2016-09-23T10:18:38-05:00 2015-12-31 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DR STE 400 CLEARWATER FL 33762 990 2015-01-01 591741286 CENTRAL FLORIDA FAMILY HEALTH CENTER INC CENT 4073228645 2400 STATE ROAD 415 SANFORD FL 327716012 LATRICE STEWART CEO 4073228645 2016-09-21 1 BETTY ISLER CPA P00541979 7275721400 2015 2017-02-10 21:41:12Z TRUE HEALTH SONIA SILVA 2400 STATE ROAD 415 SANFORD FL 327716012 20088935 0 X WWW.MYTRUEHEALTH.ORG X 1977 FL MEDICAL AND DENTAL CARE TO THE LOW-INCOME, UNDERINSURED, UNINSURED, MEDICAID & MEDICARE POPULATIONS 10 10 333 12 0 0 8214239 7855695 11057913 12037939 7796 5096 20212 190205 19300160 20088935 0 0 0 0 12467573 15221831 0 0 0 5287468 6918417 17755041 22140248 1545119 -2051313 13812270 12346931 1470669 2056643 12341601 10290288 X PROVIDE PRIMARY MEDICAL AND DENTAL CARE TO THE LOW-INCOME, UNDERINSURED, UNINSURED, MEDICAID AND MEDICARE POPULATIONS OF SEMINOLE AND ORANGE COUNTIES IN FLORIDA. 0 0 14167151 8664224 MEDICAL SERVICES: CFFHC, INC. OPERATES EIGHT DELIVERY SITES IN ORANGE AND SEMINOLE COUNTIES IN FLORIDA. THE FULL COMPLEMENT OF COMPREHENSIVE, PREVENTIVE AND PRIMARY HEALTH SERVICES ARE AVAILABLE ACROSS THE LIFE CYCLES REGARDLESS OF ABILITY TO PAY. DURING 2015, 35,527 USERS ACCESSED 79,543 PRIMARY MEDICAL CARE ENCOUNTERS THROUGH 29.48 PHYSICIAN AND MID-LEVEL PROVIDERS.CFFHC PROVIDES PRIMARY CARE SERVICES INCLUDING THE FOLLOWING: ADULTS, PEDIATRICS, PODIATRY, OB/GYN, IN-HOUSE LABORATORY, IN-HOUSE PHARMACY, AND REFERRALS TO SECONDARY CARE FOR ALL EIGHT LOCATIONS WITHIN ORANGE AND SEMINOLE COUNTIES. 1077064 863447 DENTAL SERVICES: CFFHC, INC. OPERATES FOUR DENTAL SERVICE LOCATIONS IN ORANGE COUNTY, FLORIDA. DENTAL SERVICES ARE PROVIDED TO PATIENTS OF ALL AGES, REGARDLESS OF ABILITY TO PAY.DURING 2015, 3,836 USERS ACCESSED 7,840 DENTAL ENCOUNTERS THROUGH 3.00 DENTAL PROVIDERS.CFFHC PROVIDED BASIC AND EMERGENCY SERVICES, ORAL EXAMINATIONS, RESTORATIVE SERVICES, ORAL SURGICAL SERVICES, AND ORAL REHABILITATIVE SERVICES TO OUR DENTAL PATIENTS. 1974946 1962178 PHARMACY: IN-HOUSE, LICENSED, COMMUNITY PHARMACIES ARE LOCATED IN FOUR OF OUR HEALTH CENTERS. ALL PRESCRIPTIONS ARE REVIEWED BY A LICENSED PHARMACIST FOR COMPATIBILITY, DOSAGE, AND INTERACTIONS. PERSONALIZED MEDICATION COUNSELING BY THE PHARMACIST IS MANDATORY FOR ALL NEW PRESCRIPTIONS. WEB-BASED FORMULARY SERVICE IS AVAILABLE FOR OUR MEDICAL STAFF TO REVIEW.STUDENTS FROM THE UNIVERSITY OF FLORIDA AND NOVA SOUTHEASTERN COLLEGE OF PHARMACY ARE TRAINED AT OUR PHARMACIES. A PART-TIME PATIENT ASSISTANCE COORDINATOR WORKS DIRECTLY WITH ASSISTANTS AND PROVIDERS AT EACH OF THE LOCATIONS TO BETTER SERVE OUR PATIENTS.2015 HIGHLIGHTS INCLUDE: OPEN 247 DAYS, 43,759 NEW MEDICATIONS, 45,328 REFILL MEDICATIONS, 424 PFIZER SHARE-THE-COST MEDICATIONS, AND 983 PATIENT ASSISTANCE MEDICATIONS. THE TOTAL VALUE OF MEDICATIONS DONATED TO THE COMMUNITY IS $12,945,715, INCLUDING $118,197 UNDER THE PFIZER SHARE-THE-COST PROGRAM AND $4,239,575 UNDER THE PATIENT ASSISTANCE PROGRAM. 