2018-05-15T12:20:04-05:00 2017-06-30 273605969 CBIZ MHM LLC 13577 Feather Sound Dr Suite 400 Clearwater FL 337625539 990 2016-07-01 161765073 USF HEALTH PROFESSIONS CONFERENCING CORPORATION USFH 8139744296 124 S FRANKLIN STREET TAMPA FL 33602 CAROLE POST CEO 8139744296 2018-05-15 1 Alicia Brown P01337755 7275721400 71.41.95.34 2018-05-15 10:51:14 ED P 493D73112C4AABDD2A444ACFF91EB91BC0437612 8795436A6D2F947286B80284B86DAF385C7935EA 2016 2021-01-29 14:40:06Z X CAROLE POST 124 S FRANKLIN STREET TAMPA FL 33602 15985666 0 X http://CAMLS-US.org X 2005 FL Provides health care students and professionals with simulation training and education. 6 2 0 5 103094 42068 4166321 4346173 14404206 10664492 840 437688 503206 358473 19074573 15806826 307594 197022 0 0 4499199 3296281 0 0 0 13564802 10749300 18371595 14242603 702978 1564223 22630735 22266170 23025058 21096270 -394323 1169900 X The mission of USF Health Professions Conferencing Corporation (HPCC), a direct support organization and Florida not-for-profit corporation is to support the University missions of academic excellence, top-impact research and beneficial community service, consistent with the goals of the University of South Florida and its Board of Trustees. HPCC strives to achieve that support by using the tools of medical simulation to educate students, train faculty, and prepare health care professionals to acquire, maintain, and enhance their clinical practice and research skills to meet and exceed the workforce and healthcare needs of Tampa Bay, Florida and other communities. 0 0 12453861 197022 10804249 THE ORGANIZATION PROVIDES STUDENTS AND HEALTHCARE PROFESSIONALS (PHYSICIANS, NURSES, PHYSICAL THERAPISTS, SOCIAL WORKERS, PSYCHOLOGISTS, MENTAL HEALTH PROFESSIONALS, AND PHARMACISTS) WITH HIGH QUALITY, AFFORDABLE EDUCATIONAL EXPERIENCES THAT RESPOND TO THEIR EDUCATIONAL AND PROFESSIONAL NEEDS AND INTERESTS TO MAINTAIN AND ENHANCE THE KNOWLEDGE, CLINICAL SKILLS, AND PRACTICE BEHAVIORS REQUIRED FOR EXCELLENCE IN PATIENT CARE. DURING THE YEAR ENDED JUNE 30, 2017, THE ORGANIZATION PROVIDED CONTINUING PROFESSIONAL DEVELOPMENT TO 53,506 PARTICIPANTS AT OVER 1,438 UNIQUE ACTIVITIES. 12453861 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 190 0 1 0 1 1 1 PM 0 0 0 0 0 0 0 0 X 6 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 FL X GREGORY VANNETTE CONTROLLER 8132247860 124 S FRANKLIN STREET TAMPA FL 33602 RHEA F LAW CHAIRPERSON 2.00 0.00 X 0 0 0 CHARLES J LOCKWOOD MD MHCM DIRECTOR 1.00 40.00 X 0 905768 71752 ROBERT H BISHOP PHD PE DIRECTOR 1.00 40.00 X 0 361589 36297 JEFFERY S SPARLING DIRECTOR 1.00 0.00 X 0 0 0 EDMUND F FUNAI MD DIRECTOR 1.00 40.00 X 0 695453 67322 DEBORAH SUTHERLAND PHD CEO (7/1/16 - 7/15/16) 40.00 0.00 X X 0 