2021-05-07T08:48:28-05:00 2020-06-30 593070669 MSL PA 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2019-07-01 591485025 CENTRAL FLORIDA KIDNEY CENTERS INC CENT 4078436110 203 ERNESTINE STREET ORLANDO FL 32801 DENNIS BUHRING CHIEF EXECUTIVE OFFICER 4078436110 2021-05-07 1 COURTNEY HOGBEN P01619105 4077405400 2019 2022-09-23 18:48:47Z DENNIS BUHRING 203 ERNESTINE STREET ORLANDO FL 32801 28482438 0 X WWW.CFKC.ORG X 1973 FL OPERATING AND MAINTAINING ONE OR MORE OUT-PATIENT DIALYSIS FACILITIES. 9 8 186 8 0 0 20380 1126125 23983160 23785007 836815 320492 224160 71500 25064515 25303124 0 2500 0 0 10466457 9856979 0 0 0 15409243 13454547 25875700 23314026 -811185 1989098 31879522 33382702 17878151 18045512 14001371 15337190 THE PURPOSE OF CENTRAL FLORIDA KIDNEY CENTERS, INC. IS TO DIALYZE PATIENTS WITH END-STAGE RENAL DISEASE (ESRD). ITS GOAL IS TO ASSURE THAT NO ONE IN CENTRAL FLORIDA DIES OF KIDNEY FAILURE DUE TO LACK OF DIALYSIS FACILITIES OR FUNDS. 0 0 20774535 2500 23792025 THE FILING ORGANIZATION PROVIDES A FULL PROGRAM OF SERVICES FOR ADULTS, CHILDREN AND INFANTS ON DIALYSIS. AN INTERDISCIPLINARY APPROACH IS UTILIZED IN SELECTING THE MODE OF DIALYSIS MOST SUITABLE FOR THE PATIENT. THE INTERDISCIPLINARY TEAM INCLUDES THE PHYSICIAN, NURSE, SOCIAL WORKER, DIETITIAN AND THE PATIENT. IN THE CURRENT YEAR, THE HEMODIALYSIS PROGRAM PROVIDED 74,675 IN-CENTER DIALYSIS TREATMENTS, AND THE PERITONEAL DIALYSIS PROGRAM PROVIDED 172 TRAINING SESSIONS AND 26,838 TREATMENTS. 20774535 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 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 0 1 1 0 0 0 1 26 0 1 186 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X MARISSA MAUS 4078436110 203 ERNESTINE STREET ORLANDO FL 32801 GARY BARNES FORMER CEO 0.00 X 255136 0 1446 MICHAEL HSU FORMER CFO/CEO 40.00 X 195341 0 7658 NORMAN PRYOR CMO/PEDIATRIC MEDICAL DIRECTOR 40.00 X 180632 0 6322 DENNIS BUHRING EXECUTIVE DIRECTOR/CEO 40.00 X 156728 0 278 KIMBERLY DEWALT DIRECTOR OF CLINICAL OPERATIONS 40.00 X 119557 0 4016 LINDA CURRIER NURSE MANAGER FOR PALM BAY 40.00 X 105268 0 10857 ROSE PATT NURSE MANAGER FOR N. MELBOURNE 40.00 X 106067 0 5670 KERRY KELLY DIRECTOR 0.50 X 24256 0 0 JERRY KASSAB PRESIDENT 0.50 X X 0 0 0 LAINIE FOX ACKERMAN VICE PRESIDENT 0.50 X X 0 0 0 COURTNEY BARKER SECRETARY 0.50 X X 0 0 0 RAWN WILLIAMS TREASURER 0.50 X X 0 0 0 DALE DETTMER DIRECTOR 0.50 X 0 0 0 ROBERT UFFERMAN DIRECTOR 0.50 X 0 0 0 TOM BALL DIRECTOR 0.50 X 0 0 0 KIM GOEHRING DIRECTOR 0.50 X 0 0 0 1142985 0 36247 7 1 1 0 ASCEND CLINICAL LLC PO BOX 45021 SAN FRANCISCO FL 94145 LABORATORY SERVICES 298607 DR HASAN SHAHAB 10960 DYLAN LOREN CIRCLE ORLANDO FL 32825 MEDICAL DIRECTOR SERVICES 288333 KIDNEY CARE ASSOCIATES LLC 661 E ALTAMONTE DRIVE SUITE 213 ALTAMONTE SPRINGS FL 32701 MEDICAL DIRECTOR SERVICES 261250 INFIAN LLC PO BOX 740926 ATLANTA GA 30374 INFORMATION TECHNOLOGY SERVICES 156200 SPACE COAST NEPHROLOGY ASSOCIATES PLLC 109 SILVER PALM AVENUE MELBOURNE FL 32901 MEDICAL DIRECTOR SERVICES 151667 6 1124713 1412 1126125 NET PATIENT SERVICE REVENUE 621400 23785007 23785007 23785007 362547 362547 124470 59988 64482 64482 64482 3077271 3111169 8157 -33898 -8157 -42055 -42055 MISCELLANEOUS REVENUE 900099 7018 7018 7018 25303124 23792025 0 384974 2500 2500 424166 173838 250328 7834015 6377751 1456264 160114 129290 30824 833392 649990 183402 605292 482768 122524 78258 78258 46442 46442 86109 86109 1590636 1527622 63014 3908 3908 33422 33422 81382 12443 68939 1620223 1619018 1205 62188 27179 35009 4478 1753 2725 478062 465832 12230 766155 746789 19366 189271 178271 11000 MEDICAL EQUIPMENT 4794224 4794224 MEDICAL SUPPLIES 3521660 3521660 MEDICAL RECORDS 41486 41486 EQUIPMENT EXPENSE 19462 19462 37181 2659 34522 23314026 20774535 2539491 0 895300 216 432080 6819837 2993590 2353523 581239 545532 262961 205860 18361767 10309527 8009131 8052240 4939489 14853218 13321137 444595 552276 31879522 33382702 3717613 3544520 5000000 5000000 9160538 6879798 0 2621194 17878151 18045512 X 14001371 15337190 14001371 15337190 31879522 33382702 X 1989098 -762217 108938 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 175 175 0 PART II-B, LINE 1: CENTRAL FLORIDA KIDNEY CENTERS, INC. PAYS MEMBERSHIP DUES TO THE RENAL HEALTHCARE ASSOCIATION, WHICH USED A PORTION OF THESE DUES FOR LOBBYING PURPOSES. 