Community Health Centers of Sarasota County Inc
2200 Ringling Boulevard
Sarasota FL 34237
Mission
To provide high quality primary care services in Sarasota County
Leadership
CEO/Executive Director Dr. Linda L. Stone
Board Chair Christine R. Sensenig Esq.
Board Chair Affiliation Hultman Sensenig + Joshi, P.A.
General Info
Organization DBA
DBA
Community Health Centers of Sarasota County, Inc
Former Names
Community Health Center of North Port Inc
Tax Exempt Status Public Supported Charity
Incorporation Year 2007
State Charitable Solicitations Permit Yes Nov 2017
State Registration Yes 0
Financial Summary
 
 
IRS Letter of Determination
Name
IRS Letter of DeterminationView
Impact Statement

Accomplishments of the CHCSC include:

A HRSA Bureau of Primary Care grant supplement to recognize health centers that demonstrated improvements in 2014.

A second regional American Cancer Society Colorectal Cancer Screening grant. Funding from the Central Florida Behavioral Health Network to increase mental health and substance abuse intervention access for the uninsured.
 
The CHCSC is one of the seven agencies participating in the Voluntary Interim Placement-Enhanced Recovery program (VIP-ER). From FY 2014 to FY 2015, 73 of 78 VIP-ER participants, who are homeless, could be located 12 months following completion of substance abuse treatment. Ninety-nine percent of these participants remained sober (72/73). The industry standard for sobriety 12 months after completing a program is 10%. Additionally, 99% remained in stable housing (73/73) 12 months following program completion.


CHCSC goals for 2015-16 include:

Develop a strategic plan for transitioning the Federally Qualified Health Center from a co-applicant partnership with the Florida Department of Health in Sarasota County to a free-standing not-for-profit entity

Become recognized as a NCQA Patient Centered Medical Home
 
Improve colorectal cancer screening ratesncrease clinical process improvement initiatives
 
Increase process improvement activities.
Needs Statement
After much deliberation and discussion, the Community Health Centers of Sarasota (CHCSC) governing Board for Sarasota’s Federally Qualified Health Center (FQHC), determined that it was in the best interests of the 26,000 plus individuals that we serve, and in the best interest of our greater community that the FQHC continues to exist and serve as the safety net for greater Sarasota.  To that end, the Board intends to transition from joint FQHC governance between the Florida Department of Health in Sarasota County and the CHCSC Board to sole governance by the CHCSC Board. The goal is for this transition to be finalized by the end of December 2017. This effort needs continued and additional support and resources from the County, the State, and the Federal government, our safety-net System of Care collaborators, our local community foundations, and from other stakeholders to assure the success of this necessary endeavor.

The most pressing needs include funding for:

  • Consultants to assist the CHCSC Board with transition activities including strategic planning, business plan development, legal services, infrastructure needs, and other transition related activities.

  • Community meetings and focus groups to inform the priorities for the transition to the Board's sole governance.

  • Executive leadership training specific to assuring a well-run health center

  • Travel to meet with with other FQHC sites and leaders.

  • Infrastructure for the transition including an Electronic Health Record, human resources, financial services (accounts payable, accounts receivable and payroll), risk management, leadership team, to name some of the areas.

  • Bridging the financial gaps during the transition phase-in.

Background Statement

Community Health Centers of Sarasota County, Inc. (CHCSC), f/k/a Community Health Centers of North Port, Inc., is a private/public Federally Qualified Health Center (FQHC) partnership that provides health care for residents of Sarasota County. FQHCs are not-for-profit, community-directed health care providers serving low income & medically underserved communities. CHCSC has 3 distinct service sites providing Adult Health, Women's Health, Pediatrics, Dental Care, Pharmacy, Laboratory, Mental Health & Substance Abuse Intervention. DOH-Sarasota has provided primary care for over 50 years. CHCSC is a partnership that provides health care for Sarasota County residents. FQHCs are not-for-profit, community-directed health care providers serving low income & medically underserved communities.

