Civic Intelligence

Treasure Coast Community Health Inc

EIN 59-3219191 • 501(c)3 • Vero Beach, FL

Profile

To provide accessible,cost-effective, high quality, comprehensive health care to all persons regardless of their socioeconomic circumstance, and to improve the overall health of the medically underserved families.

1555 INDIAN RIVER BLVD Suite B210Vero Beach, FL 32960

www.tcchinc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

67th percentile

0.41x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

51st percentile

0.29x

Higher debt load relative to revenue than 51% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

14th percentile

-13%

Higher net margin than 14% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

71st percentile

$370,373

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

5th percentile

-17%

Faster asset growth than 5% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

18th percentile

-8.8%

Faster revenue growth than 18% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Down

$22,430,263

Down $4,444,883 (-17%) from 2023

Liabilities

Down

$9,174,507

Down $232,865 (-2.5%) from 2023

Net Assets

Down

$13,255,756

Down $4,212,018 (-24%) from 2023

Revenue

Down

$31,854,776

Down $3,070,030 (-8.8%) from 2023

Expenses

Up

$36,066,794

Up $4,793,255 (+15%) from 2023

Net Income

Down

-$4,212,018

Down $7,863,285 (-215%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $6,167,465Liabilities 2010: $3,679,376Net Assets 2010: $2,488,0892010Assets 2011: $6,359,727Liabilities 2011: $4,056,348Net Assets 2011: $2,303,3792011Assets 2012: $6,568,593Liabilities 2012: $3,900,323Net Assets 2012: $2,668,2702012Assets 2013: $6,404,285Liabilities 2013: $3,983,941Net Assets 2013: $2,420,3442013Assets 2014: $6,675,658Liabilities 2014: $4,104,871Net Assets 2014: $2,570,7872014Assets 2015: $7,285,669Liabilities 2015: $3,276,951Net Assets 2015: $4,008,7182015Assets 2016: $8,040,222Liabilities 2016: $3,636,974Net Assets 2016: $4,403,2482016Assets 2017: $9,240,686Liabilities 2017: $4,336,659Net Assets 2017: $4,904,0272017Assets 2018: $9,092,698Liabilities 2018: $4,597,275Net Assets 2018: $4,495,4232018Assets 2019: $8,998,324Liabilities 2019: $4,215,549Net Assets 2019: $4,782,7752019Assets 2020: $13,892,784Liabilities 2020: $6,738,405Net Assets 2020: $7,154,3792020Assets 2021: $17,114,794Liabilities 2021: $6,012,277Net Assets 2021: $11,102,5172021Assets 2022: $21,130,349Liabilities 2022: $7,313,825Net Assets 2022: $13,816,5242022Assets 2023: $26,875,146Liabilities 2023: $9,407,372Net Assets 2023: $17,467,7742023Assets 2024: $22,430,263Liabilities 2024: $9,174,507Net Assets 2024: $13,255,7562024

Highlighted filing

2024

Assets$22,430,263
Liabilities$9,174,507
Net Assets$13,255,756

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$20M$0-$20MExpenses 2010: $7,206,4492010Expenses 2011: $8,891,2842011Expenses 2012: $9,851,4192012Revenue 2013: $9,461,056Expenses 2013: $9,708,982Net Income 2013: -$247,9262013Revenue 2014: $9,066,333Expenses 2014: $8,915,890Net Income 2014: $150,4432014Revenue 2015: $12,207,406Expenses 2015: $10,769,475Net Income 2015: $1,437,9312015Revenue 2016: $14,680,507Expenses 2016: $14,285,977Net Income 2016: $394,5302016Revenue 2017: $17,636,103Expenses 2017: $17,135,324Net Income 2017: $500,7792017Revenue 2018: $19,165,980Expenses 2018: $19,574,584Net Income 2018: -$408,6042018Revenue 2019: $21,809,783Expenses 2019: $21,522,431Net Income 2019: $287,3522019Revenue 2020: $24,031,516Expenses 2020: $21,659,912Net Income 2020: $2,371,6042020Revenue 2021: $27,947,496Expenses 2021: $23,999,358Net Income 2021: $3,948,1382021Revenue 2022: $30,424,013Expenses 2022: $27,710,006Net Income 2022: $2,714,0072022Revenue 2023: $34,924,806Expenses 2023: $31,273,539Net Income 2023: $3,651,2672023Revenue 2024: $31,854,776Expenses 2024: $36,066,794Net Income 2024: -$4,212,0182024

