CENTRAL FLORIDA FAMILY HEALTH CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL FLORIDA FAMILY HEALTH CENTER INC (EIN 59-1741286)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-06-27
- IRS object ID
- 201321839349300202
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-06-27T09:18:35-04:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592907578 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holland and Reilly | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 N Fern Creek Avenue Ste 200 | AddressLine1 |
| City | Orlando | City |
| State | FL | State |
| ZIP Code | 32803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591741286 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Florida Family Health Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 CR 415-A | AddressLine1 |
| City | Sanford | City |
| State | FL | State |
| ZIP Code | 32771 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dr Leslie Smith | Name |
| Title | CEO | Title |
| Phone | 4073228645 | Phone |
| Date Signed | 2013-06-27 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas F Reilly | Name |
| PTIN | P00147922 | PTIN |
| Phone | 4078946803 | Phone |
| Date Prepared | 2013-06-27 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dr Leslie Smith | NameOfPrincipalOfficerPerson |
| Gross Receipts | 16931223 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.cffhc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | Provide primary medical and dental care to the low-income, underinsured, uninsured, Medicaid and Medicare populations of Seminole and Orange counties in Florida - see Schedule O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 269 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 9080024 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7954484 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7613324 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8970355 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 21493 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6384 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16714841 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16931223 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10011891 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11597104 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4344650 | OtherExpensePriorYear |
| Other Expenses Current Year | 4968393 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14356541 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16565497 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2358300 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 365726 | RevenuesLessExpensesCY |
| Total Assets BOY | 11793308 | TotalAssetsBOY |
| Total Assets EOY | 11448838 | TotalAssetsEOY |
| Total Liabilities BOY | 1812785 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1102589 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9980523 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10346249 | NetAssetsOrFundBalancesEOY |
| Mission Description | Provide primary medical and dental care to the low-income, underinsured, uninsured, Medicaid and Medicare populations of Seminole and Orange counties in Florida - see Schedule O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 7607512 | Expense |
| Revenue | 5795111 | Revenue |
| Description | Medical services - operates six delivery sites in Orange and Seminole counties in FL. The full complement of comprehensive preventive and primary health services is available across the life cycles regardless of ability to pay. During 2012, 39,654 users accessed 92,121 primary medical care encounters through 29.27 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 six locations within Orange and Seminole counties. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 645627 | Expense |
| Revenue | 682862 | Revenue |
| Description | Dental services - CFFHC operates two dental sites in Orange County Florida for adults and pediatrics, regardless of ability to pay. During 2012, 3,129 users accessed 6,450 dental encounters through 1.73 dental providers. CFFHC provised basic and emergency services, oral examinations, restorative services, oral surgical services, and oral rehabilitative services to our dental patients. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1995786 | Expense |
| Revenue | 1615668 | Revenue |
| Description | 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. 2012 highlights include: open 247 days, 58,082 new medications, 41,548 refill medications, 9,757 Pfizer Share the Care medications, 179 sample medications, and 3,090 patient assistance medications. The total value of medications donated to the community is $10,563,083, including $1,658,875 under the Pfizer Share the Care program. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription |
|---|---|---|
| 640114 | 876714 | In-house laboratory services are offered to better serve our patients. Detailed and specialized labs are sent to outside lab contractors for processing. During 2012, 32,409 in-house lab tests were processed through CHC9s five lab locations and 145,892 outside labs were processed. All in-house and outside lab services are reported and documented into the patients medical records for continuity of care. |
