2023-09-27T14:13:30-05:00 2022-12-31 454084437 WARREN AVERETT LLC 350 W CEDAR STREET SUITE 400 PENSACOLA FL 32502 990 2022-01-01 811786990 COMMUNITY CLINIC SERVICES INC COMM 8504364630 2315 W JACKSON ST PENSACOLA FL 32505 CHANDRA SMILEY CEO 8504364630 2023-09-14 1 CHANDRA SMILEY 999009999 0 CLAIRE C DUREN CPA P01577924 8504357400 2023-09-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHANDRA SMILEY 2315 W JACKSON ST PENSACOLA FL 32505 602791 0 X N/A X 2016 FL TO SUPPORT THE ESTABLISHMENT AND CONTINUATION OF HEALTH CARE FACILITIES LOCATED IN RURAL AND URBAN AREAS DESIGNATED AS A SHORTAGE AREA OR THAT HAVE A MEDICALLY UNDERSERVED POPULATION. 15 15 0 15 0 0 293955 299834 297017 302957 0 0 0 0 590972 602791 0 0 0 0 0 0 0 0 0 781530 784182 781530 784182 -190558 -181391 8343381 8161990 6417094 6417094 1926287 1744896 X TO SUPPORT THE ESTABLISHMENT AND CONTINUATION OF HEALTH CARE FACILITIES LOCATED IN RURAL AND URBAN AREAS DESIGNATED AS A SHORTAGE AREA OR THAT HAVE A MEDICALLY UNDERSERVED POPULATION; TO FURTHER THE COMPLEMENTARY MISSIONS OF ESCAMBIA COMMUNITY CLINICS, INC. (ECC), AND TO PROMOTE, SUPPORT, AND ENGAGE IN ANY OR ALL OF THE CHARITABLE, EDUCATIONAL, AND SCIENTIFIC EFFORTS WHICH ARE NOW OR MAY HEREAFTER BE ESTABLISHED BY ECC. 0 0 758486 302957 THE ORGANIZATION WILL ACQUIRE, REHABILITATE, AND EQUIP A FACILITY FOR USE BY ESCAMBIA COMMUNITY CLINICS, INC., IN THE OPERATION OF A HEALTH CLINIC. 758486 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X JASON BREWSTER 8504364630 2315 W JACKSON ST PENSACOLA FL 32505 JOHN PORTER PRESIDENT 2.00 3.00 X X 0 0 0 JULES KARIHER VICE PRESIDENT 2.00 2.00 X X 0 0 0 JUSTIN LABRATO TREASURER 2.00 2.00 X X 0 0 0 BRETT ALDRIDGE SECRETARY 1.00 1.00 X X 0 0 0 ANN OSINAME DIRECTOR 0.50 0.50 X 0 0 0 DAISY WHITE DIRECTOR 0.50 0.50 X 0 0 0 FREDDIE CATTOUSE DIRECTOR 0.50 0.50 X 0 0 0 BOB WILSON DIRECTOR 0.50 0.50 X 0 0 0 JOSEPH BRUNIE EMMANUEL JR DIRECTOR 0.50 0.50 X 0 0 0 DOROTHY FOSTER DIRECTOR 0.50 0.50 X 0 0 0 SEAN SEELY DIRECTOR 0.50 0.50 X 0 0 0 SHIRLEY HENDERSON DIRECTOR 0.50 0.50 X 0 0 0 THOMAS OWENS DIRECTOR 0.50 0.50 X 0 0 0 GRACE MCCAFFERY DIRECTOR 0.50 0.50 X 0 0 0 CLARA LONG DIRECTOR 0.50 0.50 X 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 6.00 34.00 X 0 255322 34497 0 255322 34497 0 0 1 0 0 299834 299834 FACILITY MANAGEMENT FE 812900 302957 302957 302957 602791 302957 0 0 133265 133265 321178 321178 72781 72781 LEASED EMPLOYEES 256958 231262 25696 784182 758486 25696 0 201491 68226 22032 31941 9102013 1583305 7839886 7518708 279972 543115 8343381 8161990 6417094 6417094 6417094 6417094 X 1926287 1744896 1926287 1744896 8343381 8161990 -181391 0 X X 0 1 X 1 0 X X X 1 ESCAMBIA COMMUNITY CLINICS INC 593105246 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 265335 265335 8145162 1044251 7100911 193096 102984 90112 498420 436070 62350 7518708 INTERCOMPANY DUE TO/FROM 543115 543115 X PART X, LINE 2: COMMUNITY CLINIC SERVICES HAS BEEN GRANTED AN EXEMPTION FROM INCOME TAXES UNDER REVENUE CODE, SECTION 501(C)(3) AS A NOT-FOR-PROFIT CORPORATION. CCS IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE DISCLOSURE OR ACCRUAL IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. 