Highlighted filing

2024

Revenue$31,854,776
Expenses$36,066,794
Net Income-$4,212,018

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$22.4$9.17$13.3$31.9$36.1$4.21
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$26.9$9.41$17.5$34.9$31.3$3.65
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$21.1$7.31$13.8$30.4$27.7$2.71
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.1$6.01$11.1$27.9$24.0$3.95
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.9$6.74$7.15$24.0$21.7$2.37
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.00$4.22$4.78$21.8$21.5$0.29
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.09$4.60$4.50$19.2$19.6$0.41
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.24$4.34$4.90$17.6$17.1$0.50
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.04$3.64$4.40$14.7$14.3$0.39
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.29$3.28$4.01$12.2$10.8$1.44
2014Detailed filing. Detailed filing data is available for this year.$6.68$4.10$2.57$9.07$8.92$0.15
2013Detailed filing. Detailed filing data is available for this year.$6.40$3.98$2.42$9.46$9.71$0.25
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.57$3.90$2.67$9.85
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.36$4.06$2.30$8.89
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.17$3.68$2.49$7.21
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Feb 27, 2026
Return Version
2024v5.2
Gross Receipts
$31,854,776
Mission and Program Overview

Mission

To provide patient-centered, integrated outpatient care in a technologically advanced, financially secure and compassionate environment. To be a valued leader in primary health care, improving the quality of life in indian river county through exceptional primary care, education and community collaboration efforts.

Public health services provided under us department of health & human services sections 330 & 340.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$10,385,857$11,718,898▲ $1,333,041
Prepaid Expenses and Deferred Charges$3,778,609$2,830,537▼ $948,072
Cash and Non-Interest-Bearing Accounts$5,226,217$2,537,968▼ $2,688,249
Accounts Receivable$1,361,886$1,974,242▲ $612,356
Savings and Temporary Cash Investments$3,061,036$1,076,614▼ $1,984,422
Pledges and Grants Receivable$1,005,539$584,303▼ $421,236
Inventories for Sale or Use$73,736$127,929▲ $54,193
Other Notes and Loans Receivable, Net$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$26,875,146$22,430,263▼ $4,444,883
Other Assets Total$1,982,266$1,579,772▼ $402,494
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,066,461$4,773,477▼ $292,984
Accounts Payable and Accrued Expenses$2,408,876$2,875,240▲ $466,364
Other Liabilities$1,887,146$1,447,621▼ $439,525
Deferred Revenue$44,889$78,169▲ $33,280
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$9,407,372$9,174,507▼ $232,865
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$17,455,676$13,243,658▼ $4,212,018
Net Assets With Donor Restrictions$12,098$12,098→ $0
Total Net Assets Fund Balance$17,467,774$13,255,756▼ $4,212,018
Total Liabilities and Net Assets / Fund Balance$26,875,146$22,430,263▼ $4,444,883

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,940,247$3,484,380$9,424,627
Equipment$1,005,980$4,136,594$5,142,574
Land$2,898,838-$2,898,838
Other Land Buildings$1,873,833-$1,873,833
Leasehold Improvements-$276,912$276,912
Other Assets Org$1,321,733--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sarwat Gad MDBH Director/PsychiatristPT$283,577$86,796$370,373
Yadira Padin-rojas MdPsychiatristFT$249,401$68,071$317,472
Vicki Soule Fache MbaCEOFT$215,547$93,920$309,467
Juliette Valeriano MdPhysicianFT$210,285$71,510$281,795
Jennifer Moore MdCMOFT$191,045$59,446$250,491
Dayana Reveron Alvalle MDInternal MedicineFT$209,576$9,542$219,118
Khaldoun Elzoobi MdPediatricianFT$195,750$22,068$217,818
Heather L MirandaExecutive VPFT$161,996$35,677$197,673
ELIZABETH YoungChroFT$120,677$53,516$174,193
Joey TorresCIOFT$128,452$31,938$160,390
Andrea Fedock MbaCFOFT$106,948$15,020$121,968
Lauretta a FarellCDVFT$98,421$18,466$116,887
Rafael ColonInterim CFOFT$86,793$23,093$109,886

Board Members and Trustees

NameTitle
Judi MillerChair
Tina NicholsonVice Chair
Andrea BarkettBoard Member
Buddy AkersBoard Member
Ed FialrowskiBoard Member
Ernestine WilliamsBoard Member
Kelly CambronBoard Member
Lt James HareBoard Member
Mary LintermannBoard Member
Mary SpearBoard Member
Michele MillerBoard Member
Reverend William ShellyBoard Member
Susan ThompsonBoard Member
Theda HollandBoard Member
Trevor LoomisBoard Member
Wanda MajorBoard Member
Wilfred HartBoard Member
Vera SmithSecretary
Betsy AdolpheTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Health Choice Network Of Florida IEhr Support Services9064 NORTHWEST 13 TERRACE, Miami, FL 33172$848,700
Proctor Construction Company LLCProfessional SVCS.2050 US Hwy 1 Suite 200, Vero Beach, FL 32960$341,776
GreenwayEHR Support ServicesPO Box 203658, Dallas, TX 75320$269,297
New Horizons of the Treasure CoastMental Health SVCS.4500 Midway Rd, Fort Pierce, FL 34981$187,555
Physicians Angels IncVirtual Scribe Srvs.PO Box 308, Maumee, OH 43537$159,424
Revenue and Support

