2024-11-15T09:20:32-06:00 2024-06-30 621517792 PYA P C 2220 SUTHERLAND AVE KNOXVILLE TN 37919 990 2023-07-01 611566097 CENTRAL FLORIDA CLINICAL PRACTICE ORGANIZATION INC CENT 4072661000 6850 LAKE NONA BLVD HEALTH SCIENCES ORLANDO FL 32827 DANNY CAVALLO CPA TREASURER 4072661000 2024-11-15 1 0 DEBORAH O ERNSBERGER P00364912 8656730844 2023 2024-10-15 13:58:12Z DEBORAH C GERMAN 6850 LAKE NONA BLVD HEALTH SCIENCES ORLANDO FL 32827 36051212 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. 5 1 0 0 0 0 0 0 9673160 11766634 0 246531 0 24038047 9673160 36051212 0 0 0 0 0 0 0 0 0 8500909 10467444 8500909 10467444 1172251 25583768 10945998 36542822 611424 18908458 10334574 17634364 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 10464783 35769713 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 UNIVERSITY'S COLLEGE OF MEDICINE CLINICAL MISSION. CFCPO COLLECTS, RECEIVES AND ADMINISTERS THE CLINICALLY RELATED REVENUES AND DISTRIBUTES THAT REVENUE IN ACCORDANCE WITH THE COLLEGE OF MEDICINE FACULTY PRACTICE PLAN ADOPTED PURSUANT TO FLORIDA BOARD OF GOVERNORS REGULATION 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 COLLEGE OF MEDICINE CLINICAL MISSION 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. 10464783 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 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 15 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 1 0 0 1 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOHN MALEK JD 4072661000 6850 LAKE NONA BLVD ORLANDO FL 32827 DEBORAH C GERMAN MD CEO 2.00 40.00 X 0 876951 26766 TIFFANY ALTIZER CHAIR 2.00 X X 0 0 0 ALBERT FRANCIS VICE-CHAIR 2.00 40.00 X X 0 167880 23745 DANNY CAVALLO CPA TREASURER 2.00 40.00 X 0 316782 48802 JEANETTE C SCHREIBER JD MSW SECRETARY 2.00 40.00 X 0 345074 40575 ALEXANDER CARTWRIGHT DIRECTOR 2.00 40.00 X 0 1105024 44676 MICHAEL DEICHEN DIRECTOR 2.00 40.00 X 0 317670 38815 ADAM NOVAK DIRECTOR OF OPERATIONS UCF 2.00 40.00 X 0 160144 28541 ELIZABETH DOOLEY PHD FORMER DIRECTOR 0.00 40.00 X 0 400102 38602 JANE GIBSON PHD FORMER DIRECTOR 2.00 40.00 X 0 338632 39478 MICHAEL JOHNSON PHD FORMER DIRECTOR 2.00 40.00 X 0 465004 48529 MEHUL PATEL MD FORMER DIRECTOR 2.00 40.00 X 0 481174 41185 EDWARD ROSS MD FORMER OFFICER 2.00 40.00 X 0 438489 45627 NAVEED SAMI MD FORMER DIRECTOR 2.00 40.00 X 0 410893 40659 NAZIHA SLIMANI FORMER DIRECTOR 2.00 40.00 X 0 252450 32379 MARY LOU SOLE PHD RN CCNS CNL FORMER DIRECTOR 2.00 40.00 X 0 330156 41972 0 6406425 580351 0 1 1 0 CHANGE HEALTHCARE LLC 424 CHURCH ST 1400 NASHVILLE TN 37219 TRIAGE SERVICES 612176 INTRAFUSION GP LLC 6555 STATE HWY 161 IRVING TX 75039 INFUSION MANAGEMENT 391277 ECLINICALWORKS LLC 