0 0 0 0 0 0 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 0 210322 0 45000 0 0 0 15246 0 19251 0 289819 0 0 PART I, LINE 3 THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS OF ESCAMBIA COMMUNITY CLINICS, INC., A RELATED ORGANIZATION. AN EXERCISE IS PERFORMED WHERE COMPARISONS ARE MADE TO LIKE POSITIONS WITHIN THE COMMUNITY AS WELL AS TO SALARY SURVEYS WITH BOTH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS THAT ARE PUBLISHED ANNUALLY. THESE FACTORS ALONG WITH THE PERFORMANCE EVALUATION ARE CONSIDERED IN ANNUAL SALARY DECISIONS. IT IS THE OBJECTIVE OF THE BOARD THAT THE EXECUTIVE DIRECTOR IS PAID WITHIN THE 40-50TH PERCENTILE OF COMPARABLE POSITIONS. THIS PROCESS IS USED FOR BOTH BASE SALARY AND YEAR-END BONUS DETERMINATIONS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS, ESCAMBIA COMMUNITY CLINICS, INC. AND ESCAMBIA COMMUNITY HOLDINGS, INC. FORM 990, PART VI, SECTION A, LINE 7A THE INITIAL BOARD OF DIRECTORS SHALL BE IDENTICAL TO THE BOARD OF DIRECTORS FOR ESCAMBIA COMMUNITY CLINICS, INC. (ECC), A MEMBER OF THE ORGANIZATION. SUBSEQUENTLY, THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE BOARD FOR ECC. THE TERM OF EACH DIRECTOR SHALL BE FOUR YEARS IN LENGTH. THE NUMBER OF DIRECTORS SHALL NOT EXCEED TWENTY DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE PRESENTED TO THE BOARD AT THEIR MONTHLY MEETING PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES THAT ALL PERCEIVED CONFLICTS BE DISCLOSED PROMPTLY AND FULLY TO ALL NECESSARY PARTIES AND WILL PROHIBIT INVOLVEMENT IN THE AFFAIRS OF THE ORGANIZATION BY PERSONS HAVING SUCH CONFLICTS. THE BOARD MEMBERS ARE REQUIRED TO COMPLETE A PACKET ON AN ANNUAL BASIS THAT INCLUDES THE CONFLICT OF INTEREST AS WELL AS OTHER HRSA MANDATED ITEMS. THERE IS A MATRIX KEPT WITH THE BOARD MINUTES THAT SHOWS WHEN EACH BOARD MEMBER LAST RETURNED THEIR PACKET. FORM 990, PART VI, SECTION C, LINE 19 MANAGEMENT WILL DISCLOSE GOVERNING DOCUMENTS UPON WRITTEN REQUEST. FORM 990, PART XII, FINANCIAL STATEMENTS AND REPORTING THE EXECUTIVE AND FINANCE COMMITTEE OF ESCAMBIA COMMUNITY CLINICS, INC., THE CONTROLLING MEMBER OF COMMUNITY CLINIC SERVICS, INC., SERVES AS THE AUDIT COMMITTEE. THIS COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON ST PENSACOLA FL 32505 593105246 HEALTH CARE SERVICES FL 501(C)(3) LINE 3 N/A 0 ESCAMBIA COMMUNITY HOLDINGS INC 2315 W JACKSON ST PENSACOLA FL 32505 371573135 TO SUPPORT HEALTH CARE FACILITIES IN MEDICALLY UNDERSERVED AREAS FL 501(C)(3) LINE 12A, I ESCAMBIA COMMUNITY CLINICS INC 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 ESCAMBIA COMMUNITY CLINICS INC A 299834 CASH VALUE ESCAMBIA COMMUNITY CLINICS INC O 256958 PER CONTRACT ESCAMBIA COMMUNITY CLINICS INC L 302957 PER CONTRACT