2024-11-15T10:35:31-06:00 2023-12-31 454084437 WARREN AVERETT LLC 350 W CEDAR STREET SUITE 400 PENSACOLA FL 32502 990 2023-01-01 811786990 COMMUNITY CLINIC SERVICES INC COMM 8504364630 2315 W JACKSON ST PENSACOLA FL 32505 CHANDRA SMILEY CEO 8504364630 2024-11-07 1 1 CLAIRE C DUREN CPA P01577924 8504357400 2024-11-07 2023 2024-10-15 13:58:12Z X CHANDRA SMILEY 2315 W JACKSON ST PENSACOLA FL 32505 532256 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. X 14 14 0 14 0 0 299834 229374 302957 231763 0 71119 0 0 602791 532256 0 0 0 0 0 0 0 0 0 784182 2277152 784182 2277152 -181391 -1744896 8161990 0 6417094 0 1744896 0 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 1 2263548 231763 THE ORGANIZATION WILL ACQUIRE, REHABILITATE, AND EQUIP A FACILITY FOR USE BY ESCAMBIA COMMUNITY CLINICS, INC., IN THE OPERATION OF A HEALTH CLINIC. 2263548 1 1 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 0 0 0 FL X THE ORGANIZATION 8504364630 2315 W JACKSON ST PENSACOLA FL 32505 JOHN PORTER PRESIDENT 2.00 X X 0 0 0 JULES KARIHER VICE PRESIDENT 2.00 X X 0 0 0 JUSTIN LABRATO TREASURER 2.00 X X 0 0 0 BRETT ALDRIDGE SECRETARY 1.00 X X 0 0 0 ANN OSINAME DIRECTOR 0.50 X 0 0 0 DAISY WHITE DIRECTOR 0.50 X 0 0 0 FREDDIE CATTOUSE DIRECTOR 0.50 X 0 0 0 BOB WILSON DIRECTOR 0.50 X 0 0 0 DOROTHY FOSTER DIRECTOR 0.50 X 0 0 0 SEAN SEELY DIRECTOR 0.50 X 0 0 0 SHIRLEY HENDERSON DIRECTOR 0.50 X 0 0 0 THOMAS OWENS DIRECTOR 0.50 X 0 0 0 GRACE MCCAFFERY DIRECTOR 0.50 X 0 0 0 CLARA LONG DIRECTOR 0.50 X 0 0 0 CHANDRA SMILEY CHIEF EXECUTIVE OFFICER 6.00 34.00 X 0 327075 35613 0 327075 35613 0 0 1 0 0 229374 229374 FACILITY MANAGEMENT FE 812900 231763 231763 231763 71119 0 71119 71119 71119 532256 231763 0 71119 91064 91064 33319 33319 239893 239893 31941 31941 TRANSFER TO ECC 1744896 1744896 LEASED EMPLOYEES 136039 122435 13604 2277152 2263548 13604 0 68226 0 0 0 0 0 0 0 0 31941 0 0 0 7518708 0 0 0 0 0 543115 0 8161990 0 6417094 0 6417094 0 X 1744896 0 1744896 0 8161990 0 -1744896 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 0 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 277075 0 50000 0 0 0 16343 0 19270 0 362688 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. CASH 2023-01-11 68226 FAIR MARKET VALUE 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION PREPAID EXPENSES 2023-01-11 31941 FAIR MARKET VALUE 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION INTERCOMPANY LOANS 2023-01-11 603649 FAIR MARKET VALUE 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION LAND 2023-01-11 265335 COST BASIS 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION BUILDINGS/IMPROVEMENTS 2023-01-11 8338258 COST BASIS 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION MAJOR EQUIPMENT 2023-01-11 498420 COST BASIS 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION ACCUMULATED DEPRECIATION 2023-01-11 -1583305 COST BASIS 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION ACCOUNTS PAYABLE 2023-01-11 -60534 FAIR MARKET VALUE 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION NOTES PAYABLE 2023-01-11 -6417094 FAIR MARKET VALUE 593105246 ESCAMBIA COMMUNITY CLINICS INC 2315 W JACKSON STREET PENSACOLA FL 32505 CORPORATION 0 0 0 0 0 1 1 1 0 SCHEDULE N, PART 1, LINE 5 IN 2016, ECC FORMED CCS TO MEET CERTAIN CENSUS TRACKING REQUIREMENTS RELATED TO THE NEW FACILITY UNDER CONSTRUCTION. ECC AND ECH ARE THE TWO MEMBERS OF CCS. THE CCS BOARD OF DIRECTORS IS SUBSTANTIVELY THE SAME AS THE ECC BOARD OF DIRECTORS. CCS IS A QUALIFIED ACTIVE LOW-INCOME BUSINESS (QALICB), RECEIVING PROCEEDS FROM THE NEW MARKET TAX CREDIT TRANSACTION TO FUND THE NEW FACILITY PROJECT. IN NOVEMBER 2023, AS A RESULT OF THE NEW MARKET TAX CREDIT UNWIND TRANSACTION, CCS WAS DISSOLVED, AND ALL ASSETS WERE TRANSFERRED TO ECC. FORM 990, PART III, LINE 3 ESCAMBIA COMMUNITY CLINICS, INC., SOLE MEMBER OF ESCAMBIA COMMUNITY HOLDINGS, ALONG WITH ECH PARTICIPATED IN A NEW MARKETS TAX CREDITS TRANSACTION WHEREBY FEDERAL AND STATE TAX CREDITS WERE UTILIZED FOR FAVORABLE FINANCING FOR COMMUNITY CLINIC SERVICES, A FLORIDA NOT FOR PROFIT CORPORATION, TO PURCHASE AND DEVELOP PROPERTY LOCATED WITHIN A LOWE INCOME COMMUNITY. THE BOARD DETERMINED IT WAS ADVISABLE TO UNWIND THE NMTC STRUCTURE AND EXECUTED DOCUMENTS NECESSARY TO UNWIND THE TRANSACTION. COMMUNITY CLINIC SERVICES (CCS) IS NO LONGER NEEDED TO CARRY OUT THE PURPOSES OF THE CORPORATION AS SET FORTH IN ITS ARTICLES OF INCORPORATION. CCS DISSOLUTION WAS SIGNED AS OF NOVEMBER 30, 2023 AND ITS OPERATIONS EFFECTIVELY CEASED AS OF DECEMBER 31, 2023. 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 O 136039 PER CONTRACT ESCAMBIA COMMUNITY CLINICS INC L 231763 PER CONTRACT ESCAMBIA COMMUNITY CLINICS INC A 229374 PER CONTRACT