In 2012, all primary health care at all FL Dept. off Health in Sarasota Co. (DOH-Sarasota) sites became part of CHCSC. DOH-Sarasota has provided primary care to this area for over 50 years. In Oct. 2004, DOH-Sarasota opened a primary care satellite center in North Port, FL to care for that area’s low-income & uninsured residents. To apply for FQHC funding, the Community Health Center of North Port established itself as a 501c(3) not-for-profit corporation. In 2008, the Health Resources and Services Administration (HRSA) approved the North Port Health Center to become a FQHC as a partnership between the CHCNP Board & DOH-Sarasota. Under an agreement with the FQHC Board, DOH-Sarasota was fiscal agent & provided primary care & administrative services. In 2009, this Center received HRSA Capital Development grant &, with additional funding from Sarasota Government & the Gulf Coast Community Foundation, completed a 17,000 sf renovation in 2011. Also in 2011, the Glasser/Schoenbaum Human Services Center Board of Directors coordinated a campaign to erect a 12,000 square-foot state of the art pediatric facility on its campus. This center, located in a medically underserved area, opened in the summer of 2014 with a new name, the Sally and Sam & Shapiro Children & Babies Medical Center. In mid-2012, with HRSA funding for William L. Little & HRSA approval for Sally and Sam Shapiro, these additional centers came under the FQHC umbrella.

Over the past several years, the policy direction from Florida’s governing agencies was to transition primary care away from county health departments. As a result, the CHCSC Board of Directors voted to assume responsibility for transitioning the FQHC to a free standing community-based entity by the end of 2017 in order to maintain a health care safety net in Sarasota Co. Over the next two years, the Board will phase out its current relationship with DOH-Sarasota & explore the best possible options for providing care while minimizing the impact of this transition on 30,000 plus patients. The Board will also use this as an opportunity to improve health center effectiveness & continue to build on community support.
Areas Served
Areas Served
Area
FL- Sarasota
Areas Served Comments

While we serve all Sarasota County residents, the majority of our patients come from Zip Codes 34231, 34232, 34234, 34235, 34236, 34237, 34239 located in North Sarasota County and Zip codes 34223, 34286, 34287, 34288, 34289, 34292, 34293, located in south Sarasota and Charlotte Counties.

Service Categories
Primary Org Type Health Care
Secondary Org Type Diseases Disorders & Medical Disciplines
Tertiary Org Type
Statement from the Board Chair/Board President

Serving as the Board Chair of the Community Health Centers of Sarasota County (CHCSC) is a privilege. 

Our Board’s mission is to provide a broad range of primary health care services to all members of the community, especially the underserved, and to promote a healthy community through wellness and prevention services.  Over 30,000 people depend upon the Board to ensure that necessary health care is provided to them through our Federally Qualified Health Center (FQHC). 

Our Board is unique in that 51% are individuals who receive services from the CHCSC.  As a parent of adopted children from the foster care system, I had never encountered our local CHCSC; I have always had private insurance.  My daughters had experienced trauma and hardships in their young lives that affected their ability to thrive; an immersion into the services offered by the CHCSC happened quickly for my family.  I have experienced first-hand the passion of the doctors and staff at the FQHC in their care and concern for my girls.  I have nothing but admiration and respect for the tireless advocating these professionals did to ensure that my daughters received necessary health care.  In exploring how these services were provided to me children, I was invited to explore FQHC Board service.  I joined the Board as a consumer member due to my children being active patients at the FQHC.  After over two years on the Board, I felt I was ready to take on the leadership role of Board Chair and do what I could to help impact 30,000 people in my community.

As Board Chair, I lead a talented and dedicated Board.  Our Board is proud that Sarasota County’s health care safety net is being served by Board members who love Sarasota County and feel as if the needs of greater Sarasota County are understood by this local Board.  

Sincerely yours, Chritine Sensenig, Esq,, Chair
Statement from the CEO/Executive Director
 In 2004, five very concerned North Port citizens saw the need for health care services to low income individuals in their community. There were almost no medical resources and even fewer for those who were indigent or lacked health insurance. These individuals approached Bill Little, Sarasota County Health Department Administrator, with the request to open a primary health care facility in a store front. Always willing to meet community needs, he gave the go ahead and within a short period of time, the Health Department’s North Port branch was launched. That agreement, sealed by a handshake became the seed for the Federally Qualified Health Centers (FQHC) we see today in Sarasota County.

I have had the honor of serving as the Chief Executive Officer of the Community Health Centers of Sarasota County (CHCSC) since 2010. During my tenure, I have witnessed enormous growth in the number of individuals we serve, the number of sites we have under the FQHC umbrella and the type of services we provide. There has also been great deal of attention placed on quality health care and customer service. This is no easy feat in face of the ever changing landscape of medicine.

