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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

FieldValueIRS element (for citing)
Timestamp2013-06-27T09:18:35-04:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN592907578EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Holland and ReillyBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1601 N Fern Creek Avenue Ste 200AddressLine1
CityOrlandoCity
StateFLState
ZIP Code32803ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591741286EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Central Florida Family Health Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 CR 415-AAddressLine1
CitySanfordCity
StateFLState
ZIP Code32771ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDr Leslie SmithName
TitleCEOTitle
Phone4073228645Phone
Date Signed2013-06-27DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameThomas F ReillyName
PTINP00147922PTIN
Phone4078946803Phone
Date Prepared2013-06-27DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDr Leslie SmithNameOfPrincipalOfficerPerson
Gross Receipts16931223GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.cffhc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionProvide 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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees269TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9080024ContributionsGrantsPriorYear
Contributions Grants Current Year7954484ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7613324ProgramServiceRevenuePriorYear
Program Service Revenue CY8970355ProgramServiceRevenueCY
Investment Income Prior Year21493InvestmentIncomePriorYear
Investment Income Current Year6384InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year16714841TotalRevenuePriorYear
Total Revenue Current Year16931223TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10011891SalariesEtcPriorYear
Salaries Etc Current Year11597104SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4344650OtherExpensePriorYear
Other Expenses Current Year4968393OtherExpensesCurrentYear
Total Expenses Prior Year14356541TotalExpensesPriorYear
Total Expenses Current Year16565497TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2358300RevenuesLessExpensesPriorYear
Revenues Less Expenses CY365726RevenuesLessExpensesCY
Total Assets BOY11793308TotalAssetsBOY
Total Assets EOY11448838TotalAssetsEOY
Total Liabilities BOY1812785TotalLiabilitiesBOY
Total Liabilities EOY1102589TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9980523NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10346249NetAssetsOrFundBalancesEOY
Mission DescriptionProvide 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7607512Expense
Revenue5795111Revenue
DescriptionMedical 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

FieldValueIRS element (for citing)
Expense645627Expense
Revenue682862Revenue
DescriptionDental 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

FieldValueIRS element (for citing)
Expense1995786Expense
Revenue1615668Revenue
DescriptionIn-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)

ExpenseExpenseRevenueRevenueDescriptionDescription
640114876714In-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.
24934Transportation - Transportation services to and from clinics to patients9 homes were made available to patients without other means of transportation.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp665048TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev876714TotalOfOtherProgramServiceRev
Total Program Service Expense10913973TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109654NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees269NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJim MerrillNamePerson
Telephone Number4073228645TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12400 CR 415-AAddressLine1
CitySanfordCity
StateFLState
ZIP Code32771ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Berthenia Bobb
Board member1.00X000
Dennis Dolgner
Board chair1.00X000
Dulce Rodriguez
Board member1.00X000
Frances Garrow
Board member1.00X000
Garry Robinson
Board member1.00X000
Richard Mann
Board member1.00X000
Richard Rhodes
Board treasurer1.00X000
Sonia Silva
Board secretary1.00X000
Sue Session
Board Vice chair1.00X000
Dr Hector Octaviani
Associate medical director40.00226070016971X
Dr Leslie Smith
CEO40.00261448021217X
Latrice Stewart
COO40.0010339203102X
Dr Ana Caro
Physician40.0012410402257X
Dr Carol Wong
Physician40.0011628103507X
Dr Catherine Andrews
Physician40.0014804505059X
Dr Daniel Bieda
Physician40.00168087015232X
Dr Lalitha Iyer
Physician40.00170975010748X
Dr Leidee Senors
Physician40.00147952014234X
Dr Lisa Burroughts
Physician40.00147735010051X
Dr Lissette Olvarria
Physician40.00142643017653X
Dr Marcia Drewery
Physician40.00145777014562X
Dr Neal Mortensen
Physician40.0014106304232X
Dr Norah Smith
Physician40.0014569209464X
Dr Peter Oostwouder
Physician40.00171584018521X
Dr Rita Mapa
Physician40.0014813604444X
Dr Rosario Martinez-Angel
Pharmacist40.0015290004587X
Hylan Boxer
Pharmacy Director40.0012724809437X
Iris Jones-Johnson
Pharmacist40.00103006012401X
Jane Ann Maciejewski
Pharmacist40.0010926303278X
Kandi Dickens
Pharmacist40.0010257403077X
Michelle Aliotti
Physician40.00147921010423X
Luz Vazquez
Former CFO40.003490800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3286804TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation214457TotalOtherCompensation
Number Individuals GT100 K22NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNevaeh Healthcare ManagementNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18708 Prospect Ave - D13AddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19118ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesConsultantDescriptionOfServices
Compensation269037Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants6007435GovernmentGrants
All Other Contributions1947049AllOtherContributions
Noncash Contributions694571NoncashContributions
Total Contributions7954484TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient feesDescription
Business Code621400BusinessCode
Total Revenue Column8970355TotalRevenueColumn
Related Or Exempt Function Income8970355RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8970355TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6384TotalRevenueColumn
Related Or Exempt Function Income6384RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16931223TotalRevenueColumn
Related Or Exempt Function Income8976739RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total663700Total
Program Services119817ProgramServices
Management And General543883ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total9410782Total
Program Services6802760ProgramServices
Management And General2608022ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total132976Total
Program Services107755ProgramServices
Management And General25221ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total606986Total
Program Services421442ProgramServices
Management And General185544ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total782660Total
Program Services539298ProgramServices
Management And General243362ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1909Total
Management And General1909ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44300Total
Management And General44300ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total11851Total
Management And General11851ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1241250Total
Program Services488855ProgramServices
Management And General752395ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1785Total
Program Services1405ProgramServices
Management And General380ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total173449Total
Program Services22907ProgramServices
Management And General150542ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total278787Total
Program Services44996ProgramServices
Management And General233791ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total131086Total
Program Services11649ProgramServices
Management And General119437ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total119449Total
Program Services74135ProgramServices
Management And General45314ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total15209Total
Program Services10296ProgramServices
Management And General4913ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total661143Total
Program Services412888ProgramServices
Management And General248255ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total29692Total
Program Services24420ProgramServices
Management And General5272ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Repair and maintenance477942316972160970
Supplies15312671397699133568
Dues1478114169612
Taxes and fees101499921539346