278037 22704 DAVID J SMITH CEO 8.00 32.00 X X 0 1087929 59737 JOANN M STROBBE SECRETARY/TREASURER 1.00 40.00 X 0 384679 39368 BEVERLY HUGHES COO 40.00 0.00 X 0 169064 19590 GREGORY VANNETTE CONTROLLER 40.00 0.00 X 0 150196 15898 PAUL AYRES DIRECTOR OF SALES 40.00 0.00 X 0 105386 13379 MARK MOYER ADMIN DIRECTOR - CIC 40.00 0.00 X 0 164014 14920 CAROLINE CAMPBELL DIRECTOR SIMULATON ED 40.00 0.00 X 0 103192 13438 CARLOS CALLEGARI MEDICAL DIRECTOR INTERNATI 40.00 0.00 X 0 118146 24045 LUIS LLERENA MEDICAL DIRECTOR SITC 40.00 0.00 X 0 134767 24908 0 4658220 423358 0 0 1 0 CATERING BY KATHY INC 3642 SWANS LANDING DR LAND O LAKES FL 34639 catering 1150322 MEDCURE INC 18111 NE SANDY BLVD PORTLAND OR 97230 EDUCATIONAL DONOR TISSUE 1001823 i3HEALTH 400 MORRIS AVE STE 121 DENVILLE NJ 07834 EDUCATION DEVELOPMENT 228850 TDRS INC PO BOX 51539 SARASOTA FL 34232 SURGICAL ASSISTANCE 160937 KELLY SERVICES INC PO BOX 530437 ATLANTA GA 303530437 EMPLOYMENT ASSISTANCE 153857 9 3629497 716676 19144 4346173 CONTRACTUAL SERVICES 611430 8445860 8342766 103094 REGISTRATION FEES 611430 1875829 1875829 EXHIBIT FEES 611430 327707 327707 OTHER PARTICIPANT FEES 611430 15096 15096 10664492 3187 3187 115622 0 115622 115622 115622 613341 178840 434501 434501 434501 HOTEL-STAY REBATES 611430 171001 171001 PARKING INCOME 812930 71850 71850 242851 15806826 10804249 103094 553310 197022 197022 477861 54052 423809 2227815 1645157 582658 110566 59702 50864 320308 205461 114847 159731 95343 64388 6212 4212 2000 101287 12864 88423 551013 437747 113266 65684 59050 6634 1205881 1092180 113701 1468255 1396441 71814 445718 429231 16487 3346402 3319287 27115 726064 690140 35924 1971825 1939382 32443 59802 15433 44369 RESIDUALS & REFUNDS TO 783509 783509 BAD DEBT EXPENSE 9168 9168 INCOME TAX EXPENSE 8480 8480 14242603 12453861 1788742 0 50 50 180707 716417 2092136 1419796 179561 164063 36720933 16761739 20162768 19959194 15513 6650 22630735 22266170 3730599 1894973 1520460 1541094 17769203 17660053 4796 150 23025058 21096270 X -513060 921863 118737 248037 -394323 1169900 22630735 22266170 1564223 0 X X 0 1 X 1 0 X X 1 UNIVERSITY OF SOUTH FL 593102112 6 1 14242603 0 1 14242603 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20907385 4086631 16820754 1486407 1251037 235370 13148085 10399510 2748575 1179056 1024561 154495 19959194 REFUNDS DUE TO SPONSORS 150 150 X 15829062 22236 22236 15806826 0 15806826 14264839 22236 22236 14242603 0 14242603 Part X, Line 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES ON INCOME OTHER THAN UNRELATED BUSINESS INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FOR THE YEARS ENDING JUNE 30, 2017 AND 2016, THE ORGANIZATION'S SOLE SOURCE OF UNRELATED BUSINESS INCOME WAS CONFERENCING SERVICES. THE ORGANIZATION HAS ADOPTED FASB GUIDANCE REGARDING UNCERTAINTY IN INCOME TAXES AS CODIFIED IN FASB ASC 740-10. AT JUNE 30, 2017, MANAGEMENT DOES NOT BELIEVE IT HAS TAKEN ANY TAX POSITIONS THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES AND FILINGS FOR PERIODS AFTER FISCAL 2013 REMAIN OPEN FOR EXAMINATION. 