Treasure Coast Community Health (TCCH) - Comprehensive Analysis Report

Summary

Treasure Coast Community Health (TCCH) is a non-profit 501(c)3 organization and Federally Qualified Health Center (FQHC) based in Vero Beach, Florida. Established in 1993 as the Fellsmere Community Health Coalition, it expanded to become TCCH in 2005 to address the growing healthcare needs of Indian River County. The organization's mission is to provide accessible, cost-effective, high-quality, and comprehensive healthcare to all individuals, regardless of socio-economic circumstances, and to improve the overall health of medically underserved families. TCCH envisions itself as a leading primary healthcare provider, committed to patient-centered, integrated outpatient care within a technologically advanced, financially secure, and compassionate environment. It primarily aims to enhance the quality of life in Indian River County through exceptional primary care, education, and community partnerships, serving as a vital safety net and one of the largest healthcare providers in the county outside of its major hospitals.

1. Strategic Focus & Objectives

Core Objectives

TCCH's core objectives are centered on ensuring the accessibility, affordability, and high quality of comprehensive primary healthcare services. This includes expanding their reach to medically underserved areas and populations, offering a sliding fee discount program, and maintaining a patient-centered approach to care delivery. Long-term goals involve sustained growth through strategic facility expansion and enhancing the integration of various healthcare services to provide holistic patient care.

Specialization Areas

TCCH specializes in a wide array of integrated healthcare services, encompassing medical, dental, behavioral and mental health, pharmacy, and vision care. Specific programs include women's health, pediatrics, infectious disease management (including HIV and hepatitis C testing and treatment), and substance use disorder programs. A unique value proposition lies in their integrated care model and their commitment to addressing chronic illnesses through interventions like remote patient monitoring.

Target Markets

The primary target market for TCCH includes residents of Indian River County, particularly those who are underserved, uninsured, underinsured, low-income, and ALICE (Asset Limited, Income Constrained, Employed) populations. They actively seek to improve the quality of life within these communities through targeted healthcare interventions and community partnerships.

2. Financial Overview

Funding History

As an FQHC, TCCH receives federal funding to support its services for underserved communities. The Public Health Service (PHS) Section 330 grant constitutes 14% of TCCH's funding sources. The organization also accepts Medicare, Medicaid, Medicaid HMOs, Healthy Kids, and most private insurances, in addition to offering a sliding fee discount program for patients with limited resources.

Financial Performance:
2023: Total revenues of $34,924,806 and total expenses of $31,273,539.
2024: Total revenue of $31,854,776 and total expenses of $36,066,794.

3. Product Pipeline

Key Products/Services

TCCH is actively expanding its facility and service offerings, demonstrating a robust pipeline development strategy:

17,000 sq ft Medical Facility (Western Indian River County):
Description: A new medical facility designed to address healthcare deserts in the western part of Indian River County.
Development Stage: Slated for opening in 2025.
Target Market/Condition: Underserved populations in western Indian River County.
Expected Timeline: Opening in 2025.
Key Features and Benefits: Will offer pediatrics, primary care, behavioral/mental health, laboratory, x-ray, and pharmacy services, providing comprehensive care in an underserved area.

20,000 sq ft Inclusive Pediatric Center (Oslo Campus):
Description: A new, comprehensive center specifically for children.
Development Stage: Construction anticipated to be completed for opening in 2026.
Target Market/Condition: Children up to 18 years old.
Expected Timeline: Opening in 2026.
Key Features and Benefits: Will provide integrated dental, primary care, and behavioral/mental health services for children in a single location.

Expanded Services at Indian River County Jail:
Description: Provision of enhanced medical, mental health, and dental visits for inmates.
Development Stage: Currently operational and expanded.
Target Market/Condition: Inmates at the Indian River County Jail.
Key Features and Benefits: Addresses critical healthcare needs within the correctional facility.

Fiscal Agent for Mental Health Court (19th Judicial Circuit Court of Florida):
Description: Serving as the fiscal agent for the Mental Health Court.
Development Stage: Active role.
Target Market/Condition: Individuals involved with the Mental Health Court.
Key Features and Benefits: Supports the operation of a vital community program addressing mental health in the justice system.