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 SOFTWARE DEVELOPMENT 313019 3 PATIENT CARE REVENUE 621110 9753179 9753179 OTHER REVENUE 900099 2013455 2013455 11766634 243452 243452 3079 0 3079 3079 3079 AFFILIATE REVENUE 900099 24000000 24000000 OTHER NON-OPERATING REVENUE 900099 38047 38047 24038047 36051212 35769713 0 281499 X 5541425 5541425 2661 2661 65738 65738 308971 308971 384587 384587 12661 12661 24837 24837 21191 21191 MEDICAL SUPPLIES 4029857 4029857 75516 75516 10467444 10464783 2661 0 9101608 6741313 1271977 903701 133746 83638 11839 13522 356456 181189 147171 175267 279657 28625381 10945998 36542822 570938 18290121 2974 4915 37512 613422 611424 18908458 X 0 0 0 0 10334574 17634364 10334574 17634364 10945998 36542822 X 25583768 -18283978 X 0 1 X 0 0 X 7638316 8164313 8852174 9673161 11766634 46094598 7638316 8164313 8852174 9673161 11766634 46094598 0 0 0 46094598 7638316 8164313 8852174 9673161 11766634 46094598 1.00000 1.00000 0.00000 X 356456 181189 175267 175267 DUE FROM AFFILIATES 28625381 28625381 DUE TO AFFILIATES 613422 613422 X 36051212 0 36051212 0 36051212 10467444 0 10467444 0 10467444 PART X, LINE 2: THE CFCPO IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS ALSO 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 AS OF JUNE 30, 2024 AND 2023. 0 0 0 0 0 0 0 0 0 DEBORAH C GERMAN MD CEO 0 873879 0 2500 0 572 0 16962 0 9804 0 903717 0 0 ALBERT FRANCIS VICE-CHAIR 0 164880 0 3000 0 0 0 0 0 23745 0 191625 0 0 DANNY CAVALLO CPA TREASURER 0 306960 0 2500 0 7322 0 24933 0 23869 0 365584 0 0 JEANETTE C SCHREIBER JD MSW SECRETARY 0 342002 0 2500 0 572 0 15896 0 24679 0 385649 0 0 ALEXANDER CARTWRIGHT DIRECTOR 0 724713 0 302000 0 78311 0 16962 0 27714 0 1149700 0 0 MICHAEL DEICHEN DIRECTOR 0 315170 0 2500 0 0 0 15747 0 23068 0 356485 0 0 ADAM NOVAK DIRECTOR OF OPERATIONS UCF 0 149389 0 10183 0 572 0 0 0 28541 0 188685 0 0 ELIZABETH DOOLEY PHD FORMER DIRECTOR 0 397102 0 3000 0 0 0 15885 0 22717 0 438704 0 0 JANE GIBSON PHD FORMER DIRECTOR 0 330560 0 7500 0 572 0 15931 0 23547 0 378110 0 0 MICHAEL JOHNSON PHD FORMER DIRECTOR 0 462504 0 2500 0 0 0 24013 0 24516 0 513533 0 0 MEHUL PATEL MD FORMER DIRECTOR 0 319419 0 161755 0 0 0 15760 0 25425 0 522359 0 0 EDWARD ROSS MD FORMER OFFICER 0 435989 0 2500 0 0 0 22587 0 23040 0 484116 0 0 NAVEED SAMI MD FORMER DIRECTOR 0 382891 0 27430 0 572 0 15777 0 24882 0 451552 0 0 NAZIHA SLIMANI FORMER DIRECTOR 0 206111 0 46339 0 0 0 10794 0 21585 0 284829 0 0 MARY LOU SOLE PHD RN CCNS CNL FORMER DIRECTOR 0 327656 0 2500 0 0 0 17106 0 24866 0 372128 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED EFFECTIVE JULY 1, 2023. PLEASE SEE THE NARRATIVE FOR PART VI, SECTION A, LINE 7B FOR AN EXPLANATION OF THE