1204240 595899 ANCILLARY SERVICES: CFFHC, INC. OFFERS IN-HOUSE RADIOLOGY AND LABORATORY SERVICES IN ORDER TO BETTER SERVE OUR PATIENTS. DETAILED AND SPECIALIZED LABS ARE SENT TO OUTSIDE LAB CONTRACTORS FOR PROCESSING. ALL IN-HOUSE AND OUTSIDE LAB SERVICES ARE DOCUMENTED IN THE PATIENTS' MEDICAL RECORDS FOR CONTINUITY OF CARE. 1204240 595899 18423401 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 30 0 1 333 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 FL X X JAMES MERRILL CFO 4073228645 2400 STATE ROAD 415 SANFORD FL 327716012 SUE SESSION CHAIR 1.00 X 0 0 0 DENNIS DOLGNER VICE CHAIR 1.00 X 0 0 0 BERTHENIA BOBB SECRETARY 1.00 X 0 0 0 GARRY ROBINSON TREASURER 1.00 X 0 0 0 FRANCES GARROW MEMBER 1.00 X 0 0 0 DEBBIE LENZEN MEMBER 1.00 X 0 0 0 DENNY PAGANELLI MEMBER 1.00 X 0 0 0 DULCE RODRIQUEZ MEMBER 1.00 X 0 0 0 SONIA C SILVA MEMBER 1.00 X 0 0 0 JAMES TIMMONS MEMBER 1.00 X 0 0 0 LATRICE STEWART CHIEF EXECUTIVE OFFICER 40.00 X 221681 0 12882 LESLIE SMITH CHIEF EXECUTIVE OFFICER 40.00 X 285264 0 6251 JAMES MERRILL CHIEF FINANCIAL OFFICER 40.00 X 131875 0 8168 MICHAEL J SANCHEZ CHIEF FINANCIAL OFFICER 40.00 X 33760 0 512 TRAVIS COX CHIEF INFORMATION OFFICER 40.00 X 184972 0 10959 LEIDEE KARENNA SENORS CHIEF MEDICAL OFFICER 40.00 X 204311 0 20876 ERIC NIEVES CHIEF HUMAN RESOURCES OFFICER 40.00 X 149746 0 4534 DAVID TEITELBAUM PHYSICIAN 40.00 X 272258 0 7337 ANTHONY PERRIN DIRECTOR OF OB/GYN 40.00 X 254760 0 20318 HECTOR OCTAVIANI PHYSICIAN 40.00 X 215462 0 22232 PETER OOSTWOUDER PHYSICIAN 40.00 X 166623 0 26188 DANIEL BIEDA PHYSICIAN 40.00 X 166876 0 19817 2287588 0 160074 29 0 1 0 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 STAFFING 387762 TRUE NORTH ITG INC 16504 9TH AVE SE STE 203 MILL CREEK WA 98012 IT SYSTEM ADMINISTRATION 290035 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 12140 BURLINGTON NC 272162140 LAB SERVICES 199014 FRECKLEFOOT CREATIVE PO BOX 141116 ORLANDO FL 32814 REBRANDING 156358 ACCOUNTEMPS 12400 COLLECTIONS CENTER DR CHICAGO IL 60693 STAFFING 152862 8 7420808 434887 118026 7855695 PATIENT SERVICES 621400 12007121 12007121 PCP INCENTIVES 621400 20817 20817 STUDENT TRAINING 621400 10001 10001 12037939 5096 5096 142396 0 142396 142396 142396 47809 47809 47809 20088935 12085748 0 147492 1275792 1275792 11576594 10622196 954398 204667 196748 7919 1201681 1030252 171429 963097 805590 157507 108746 108746 65176 6789 58387 1742498 1320300 422198 122407 101744 20663 922165 749842 172323 888054 820571 67483 565464 520553 44911 222352 153480 68872 146321 96640 49681 19817 18325 1492 672017 584482 87535 83633 77175 6458 MEDICAL SUPPLIES & EQUI 693613 665261 28352 MEDICATIONS 632892 632892 33262 20561 12701 22140248 