4. Technology & Innovation

Technology Stack

TCCH operates within a "technologically advanced environment," utilizing technology to improve patient care and accessibility. Key technological capabilities include:

Telehealth Services: Offering telehealth visits to patients, which accounted for a significant number of patient encounters in 2023, demonstrating a commitment to remote care.
Remote Patient Monitoring: Implementation of remote patient monitoring systems for managing chronic conditions such as diabetes, congestive heart failure, and high blood pressure. This allows for proactive health management and personalized care.
Integrated Care Platforms: While specific proprietary platforms are not detailed, the emphasis on integrated care suggests the use of advanced electronic health record (EHR) systems that streamline patient information across various services (medical, dental, behavioral health, etc.).

Their focus remains on leveraging established and emerging technologies to enhance healthcare delivery, patient engagement, and operational efficiency, particularly in managing chronic diseases and expanding access to care.

5. Leadership & Management

Executive Team

Heather Miranda: Interim CEO. Dr. Miranda previously served as Executive Vice President. She holds a doctorate in public health leadership and brings over 25 years of experience in the healthcare field. Her background includes roles in North Carolina health services, focusing on underserved communities and legislative advocacy. She leads the organization in its strategic direction and operational execution.

Andrea Fedock: CFO. Based in Vero Beach, Florida, Andrea Fedock has a background in financial management within the healthcare sector. Her prior experience includes managerial roles at Medical Financial Management and supervisory positions at Martin Memorial Medical Center Inc. She also served as Director of Finance / Associate Executive Director at the Early Learning Coalition of Indian River Martin & Okechobee Counties. She is an alumna of Palm Beach Atlantic University and King's College.
LinkedIn: [https://www.linkedin.com/in/andrea-fedock-7ba552a4](https://www.linkedin.com/in/andrea-fedock-7ba552a4)

Betty Young: Chief Human Resources Officer. Based in Vero Beach, Florida, Betty Young has extensive experience in human resources and management. Her previous roles include District Manager at RADIOSHACK CORP and Director at FAVORITE HEALTHCARE STAFFING. She holds degrees from Wilmington University and Fort Hays State University.
LinkedIn: [https://www.linkedin.com/in/betty-young-71a2434b](https://www.linkedin.com/in/betty-young-71a2434b)

Governing Board of Directors (2025-2026)

Mary Lintermann: Chair
Judi Miller: Immediate Past Chair
Tina Nicholson: Vice Chair
Michele Miller: Treasurer
Betsy Adolphe: Secretary
Buddy Akers
Kelly Cambron
Ed Fialkowski

Recent Leadership Changes

A notable leadership change occurred in November 2025, with the departure of long-serving CEO Vicki Soule. Ms. Soule, who led the organization for over 14 years and was associated with TCCH for 18 years, resigned on November 7, 2025. Following her departure, Heather Miranda, formerly the Executive Vice President, was appointed as the interim CEO on November 17, 2025, to guide the organization during this transition.

6. Talent and Growth Indicators

Hiring Trends and Workforce

As of 2023, Treasure Coast Community Health had a workforce of 447 employees, indicating a substantial operational scale for a community health center. The organization is actively recruiting for a variety of roles, as evidenced by recent job postings for positions such as Medical Assistant Behavioral Health, Receptionist/Front Desk - Medical, Licensed Practical Nurse (LPN), Revenue Cycle Manager, Medical Assistant / Care Gap Quality Trainer, and Pharmacist. These ongoing recruitment efforts suggest a continuous need for staffing across clinical, administrative, and support functions, supporting its existing operations and planned expansion initiatives.