0 0 0 0 0 0 0 0 0 0 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, CONTINUING HEALTH EDUCATION AND RELATED PROGRAM EXPENSES The USF Health & Education International Foundation (HEIF), established in Panama and housed within its City of Knowledge (Ciudad del Saber) provides and facilitates educational and research support for identified needs. HEIF was organized and functions as a non-profit organization under Panamanian law. It works closely with Panamanian academic partners and governmental entities. 197022 ELECTRONIC TRANSFER N/A N/A 1 0 0 0 0 0 0 Part I, Line 2: A BUDGET FOR EACH ACTIVITY IS APPROVED IN ADVANCE AND EXPENSES ARE SEGREGATED IN THE RECIPIENT'S ACCOUNTING SYSTEM BY ACTIVITY. THE CONTROLLER HAS VIEW RIGHTS TO THE RECIPIENT'S BANK ACCOUNT AND ACCOUNTING RECORDS TO RECONCILE EACH BUDGET ITEM UPON COMPLETION. X X X X 1 0 0 0 0 0 0 0 0 CHARLES J LOCKWOOD MD MHCM DIRECTOR 0 781168 0 124000 0 600 0 0 0 71752 0 977520 0 0 ROBERT H BISHOP PHD PE DIRECTOR 0 360569 0 0 0 1020 0 0 0 36297 0 397886 0 0 EDMUND F FUNAI MD DIRECTOR 0 578433 0 116000 0 1020 0 0 0 67322 0 762775 0 0 DEBORAH SUTHERLAND PHD CEO (7/1/16 - 7/15/16) 0 160725 0 0 0 117312 0 0 0 22704 0 300741 0 0 DAVID J SMITH CEO 0 878512 0 39082 0 170335 0 0 0 59737 0 1147666 0 0 JOANN M STROBBE SECRETARY/TREASURER 0 348659 0 35000 0 1020 0 0 0 39368 0 424047 0 0 BEVERLY HUGHES COO 0 152984 0 15000 0 1080 0 0 0 19590 0 188654 0 0 GREGORY VANNETTE CONTROLLER 0 137176 0 12000 0 1020 0 0 0 15898 0 166094 0 0 MARK MOYER ADMIN DIRECTOR - CIC 0 160014 0 4000 0 0 0 0 0 14920 0 178934 0 0 LUIS LLERENA MEDICAL DIRECTOR SITC 0 134767 0 0 0 0 0 0 0 24908 0 159675 0 0 Part I, Line 4a Deborah Sutherland, CEO, received separaton pay equal to 6 weeks base salary of $33,934. FORM 990, PART V, LINE 2A: PRIOR TO JANUARY 1, 2016 ALL OF THE ORGANIZATION'S (HPCC) PERSONNEL WERE EITHER EMPLOYEES OF USF MEDICAL SERVICES SUPPORT CORPORATION (MSSC), A RELATED ORGANIZATION, OR THE UNIVERSITY OF SOUTH FLORIDA (USF), ALSO A RELATED ORGANIZATION. EFFECTIVE JANUARY 1, 2016 ALL MSSC EMPLOYEES AND RELATED OBLIGATIONS TRANSFERRED TO UNIVERSITY MEDICAL SERVICES ASSOCIATION (UMSA), A RELATED ORGANIZATION. USF AND UMSA PROVIDE HUMAN RESOURCES AND PAYROLL PROCESSING SERVICES FOR THE EMPLOYMENT AND COMPENSATION OF EMPLOYEES ASSIGNED TO PROVIDE SERVICES IN SUPPORT OF HPCC. THE ARRANGEMENT IS SIMILAR TO THAT OF AN EMPLOYEE LEASING SERVICE. ALL