Revenue Composition

Contributions and Grants
$14,789,561
Program Service Revenue
$16,860,289
Investment Income
$108,749
Other Revenue
$96,177
All Other Contributions
$8,184,516
Change in Net Assets
$-4,212,018

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies16,305$1,491,426Fair Market Value (FMV)
Other Non Cash Contri Table1$5,681Fair Market Value (FMV)
Total Noncash Contributions16,306$1,497,107-

Audited Revenue Reconciliation

Revenue per Audited Statements
$31,791,028
Revenue Not Reported on Financial Statements
$63,748
Revenue Not Reported on Form 990
$190,800
Other Revenue Adjustments
$63,748
Total Revenue per Audited Statements
$31,981,828
Total Revenue per Form 990
$31,854,776
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$25,501,799
Other Expenses$10,564,995
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,067,058$4,271,927-$20,338,985
Other Employee Benefits$1,384,317$351,615-$1,735,932
Fees for Services Other$1,603,742$68,073-$1,671,815
Payroll Taxes$1,278,130$313,243-$1,591,373
Current Officers, Directors, Trustees, and Key Employees$1,440,955--$1,440,955
Depreciation Depletion$698,061$166,706-$864,767
Occupancy$468,793$122,092-$590,885
All Other Expenses$129,729$284,874-$414,603
Pension Plan Contributions$311,604$82,950-$394,554
Office Expenses$249,240$52,958-$302,198
Insurance$214,312$82,506-$296,818
Interest$95,581$168,671-$264,252
Other Expenses$72,859$57,478-$130,337
Fees for Services Accounting-$75,186-$75,186
Travel$16,358$34,989-$51,347
Total Functional Expenses$29,394,834$6,671,960$0$36,066,794

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$36,193,846
Total Expenses per Form 990$36,066,794
Expenses per Audited Statements$36,003,046
Expenses Not Reported on Form 990$190,800
Expenses Not Reported on Financial Statements$63,748
Other Expense Adjustments$63,748
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Right-of-use Liability$1,037,520
Capital Leases$410,101
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

Form 990 is scheduled for review prior to filing. The form is included in the finance committee's monthly packet of information for a detailed review. The form is then included as part of the governing board's monthly packet of information for review and discussion. A vote to approve the form for submission is made prior to filing.

Form 990, Part VI, Section B, Line 12C

Treasure coast community health has a conflict of interest policy that is monitored and reviewed by the finance committee. All directors, officers, and members of a committee with governing board delegated powers are required to sign the conflict of interest policy during the annual training process. The policy requires that all actual and possible conflicts of interest be disclosed and all material facts be presented to the finance committee for evaluation. The governing board is also aware that they are to recuse themselves from the voting process should there be any conflict of interest with regard to the voting matter.

Form 990, Part VI, Section B, Line 15

The organization follows a salary practices policy to determine compensation. The process uses the national association of community health center's survey to establish an appropriate salary grade/pay range for positions due to the small comparative body locally. The board of directors has a formal review process for the chief executive officer's compensation. On an annual basis all board members are surveyed for their scoring of the ceo on multiple criteria. A committee reviews that completed surveys and tallies the scores for review by the executive committee. The completion of the review is then shared with the ceo along with the next year's goals and expectations.

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 individual request.

Filing and Contact Details

Filer

Filer Name
Treasure Coast Community Health Inc
EIN
59-3219191
In Care Of
% JOSE ZIRENA
Phone
7725711985
Address
1555 INDIAN RIVER BLVD Suite B210, VERO BEACH, FL 32960

Signing Officer

Name
heather miranda
Title
Interim CEO
Phone
7725711981
Signed
2026-02-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
heather miranda
Formed
1993
Legal Domicile
Fl
Voting Board Members
19
Independent Board Members
18
Employees
457
Volunteers
37

Preparer

Firm
Withumsmithbrownpc
Address
200 S ORANGE AVESTE 1200, ORLANDO, FL 32801-3400
Preparer
Erik a Halluska CPA
Phone
4078491569
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

The finance committee is responsible for the oversight of the annual financial statement audit and the selection of the independent certified public accountant retained to conduct the audit. The finance committee includes the treasurer of the governing board as chairperson. The committee meets monthly. Duties are to review the finances of the organization and make appropriate financial reports to the governing board, to develop policies related to monies, to monitor the organization's asset performance, to develop the annual budget and its financial priorities, to review the organization's annual audit and to make pertinent recommendations to the governing board. These include investments, cash flow analysis, monthly review of profits and losses, and capital planning. This process has not changed from the prior year.