18423401 3716847 0 1628286 1388260 5736140 4779278 371032 491288 819433 855832 142266 145823 150117 107814 9448217 5051087 4927958 4397130 37038 181506 13812270 12346931 1229584 1917506 58333 9999 182752 129138 1470669 2056643 X 12341601 10290288 12341601 10290288 13812270 12346931 -2051313 0 X X 0 1 X 1 1 1 X 9080024 7954484 7086970 8214239 7855695 40191412 1171715 1035224 1088282 1115554 973274 5384049 10251739 8989708 8175252 9329793 8828969 45575461 45575461 21493 6384 9011 16019 147492 200399 2786 11989 47809 62584 45838444 50400785 0.99430 0.99710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 844351 844351 5230287 2429671 2800616 406040 402115 3925 2967539 2219301 748238 4397130 CAPITAL LEASE OBLIGATION 129138 129138 X 20713876 973274 973274 19740602 348333 348333 20088935 23113522 973274 973274 22140248 0 22140248 PART X, LINE 2: THE CENTER IS 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 FINANCIAL STATEMENTS. THE CENTER HAS ADOPTED THE FASB GUIDANCE REGARDING UNCERTAINTY IN INCOME TAXES AS CODIFIED IN FASB ASC TOPIC 740-10. AT DECEMBER 31, 2015, MANAGEMENT DOES NOT BELIEVE IT HAS TAKEN ANY TAX POSITIONS THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. THE CENTER'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE CENTER'S OPEN EXAMINATION PERIODS ARE FOR FILINGS AFTER DECEMBER 31, 2011. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANTS TO ACQUIRE AND IMPROVE CAPITAL ASSETS 93,333. MEANINGFUL USE CAPITAL GRANT 255,000. X X X 1 1 0 0 0 0 0 0 0 LATRICE STEWART CHIEF EXECUTIVE OFFICER 221663 0 0 0 18 0 6712 0 6170 0 234563 0 0 0 LESLIE SMITH CHIEF EXECUTIVE OFFICER 210249 0 0 0 75015 0 0 0 6251 0 291515 0 0 0 TRAVIS COX CHIEF INFORMATION OFFICER 174944 0 10000 0 28 0 5586 0 5373 0 195931 0 0 0 LEIDEE KARENNA SENORS CHIEF MEDICAL OFFICER 194293 0 10000 0 18 0 6308 0 14568 0 225187 0 0 0 ERIC NIEVES CHIEF HUMAN RESOURCES OFFICER 139667 0 10000 0 79 0 3761 0 773 0 154280 0 0 0 DAVID TEITELBAUM PHYSICIAN 272234 0 0 0 24 0 0 0 7337 0 279595 0 0 0 ANTHONY PERRIN DIRECTOR OF OB/GYN 254696 0 0 0 64 0 0 0 20318 0 275078 0 0 0 HECTOR OCTAVIANI PHYSICIAN 208977 0 6480 0 5 0 6672 0 15560 0 237694 0 0 0 PETER OOSTWOUDER PHYSICIAN 161225 0 5393 0 5 0 5299 0 20889 0 192811 0 0 0 DANIEL BIEDA PHYSICIAN 161708 0 5168 0 0 0 5188 0 14629 0 186693 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS MADE DURING THE YEAR INCLUDE: LESLIE SMITH, CEO - $75,000. MICHAEL SANCHEZ, CFO - $12,000. EFFECTIVE OCTOBER 1, 2005 AND AS AMENDED SEPTEMBER 23, 2015, THE CENTER HAS ADOPTED A 457(B) DEFERRED COMPENSATION PLAN. UNDER THE PROVISIONS OF THE AMENDED 457(B) PLAN, ONLY A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED INDIVIDUALS ARE DESIGNATED TO PARTICIPATE IN THE PLAN. PARTICIPANTS OF THE PLAN INCLUDE: 1. LATRICE STEWART, CEO 2. JAMES MERRILL, CFO 3. TRAVIS COX, CIO 4. LEIDEE