PAYROLL RELATED RETURNS ARE FILED UNDER USF OR UMSA. THEREFORE, THE NUMBER OF EMPLOYEES REPORTED ON HPCC'S FORM 990 IS ZERO. Form 990, Part VI, Section B, line 11b THE ORGANIZATION'S CEO AND CFO CONDUCT THE INITIAL REVIEW OF FORM 990. A copy of the complete form is provided to the full Board and approved by the Finance and Audit Committee prior to filing. Form 990, Part VI, Section B, line 12c EACH OF THE ORGANIZATION'S DIRECTORS IS REQUIRED TO DISCLOSE ALL POTENTIAL AND APPARENT CONFLICTS OF INTEREST KNOWN TO SUCH DIRECTOR. THE DISCLOSURE IS TO BE MADE AS SOON AS PRACTICABLE FOLLOWING THE DETERMINATION THAT A CONFLICT OF INTEREST MAY EXIST. DISCLOSURES ARE TO BE MADE TO THE CHAIRMAN OF THE BOARD AND EXECUTIVE DIRECTOR. DIRECTORS ARE REQUIRED TO SIGN ANNUALLY A CONFLICT OF INTEREST CERTIFICATION INDICATING THAT THEY HAVE REVIEWED THE CONFLICT OF INTEREST POLICY AND THAT THEY ARE IN COMPLIANCE. Form 990, Part VI, Section B, line 15a THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY A RELATED ENTITY VIA AN EMPLOYEE LEASING TYPE ARRANGEMENT. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE FINANCE AND AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL AUDIT AND THE SELECTION OF THE INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT. THE COMMITTEE REVIEWS AND APPROVES THE ANNUAL BUDGET AND BUDGET MODIFICATIONS, REVIEWS FINANCIAL PERFORMANCE AND MAKES RECOMMENDATIONS FOR CORRECTIVE ACTION, REVIEWS INTERNAL AND EXTERNAL AUDIT REPORTS, REVIEWS AND RECOMMENDS APPROPRIATE POLICIES FOR APPROVAL BY THE BOARD, AND ASSUMES OTHER TASKS AND SUBJECTS AS MAY BE DESIGNATED BY THE UNIVERSITY VICE PRESIDENT FOR HEALTH SCIENCES OR THE BOARD. UNIVERSITY MEDICAL SERVICE ASSOCIATION INC 12901 BRUCE B DOWNS BLVD MDC 62 TAMPA FL 33612 237313346 TO SUPPORT USF'S COLLEGE OF MEDICINE IN RESEARCH AND EDUCATION FL 501(c)(3) Line 5 UNIVERSITY OF SOUTH FLORIDA 0 UNIVERSITY OF SOUTH FLORIDA 4202 E FOWLER AVE TAMPA FL 33620 593102112 PUBLIC UNIVERSITY FL 501(c)(3) Line 6 N/A 0 UNIVERSITY OF SOUTH FLORIDA FOUNDATION INC 4202 E FOWLER AVE ALC 100 TAMPA FL 33620 590879015 TO RAISE FUNDS IN SUPPORT OF THE PROGRAMS OF USF FL 501(c)(3) Line 7 UNIVERSITY OF SOUTH FLORIDA 0 UNIVERSITY OF SOUTH FLORIDA MEDICAL SERVICES SUPPORT CORP 12901 BRUCE B DOWNS BLVD MDC 62 TAMPA FL 33612 592944683 TO SUPPORT USF'S COLLEGE OF MEDICINE FL 501(c)(3) Line 5 UNIVERSITY OF SOUTH FLORIDA 0 USF FINANCING CORPORATION 4202 E FOWLER AVE CGS 401 TAMPA FL 33620 202865561 FINANCING FL 501(c)(3) Line 10 UNIVERSITY OF SOUTH FLORIDA 0 USF HEALTH AND EDUCATION INTERNATIONAL FOUNDATION CLAYTON CITY OF KNOWLEDGE BLDG 11 PANAMA CITY PM HEALTH EDUCATION CENTER PM UNIVERSITY OF SOUTH FLORIDA 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1