2012-03-30T12:10:05-07:00 2011-12-31 631110081 S W Chiepalich CPA P C 5905 Airport Blvd Mobile AL 36608 990 2011-01-01 640592416 Coastal Family Health Center Inc COAS 2283742494 P O Box 475 Bilox MS 39533 Angel Greer 2283742494 2012-03-30 1 Steve Chiepalich P01277684 2516103792 2012-03-30 X 2011 2016-02-24 21:20:13Z Angel Greer P O Box 475 Biloxi MS 39533 14137510 0 X Coastalfamilyhealth.org X 1976 MS The purpose of Coastal Family Health Center, Inc. is to provide quality health care and social services to all persons regardless of economin status with the understanding that the term health is an inclusive one that seeks to improve the quality of life for the whole community. 16 16 234 0 0 0 10205420 9048249 4716298 5055558 185858 -22753 27923 15980 15135499 14097034 0 0 0 0 9513882 8840454 0 0 0 6327441 5172627 15841323 14013081 -705824 83953 13824027 13820252 997898 910170 12826129 12910082 X The purpose of Coastal Family Health Center, Inc. is to provide quality health care and social services to all persons regardless of economic status with the understanding that the term health is an inclusive one that seeks to improve the quality of life for the whole community. 0 0 6858755 0 Medical Services - Providing high quality medical services primarily to the uninsured and the under-insured is one of our primary exempt purposes. During 2011, our organization had 73,795 patient medical appointments for various medical conditions which were seen by family physicians or physician assistants, internists, pediatricians, or nurse practitioners. These appointments involved a total of 27,143 of our patients. 588469 0 HIV Services - Our organization provided, on an outpatient basis, high-quality early intervention services and primary care related services to HIV patients. We provide a continuum of HIV preventions for at-risk individuals, and care for individuals who are HIV-infected. During 2011, we provided these services to approximately 350 such patients, who had a cumulative total of approximately 1,000 appointments. 668940 0 Dental Services - Our organization also provides dental services primarily to the uninsured and the under-insured. During 2011, we had 8,903 dental appointments provided by one of our dentists to 4,673 of our dental patients. 4295695 80000 Other services 4295695 0 80000 12411859 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 40 0 1 234 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X Katherine Hill 2283742494 1046 Division Street Biloxi MS 39533 Kwantrell Green 2 X 0 0 0 Karlyn Stephens 1 X 0 0 0 Stephanie Barnes Taylor 1 X 0 0 0 Brandon Jacobs 1 X 0 0 0 Judy Jones 1 X 0 0 0 Paulette Briscoe 1 X 0 0 0 Christine McLeod 1 X 0 0 0 Sally Bevill 1 X 0 0 0 Ethel Davis 1 X 0 0 0 Joe Hudson 1 X 0 0 0 Lenore Johns 1 X 0 0 0 Jessica Mardis 1 X 0 0 0 Crystal Nuss 1 X 0 0 0 Bertha Oatis 1 X 0 0 0 Jerlean Osborne 1 X 0 0 0 Judy Roberts 1 X 0 0 0 Angel Greer 40 X 127107 0 0 127107 0 0 13 0 0 0 Laboratory Corporation of America P O Box 12140 Burlington NC 27216 Medical lab tests 445158 Reeves Construction Inc P O Box 1829 Laurel MS 39441 Clinic construction 313825 AT & T 85 Annex Atlanta GA 30385 Communication services 166686 Emmon Enterprises LLC Ponchatoula Ponchatoula LA 70454 Janitorial 114253 Mike Dorcik P A 12511 McCully Drive Bilox MS 39532 Contract medical services 123700 5 0 0 0 0 7784710 1263539 0 9048249 Medical services 621990 4561309 4561309 0 0 Dental services 621210 395315 395315 0 0 Optometry services 621320 80000 80000 0 0 HIV services 621990 18934 18934 0 0 0 0 0 0 5055558 4723 0 0 4723 0 0 0 0 0 0 0 0 0 0 0 13000 0 40476 0 -27476 -27476 -27476 0 0 0 15980 15980 0 0 15980 14097034 5044062 0 4723 127107 127107 6992617 6329717 662900 259561 230662 28899 899449 805999 93450 561720 499320 62400 2503 2503 24583 24583 41468 41468 834779 554224 280555 53257 44555 8702 673815 582621 91194 113174 86984 26190 Medical, dental & lab supplies 1042079 1042079 0 0 Contract lab & medical services 1114764 1114764 0 0 Licenses & dues 1005143 919017 86126 0 Education, dues & publications 101371 86049 15322 0 165691 115868 49823 14013081 12411859 1601222 0 1765112 2270555 50625 514608 2208948 1544046 37871 36318 88608 56644 13006481 3611615 9669148 9394866 3715 3215 13824027 13820252 972185 616521 25713 293649 997898 910170 X 12826129 12910082 0 0 0 0 12826129 12910082 13824027 13820252 83953 X 0 1 0 X 1 1 X 17068057 10110515 9216936 10282880 9116771 55795159 17068057 10110515 9216936 10282880 9116771 55795159 55795159 59508 42640 35068 10250 4723 152189 22605 43604 5121 27923 15980 115233 56062581 0.99523 0.99514 X Small, inconsequential cash receipts throughout the year. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 352951 352951 0 10025086 1891891 8133195 0 85910 2148 83762 0 2444880 1717576 727304 0 97654 0 97654 9394866 14097034 14013081 83953 0 0 0 0 0 0 83953 14193032 0 68522 0 0 68522 14124510 0 -27476 -27476 14097034 14109079 68522 0 0 27476 95998 14013081 0 0 0 14013081 SchD_P12_S00_L04b Schedule D, Part XII, Line 4b Loss on sale of assets other than inventory netted in revenues on tax return. SchD_P13_S00_L02d Schedule D, Part XIII, Line 2d Loss on sale of assets other than inventory netted in revenues on tax return. F990_P03_S00_L04d Form 990, Part III, Line 4d In addition to the above services, our organization provides mental health, lab, nutrition, patient transportation, OB/GYN, pharmacy, and other ancillary services. Our pharmacy fills over 150 prescriptions per day and our total patient count is over 30,000. F990_P06_S0B_L11a Form 990, Part VI, Section B, Line 11a The Form 990 is reviewed in detail with the Chief Financial Officer before filing. The Form 990 is reviewed and signed by the Chief Executive Officer. It is subsequently discussed on a cursory basis with the Board by the organization's independent auditor. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The Conflict of Interest Policy is monitored and enforced by management through close oversight of, and frequent interaction with, department heads and the Board. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 A comprehensive market survey was performed in 2008 by the Board's Personnel Committee to evaluate and adjust the Chief Executive Officer's compensation package to reflect the local market. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Form 990, Part VI, Section C, Line 19 - The organization is not required to, and does not, make its governing documents or conflict of interest policy available to the public. Its Form 990, however, is prepared from its annual audited financial statements and, as such, its annual financial statements are available to the public through review of its annual tax return.