2018-10-11T13:32:16-05:00 2017-12-31 273605969 CBIZ MHM LLC 13577 FEATHER SOUND DR SUITE 400 CLEARWATER FL 337625539 990 2017-01-01 591741286 CENTRAL FLORIDA FAMILY HEALTH CENTER INC CENT 4073228645 4930 E LAKE MARY BLVD SANFORD FL 327715003 LATRICE STEWART CEO 4073228645 2018-09-21 ALICIA BROWN P01337755 7275721400 2017 2022-09-23 18:48:47Z TRUE HEALTH GARY ROBINSON 4930 E LAKE MARY BLVD SANFORD FL 327715003 23380184 0 X WWW.MYTRUEHEALTH.ORG X 1977 FL MEDICAL AND DENTAL CARE TO THE LOW-INCOME, UNDERINSURED, UNINSURED, MEDICAID & MEDICARE POPULATIONS 9 9 349 14 0 0 8484171 8351453 14233897 14933710 4958 -13694 101527 26690 22824553 23298159 0 0 0 0 17974813 17646093 0 0 178068 6372023 5068744 24346836 22714837 -1522283 583322 10601802 11697828 1833797 2346501 8768005 9351327 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 14474551 11074885 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 2017, 44,683 USERS ACCESSED 103,226 PRIMARY MEDICAL CARE ENCOUNTERS THROUGH 32.89 FTE 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. 1972413 2753231 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. 2017 HIGHLIGHTS INCLUDE: OPEN 247 DAYS, 53,720 NEW MEDICATIONS, 48,339 REFILL MEDICATIONS, 471 PFIZER SHARE-THE-COST MEDICATIONS, AND 651 PATIENT ASSISTANCE MEDICATIONS. THE TOTAL VALUE OF MEDICATIONS PROVIDED TO THE COMMUNITY WAS $11,004,833, INCLUDING $200,768 UNDER THE PFIZER SHARE-THE-COST PROGRAM AND $1,717,496 UNDER THE PATIENT ASSISTANCE PROGRAM. 1332917 530172 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. 796272 619280 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 2017, 3,322 USERS ACCESSED 5,982 DENTAL ENCOUNTERS THROUGH 1.88 FTE DENTAL PROVIDERS. CFFHC PROVIDED BASIC AND EMERGENCY SERVICES, ORAL EXAMINATIONS, RESTORATIVE SERVICES, ORAL SURGICAL SERVICES, AND ORAL REHABILITATIVE SERVICES TO OUR DENTAL PATIENTS. 796272 619280 18576153 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 45 0 1 349 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 FL X JAMES MERRILL CFO 4073228645 4930 E LAKE MARY BLVD SANFORD FL 327715003 GARRY ROBINSON CHAIR 1.00 X 0 0 0 EUGENE PROVAN VICE CHAIR 1.00 X 0 0 0 DEBBIE LENZEN SECRETARY 1.00 X 0 0 0 DENNY PAGANELLI TREASURER 1.00 X 0 0 0 FOSTER ANTHONY MEMBER 1.00 X 0 0 0 BERTHENIA BOBB MEMBER 1.00 X 0 0 0 DENNIS DOLGNER MEMBER (1/1/17-12/31/17) 1.00 X 0 0 0 DEBBIE PUSATERI MEMBER 1.00 X 0 0 0 DULCE RODRIQUEZ MEMBER 1.00 X 0 0 0 SONIA SILVA MEMBER 1.00 X 0 0 0 SUE SESSIONS MEMBER (1/1/17-1/4/17) 1.00 X 0 0 0 VILMA SIERRA MEMBER (1/1/17-1/4/17) 1.00 X 0 0 0 LATRICE STEWART CHIEF EXECUTIVE OFFICER 40.00 X 311160 0 12952 JAMES MERRILL CHIEF FINANCIAL OFFICER 40.00 X 194887 0 15158 TRAVIS COX CHIEF INFORMATION OFFICER 40.00 X 206161 0 13215 LEIDEE KARENNA