SENORS, CMO 5. ERIC NIEVES, DIRECTOR OF HR FOR THE YEAR ENDED DECEMBER 31, 2015, CONTRIBUTIONS TO THE 457(B) PLAN WERE $90,000 ($18,000 FOR EACH OF THE 5 PARTICIPANTS). THE ONLY INDIVIDUAL DESIGNATED TO PARTICIPATE IN THE PLAN AS OF DECEMBER 31, 2014 WAS LESLIE SMITH, CEO/CMO. LESLIE WAS TERMINATED DURING 2015. UPON TERMINATION, $38,100 WAS PAID FROM THE PLAN. X 1407 118026 COST 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 4 THE CORPORATION'S BY-LAWS WERE AMENDED JULY 24, 2015 BY UNANIMOUS RESOLUTION OF THE BOARD OF DIRECTORS. THE AMENDED BY-LAWS INCLUDE THE ADDITION OF TERM LIMITS FOR BOARD MEMBERS TO ALLOW ACCESS FOR NEW MEMBERS WITH NEW PERSPECTIVES. BOARD MEMBERS SERVE 3-YEAR TERMS AND MAY BE RE-ELECTED FOR UP TO 3 ADDITIONAL TERMS. ALSO INCLUDED IS THE USE OF TELEPHONE AND/OR ELECTRONIC ATTENDANCE FOR BOARD MEETINGS TO ALLOW MEMBERS MORE FLEXIBILITY. BOARD MEMBERS MAY PARTICIPATE IN MEETINGS BY MEANS OF TELEPHONE, VIDO TELECONFERENCE, OR SIMILAR FORMS OF COMMUNICATION. FORM 990, PART VI, SECTION B, LINE 11 THE ACCOUNTING FIRM PREPARES FORM 990. A DRAFT IS PROVIDED TO THE CEO AND CFO WHO MEET TO REVIEW AND DISCUSS THE DETAILS. FORM 990 IS THEN PRESENTED TO THE BOARD CHAIRMAN AND THE FINANCE COMMITTEE FOR REVIEW AND COMMENT. RECOMMENDTAIONS, IF ANY, ARE REPORTED TO THE CEO AND THE APPLICABLE CHANGES ARE MADE. ONCE THIS PROCESS IS COMPLETE, THE REVISED 990 IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AS PART OF THE ANNUAL AUDIT, A LETTER IS SENT TO KEY MANAGEMENT AND STAFF INVOLVED IN ANY OF THE FOLLOWING ACTIVITIES: PURCHASING, INVOICE APPROVAL, PROPOSAL APPROVAL. IF THERE IS A CONFLICT OF INTEREST, IT MUST BE REPORTED. THE BOARD OF DIRECTOR OFFICERS AND MEMBERS ALSO RECEIVE THIS LETTER. THE ANSWERS TO THE QUESTIONNAIRE ARE SENT DIRECTLY BY THE INDIVIDUALS TO THE AUDIT FIRM FOR REVIEW. THE COMPLETED QUESTIONNAIRES ARE NOT SENT TO THE MANAGAMENT OR STAFF OF CFFHC, INC. THE AUDIT FIRM RELAYS INFORMATION ABOUT ANY CONFLICTS NOTED TO THE MANAGEMENT OF CFFHC, INC. ALSO, BEFORE ANY NEW CONTRACTS ARE APPROVED, SOURCES OF CONTRACTORS ARE VERIFIED IN ORDER TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST WITH ANY STAFF OR MANAGEMENT INVOLVED IN THE PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. THE COMPENSATION FOR ALL OFFICERS AND KEY EMPLOYEES IS REVIEWED AND ADJUSTED PERIODICALLY. THE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS BASED ON A REVIEW OF INDUSTRY APPROPRIATE SALARY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: THE AUDIT FIRM SELECTION WAS PERFORMED THROUGH A COMPETITIVE RFP PROCESS. SEVERAL FIRMS WERE INVITED TO SUBMIT PROPOSALS. ALL PROPOSALS RECEIVED WERE COMPARED AND CONTRASTED AND REFERENCES WERE CHECKED ON THE FINAL THREE FIRMS. THE FINANCE COMMITTEE REVIEWED THE SELECTION CRITERIA AND THE BOARD OF DIRECTORS APPROVED THE AUDIT FIRM SELECTION.