BYLAW AMENDMENTS. FORM 990, PART VI, SECTION A, LINE 7A THE CHAIR OF THE UNIVERSITY OF CENTRAL FLORIDA BOARD OF TRUSTEES APPOINTS AT LEAST ONE REPRESENTATIVE TO SERVE AS A CFCPO DIRECTOR. THE UCF PRESIDENT CAN APPOINT A DESIGNEE AS WELL AS ADDITINAL DIRECTORS, AND THE VICE PRESIDENT FOR HEALTH AFFAIRS DESIGNATES ONE DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B THE BYLAWS WERE AMENDED EFFECTIVE JULY 1, 2023 AND DURING THE FISCAL YEAR ENDING JUNE 30, 2024 TO AMONG OTHER THINGS, AMEND THE COMPOSITION OF THE BOARD IN ORDER TO ADD AS VOTING DIRECTORS THE PRESIDENT OF THE UNIVERSITY OR DESIGNEE, A DESIGNEE OF THE VICE PRESIDENT FOR HEALTH AFFAIRS, AND ADDITIONAL BOARD OF TRUSTEES AND PRESIDENTIAL APPOINTEES, AND TO ELIMINATE VOTING DIRECTOR POSITIONS FOR THE VICE PRESIDENT FOR HEALTH AFFAIRS, DEAN OF THE COLLEGE OF NURSING, THE UCF PROVOST OR DESIGNEE, MEMBERS OF UCF'S MEDICAL AFFAIRS SENIOR LEADERSHIP APPOINTED BY THE VICE PRESIDENT FOR MEDICAL AFFAIRS, AND MEMBERS OF THE COLLEGE OF MEDICINE FACULTY ELECTED BY THE COLLEGE'S CLINICAL FACULTY. THE AMENDMENT ALSO ADDRESSED BOARD MEMBER TERMS, RESIGNATIONS, AND BOARD POWERS; CREATED A CLEAR DELINEATION BETWEEN BOARD OFFICERS AND NON-DIRECTOR CORPORATE OFFICERS; CREATED THE ROLE OF CHIEF EXECUTIVE OFFICER (CEO), WITH THE VICE PRESIDENT RESPONSIBLE FOR HEALTH AFFAIRS SERVING AS CEO, AND SETTING FORTH THE CEO'S DUTIES; THE CEO'S APPOINTMENT OF THE TREASURER AND SECRETARY; REMOVED LANGUAGE REGARDING COMMITTEES AND ADDED LANGUAGE REGARDING GOVERNING AUTHORITY, NON-DISCRIMINATION, CONTRACTS, COMPENSATION, EMPLOYMENT, PROHIBITION ON USE OF STATE FUNDS FOR TRAVEL, INDEMNIFICATION, PUBLIC RECORDS, CODE OF ETHICS, CORPORATE SEAL, INSURANCE, MEETING RULES AND CONFLICTS OF INTEREST. THE BYLAWS WERE ALSO AMENDED TO CLARIFY THAT THE IRS FORM WILL BE PROVIDED TO THE BOARD OF GOVERNORS WHEN REQUESTED. THE ARTICLES OF INCORPORATION WERE AMENDED TO UPDATE THE CORPORATION'S ADDRESS, REVISED THE SECTIONS ON DIRECTORS AND OFFICERS TO ALIGN WITH THE AMENDED BYLAWS, UPDATED THE REGISTERED AGENT INFORMATION AND ADDED ARTICLES AS REQUIRED BY FLORIDA LAW AND THE SECRETARY OF STATE'S OFFICE, INCLUDING THE EFFECTIVE DATE. FORM 990, PART VI, SECTION B, LINE 11B THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN IS SUBMITTED TO INTERNAL MANAGEMENT AND THE ORGANIZATION'S BOARD OF DIRECTORS 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 IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 5,541,425. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,541,425. FORM 990, PART XI, LINE 9: TRANSFER TO THE UNIVERSITY OF CENTRAL FLORIDA COLLEGE OF MEDICINE -18,283,978. 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