| 24934 | Transportation - Transportation services to and from clinics to patients9 homes were made available to patients without other means of transportation. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 665048 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 876714 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 10913973 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 54 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 269 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Jim Merrill | NamePerson |
| Telephone Number | 4073228645 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 CR 415-A | AddressLine1 |
| City | Sanford | City |
| State | FL | State |
| ZIP Code | 32771 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Berthenia Bobb | ||||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |||
| Dennis Dolgner | ||||||||
| Board chair | 1.00 | X | 0 | 0 | 0 | |||
| Dulce Rodriguez | ||||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |||
| Frances Garrow | ||||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |||
| Garry Robinson | ||||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |||
| Richard Mann | ||||||||
| Board member | 1.00 | X | 0 | 0 | 0 | |||
| Richard Rhodes | ||||||||
| Board treasurer | 1.00 | X | 0 | 0 | 0 | |||
| Sonia Silva | ||||||||
| Board secretary | 1.00 | X | 0 | 0 | 0 | |||
| Sue Session | ||||||||
| Board Vice chair | 1.00 | X | 0 | 0 | 0 | |||
| Dr Hector Octaviani | ||||||||
| Associate medical director | 40.00 | 226070 | 0 | 16971 | X | |||
| Dr Leslie Smith | ||||||||
| CEO | 40.00 | 261448 | 0 | 21217 | X | |||
| Latrice Stewart | ||||||||
| COO | 40.00 | 103392 | 0 | 3102 | X | |||
| Dr Ana Caro | ||||||||
| Physician | 40.00 | 124104 | 0 | 2257 | X | |||
| Dr Carol Wong | ||||||||
| Physician | 40.00 | 116281 | 0 | 3507 | X | |||
| Dr Catherine Andrews | ||||||||
| Physician | 40.00 | 148045 | 0 | 5059 | X | |||
| Dr Daniel Bieda | ||||||||
| Physician | 40.00 | 168087 | 0 | 15232 | X | |||
| Dr Lalitha Iyer | ||||||||
| Physician | 40.00 | 170975 | 0 | 10748 | X | |||
| Dr Leidee Senors | ||||||||
| Physician | 40.00 | 147952 | 0 | 14234 | X | |||
| Dr Lisa Burroughts | ||||||||
| Physician | 40.00 | 147735 | 0 | 10051 | X | |||
| Dr Lissette Olvarria | ||||||||
| Physician | 40.00 | 142643 | 0 | 17653 | X | |||
| Dr Marcia Drewery | ||||||||
| Physician | 40.00 | 145777 | 0 | 14562 | X | |||
| Dr Neal Mortensen | ||||||||
| Physician | 40.00 | 141063 | 0 | 4232 | X | |||
| Dr Norah Smith | ||||||||
| Physician | 40.00 | 145692 | 0 | 9464 | X | |||
| Dr Peter Oostwouder | ||||||||
| Physician | 40.00 | 171584 | 0 | 18521 | X | |||
| Dr Rita Mapa | ||||||||
| Physician | 40.00 | 148136 | 0 | 4444 | X | |||
| Dr Rosario Martinez-Angel | ||||||||
| Pharmacist | 40.00 | 152900 | 0 | 4587 | X | |||
| Hylan Boxer | ||||||||
| Pharmacy Director | 40.00 | 127248 | 0 | 9437 | X | |||
| Iris Jones-Johnson | ||||||||
| Pharmacist | 40.00 | 103006 | 0 | 12401 | X | |||
| Jane Ann Maciejewski | ||||||||
| Pharmacist | 40.00 | 109263 | 0 | 3278 | X | |||
| Kandi Dickens | ||||||||
| Pharmacist | 40.00 | 102574 | 0 | 3077 | X | |||
| Michelle Aliotti | ||||||||
| Physician | 40.00 | 147921 | 0 | 10423 | X | |||
| Luz Vazquez | ||||||||
| Former CFO | 40.00 | 34908 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3286804 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 214457 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Nevaeh Healthcare Management | NamePerson |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8708 Prospect Ave - D13 | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Consultant | DescriptionOfServices |
| Compensation | 269037 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 6007435 | GovernmentGrants |
| All Other Contributions | 1947049 | AllOtherContributions |
| Noncash Contributions | 694571 | NoncashContributions |
| Total Contributions | 7954484 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient fees | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 8970355 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8970355 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8970355 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6384 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6384 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16931223 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8976739 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 663700 | Total |
| Program Services | 119817 | ProgramServices |
| Management And General | 543883 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9410782 | Total |
| Program Services | 6802760 | ProgramServices |
| Management And General | 2608022 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132976 | Total |
| Program Services | 107755 | ProgramServices |
| Management And General | 25221 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 606986 | Total |
| Program Services | 421442 | ProgramServices |
| Management And General | 185544 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 782660 | Total |
| Program Services | 539298 | ProgramServices |
| Management And General | 243362 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1909 | Total |
