2014-11-13T08:13:14-06:00 2013-12-31 273605969 CBIZ MHM LLC 1401 COURT STREET CLEARWATER FL 337566146 990 2013-01-01 591741286 CENTRAL FLORIDA FAMILY HEALTH CENTERINC CENT 4073228645 2400 STATE RD 415 SANFORD FL 327716012 DR LESLIE SMITH CEO 4073228645 2014-11-11 1 BETTY ISLER CPA P00541979 7274463058 2013 2015-11-30 17:44:51Z X DR LESLIE SMITH 2400 STATE RD 415 SANFORD FL 32771 17822971 0 X WWW.CFFHC.ORG X 1977 FL PROVIDE PRIMARY MEDICAL AND DENTAL CARE TO THE LOW-INCOME, UNDERINSURED, UNINSURED, MEDICAID AND MEDICARE POPULATIONS OF SEMINOLE AND ORANGE COUNTIES IN FLORIDA. 9 9 279 11 0 0 7954484 7086970 8970355 10721254 6384 11961 0 2786 16931223 17822971 0 0 0 0 11597104 12308085 0 0 0 4968393 5064653 16565497 17372738 365726 450233 11448838 12265385 1102589 1468903 10346249 10796482 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 9841610 7758329 MEDICAL SERVICES - CFFHC, INC. OPERATES SEVEN 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 2013, 42,415 USERS ACCESSED 97,831 PRIMARY MEDICAL CARE ENCOUNTERS THROUGH 30.77 PHYSICIAN AND MID-LEVEL PROVIDERS. CFFHC PROVIDES PRIMARY CARE SERVICES INCLUDING THE FOLLOWING: ADULTS, PEDIATRICS, IN-HOUSE LABORATORY, IN-HOUSE PHARMACY, AND REFERRALS TO SECONDARY CARE FOR ALL SEVEN LOCATIONS WITHIN ORANGE AND SEMINOLE COUNTIES. 644010 536059 DENTAL SERVICES - CFFHC, INC OPERATES TWO DENTAL SERVICE LOCATIONS IN ORANGE COUNTY FLORIDA. DENTAL SERVICES ARE PROVIDED TO PATIENTS OF ALL AGES, REGARDLESS OF ABILITY TO PAY.DURING 2013, 3,473 USERS ACCESSED 6,718 DENTAL ENCOUNTERS THROUGH 2.09 DENTAL PROVIDERS.CFFHC PROVIDED BASIC AND EMERGENCY SERVICES, ORAL EXAMINATIONS, RESTORATIVE SERVICES, ORAL SURGICAL SERVICES, AND ORAL REHABILITATIVE SERVCIES TO OUR DENTAL PATIENTS. 1821823 1759099 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 FULL-TIME PATIENT ASSISTANCE COORDINATOR WORKS DIRECTLY WITH ASSISTANTS AND PROVIDERS AT EACH OF THE LOCATIONS TO BETTER SERVE OUR PATIENTS.2013 HIGHLIGHTS INCLUDE: OPEN 248 DAYS, 66,832 NEW MEDICATIONS, 49,794 REFILL MEDICATIONS, 8,421 PFIZER SHARE THE COST MEDICATIONS, AND 2,415 PATIENT ASSISTANCE MEDICATIONS. THE TOTAL VALUE OF MEDICATIONS DONATED TO THE COMMUNITY IS $12,510,053, INCLUDING $1,547,540 UNDER THE PFIZER SHARE THE COST PROGRAM. 724255 670553 LABORATORY SERVICES - CFFHC, INC OFFERS IN-HOUSE 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. 724255 670553 13031698 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 24 0 1 279 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X JAMES MERRILL 4073228645 2400 STATE ROAD 415 SANFORD FL 32771 DENNIS DOLGNER CHAIRMAN 1.00 X 0 0 0 SUE SESSION VICE CHAIR 1.00 X 0 0 0 SONIA SILVA SECRETARY 1.00 X 0 0 0 RICHARD RHODES TREASURER 1.00 X 0 0 0 RICK MANN MEMBER 1.00 X 0 0 0 BERTHENIA BOBB MEMBER 1.00 X 0 0 0 FRANCES GARROW MEMBER 1.00 X 0 0 0 DULCE RODRIGUEZ MEMBER 1.00 X 0 0 0 GARY ROBINSON MEMBER 1.00 X 0 0 0 JAMES MERRILL CHIEF FINANCIAL OFFICER 40.00 X 125624 0 1541 LESLIE SMITH CHIEF EXECUTIVE OFFICER 40.00 X 286636 0 36130 LATRICE STEWART CHIEF OPERATING OFFICER 40.00 X 123483 0 4815 TRAVIS COX CHIEF INFORMATION OFFICER 40.00 X 83069 0 511 NEAL MORTENSEN ASSOCIATE MEDICAL DIRECTOR 40.00 X 161232 0 4837 CATHERINE ANDREWS PHYSICIAN 40.00 X 162594 0 1172 LALITHA IYER PHYSICIAN 40.00 X 166684 0 7313 MONICA MORTENSEN PHYSICIAN 40.00 X 159477 0 1429 HECTOR OCTAVIANI PHYSICIAN 40.00 X 211416 0 15102 PETER OOSTWOUDER PHYSICIAN 40.00 X 164253 0 16387 1644468 0 89237 21 0 1 0 HEALTHCARE SUPPORT STAFFING 