SENORS CHIEF MEDICAL OFFICER 40.00 X 222930 0 28127 DEANA MONTELLA CHIEF NURSING OFFICER 40.00 X 141363 0 13500 JANELLE DUNN CHIEF OPERATIONS OFFICER 40.00 X 163048 0 24152 JENNIFER SIMPKINS PHYSICIAN 40.00 X 193613 0 6762 WILLIAMS R VIVAS PHYSICIAN 40.00 X 188616 0 10053 JUAN ALMEYDA-GOMEZ PHYSICIAN 40.00 X 180064 0 13545 PETER OOSTWOUDER PHYSICIAN 40.00 X 179267 0 26233 VENKATA POTHURAJU PHYSICIAN 40.00 X 175576 0 11584 2156685 0 175281 26 0 1 0 HEALTHCO INFORMATION SYSTEMS 7657 SW MOHAWK ST TUALATIN OR 97062 EMR SYSTEM SUPPORT 246638 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 12140 BURLINGTON NC 272162140 LAB 243847 CORVUS OF ORLANDO LLC 1009 MAITLAND CTR COMNS BLVD STE 2 MAITLAND FL 32751 CLEANING SERVICE 114219 3 69666 8017041 264746 155359 8351453 PATIENT SERVICES 621400 14800314 14800314 PCP INCENTIVES 621400 113955 113955 STUDENT TRAINING 621400 19441 19441 14933710 10108 10108 26645 0 26645 26645 26645 2000 25802 -23802 -23802 -23802 12410 69666 56223 -43813 -43813 43858 43858 43858 23298159 14977568 0 -30862 1346653 102537 1244116 13237653 11801013 1300725 135915 318139 293851 20893 3395 1707716 1419875 271591 16250 1035932 832716 193951 9265 73510 73510 43900 4573 39327 5392 5392 824106 680945 143161 69037 68927 110 972144 760377 209255 2512 535577 522898 12654 25 404737 371237 33500 117766 44163 68440 5163 139522 77754 60127 1641 21785 21333 452 457687 379021 78666 94788 20 93726 1042 MEDICATIONS 842262 842262 MEDICAL SUPPLIES & EQUI 444002 419673 21579 2750 22529 1905 20624 22714837 18576153 3960616 178068 1849184 2845235 2946635 3081005 628419 773845 930549 796419 134310 169455 126408 125456 9363623 5760540 3812694 3603083 173603 303330 10601802 11697828 1754272 2073431 11000 21210 68525 251860 1833797 2346501 X 8768005 9351327 8768005 9351327 10601802 11697828 583322 0 X X 0 1 X 1 1 1 X 7086970 8214239 7855695 8484171 8351453 39992528 1088282 1115554 973274 973821 967881 5118812 8175252 9329793 8828969 9457992 9319334 45111340 45111340 9011 16019 147492 70778 36753 280053 2786 11989 47809 38816 43858 145258 45536651 62984713 0.99070 0.99220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 5392 0 0 0 5392 0 PART II-B, LINE 1: A SPECIAL FUNDS ASSESSMENT 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. 844351 844351 5276368 2922009 2354359 406040 406040 0 2836864 2432491 404373 3603083 CAPITAL LEASE OBLIGATION 251860 251860 X 24089892 967681 967681 23122211 175948 175948 23298159 23682518 967681 967681 22714837 0 22714837 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, 2017, 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, 2013. PART XI, LINE 4B - OTHER ADJUSTMENTS: GRANTS TO ACQUIRE AND IMPROVE CAPITAL ASSETS 199,750. LOSS ON DISPOSAL OF EQUIPMENT -23,802. OVATION