| Management And General | 1909 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44300 | Total |
| Management And General | 44300 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11851 | Total |
| Management And General | 11851 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1241250 | Total |
| Program Services | 488855 | ProgramServices |
| Management And General | 752395 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1785 | Total |
| Program Services | 1405 | ProgramServices |
| Management And General | 380 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173449 | Total |
| Program Services | 22907 | ProgramServices |
| Management And General | 150542 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 278787 | Total |
| Program Services | 44996 | ProgramServices |
| Management And General | 233791 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131086 | Total |
| Program Services | 11649 | ProgramServices |
| Management And General | 119437 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119449 | Total |
| Program Services | 74135 | ProgramServices |
| Management And General | 45314 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15209 | Total |
| Program Services | 10296 | ProgramServices |
| Management And General | 4913 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 661143 | Total |
| Program Services | 412888 | ProgramServices |
| Management And General | 248255 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29692 | Total |
| Program Services | 24420 | ProgramServices |
| Management And General | 5272 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Repair and maintenance | 477942 | 316972 | 160970 |
| Supplies | 1531267 | 1397699 | 133568 |
| Dues | 14781 | 14169 | 612 |
| Taxes and fees | 101499 | 92153 | 9346 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132994 | Total |
| Program Services | 10357 | ProgramServices |
| Management And General | 122637 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16565497 | Total |
| Program Services | 10913973 | ProgramServices |
| Management And General | 5651524 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2417149 | BOY |
| EOY | 1301654 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2495791 | BOY |
| EOY | 3811042 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1024211 | BOY |
| EOY | 680134 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1082051 | BOY |
| EOY | 1126803 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85288 | BOY |
| EOY | 100383 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112028 | BOY |
| EOY | 228868 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8435235 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4240191 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4512944 | BOY |
| EOY | 4195044 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63846 | BOY |
| EOY | 4910 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11793308 | BOY |
| EOY | 11448838 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 914610 | BOY |
| EOY | 889894 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345291 | BOY |
| EOY | 212695 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 552884 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1812785 | BOY |
| EOY | 1102589 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9728322 | BOY |
| EOY | 10094048 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 252201 | BOY |
| EOY | 252201 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9980523 | BOY |
| EOY | 10346249 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11793308 | BOY |
| EOY | 11448838 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 365726 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8728142 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7905369 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8470228 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9080024 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7954484 | CurrentTaxYear |
| Total | 42138247 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1125284 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1147668 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1150100 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1171715 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1035224 | CurrentTaxYear |
| Total | 5629991 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9853426 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9053037 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9620328 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10251739 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8989708 | CurrentTaxYear |
| Total | 47768238 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 522605 | AmountsSubstContributorsTotal |
| Public Support Total170 | 47245633 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 98765 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 65116 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 67916 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21493 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6384 | CurrentTaxYear |
| Total | 259674 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 48027912 | TotalSupport |