Employee Sentiment and Culture Insights

Employee sentiment towards TCCH is mixed. Online reviews indicate average ratings of 3.1 out of 5 for Work-life balance, 3.0 for Pay & benefits, 2.6 for Job security and advancement, 2.5 for Management, and 2.8 for Culture as of December 2025. Some employees have raised concerns regarding leadership effectiveness, high turnover rates, and a perceived lack of employee appreciation, with some suggesting that executive decisions may prioritize expansion and revenue over internal compensation equity. Conversely, other employees report a positive work environment characterized by supportive co-workers and fair supervisors, along with positive experiences related to employee recognition and training opportunities. This dichotomy in feedback suggests both strengths in interpersonal dynamics and areas for improvement in organizational leadership and employee satisfaction.

7. Social Media Presence and Engagement

Digital Footprint

Treasure Coast Community Health maintains a digital presence, primarily through its YouTube channel. The channel features "Community Conversations" and informational videos designed to engage the public and provide health education. Content includes discussions on mental and behavioral health services, blood sugar control, and overviews of TCCH's mission and values. These videos often feature interviews with former leadership discussing various programs and services. The organization utilizes these platforms to communicate its efforts in community health and its commitment to patient education.

8. Recognition and Awards

While specific named awards or rankings were not detailed in the provided information, Treasure Coast Community Health's designation as a Federally Qualified Health Center (FQHC) inherently implies a high level of recognition and adherence to stringent federal standards for healthcare delivery to underserved populations. Its long-standing operation since 1993, and expansion to serve as a vital safety net provider and one of the largest healthcare providers in Indian River County outside of its major hospitals, underscores its significant regional impact and recognition within the community healthcare sector.

9. Competitive Analysis

(Information not available)

10. Market Analysis

Market Overview

Treasure Coast Community Health operates within the healthcare market of Indian River County, Florida. This market includes a significant population that is underserved, uninsured, underinsured, low-income, and ALICE (Asset Limited, Income Constrained, Employed). As an FQHC, TCCH plays a crucial role as a safety net provider, filling critical gaps in healthcare access for these vulnerable populations.

Growth Potential

The growth potential for TCCH is substantial, propelled by the ongoing need for accessible and affordable healthcare in Indian River County. The planned opening of a 17,000 square-foot medical facility in western Indian River County in 2025 directly addresses "healthcare deserts," indicating clear expansion opportunities into underserved geographical areas. Furthermore, the construction of a 20,000 square-foot inclusive pediatric center by 2026 demonstrates a strategic move to specialized and integrated care, catering to a specific demographic with comprehensive services. The expansion of services at the Indian River County Jail and its role as a fiscal agent for the Mental Health Court also highlight avenues for growth by addressing specific community health needs beyond traditional clinic settings.

Key Market Trends

Increasing Demand for Integrated Care: There is a growing trend towards integrated healthcare models that combine medical, dental, behavioral/mental health, and other services under one roof. TCCH's existing model and planned pediatric center align with this trend.
Focus on Telehealth and Remote Monitoring: The increasing adoption of telehealth and remote patient monitoring, especially post-pandemic, allows for greater accessibility and efficient management of chronic conditions. TCCH's current utilization of these technologies positions it well within this trend.
Addressing Health Disparities: A continued emphasis on addressing health disparities and providing equitable access to care for underserved populations remains a significant market driver for FQHCs like TCCH.
Community Partnerships: Collaborations with local government, judicial systems, and other community organizations are becoming increasingly important for holistic health outcomes. TCCH's involvement with the Mental Health Court exemplifies this trend.

Market Challenges and Opportunities

Challenges:
Funding Reliance: As an FQHC, TCCH relies on federal grants and varied insurance reimbursements, which can be subject to policy changes and funding fluctuations.
Workforce Shortages: The healthcare industry, especially in community health, often faces challenges in recruiting and retaining qualified staff, as indicated by some employee sentiment regarding turnover.
Managing Growth: Rapid expansion, such as the new facilities planned, requires careful management of resources, infrastructure, and staffing to maintain quality of care.
Competitive Landscape: While acting as a safety net provider, TCCH also operates within a broader healthcare landscape that includes larger hospital systems and private practices, requiring continuous demonstration of value and quality.

