIO GENE HERNANDEZ 1.00 X 0 0 0 EDITH HUDSON 1.00 X 0 0 0 JACQUELINE LARRALDE-SANCHEZ 1.00 X 0 0 0 RAYFIELD M MCGHEE 1.00 X 0 0 0 MANNY MEDINA 1.00 X 0 0 0 JOHN T MESTEPEY 1.00 X 0 0 0 ALBERT R MOLINA 1.00 X 0 0 0 WILLIAM H PARKER 1.00 X 0 0 0 REV JEREMIAH A SINGLETON 1.00 X 0 0 0 LEE I WEINTRAUB ESQ 1.00 X 0 0 0 MARIANO H FERNANDEZ 1.00 X X 0 0 0 THOMAS G ABRAHAM 1.00 X 0 0 0 MSGR GABRIEL N GHANOUM 1.00 X 0 0 0 FLEUR SACK MD 1.00 X 0 0 0 VINCENT J VENTO 1.00 X 0 0 0 ANA M VIAMONTE ROS MD MPH 1.00 X 0 0 0 HIRUT KASSAYE 40.00 X 88619 0 6327 THOMAS GOLDRING 40.00 X 75478 0 6327 JOSE ZIRENA 40.00 X 0 0 2109 ROSENDO COLLAZO 40.00 X 190053 0 6327 JAVIER HIRIART 40.00 X 129777 0 6327 CARMEN DE LA TORRE 40.00 X 121547 0 6327 FRANCIS QUITO 40.00 X 115530 0 6327 EUSEBIO FERNANDEZ 36.00 X 120250 0 0 MERIDETH DAVIS 40.00 X 113822 0 6327 955076 0 46398 6 0 1 0 0 121881 3101834 62051 3285766 MEDICAID 900099 394016 394016 MEDICARE 900099 21529 21529 SELF PAY 900099 3364 3364 418909 4247 4247 MISCELLANEOUS 900099 171580 171580 171580 3880502 418909 0 175827 368462 174472 193990 2104376 1840509 263867 296522 249738 46784 175043 139796 35247 8538 8538 28500 28500 413977 137244 276733 211269 197810 13459 39262 38628 634 17021 11686 5335 3188 2189 999 45935 45935 58346 13852 44494 EQUIPMENT RENTAL AND MA 66572 62871 3701 MISCELLANEOUS 44524 19933 24591 DUES & SUBSCRIPTIONS 31358 8503 22855 3912893 2943166 969727 0 500 500 909870 907972 291734 162945 39776 31013 154039 126257 2139338 1866306 180168 273032 126000 126000 1702087 1627719 287000 265596 52562 31989 339562 297585 X 1362525 1330134 1362525 1330134 1702087 1627719 -32391 0 X 0 1 1 X 1 1 X 4911015 3332207 3434365 3763506 3285766 18726859 4911015 3332207 3434365 3763506 3285766 18726859 18726859 38805 20840 21107 19993 4247 104992 21028 14489 172210 209980 171580 589287 19421138 2054710 0.96430 0.96540 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: ACT REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1205897 1153739 52158 933441 712567 220874 273032 PRESTIGE HEALTH CHOICES, LLC. 126000 F 126000 3880502 3912893 -32391 0 -32391 4197151 316649 316649 3880502 0 3880502 4229542 316649 316649 3912893 0 3912893 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CENTER RECOGNIZES THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE THAN LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AND CONCLUDED THAT THE CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. GENERALLY, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR THE YEARS BEFORE 2008, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD. X X X 0 0 0 0 0 0 0 0 0 ROSENDO COLLAZO 190053 0 0 0 0 0 0 0 8364 0 198417 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE CORPORATION SHALL AT ALL TIMES BE LIMITED TO THOSE PERSONS WHO ARE THE BROTHER GENERAL AND MEMBERS OF THE GENERAL COUNCIL OF THE LITTLE BROTHERS OF THE GOOD SHEPHERD. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS SHALL APPROVE THE APPOINTMENT OF ALL DIRECTORS. THE MEMBERS MAY REMOVE ANY DIRECTOR AT ANY TIME FOR ANY REASON WHICH THE MEMBERSHIP, IN ITS SOLE DISCRETION, DEEMS TO BE IN THE BEST INTEREST OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS RESERVE TO THEMSELVES THE ARTICULATION OF AND MEDIATION OF THE OPERATING PHILOSOPHY AND MISSION STATEMENT THAT UNDERLIE THE CHARITABLE MINISTRY OF CAMILLUS HEALTH CONCERN. INCLUDED WITHIN THIS RESERVED POWER SHALL BE ALL DECISIONS REGARDING MAJOR POLICY CHANGES AND LONG RANGE PLANNING. FORM 990, PART VI, SECTION B, LINE 11 THE CAMILLUS HEALTH CONCERN DIRECTOR OF FINANCE REVIEWS THE 990 WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND THE FINANCE COMMITTEE APPROVES THE 990 PRIOR TO FILING WITH THE IRS. THE BOARD OF DIRECTORS THEN APPROVES THE 990 AS PRESENTED PER THE RECOMMENDATION OF THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS PART OF THE ORGANIZATION BY-LAWS AND IS CONTINUALLY REVIEWED AND MONITORED ANNUALLY. AT ELECTION TIME, DIRECTORS ARE REQUIRED TO REVIEW, SIGN AND ABIDE BY THE ORGANIZATION'S BYLAWS AND POLICIES. FORM 990, PART VI, SECTION B, LINE 15 PERIODICALLY, EXECUTIVE MANAGEMENT REVIEWS JOB FUNCTIONS AND REQUIREMENTS OF EACH POSITION TO DETERMINE AN APPROPRIATE WAGE OR SALARY RANGE. COMPENSATION IS ALSO BASED ON THE FOLLOWING FACTORS: 1. PREVAILING RATES FOR SIMILAR WORK IN OTHER NONPROFIT AND COMMERCIAL ORGANIZATIONS; 2. NATIONAL AS WELL AS LOCAL SALARY PATTERNS; 3. APPLICABLE LEGAL REQUIREMENTS; 4. STANDARDS ESTABLISHED BY PROFESSIONAL ORGANIZATIONS, AND; 5. THE FINANCIAL ABILITY OF CHC TO COMPENSATE ITS STAFF. FORM 990, PART VI, SECTION C, LINE 19 CAMILLUS HEALTH CONCERN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CAMILLUS HOUSE 336 NW 5TH STREET MIAMI FL 33128 650032862 PROVIDING CHRISTIAN HOSPITALITY TO PERSONS THAT ARE HOMELESS FL 501(C)(3) LINE 7 N/A 0 PRESTIGE HEALTH CHOICE INC 9064 NW 13TH TERRACE MIAMI FL 33172 450563075 TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITIES FL N/A INVESTMENT 23557 118536 0 0 0.00853 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CAMILLUS HOUSE C 121881 FMV