EVENT 82076 69666 12410 10510 18682 7140 19891 82076 69666 12410 10510 18682 7140 19891 56223 -43813 X X X 0 0 0 0 0 0 0 0 0 LATRICE STEWART CHIEF EXECUTIVE OFFICER 253352 0 30000 0 27808 0 10943 0 2009 0 324112 0 0 0 JAMES MERRILL CHIEF FINANCIAL OFFICER 156887 0 20000 0 18000 0 6952 0 8206 0 210045 0 0 0 TRAVIS COX CHIEF INFORMATION OFFICER 152866 0 20000 0 33295 0 7308 0 5907 0 219376 0 0 0 LEIDEE KARENNA SENORS CHIEF MEDICAL OFFICER 184930 0 20000 0 18000 0 8082 0 20045 0 251057 0 0 0 DEANA MONTELLA CHIEF NURSING OFFICER 95187 0 20000 0 26176 0 5066 0 8434 0 154863 0 0 0 JANELLE DUNN CHIEF OPERATIONS OFFICER 123723 0 20000 0 19325 0 6021 0 18131 0 187200 0 0 0 JENNIFER SIMPKINS PHYSICIAN 174323 0 7040 0 12250 0 2547 0 4215 0 200375 0 0 0 WILLIAMS R VIVAS PHYSICIAN 175574 0 6630 0 6412 0 3831 0 6222 0 198669 0 0 0 JUAN ALMEYDA-GOMEZ PHYSICIAN 172064 0 8000 0 0 0 6389 0 7156 0 193609 0 0 0 PETER OOSTWOUDER PHYSICIAN 170317 0 8950 0 0 0 6591 0 19642 0 205500 0 0 0 VENKATA POTHURAJU PHYSICIAN 167816 0 7760 0 0 0 6180 0 5404 0 187160 0 0 0 X 1678 155159 COST 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 SEVERAL CHANGES WERE MADE TO THE ORGANIZATION'S BYLAWS TO INSURE THEY CONFORMED TO THE HUMAN RESOURCES AND SERVICES ADMINSTRATION (HRSA) REQUIREMENTS: 1. THE LAST PARAGRAPH OF THE FIRST SECTION OF ARTICLE IV WAS CHANGED TO HAVE THE FULL NAME OF HRSA, AND TO BETTER DEFINE THE ORGANIZATION'S INTERACTION WITH EMPLOYEES AS FOLLOWS: "THE BOARD OF DIRECTORS SHALL NOT, IN THE ESTABLISHMENT OR AMENDMENT OF CORPORATE POLICIES, TAKE ACTIONS WHICH ARE INCONSISTENT WITH REGULATIONS SET FORTH BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES ADMINISTRATION, NOR SHALL THEY INVOLVE THEMSELVES IN THE HIRING, TERMINATION OR OVERSIGHT OF ANY PERSONNEL OTHER THAN THE CHIEF EXECUTIVE OFFICER." 2. THE 2ND PARAGRAPH OF THE "LOYALTY AND ETHICS" SECTION OF ARTICLE IV WAS EDITED TO READ: "NO INDIVIDUAL DIRECTOR SHALL SPEAK OR ACT ON BEHALF OF THE ORGANIZATION WITHOUT SPECIFIC ADVANCE AUTHORIZATION BY THE BOARD OF DIRECTORS." 3. THE ENTIRE FORMAT OF THE BY-LAWS WAS EDITED TO REFLECT THE NUMBERING/LETTERING SYSTEM CURRENTLY USED IN ARTICLE XIII, CONFLICT OF INTEREST. 4. A TABLE OF CONTENTS / INDEX WAS ADDED. 5. THE PARAGRAPH ON "EXECUTIVE COMMITTEE" FROM ARTICE VII WAS REMOVED. FORM 990, PART VI, SECTION B, LINE 11B 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 IS PERFORMED THROUGH A COMPETITIVE RFP PROCESS. SEVERAL FIRMS ARE INVITED TO SUBMIT PROPOSALS. ALL PROPOSALS RECEIVED ARE COMPARED AND CONTRASTED AND REFERENCES ARE CHECKED ON THE FINAL THREE FIRMS. THE FINANCE COMMITTEE REVIEWS THE SELECTION CRITERIA AND THE BOARD OF DIRECTORS APPROVES THE AUDIT FIRM SELECTION. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.