Today, in partnership with the Florida Department of Health in Sarasota, the CHCSC has three full service centers covering north and south Sarasota County that each include a pharmacy and lab. All of our providers are Board certified in their respective fields. We provide affordable health care to adults and children. We have preventive and restorative dental services for children and emergency dental services for adults. We have on-site mental health and substance abuse personnel. Acknowledging the connection of mind and body, we are actively moving in the direction of more integrated primary and behavioral health care.  

Our Board is about to embark on the next milestone in the CHCSC evolution. The members have bravely committed to taking full responsibility for the CHCSC over the next two and a half years. This step allows the centers to be Sarasota-centric and meet the needs of our community. This is an enormous undertaking that will need the full support of our community to be successful. Given the civic culture and dedication to community partnerships and collaboration in Sarasota, we know we can count on you.

Sincerely yours,

Linda L. Stone, PhD, CEO

Programs
Description

The CHCSC main function is to provide primary health care and related services, which include Adult Health, Pediatrics, Women’s Health including Obstetrics and Gynecology and Dental. On-site Pharmacy and Laboratory services are available at all of our sites.

Budget $20,946,117
Category Health Care, General/Other Ambulatory & Primary Health Care
Program Linked to Organizational Strategy Yes
Population Served At-Risk Populations General/Unspecified Poor,Economically Disadvantaged,Indigent
Short Term Success

The immediate benefit of our program is the availability of primary health care to individuals whose family income is less than 300% of the Federal Poverty Level (FPL). Each individual is screened for eligibility for a sliding fee discount and those who are at or below 100% of the FPL receive health care no cost. Those whose income is between 101% and 200% of poverty pay for only a portion of their care based on family sized and income.

Long Term Success By making primary care available for low-income patients, we work to reduce Emergency Department use for conditions that can be addressed in a "medical home". Additionally, we work to help avoid inpatient admissions for conditions such as diabetes, high blood pressure and/or respiratory diseases through prevention strategies including encouraging regular doctor visits, access to affordable medications and chronic disease case management. The CHCSC reports annually on 21 targeted health outcomes at least yearly or more often.  
Program Success Monitoring CHCSC staff
  • became recognized as a National Committee on Quality Assurance Level 2 Patient Centered Medical Home in August 2016.

  • have quarterly Process Improvement Oversight meetings

  • conduct and analyze quarterly patient satisfaction surveys and convene workgroups to increase patient satisfaction in areas where needed.

  • assure quality with providers conducting monthly peer reviews on care charting.

  • establish work groups to improve processes and outcomes.

Program Success Examples

For the third year in a row, CHCSC was recognized by HRSA, which provided a $52,186 funding supplement to continue activities to improve quality of care

There have been steady increases in colorectal cancer screening rates for individuals ages 50 to 75. The number of patients screened rose from 39% in 2015 to 64% in 2016 as the result of intense quality improvement projects funded by CDC and the American Cancer Society. 
 
We have increased the number of patients who have had at least 1 visit from 64% in 2015 to 79% in 2016.
 
The number of patients diagnosed with coronary artery disease who are on Lipid Therapy increased from 80% in 2015 to 86% in 2016.


Description

Dental services are available at both the William L. Little Health and Human Services Center and the North Port Health Center. These include:

  • Preventative cleanings & fluoride treatments

  • Examinations, & x-rays (including panoramic x-rays)

  • Extractions

  • Fillings (restorative treatment)

  • Dental sealants

  • Diagnostics Emergencies

Budget $870,000
Category Health Care, General/Other Dental Health Care
Program Linked to Organizational Strategy Yes
Population Served Children and Youth (0 - 19 years) Adults At-Risk Populations
Short Term Success

The percentage of children aged 6 through 9 at moderate to high risk for caries who receive a sealant on a first permanent molar as a dental service will increase from 41% in 2014 to 60% by 2017.

Long Term Success

Provides more than 95% of the Medicaid and KidCare covered dental care.

Program Success Monitoring Tracks the application of childhood dental sealants to prevent decay: the first one by 6 years of age and the second by 12 years of age.
Program Success Examples

In collaboration with Sarasota County School Board, received a $100,000 Blues Foundation grant to apply dental sealants to all second graders in North Port.

