2024-07-03T13:10:30-05:00 2023-09-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2022-10-01 851506854 SPACE COAST HEALTH CENTERS INC SPAC 3212686836 951 N WASHINGTON AVENUE 100 TITUSVILLE FL 32796 ARVIN H LEWIS CHIEF EXECUTIVE OFFICER 3212686836 2024-07-03 1 ARVIN LEWIS 999009999 1 HARRY E HARP CPA P00176471 4077405400 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X ARVIN H LEWIS 951 N WASHINGTON AVENUE 100 TITUSVILLE FL 32796 1365935 0 X WWW.SPACECOASTHEALTHCENTERS.ORG X 2020 FL TO PROVIDE UNCONDITIONAL, CULTURALLY COMPETENT HEALTHCARE. 9 9 5 9 0 0 1017227 867661 262729 498274 0 0 0 0 1279956 1365935 0 0 0 0 1420406 1757561 0 0 0 874113 825911 2294519 2583472 -1014563 -1217537 329125 598461 1387607 2874480 -1058482 -2276019 THE ORGANIZATION'S MISSION IS TO PROVIDE UNCONDITIONAL, CULTURALLY COMPETENT HEALTHCARE OF THE HIGHEST QUALITY THAT REDUCES HEALTH DISPARITIES AND IMPROVES HEALTH OUTCOMES, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 0 0 1947703 498274 THE ORGANIZATION PROVIDES FOR THE COMMUNITY WITH AN EMPHASIS DIRECTED TOWARD ACHIEVING HEALTH INITIATIVES THAT IMPROVE HEALTH OUTCOMES AND REDUCE HEALTH DISPARITIES. THE PRIMARY LOCATION OF PATIENTS SERVICED IS NORTH BREVARD COUNTY AND THE SURROUNDING AREA. SCHC PROVIDES HEALTH CARE AND OTHER RELATED SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS SLIDING FEE DISCOUNT PROGRAM ("SFDP") AT AMOUNTS LESS THAN ESTABLISHED RATES. NO PATIENT IS DENIED SERVICES BECAUSE OF INABILITY TO PAY, HOWEVER, ALL PATIENTS ARE REQUESTED TO PAY A NOMINAL FEE FOR EACH VISIT. WE PROVIDE UNCONDTIONAL CARE TO EVERYONE 1947703 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 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 0 0 0 0 1 0 0 5 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 1 1 0 0 FL X KAITLIN GREEN 3212686333 951 N WASHINGTON AVENUE 100 TITUSVILLE FL 32796 ZACKARY BESNER MEDICAL DIRECTOR / PHYSICIAN 40.00 X 229766 0 19500 ARVIN H LEWIS CHIEF EXECUTIVE OFFICER 40.00 X 216002 0 24499 RENEE SOUCIER PHYSICIAN 40.00 X 223944 0 7615 JASON WIESELER PHYSICIAN - PSYD 40.00 X 134495 0 20500 JOHANNA PILLADO APRN 40.00 X 105907 0 0 CRISTINA VIERA CHAIR 1.00 X X 0 0 0 KATHY LOWE VICE CHAIR 1.00 X X 0 0 0 CHRIS MCALPINE TREASURER 1.00 X X 0 0 0 RHODA FISHER SECRETARY 1.00 X X 0 0 0 BRANDON BURROUGHS DIRECTOR 1.00 X 0 0 0 JEFF DAVIS DIRECTOR 1.00 X 0 0 0 ELIZABETH GALFO MD DIRECTOR 1.00 X 0 0 0 KAREN GRIFFIN DIRECTOR 1.00 X 0 0 0 LILY RENZETTI DIRECTOR 1.00 X 0 0 0 910114 0 72114 5 0 1 0 0 867661 867661 NET PATIENT SERVICE RE 623000 498274 498274 498274 1365935 498274 0 0 216054 216054 1389208 1364473 24735 32186 27358 4828 5284 4491 793 114829 97605 17224 205388 205388 90693 90693 107119 91051 16068 89762 76298 13464 278512 236735 41777 17081 14519 2562 14365 12210 2155 MEDICAL SUPPLIES 22796 22796 OTHER EXPENSES 195 167 28 2583472 1947703 635769 0 33889 54034 22387 57133 45435 44932 38137 20833 189277 421529 329125 598461 73435 46356 1314172 2828124 1387607 2874480 X -1059482 -2277019 1000 1000 -1058482 -2276019 329125 598461 -1217537 0 X X 0 1 X 1 0 X 1193291 1017227 867661 3078179 64616 262729 498274 825619 1257907 1279956 1365935 3903798 0 0 0 3903798 1257907 1279956 1365935 3903798 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 LEASE DEPOSIT 10249 OPERATING LEASE RIGHT-OF-USE ASSETS 381391 OTHER ASSETS 29889 421529 ACCRUED EMPLOYEE COMPENSATION AND BENEFITS 189837 OPERATING LEASE OBLIGATIONS 381391 DUE TO OTHERS 2256896 2828124 X 1365935 0 1365935 0 1365935 2583472 0 2583472 0 2583472 PART X, LINE 2: THE INTERNAL REVENUE SERVICE ("IRS") HAS DETERMINED THAT SCHC IS EXEMPT FROM FEDERAL INCOME TAXES AND IS QUALIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE"). ACCORDINGLY, THE FINANCIAL STATEMENTS INCLUDE NO PROVISION OR LIABILITY FOR INCOME TAXES. 0 0 0 0 0 0 0 0 0 ZACKARY BESNER MEDICAL DIRECTOR / PHYSICIAN 198266 0 31500 0 0 0 19500 0 0 0 249266 0 0 0 ARVIN H LEWIS CHIEF EXECUTIVE OFFICER 216002 0 0 0 0 0 24499 0 0 0 240501 0 0 0 RENEE SOUCIER PHYSICIAN 203944 0 20000 0 0 0 2115 0 5500 0 231559 0 0 0 JASON WIESELER PHYSICIAN - PSYD 99495 0 35000 0 0 0 20500 0 0 0 154995 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE CEO AND CFO OF THE ORGANIZATION FOR REVIEW AND APPROVAL BEFORE IT IS FILED WITH THE IRS. THE BOARD OF DIRECTORS RECEIVES A FINAL COPY OF THE FORM 990 AFTER FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTORS AND OFFICERS OF THE ORGANIZATION ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE MADE EITHER THROUGH AN ANNUAL DISCLOSURE STATEMENT UNDER ARTICLE V OR WHEN AN UNDISCLOSED CONFLICT OTHERWISE ARISES. AFTER DISCLOSURE OF THE CONFLICT, THE INTERESTED PERSON MUST LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING DIRECTORS OR COMMITTEE MEMBERS SHALL DECIDE IF THE CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15A THE FILING ORGANIZATION DETERMINES THE COMPENSATION FOR THE ORGANIZATION'S CEO AND TOP MANAGEMENT OFFICIALS BY COMPARING LOCAL MARKET DATA AS WELL AS DATA FROM FQHC CONSULTANTS. THE COMPENSATION THEN MUST BE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.