2014-11-13T12:37:33-06:00 2014-06-30 621517792 PERSHING YOAKLEY & ASSOCIATES P C ONE CHEROKEE MILLS 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2013-07-01 611566097 CENTRAL FLORIDA CLINICAL PRACTICE ORGANIZATION INC CENT 4078824806 6850 LAKE NONA BLVD HEALTH SCIENCES ORLANDO FL 32827 WILLIAM F MERCK II TREASURER 4078824806 2014-11-07 1 DEBORAH O ERNSBERGER P00364912 8656730844 2013 2015-11-30 17:44:51Z DEBORAH C GERMAN 6850 LAKE NONA BLVD HEALTH SCIENCES ORLANDO FL 32827 1628694 0 X N/A X 2008 FL THE CORPORATION WAS FORMED TO SUPPORT AND FURTHER THE CHARITABLE ACTIVITIES OF THE UNIVERSITY OF CENTRAL FLORIDA BY PROMOTING AND SUPPORTING MEDICAL EDUCATION, RESEARCH AND PATIENT CARE. 7 0 0 3 0 0 0 0 1414462 1628694 -194447 -52033 0 0 1220015 1576661 0 0 0 0 0 0 0 0 0 1327114 748940 1327114 748940 -107099 827721 1045523 918769 820560 595156 224963 323613 X TO SUPPORT AND FURTHER THE CHARITABLE ACTIVITIES OF THE UNIVERSITY OF CENTRAL FLORIDA BY PROMOTING AND SUPPORTING MEDICAL EDUCATION, RESEARCH AND PATIENT CARE. 0 0 604798 1576661 CENTRAL FLORIDA CLINICAL PRACTICE ORGANIZATION, INC. (CFCPO) WAS CREATED TO ASSIST THE UNIVERSITY OF CENTRAL FLORIDA COLLEGE OF MEDICINE IN CARRYING OUT ITS CHARITABLE AND EDUCATIONAL ACTIVITIES. CFCPO SUPPORTS THE BUSINESS OPERATIONS OF THE FACULTY PRACTICE OF THE UNIVERSITY'S COLLEGE OF MEDICINE (FACULTY PRACTICE). CFCPO COLLECTS, RECEIVES, ADMINISTERS AND DISTRIBUTES FUNDS IN ACCORDANCE WITH THE COLLEGE OF MEDICINE FACULTY PRACTICE PLAN ADOPTED PURSUANT TO FLORIDA BOARD OF GOVERNORS REGULATION 6C-9.017 (FACULTY PRACTICE PLAN) AND UNIVERSITY OF CENTRAL FLORIDA REGULATION 10.001. CFCPO FUNDS ARE APPLIED AND DISBURSED TO COVER OPERATING EXPENSES OF THE FACULTY PRACTICE AND SUPPORT THE MISSION AND OBJECTIVES OF THE UNIVERSITY OF CENTRAL FLORIDA COLLEGE OF MEDICINE. CFCPO'S ACTIVITIES ARE AN INTEGRAL PART OF THE UNIVERSITY OF CENTRAL FLORIDA'S EXEMPT ACTIVITIES. 604798 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 0 0 0 0 0 X JEANETTE C SCHREIBER JD 4072661000 6850 LAKE NONA BLVD ORLANDO FL 32827 DEBORAH C GERMAN MD CHAIR 2.00 40.00 X X 0 529089 26180 RALPH CARUANA MD VICE CHAIR 2.00 4.00 X X 0 305112 16787 WILLIAM F MERCK II TREASURER 2.00 40.00 X X 0 278887 32578 JEANETTE C SCHREIBER JD SECRETARY 2.00 40.00 X X 0 259429 31745 RAY GILLEY DIRECTOR 2.00 40.00 X 0 0 0 JANE S GIBSON PHD DIRECTOR 2.00 40.00 X 0 197150 26440 BERNARD GROS MD DIRECTOR 2.00 40.00 X 0 305451 30268 0 1875118 163998 0 0 1 0 CERNER PO BOX 412702 KANSAS CITY MO 64141 EHR HOSTING 182217 1 PATIENT CARE REVENUE 621110 1528330 1528330 OTHER REVENUE 900099 100364 100364 1628694 52033 -52033 -52033 -52033 1576661 1576661 0 0 35015 35015 53423 53423 74126 74126 35001 35001 108362 108362 105563 105563 7538 7538 116738 116738 MEDICAL SUPPLIES 175656 175656 MISCELLANEOUS 25219 25219 BANK CHARGES 12299 12299 