Conducts outreach on dental hygiene to elementary school students in Sarasota County

Description In an effort to provide integrated primary care and behavioral health to our primary care patients, the CHCSC contracts with Centerstone (formerly Manatee Glens) for on-site psychiatric and therapy services for the uninsured. We also have a Memorandum of Understanding with First Step of Sarasota for a Substance Abuse Interventionist. We are negotiating contracts with Medicaid behavioral health networks to be able to provide these services to Medicaid covered individuals.
Budget $150,000
Category Mental Health, Substance Abuse Programs, General/other Mental Health, Substance Abuse Programs, General/other
Program Linked to Organizational Strategy Yes
Population Served Adults At-Risk Populations Poor,Economically Disadvantaged,Indigent
Short Term Success CHCSC staff recognized that individuals suffering from mental health or substance abuse issues are not as apt to care for their health. Therefore, we are following evidence-based guidelines for increase integration of primary care with behavioral health services. Medical and behavioral health staff have been working together to improve processes that result in treating the who person.
Long Term Success

The benefits to the community of this program is the attention paid by the CHCSC to the "whole person". Many CHCSC primary care patents referred for behavioral health are homeless. In addition to their physical problems, they have  mental health and/or substance abuse conditions that interfere with self care. Attending to these conditions improves compliance with medications and other recommended treatment.

The CHCSC has been a long-term partner with the community Volunteer Interim Placement-Enhanced Recovery (VIP-ER) program by providing health care and related to services to indigent individuals in recovery for addictions at the Salvation Army. Additionally, the CHCSC has worked with the Sarasota County  jail to enable their clients to access health care.  Long-term goals include providing the assistance necessary for these individuals to sustain sobriety and mental wellbeing.
Program Success Monitoring

At each visit, individuals rate themselves on their well-being on a subjective scale from 1 to 100. Progress is determined by an increase in their sense of well-being.

Every patient in our practice is screened for depression using an evidence base screening tool, the PHQ2. If a patient scores at risk for depression, he/she is offered further screening and treatment. We are tracking the collective sense of improved wellbeing byour patients.

Program Success Examples

For the second year in a row, the CHCSC was awarded $70,000 to increase access to integrated primary care and behavioral health for indigent patients.

CHCSC staff were selected to participate in a Substance Abuse and Mental Health Services Administration/Health Resources and Services Administration learning collaborative for high functioning primary care teams.

CHCSC presented on best practices for community behavioral health referral for a SAMHSA national webinars.

Description

Affordable Care Act Outreach and Enrollment activities include raising awareness of affordable insurance options available through healthcare.gov and providing eligibility and enrollment assistance to patients of our health center and residents in our community. The health center employs two full time Certified Application Counselors who help you:


Budget $170,000
Category Health Care, General/Other Health Insurance Counseling
Program Linked to Organizational Strategy Yes
Population Served General/Unspecified General/Unspecified General/Unspecified
Short Term Success Over the past two years, our Certified Application Counselors have reached over 9,000 area residents to:
  • provide information

  • assist with enrollment into an affordable health care plan

  • help with income tax questions related to health insurance subsidies, and;

  • provide support for getting the best of their newly gained coverage.

Long Term Success

Access to low cost health insurance along with encouragement to take advantage of the opportunities coverage is expected to improve the overall health and wellbeing of thousands of Sarasota County individuals who were not able to afford health care.

Program Success Monitoring Outreach and enrollment activities are tracked on a quarterly basis and reported to the Health Resources and Services Administration. 
Program Success Examples

 

During the 2017 enrollment period, Outreach and Enrollment staff worked with over 1,200 individuals to help them access health insurance.

The CHCSC was awarded a Florida Blues Foundation/Florida Literacy Coalition grant to increase Health Literacy skills among individuals with Limited English Proficiency and families that could benefit with basic understanding of health information and services in English.

Comments
Program Comments by Organization The Community Health Centers of Sarasota County provides a broad array of Medical and Dental preventive and urgent care services as well as  Behavioral Health. Staff participate in a large number of community partnerships including the Sarasota Safety-net Care Collaboration, the Behavioral Health Stakeholders Consortium, the Community Alliance and many, many others. We are main provider of health and dental care to low-income, uninsured and Medicaid eligible individuals.
CEO/Executive Director
CEO/Executive Director Dr. Linda L. Stone
CEO Term Start Jan 2010
CEO/Executive Director Email linda.stone@flhealth.gov
Experience

Linda L. Stone, Ph.D., has been in public health and related public service since 1979. Currently, she is the Chief Executive Officer for Community Health Centers of Sarasota County, Inc. (CHCSC), a Federally Qualified Health Center (FQHC),. 