2269 LEE RD WINTER PARK FL 32789 CONTRACT LABOR 446429 LABORATORY CORP OF AMERICA 508 S LEXINGTON AVE BURLINGTON NC 27215 LAB TESTS 323466 QUEST DIAGNOSTICS 3 GIRALDA FARMS MADISON NJ 07940 LAB TESTS 235697 STAFF CARE INC 5001 STATESMAN DR IRVING TX 75063 CONTRACT LABOR 113930 4 6620647 466323 466323 7086970 PATIENT SERVICES 621400 10669598 10669598 PCP INCENTIVES 621400 31656 31656 TRAINING PHARMACY STUDENTS 621400 20000 20000 10721254 9011 9011 2950 0 2950 2950 2950 2786 2786 2786 17822971 10724040 0 11961 827878 331521 496357 9690912 7664904 2026008 168632 139831 28801 820909 578939 241970 799754 608311 191443 37969 28940 9029 39402 30032 9370 1065715 782164 283551 25156 881 24275 672971 248479 424492 269114 131099 138015 140286 140286 94485 22351 72134 107546 67932 39614 685626 526026 159600 29054 24907 4147 MEDICATIONS 1208867 1208867 MEDICAL SUPPLIES & EQUI 643130 461676 181454 45332 34552 10780 17372738 13031698 4341040 0 1301654 1675079 3811042 5127233 680134 315865 1126803 849855 100383 107814 228868 154763 7966872 3950496 4195044 4016376 4910 18400 11448838 12265385 889894 1089959 212695 148768 0 230176 1102589 1468903 X 10094048 10796482 252201 0 10346249 10796482 11448838 12265385 450233 0 X X 0 1 X 1 1 1 X 7905369 8470228 9080024 7954484 7086970 40497075 1147668 1150100 1171715 1035224 1088282 5592989 9053037 9620328 10251739 8989708 8175252 46090064 46090064 65116 67916 21493 6384 9011 169920 46259984 0.99630 0.98370 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 12230 12230 0 PART II-B, LINE 1: AN ANNUAL ASSESSMENT FEE WAS PAID TO FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS FOR THEIR ADVOCACY WORK ON BEHALF OF ALL COMMUNITY HEALTH CENTERS IN THE STATE OF FLORIDA. 80311 80311 4518189 1663325 2854864 406040 302690 103350 2962332 1984481 977851 4016376 CAPITAL LEASE OBLIGATION 230176 230176 X 18402999 1088282 1088282 17314717 508254 508254 17822971 18461020 1088282 1088282 17372738 0 17372738 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 FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) GUIDANCE REGARDING UNCERTAINTY IN INCOME TAXES AS CODIFIED IN FASB ASC TOPIC 740-10. AT DECEMBER 31, 2013, 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, 2009. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANTS TO ACQUIRE AND IMPROVE CAPITAL ASSETS 258,804. MEANINGFUL USE CAPITAL GRANT 246,500. GAIN ON SALE OF EQUIPMENT 2,950. X X 0 0 0 0 0 0 0 0 0 LESLIE SMITH CHIEF EXECUTIVE OFFICER 279436 0 7200 0 0 0 25150 0 10980 0 322766 0 0 0 NEAL MORTENSEN ASSOCIATE MEDICAL DIRECTOR 156882 0 4350 0 0 0 4837 0 0 0 166069 0 0 0 CATHERINE ANDREWS PHYSICIAN 161144 0 1450 0 0 0 0 0 1172 0 163766 0 0 0 LALITHA IYER PHYSICIAN 162154 0 4530 0 0 0 5068 0 2245 0 173997 0 0 0 MONICA MORTENSEN PHYSICIAN 154607 0 4870 0 0 0 0 0 1429 0 160906 0 0 0 HECTOR OCTAVIANI PHYSICIAN 205046 0 6370 0 0 0 6598 0 8504 0 226518 0 0 0 PETER OOSTWOUDER PHYSICIAN 159683 0 4570 0 0 0 5261 0 11126 0 180640 0 0 0 X 11748 466323 COST 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 AFTER THE FINAL FORM 990 IS RECEIVED FROM THE ACCOUNTING FIRM THAT PREPARED IT, THE CEO AND CFO MEET TO GO OVER IT AND DISCUSS THE DETAILS. THE 990 IS THEN PRESENTED TO THE BOARD CHAIRMAN AND THE FINANCE COMMITTEE FOR THEIR REVIEW. RECOMMENDTAIONS, IF ANY, ARE THEN REPORTED TO THE CEO AND THE APPLICABLE CHANGES ARE MADE. AFTER 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 WHICH WERE 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 FORM SELECTION.