UCF ACADEMIC HEALTH INC: Form 990EZ, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
UCF ACADEMIC HEALTH INC (EIN 81-2946322)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-02-20
IRS object ID
202040519349200729
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-02-20T15:56:53-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621517792PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PYA P CBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12220 SUTHERLAND AVEAddressLine1Txt
CityKNOXVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37919ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN812946322EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UCF ACADEMIC HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUCFABusinessNameControlTxt
Phone4072661309PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16850 LAKE NONA BLVDAddressLine1Txt
CityORLANDOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32827ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBORAH C GERMAN MDPersonNm
Person TitleCHAIRPersonTitleTxt
Phone4072661309PhoneNum
Signature2020-02-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBORAH O ERNSBERGERPreparerPersonNm
PTINP00364912PTIN
Phone8656730844PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.204.201.11IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-02-20IPDt
IP Tm15:56:50IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAF23F2A68CFF53983216DF8908F842EE3670BFA3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$0GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Total Revenue$0TotalRevenueAmt
Other Expenses Total$13,337OtherExpensesTotalAmt
Total Expenses$13,337TotalExpensesAmt
Excess Or Deficit For Year-$13,337ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$13,337OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeTO PROMOTE AND SUPPORT MEDICAL EDUCATION, RESEARCH AND PATIENT CARE IN AFFILIATED PARTNERSHIP WITH UNIVERSITY OF CENTRAL FLORIDA AND ITS COLLEGE OF MEDICINE.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomUCF ACADEMIC HEALTH, INC. WAS FORMED BY THE UNIVERSITY OF CENTRAL FLORIDA TO PROMOTE AND SUPPORT MEDICAL EDUCATION, RESEARCH AND PATIENT CARE THROUGH THE DEVELOPMENT AND IMPLEMENTATION OF CLINICAL INITIATIVES AND AFFILIATED PARTNERSHIPS THAT WILL SERVE THE EDUCATION, RESEARCH AND CLINICAL MISSION OF THE UNIVERSITY OF CENTRAL FLORIDA AND ITS COLLEGE OF MEDICINE.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOSEPH CONTE
DIRECTOR2.00$0$0$0
JOHN SCHELL PHD
DIRECTOR2.00$0$0$0
PHYLLIS KLOCK
DIRECTOR2.00$0$0$0
JOHN PITTMAN
DIRECTOR2.00$0$0$0
DEBORAH C GERMAN MD
CHAIR2.00$0$0$0
DENNIS CRUDELE
DIRECTOR AND TREASURER2.00$0$0$0
JEANETTE SCHREIBER JD MSW
SECRETARY2.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptYes (1)ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DANNY CAVALLO AVP FOR FINANCE AND ADMINBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16850 LAKE NONA BLVDAddressLine1Txt
CityORLANDOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32827ZIPCd
FieldValueIRS element (for citing)
Phone4072661309PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
College OrganizationYes (X)CollegeOrganizationInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
FieldValueIRS element (for citing)
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
FieldValueIRS element (for citing)
Total Support$0TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, SECTION B. LINE 13FormAndLineReferenceDesc
ExplanationSHORT YEAR EXPLANATION: ESTABLISHED JUNE 2, 2016ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: CENTRAL FLORIDA HEALTH SERVICES LLC K-1. AMOUNT: 13,337.
FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETSDESCRIPTION: CENTRAL FLORIDA HEALTH SERVICES, INC (OFFSET). AMOUNT: 13,337.
FORM 990-EZ, PART V, QUESTIONS 34IN THE CURRENT YEAR, CHANGES WERE MADE TO THE ORGANIZATION'S BYLAWS REGARDING NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS. SPECIFICALLY, THE CHAIR OF THE UNIVERSITY OF CENTRAL FLORIDA (UCF) BOARD OF TRUSTEES IS NOW REQUIRED TO APPOINT A MEMBER OF THE UCF BOARD TO THE BOARD OF DIRECTORS OF UCF ACADEMIC HEALTH.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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