Beginning May 2, 2016, she assumed the role of Chief Executive Officer (CEO) for Community Health Centers of Sarasota County, Inc. (CHCSC) , a not-for-profit 501c(3) Federally Qualified Health Center (FQHC). In this role she is responsible for ensuring timely and efficient transition FQHC services from the Florida Department of Health in Sarasota County (DOH-S) to the CHCSC, to include developing the methodology and processes necessary to assure a seamless transition of operations across all health center delivery sites and business functions. She continues to lead the National Committee on Quality Assurance Patient Centered Medical Home recognition process for the FQHC. Currently, the FQHC serves over 26,000 low-income medical and dental patients.

From January 2009 to May 2016, Dr. Stone worked for the Florida Department of Health in Sarasota County where she was responsible for FQHC non-clinical administrative functions and working collaboratively with the Florida Department of Health in Sarasota County (DOH-S) Administrative team as a liaison between the DOH-S and the CHCSC Board of Directors. Assisted in operationalizing Board and DOH-S policies and procedures relating to resource allocation, quality, personnel and fiscal procedures and systems. Additionally, identified and resolved concerns, served as the CHCSC/DOH-S representative in the community. Served as staff to the Board to facilitate meetings, assisted with strategic planning and implementation, and assured the Board has adequate information to make informed decisions. She, led the National Committee on Quality Assurance Patient Centered Medical Home recognition process which is expected to be completed by the end of June 2016.

Formerly, Dr. Stone was Program Director for the New York City Early Intervention Program under the New York City Department of Health and Mental Hygiene, where she was in charge of the five NYC Borough Offices and the Child Find and Training units. Her responsibilities included program oversight and accountability for adherence to regulations and clinical practice guidelines, assisting with strategic planning, policy development and systems implementation to further the goals of early intervention in New York City.

Dr. Stone graduated with a Bachelor of Business Administration from the University of Florida, a Master’s Degree from Stetson University and a Doctor of Philosophy from the University of Florida. She was previously a developmental psychologist and marriage and family therapist and held state licenses for both disciplines.

Former CEOs/Executive Directors
NameTerm
Leah McAllister Aug 2008 - Dec
Senior Staff
NameTitle
Mike Bannar Chief Information Officer
Amanda Daly M.B.A., B.S., R.N., C.A.PDirector of Clinical Health Services
Dr. William C. Heymann M.D.Medical Director
Ross M. Schaper MBAChief Financial Officer
Staff & Volunteer Statistics
Full Time Staff 232
Part Time Staff 51
Staff Retention Rate % 15
Professional Development Yes
Contractors 4
Volunteers 7
Management Reports to Board Yes
CEO/Executive Director Formal Evaluation Yes
Senior Management Formal Evaluation Yes
Non-Management Formal Evaluation Yes
Collaborations

Sarasota Safety-net System of Care Collaboration- with Sarasota Memorial Health Care System and Friendship Centers

First Step of Sarasota - provision of no cost substance abuse intervention

Florida Region of the American Cancer Society
 
University of South Florida- field placements
 
Florida State University - field placements
 
Sanofi-Avantis - diabetes education
Affiliations
AffiliationYear
Greater Sarasota Chamber of Commerce2015
External Assessments and Accreditations
Assessment/AccreditationYear
Federally Qualified Health Centers (FQHC)2008
Awards & Recognition
Award/RecognitionOrganizationYear
Colorectal Screening GrantAmerican Cancer Society2016
Recognition for Improvement in CareHealth Resources and Service Administration2016
Membership CommitteeFlorida Association of Community Health Centers2011
Risk Management Provisions
Medical Malpractice
General Property Coverage
Risk Management Provisions
Workplace Violence
Improper Sexual Conduct/Sexual Abuse
Government Licenses
Organization Licensed by the Government Yes
Plans
Fundraising Plan No
Communication Plan Yes
Strategic Plan Yes
Strategic Plan Years 3
Strategic Plan Adopted Feb 2015
Management Succession Plan No
Continuity of Operations Plan No
Policies
Nondiscrimination Policy Yes
Whistle Blower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy No
Policies and Procedures Yes
Comments
Management Comments by Organization

By far, the biggest management challenge we face is the transition of our Federally Qualified Health Center from and co-applicant arrangement with the Florida Department of Health in Sarasota to a free standing not-for-profit organization that will operate under the guidance of the Board of Directors.