Opportunities:
Expanding Geographical Reach: The new facility in western Indian River County presents a significant opportunity to serve a previously underserved population and increase patient volume.
Specialized Care Development: The inclusive pediatric center allows TCCH to strengthen its specialized offerings for children, potentially attracting more families to its integrated services.
Leveraging Technology: Further integration and expansion of telehealth and remote patient monitoring can enhance patient engagement, chronic disease management, and operational efficiency.
Strengthening Community Ties: Continued partnerships and serving as a fiscal agent for community programs reinforce TCCH's role as a vital community asset and can lead to broader support and collaboration.

11. Strategic Partnerships

Indian River County Jail:
Nature of Partnership: TCCH provides comprehensive medical, mental health, and dental visits to inmates within the Indian River County Jail.
Strategic Benefits: This partnership addresses a critical public health need, ensures healthcare access for a vulnerable population, and expands TCCH's reach into vital community services.
Collaborative Achievements: Significant expansion of healthcare services for inmates.

Mental Health Court of the 19th Judicial Circuit Court of Florida:
Nature of Partnership: TCCH serves as the fiscal agent for the Mental Health Court.
Strategic Benefits: This collaboration highlights TCCH's commitment to addressing mental health challenges within the community, particularly in the justice system, and supports a crucial program designed to divert individuals from incarceration into treatment.
Collaborative Achievements: Fiscal management and operational support for the Mental Health Court's activities.

12. Operational Insights

TCCH maintains a strong market position as a Federally Qualified Health Center (FQHC) and a vital healthcare safety net for Indian River County. Its competitive advantages lie in its non-profit status, federal funding, and commitment to serving all individuals regardless of socio-economic status, which distinguishes it from private healthcare providers.

Operational Strengths:
Integrated Care Model: The provision of comprehensive medical, dental, behavioral/mental health, pharmacy, and vision services under one umbrella streamlines patient care and improves health outcomes.
Financial Accessibility: Acceptance of diverse insurance plans and a sliding fee discount program ensure services are accessible to a wide range of income levels.
Community Focus: A clear mission to serve medically underserved families and engagement in community-specific health issues establish deep roots within Indian River County.
Strategic Expansion: Proactive plans for new facilities in underserved areas demonstrate a commitment to growth and addressing unmet healthcare needs.
Technological Adaptability: Adoption of telehealth and remote patient monitoring showcases an ability to leverage technology for improved service delivery and patient management.

Areas for Improvement:
Employee Satisfaction and Retention: Addressing reported concerns regarding leadership, job security, and compensation equity could improve employee morale and reduce turnover.
Communication Strategies: Enhancing internal communication and ensuring transparent decision-making can foster a more positive and collaborative work culture.
Leveraging Feedback: Actively soliciting and acting upon employee feedback can help in resolving operational inefficiencies and improving the overall work environment.

13. Future Outlook

Strategic Roadmap

TCCH's strategic roadmap indicates a clear vision for expansion, integration, and community impact. Key initiatives include:

Geographic Expansion: The planned 2025 opening of a 17,000 square-foot medical facility in western Indian River County is a significant step towards reaching more underserved populations.
Service Specialization: The 2026 opening of a 20,000 square-foot inclusive pediatric center adjacent to the Oslo campus will enhance specialized care for children, creating a central hub for pediatric services.
Holistic Health Integration: Continued emphasis on integrating medical, dental, and behavioral health services, exemplified by the new pediatric center, aims to provide comprehensive patient care.
Technological Advancement: Ongoing utilization and potential expansion of telehealth and remote patient monitoring will be crucial in expanding access and improving chronic disease management.
Community Engagement: Strengthening existing partnerships and forging new ones to address broader community health determinants, such as through the Mental Health Court, remains a priority.

Growth Strategies

TCCH's growth strategies are focused on:
Expanding Service Capacity: Through new facility construction and increased staffing.
Targeted Outreach: Reaching specific underserved populations within Indian River County.
Service Diversification: Offering a broader range of specialized services, particularly in pediatrics.
* Operational Efficiency: Leveraging technology to optimize patient flow and care delivery.