748940 604798 144142 0 410258 526476 114569 60956 10352 26059 572793 273606 467220 299187 43124 6091 1045523 918769 679536 595156 141024 0 820560 595156 X 0 0 0 0 224963 323613 224963 323613 1045523 918769 X 827721 -729071 X 0 1 X 1 0 X 1133533 1133533 573946 1414462 1628694 3617102 1707479 1414462 1628694 4750635 0 0 0 4750635 1707479 1414462 1628694 4750635 1.00000 0.00000 X 562793 273606 289187 10000 10000 299187 X 1576661 0 1576661 0 1576661 748940 0 748940 0 748940 PART X, LINE 2: THE CENTRAL FLORIDA CLINICAL PRACTICE ORGANIZATION, INC. IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS EXEMPT FROM STATE INCOME TAXES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS AND THERE WERE NO UNCERTAIN TAX POSITIONS. 0 0 0 0 0 0 0 0 0 DEBORAH C GERMAN MD CHAIR 0 496399 0 32690 0 0 0 19824 0 6356 0 555269 0 0 RALPH CARUANA MD VICE CHAIR 0 305112 0 0 0 0 0 16733 0 54 0 321899 0 0 WILLIAM F MERCK II TREASURER 0 260666 0 18221 0 0 0 17171 0 15407 0 311465 0 0 JEANETTE C SCHREIBER JD SECRETARY 0 259429 0 0 0 0 0 16340 0 15405 0 291174 0 0 JANE S GIBSON PHD DIRECTOR 0 197150 0 0 0 0 0 12939 0 13501 0 223590 0 0 BERNARD GROS MD DIRECTOR 0 305451 0 0 0 0 0 16767 0 13501 0 335719 0 0 FORM 990, PART VI, SECTION A, LINE 7A ONE MEMBER OF THE UNVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES IS APPOINTED BY THE CHAIR OF THE UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES TO SERVE AS A MEMBER OF THE CFCPO BOARD OF DIRECTORS. THE CLINICAL FACULTY OF THE UNIVERSITY OF CENTRAL FLORIDA COLLEGE OF MEDICINE ELECTS THREE MEMBERS OF THE CFCPO BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN IS SUBMITTED TO INTERNAL MANAGEMENT AND THE AUDIT COMMITTEE FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTORS AND OFFICERS ARE REQUIRED TO DISCLOSE ANNUALLY ALL CONFLICTS AND POTENTIAL CONFLICTS IN WRITING. IF A POTENTIAL CONFLICT IS DISCLOSED, THE MATERIAL FACTS WILL BE REVIEWED TO DETERMINE IF A CONFLICT EXISTS. BECAUSE OF THEIR OTHER ROLES, THE DIRECTORS AND OFFICERS OF THE ORGANIZATION ARE ALSO SUBJECT TO THE CONFLICT OF INTEREST POLICIES OF THE UNIVERSITY OF CENTRAL FLORIDA AND HAVE THE RESPONSIBILITY TO COMPLY WITH SECTIONS 112.311 - 112.326 OF THE FLORIDA STATUTES, CODE OF ETHICS FOR PUBLIC OFFICERS AND EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY, IN ADDITION TO OTHER GOVERNING POLICIES, IS AVAILABLE UPON REQUEST. ALL CORPORATE POLICIES AND CORPORATE FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER TO THE UNIVERSITY OF CENTRAL FLORIDA -729,071. UCF MEDICAL CENTER LLC 6850 LAKE NONA BLVD ORLANDO FL 32827 453078111 MEDICAL SERVICES (INACTIVE) FL CENTRAL FLORIDA CLINICAL PRACTICE ORGANIZATION INC UNIVERSITY OF CENTRAL FLORIDA 12424 RESEARCH PKY ORLANDO FL 32826 592924021 EDUCATION FL 115 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 UNIVERSITY OF CENTRAL FLORIDA O 729071 CASH