1510093 1510093 7472865 6403886 1068979 3652296 90119 3562177 5726513 3815522 1910991 8052240 INTEREST RATE SWAP 95149 UNEARNED GRANT PROCEEDS 2526045 2621194 X 24621224 -762217 106438 -655779 25277003 86109 -59988 26121 25303124 23285405 59988 59988 23225417 86109 2500 88609 23314026 PART X, LINE 2: AS A NOT-FOR-PROFIT ORGANIZATION WITH EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE IRC, CFKC IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, RENTAL REVENUE ON THE OSCEOLA FACILITY IS CONSIDERED UNRELATED BUSINESS INCOME AND IS SUBJECT TO INCOME TAX, SINCE THE PROPERTY IS FINANCED WITH TAX-EXEMPT BONDS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 108,938. GRANT EXPENSE RECOGNIZED WITH REVENUE ON FINANCIAL STATEMENTS -2,500. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -59,988. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 59,988. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANT EXPENSE RECOGNIZED WITH REVENUE ON FINANCIAL STATEMENTS 2,500. X X X 1 0 0 0 0 0 0 0 0 GARY BARNES FORMER CEO 11885 0 0 0 243251 0 0 0 1446 0 256582 0 0 0 MICHAEL HSU FORMER CFO/CEO 76729 0 0 0 118612 0 3904 0 3754 0 202999 0 0 0 NORMAN PRYOR CMO/PEDIATRIC MEDICAL DIRECTOR 173420 0 7212 0 0 0 6000 0 322 0 186954 0 0 0 DENNIS BUHRING EXECUTIVE DIRECTOR/CEO 156728 0 0 0 0 0 0 0 278 0 157006 0 0 0 PART I, LINE 4A DURING THE YEAR, GARY BARNES AND MICHAEL HSU RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF 243,251 AND 118,612, RESPECTIVELY, PURSUANT TO THE FILING ORGANIZATION'S POLICIES AND PROCEDURES FOLLOWING AN INVOLUNTARY SEPARATION FROM EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO ALL BOARD MEMBERS BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. A REVIEW OF THE 990 IS CONDUCTED BY THE TREASURER. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY DURING THE FINANCIAL STATEMENT AUDIT THE GOVERNING BODY IS ASKED ABOUT ANY CONFLICT OF INTERESTS THAT MAY EXIST. IF ANY EXIST, THEY ARE INVESTIGATED AND RESOLVED BY THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR OFFICERS AND KEY EMPLOYEES, EXCLUSIVE OF THE CHIEF EXECUTIVE OFFICER, IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER. COMPENSATION OF THE CORPORATION'S CHIEF EXECUTIVE OFFICER IS EVALUATED AND VOTED ON EACH YEAR BY THE COMPENSATION COMMITTEE. THE COMMITTEE USES EXTERNAL FACTORS SUCH AS COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUCTIONALLY COMPARABLE POSITIONS, AS WELL AS, INTERNAL PERFORMANCE TO DETERMINE THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. THE COMMITTEE ALSO REVIEWS THE COMPENSATION AGAINST TRENDS THEY HAVE EXPERIENCED AS LEADERS IN THEIR RESPECTIVE COMPANIES. THE COMPENSATION FOR OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER BY REVIEWING THE CURRENT RATES IN THE INDUSTRY ALONG WITH OTHER LOCAL SALARY GUIDES IN DETERMINING THE COMPENSATION AMOUNT. FORM 990, PART VI, SECTION C, LINE 19 THE CORPORATION'S GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 108,938. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE COMPILATION OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. CENTRAL FLORIDA KIDNEY DISEASE MANAGEMENTLLC 203 ERNESTINE STREET ORLANDO FL 32801 463869964 HOME DIALYSIS TREATMENT FL CENTRAL FLORIDA KIDNEY CENTERS INC C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0