2025-08-07T10:32:16-05:00 2024-09-30 440160260 FORVIS MAZARS LLP 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2023-10-01 851506854 SPACE COAST HEALTH CENTERS INC SPAC 3212686836 951 N WASHINGTON AVENUE 100 TITUSVILLE FL 32796 ARVIN H LEWIS CHIEF EXECUTIVE OFFICER 3212686836 2025-08-06 1 1 PETER C GUBLER P00190185 4077405400 2025-08-06 2023 2025-03-06 01:10:19Z ARVIN H LEWIS 951 N WASHINGTON AVENUE 100 TITUSVILLE FL 32796 2166189 0 X WWW.SPACECOASTHEALTHCENTERS.ORG X 2020 FL TO PROVIDE UNCONDITIONAL, CULTURALLY COMPETENT HEALTHCARE. 9 9 19 9 0 0 867661 1339529 498274 825486 0 1174 0 0 1365935 2166189 0 0 0 0 1757561 2140175 0 0 19555 825911 915291 2583472 3055466 -1217537 -889277 598461 813570 2874480 3978866 -2276019 -3165296 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 2113257 825486 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 (EVERYONE). FOR THOSE THAT MEET CERTAIN CRITERIA UNDER ITS SLIDING FEE DISCOUNT PROGRAM ("SFDP"), CARE IS PROVIDED 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. 2113257 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 14 0 1 19 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 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 CURTIS WRIGHT DIRECTOR 1.00 X 0 0 0 AMY MATTHEWS DIRECTOR 1.00 X 0 0 0 ARVIN H LEWIS CHIEF EXECUTIVE OFFICER 40.00 X 241961 0 26620 ZACKARY BESNER MEDICAL DIRECTOR / PHYSICIAN 40.00 X 249152 0 16854 RENEE SOUCIER PHYSICIAN 40.00 X 249930 0 15885 JASON WIESELER PHYSICIAN - PSYD 40.00 X 163552 0 3837 JOHANNA PILLADO APRN 40.00 X 129966 0 20977 1034561 0 84173 5 0 1 0 0 1339529 1339529 NET PATIENT SERVICE RE 623000 825486 825486 825486 1174 1174 2166189 825486 0 1174 534587 133003 401584 1420882 1294488 106839 19555 41409 30228 11181 7328 5349 1979 135969 99257 36712 160591 160591 111116 81115 30001 107750 78658 29092 806 588 218 87308 63734 23574 380660 277882 102778 22896 16714 6182 17565 12822 4743 MEDICAL SUPPLIES 26544 19377 7167 OTHER EXPENSES 55 42 13 3055466 2113257 922654 19555 54034 251209 57133 91787 44932 59218 20833 20937 421529 390419 598461 813570 46356 284755 0 23251 2828124 3670860 2874480 3978866 X -2277019 -3166296 1000 1000 -2276019 -3165296 598461 813570 -889277 0 X X 0 1 X 1 0 X 1193291 1017227 867661 1339529 4417708 64616 262729 498274 825486 1651105 1257907 1279956 1365935 2165015 6068813 0 0 0 6068813 1174 1174 1174 1174 1257907 1279956 1365935 2166189 6069987 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 LEASE DEPOSIT 10249 OPERATING LEASE RIGHT-OF-USE ASSETS 380170 390419 OPERATING LEASE OBLIGATIONS 380170 DUE TO OTHERS 3290690 3670860 X 2166189 0 2166189 0 2166189 3055466 0 3055466 0 3055466 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 ARVIN H LEWIS CHIEF EXECUTIVE OFFICER 241961 0 0 0 0 0 0 0 26620 0 268581 0 0 0 ZACKARY BESNER MEDICAL DIRECTOR / PHYSICIAN 217817 0 31335 0 0 0 0 0 16854 0 266006 0 0 0 RENEE SOUCIER PHYSICIAN 218430 0 31500 0 0 0 0 0 15885 0 265815 0 0 0 JASON WIESELER PHYSICIAN - PSYD 128555 0 34997 0 0 0 0 0 3837 0 167389 0 0 0 JOHANNA PILLADO APRN 119966 0 10000 0 0 0 0 0 20977 0 150943 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.