| Gross Receipts From Admissions Etc | 35255036 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98370 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99130 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $11,851 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 11851 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 80311 | OtherCostOrOtherBasis |
| Book Value | 80311 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4525100 | OtherCostOrOtherBasis |
| Depreciation | 1752179 | Depreciation |
| Book Value | 2772921 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 406039 | OtherCostOrOtherBasis |
| Depreciation | 217686 | Depreciation |
| Book Value | 188353 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3423785 | OtherCostOrOtherBasis |
| Depreciation | 2270326 | Depreciation |
| Book Value | 1153459 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4195044 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Deposits | Description |
| Book Value | 4910 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4910 | TotalBookValueOtherAssets |
| Tot Revenue Etc Audited Fincl Stmt | 17966447 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 1035224 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 1035224 | RevenueNotRptdF990 |
| Revenue Subtotal | 16931223 | RevenueSubtotal |
| Total Revenue Per Form990 | 16931223 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17600721 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 1035224 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 1035224 | ExpensesNotRptdF990 |
| Expenses Subtotal | 16565497 | ExpensesSubtotal |
| Total Expenses Per Form990 | 16565497 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|
| Dr Leslie Smith | |||
| CEO | 261448 | 21217 | 282665 |
| Luz Vazquez | |||
| Former CFO | 34908 | 34908 | |
| Dr Hector Octaviani | |||
| Associate medical director | 226070 | 16971 | 243041 |
| Dr Peter Oostwouder | |||
| Physician | 171584 | 18521 | 190105 |
| Dr Daniel Bieda | |||
| Physician | 168087 | 15232 | 183319 |
| Dr Lalitha Iyer | |||
| Physician | 170975 | 10748 | 181723 |
| Dr Marcia Drewery | |||
| Physician | 145777 | 14562 | 160339 |
| Dr Lisa Burroughts | |||
| Physician | 147735 | 10051 | 157786 |
| Michelle Aliotti | |||
| Physician | 147921 | 10423 | 158344 |
| Dr Leidee Senors | |||
| Physician | 147952 | 14234 | 162186 |
| Dr Lissette Olvarria | |||
| Physician | 142643 | 17653 | 160296 |
| Dr Norah Smith | |||
| Physician | 145692 | 9464 | 155156 |
| Dr Rita Mapa | |||
| Physician | 148136 | 4444 | 152580 |
| Dr Rosario Martinez-Angel | |||
| Pharmacist | 152900 | 4587 | 157487 |
| Dr Catherine Andrews | |||
| Physician | 148045 | 5059 | 153104 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 12459 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 694571 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | M1 | Identifier |
| Return Reference | Number of contributions or items or both Part I col b | ReturnReference |
| Explanation | The number presented on line 20, column b is the number of items (vials, bottles, supplies, etc.) received. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| O01 | Form 990 governing body review Part VI line 11 | After the final Form 990 is received, the CEO and CFO meet to discuss the details. The return is then presented to the Board Chairman and the Finance Commitee for revisions. Recommendations, if any, are reported to the CEO and corrections are made. Finally, the Form 990 is filed with the IRS. |
| O02 | Conflict of interest policy compliance Part VI 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 submission, 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, but not to management or staff of CFFHC. Information is relayed to them if there are any conflicts noted. Before new contracts are approved, sources of contractors are verified to control any conflict of interest from any staff or management involved in the process. |
| O03 | CEO executive director top management comp Part VI line 15a | The CEO9s compensation is reviewed and approved by the Board of Directors (governing body). |
| O04 | Other officer or key employee compensation Part VI line 15b | All officers and key employees compensation are reviewed and revised, based on comparison within the non-profit industry. |
| O05 | Governing documents etc available to public Part VI line 19 | Governing documents, the conflict of interest policy, and financial statements are made available to the public upon written request. |
| O06 | General explanation attachment | Form 990, Part III, line 1 - Organization mission: Federal funded FQHC with a service region that includes Seminole & Orange counties in FL. Service region includes medically underserved area designations & health professional shortage area designation. Offer services to all individuals through six service delivery locations, specifically serving low-income, uninsured, Medicaid, and Medicare populations. Multi-site service delivery approach designed to address documented barriers to care experienced by individuals residing in the service region. A sliding fee is available, physician & mid-level providers are employees, services are culturally & linguistically appropriate, hours are conducive to expressed need, & input from those being served is included in planning & implementation. |