With a grant from the Patterson Foundation, the Board has engaged the services of a consultant and completed a strategic plan. Implementation of the plan is expected to take a little over eighteen months.

Additionally, the CHCSC Board and the Florida Department of Health engaged the services of a consultant organization to help guide the organization through the transition. Consultant activities are expected to be in two phases, with the Phase 1 report currently in draft form. It is expected that a number of other experts in the field will be consulted.
 
The Board is planning to seek in-kind support and grants from local foundations and community partners. Additionally, the Board will work with the State of Florida to access accrued FQHC revenues for bridge funding until revenues under the new not-for-profit are accrued. .
Board Chair
Board Chair Christine R. Sensenig Esq.
Company Affiliation Hultman Sensenig + Joshi, P.A.
Board Term July 2015 to June 2018
Board Chair Email csensenig@hsjlawfirm.com
Board Members
Board Members
NameAffiliation
Robin Carmichael City of North Port
Maria DeCarlo Sarasota Memorial Health Care System
Gloria DeHaven WellCare Health Plans, Inc.
Arnold Dennard Consumer of Care
Frank Fleischer Esq.Attorney-Retired: Gray Robinson, PA
Irene Fleshner Reno Davis & Associates, Inc.
Precious Fulger Graduate, USF. Ulta.
Dr. Beverly Hindenlang State College of Florida
Erin McLeod Friendship Centers
Christine R. Sensenig Esq.Hultman Sensenig + Joshi, P.A.
Michael Sweeting Esq.Retired - Consumer
Constituency Includes Client Representation Yes
Board Ethnicity
African American/Black 2
Asian American/Pacific Islander 0
Caucasian 10
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Gender
Male 4
Female 8
Unspecified 0
Governance
Board Term Lengths 3
Board Term Limits 2
Board Orientation Yes
Number of Full Board Meetings Annually 12
Board Meeting Attendance % 76
Board Self-Evaluation Yes
Written Board Selection Criteria Yes
Board Conflict of Interest Policy Yes
% of Board Making Monetary Contributions 1
% of Board Making In-Kind Contributions 3
Standing Committees
Board Governance
Executive
Finance
Communications / Promotion / Publicity / Public Relations
Project Oversight
Comments
Governance Comments by Organization

Priority needs for DOH-Sarasota/CHCSC are as follows:

  • Develop and implement a transition plan to assure the sustainability of a Federally Qualified Health Center that is responsive to the residents of Sarasota
  • Continue to stabilize and build the Community Health Centers of Sarasota County Board of Directors
  • Document the impact of the Medicaid Managed Assistance and the Affordable Care Act programs on health center revenues
  • Track the impact of implementing the FQHC Perspective Payment System for Medicaid and Medicare reimbursement versus the previous cost-based reimbursement for services
  • Engage in or continue Quality Assurance, Quality Improvement/Process Improvement
  • Become recognized as a Patient Centered Medical Home
  • Continue customer service improvement activities
Fiscal Year Projections
Fiscal Year Start Month July
Fiscal Year Start Day 01
Fiscal Year Begins 2016
Fiscal Year End Month June
Fiscal Year End Day 30
Fiscal Year Ends 2017
Projected Revenue $20,955,655.00
Projected Expenses $19,780,611.00
Total Projected Revenue includes "in-kind" contributions/ donations Yes
Organization has Endowment No
Endowment Spending Policy N/A
Capital Campaign
Currently In a Capital Campaign No
Campaign Purpose
Campaign Goal
Campaign Dates 0 to 0
Amount Raised To Date 0 as of 0
Historical Financial Review
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201620152014
Foundation and
Corporation Contributions
$38,409$12,097$33,225
Government Contributions$3,014,170$4,381,188$3,631,503
Federal$421,471$2,448,283$1,425,366
State$1,592,699$930,905$260,609
Local$1,000,000$1,002,000$1,945,528
Unspecified$0$0$0
Individual Contributions$2,212,366$0$1,862,209
$0$0$0
$31,402,253$19,610,143$18,383,325
Investment Income, Net of Losses$0$0$0
Membership Dues$0$0$0
Special Events$0$0$0
Revenue In-Kind$0$0$0
Other$77,126$16,154$0
Expense Allocation
Fiscal Year201620152014
Program Expense$20,482,266$18,189,937$17,996,133
Administration Expense$0$0$0
Fundraising Expense$0$0$0
Payments to Affiliates$0$0$0
Total Revenue/Total Expenses1.791.321.33
Program Expense/Total Expenses100%100%100%
Fundraising Expense/Contributed Revenue0%0%0%
Assets and Liabilities
Fiscal Year201620152014
Total Assets$0$0$0
Current Assets$0$0$0
Long-Term Liabilities$0$0$0
Current Liabilities$0$0$0
Total Net Assets$0$0$0
Top Funding Sources
Fiscal Year201620152014
Top Funding Source & Dollar AmountMedicaid $13,778,575Medicaid $8,450,224Medicaid $9,032,574
Second Highest Funding Source & Dollar AmountPrivate Care $13,626,403Private Care $7,797,197Private Care $6,263,784
Third Highest Funding Source & Dollar AmountSelf-Pay $2,666,211Self-Pay $2,945,312Government Grants - Local $1,945,528
CEO/Executive Director Compensation $75,001 - $100,000
Tax Credits No
Solvency
Short Term Solvency
Fiscal Year201620152014
Current Ratio: Current Assets/Current Liabilities------
Long Term Solvency
Fiscal Year201620152014
Long-Term Liabilities/Total Assets------
Financials Comments
Financial Comments by Organization