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total132994Total
Program Services10357ProgramServices
Management And General122637ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16565497Total
Program Services10913973ProgramServices
Management And General5651524ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2417149BOY
EOY1301654EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2495791BOY
EOY3811042EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1024211BOY
EOY680134EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1082051BOY
EOY1126803EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY85288BOY
EOY100383EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY112028BOY
EOY228868EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8435235LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4240191LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4512944BOY
EOY4195044EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY63846BOY
EOY4910EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11793308BOY
EOY11448838EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY914610BOY
EOY889894EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY345291BOY
EOY212695EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY552884BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1812785BOY
EOY1102589EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9728322BOY
EOY10094048EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY252201BOY
EOY252201EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9980523BOY
EOY10346249EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11793308BOY
EOY11448838EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses365726ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8728142CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7905369CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8470228CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9080024CurrentTaxYearMinus1Year
Current Tax Year7954484CurrentTaxYear
Total42138247Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1125284CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1147668CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1150100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1171715CurrentTaxYearMinus1Year
Current Tax Year1035224CurrentTaxYear
Total5629991Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9853426CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9053037CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9620328CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10251739CurrentTaxYearMinus1Year
Current Tax Year8989708CurrentTaxYear
Total47768238Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total522605AmountsSubstContributorsTotal
Public Support Total17047245633PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years98765CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65116CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67916CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21493CurrentTaxYearMinus1Year
Current Tax Year6384CurrentTaxYear
Total259674Total
FieldValueIRS element (for citing)
Total Support48027912TotalSupport
Gross Receipts From Admissions Etc35255036GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98370PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99130PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$11,851DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB11851TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis80311OtherCostOrOtherBasis
Book Value80311BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4525100OtherCostOrOtherBasis
Depreciation1752179Depreciation
Book Value2772921BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis406039OtherCostOrOtherBasis
Depreciation217686Depreciation
Book Value188353BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3423785OtherCostOrOtherBasis
Depreciation2270326Depreciation
Book Value1153459BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4195044TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDepositsDescription
Book Value4910BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets4910TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt17966447TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities1035224DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F9901035224RevenueNotRptdF990
Revenue Subtotal16931223RevenueSubtotal
Total Revenue Per Form99016931223TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17600721TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities1035224DonatedServicesUseOfFacilities
Expenses Not Rptd F9901035224ExpensesNotRptdF990
Expenses Subtotal16565497ExpensesSubtotal
Total Expenses Per Form99016565497TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Dr Leslie Smith
CEO26144821217282665
Luz Vazquez
Former CFO3490834908
Dr Hector Octaviani
Associate medical director22607016971243041
Dr Peter Oostwouder
Physician17158418521190105
Dr Daniel Bieda
Physician16808715232183319
Dr Lalitha Iyer
Physician17097510748181723
Dr Marcia Drewery
Physician14577714562160339
Dr Lisa Burroughts
Physician14773510051157786
Michelle Aliotti
Physician14792110423158344
Dr Leidee Senors
Physician14795214234162186
Dr Lissette Olvarria
Physician14264317653160296
Dr Norah Smith
Physician1456929464155156
Dr Rita Mapa
Physician1481364444152580
Dr Rosario Martinez-Angel
Pharmacist1529004587157487
Dr Catherine Andrews
Physician1480455059153104

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions12459NumberOfContributions
Noncash Contribs Rptd F990694571NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierM1Identifier
Return ReferenceNumber of contributions or items or both Part I col bReturnReference
ExplanationThe 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Form 990 governing body review Part VI line 11After 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.
O02Conflict of interest policy compliance Part VI line 12cAs 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.
O03CEO executive director top management comp Part VI line 15aThe CEO9s compensation is reviewed and approved by the Board of Directors (governing body).
O04Other officer or key employee compensation Part VI line 15bAll officers and key employees compensation are reviewed and revised, based on comparison within the non-profit industry.
O05Governing documents etc available to public Part VI line 19Governing documents, the conflict of interest policy, and financial statements are made available to the public upon written request.
O06General explanation attachmentForm 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.