Financial Statement Notes

PART X, LINE 2:

TCCH and the affiliate are exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code and from Florida income tax under Chapter 220 of the Florida Statutes. Accordingly, no provision for income taxes has been included in the accompanying consolidated financial statements. Accounting principles generally accepted in the United States of America prescribe requirements for the recognition of income taxes in financial statements, and the amounts recognized are affected by income tax positions taken by the Center in its tax returns. The Center's status as an exempt organization is defined as an income tax position under these requirements. While management believes it has complied with the Internal Revenue Code, the sustainability of some income tax positions taken by the Center in its tax returns may be uncertain. There are minimum thresholds of likelihood that uncertain tax positions are required to meet before being recognized in the financial statements. Management does not believe that the Center has any material uncertain tax positions at December 31, 2024 and 2023. In the event interest and penalties were due relating to an unsustainable tax position, they would be treated as a component of income tax expense. No interest or penalties were due for the years ended December 31, 2024 and 2023.

PART XI & XII, LINES 4B:

Miscellaneous student training costs of $63,748 were charged against other revenues for financial statement presentation but have been reclassified to expenses for tax return presentation.

Raw XML AppendixShowing 400 of 1,010 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0Treasure Coast Community Health, Inc. (TCCH), a local nonprofit health center, has been built on a foundation of public/private partnerships. Across our communities, state and nation, community health centers have achieved unparalleled success in improving access, health outcomes, and cost-effective, quality health care to individuals and families in need. The TCCH chief executive officer, along with highly credentialed management staff, focus on this overarching goal to provide integrated healthcare, through high quality, affordable, accessible programs and services from birth throughout the senior years. In 2024, TCCH served 32,878 individual patients through 92,879 clinical and 11,474 telehealth visits; 4,087 patients were best served in a language other than English. All clinical staff are board-eligible or board-certified. TCCH serves a multi-cultural population encompassing all economic levels. Approximately 48% of patients had income below 200% Federal Poverty Level (FPL), 2% were greater than the FPL, and 48% were unknown. Thirty five percent of the patients served were uninsured;7% of the total uninsured were children. TCCH programs and serves are based on community needs, ensuring patients have access to a continuum of coordinated care and vital support services which can lead to positive health outcomes, behaviors, and lifestyles. TCCH is a Patient Centered Medical and Dental Home. This care delivery model provides patients with integrated care across disciplines for complete wellness, encompassing behavioral and mental health, dental, medical, pharmacy and vision services. Breaking Down Barriers to Health Care Since 1993, TCCH has filled healthcare gaps for an ever increasing number of people, including children. Through the infectious disease program and in partnership with our pharmacy team, TCCH is now able to test and treat Hep-C and test and provide PrEP for HIV. TCCH earned the Diabetes Education Accreditation Program by the Association of Diabetes Care & Education Specialists (ADCES). Accreditation represents high quality and the ability to better meet the needs of Medicare recipients and others affected by diabetes. TCCH is one of two ADCES accredited diabetes programs in the Treasure Coast area. Remote patient monitoring became available to patients with a combination of diabetes, congestive heart failure and high blood pressure. Our mobile outreach grew into underserved communities with vaccinations, diagnostic services, and rapid hepatitis C and HIV testing and treatment. TCCH was honored to be named the fiscal agent of the Mental Health Court of the 19th Judicial Circuit Court of Florida that counsels and steers individuals away from incarceration, strengthens their mental health and wellness, and better equips them to handle life's challenges. A sliding fee discount is available based on family size and income. TCCH serves as a safety net for the underserved, uninsured, at risk, and ALICE populations. Healthcare for all, regardless of economic circumstances, remains our core belief. Creating Strategies for a Healthier Community TCCH works to improve quality of life for all residents of Indian River County with strategic focus and appropriate interventions to address chronic illness and other problems, which impact overall community health. As we care for the physical and mental health of those in need, we build a stronger, more economically viable community for all. With consistent support, adults feel empowered to make positive choices regarding personal health, which can lead to constructive change within their own lives and the communities to which they return. Children who experience poverty do not always have access to timely healthcare. They also carry the weight of family stress to school, sometimes suffering through illness rather than add another burden. Parents want the best for their children and sometimes need extra help securing resources. In order to support student's wellness and educati
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