Per the email received from Susan Geurin, on 4/13/17, the financial information for the CHCSC has been updated. The UDS revenues and expenses were added for 2014 so that the years 2014, 2015, and 2016 could be more realistically compared. Financial data for the years prior to 2014 were based on what was in the Board account and not on the FQHC fiscals. The 2016 UDS revenues and expenses information was updated to include Table 9E-Grant Information. When comparing the information reported to HRSA on the UDS reports for three sequential fiscal years, the revenues for 2014 were $18,039,892 and the expenses were $17,996,133;  the revenues for 2015 were $18,395,979 and the expenses were $18,189,937; and for 2016, the revenues were $20,956,117 and the expenses were $20,482,266. These figures show growth and were not significantly lower than in prior years, as the comments provided by the Community Foundation indicated.

 
As indicated below, an audit and balance sheet is currently not available. The fiscal agent for the FQHC will continue to be the Florida Department of Health in Sarasota County until the FQHC transition is completed at the end of 2017. However, the CHCSC certifies its revenues and expenses to the US. Department of Health and Human Services-Health Resources Services Administration at the end of every calendar year. Attached, you will find these statements for 2015 and 2016.
  
The current financial challenge for the CHCSC is the transition of revenues from the State of Florida-Department Health Trust Fund to the CHCSC 501c (3). As indicated earlier, transferring accrued FQHC revenues will need to be negotiated with the state to assure bridge funding is available to cover expenses until the new entity is up and running. The second step in addressing this issue is registering the CHCSC with the Centers for Medicaid and Medicare Services (CMS) to obtain Medicaid and Medicare numbers. Third is contracting with the various Medicaid, Medicare and private health plans. The CHCSC is adopting a new Electronic Health Record (EHR) allowing services to be billed through the CHCSC and revenues to be credited to its account. What has been articulated above are high level activities that must be undertaken to assure the CHCSC is sustainable.

While the Board files an IRS Form 990, as of the end of March, 2017, there is approximately $70,000 in the checking account.

Financial Comments by Foundation Financial information is taken from the state financial audit which covers all state entities and is not broken down in a way that reflects each county or co-applicant FQHCs. No balance sheet information is available for 2013.
Nonprofit Community Health Centers of Sarasota County Inc
Address 2200 Ringling Boulevard
Sarasota, FL 34237
Phone 941 861-2900

THE COMMUNITY FOUNDATION OF SARASOTA COUNTY, INC. IS A REGISTERED 501(C)(3) NON-PROFIT CORPORATION. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE (1-800-HELP-FLA) OR FROM THE WEBSITE: WWW.FRESHFROMFLORIDA.COM. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. ONE HUNDRED PERCENT (100%) OF EACH CONTRIBUTION IS RECEIVED BY THE COMMUNITY FOUNDATION OF SARASOTA COUNTY. REGISTRATION #SC-02471.