2012-10-02T12:29:21-05:00 2012-03-31 591945170 CARR RIGGS & INGRAM LLC 1713 MAHAN DRIVE TALLAHASSEE FL 32308 990 2011-04-01 592559163 FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC FLOR 8509421822 2340 HANSEN LANE TALLAHASSEE FL 32301 ANDREW BEHRMAN 8509421822 2012-09-28 1 L THOMAS COX P00108148 8508788777 2011 2016-02-24 21:20:13Z ANDREW BEHRMAN 2340 HANSEN LANE TALLAHASSEE FL 32301 1829851 0 X WWW.FACHC.ORG X 1981 FL TO IMPROVE ACCESS TO QUALITY HEALTH SERVICES BY BRINGING TOGETHER AGENCIES, LEGISLATORS AND KEY PERSONS ABLE TO AFFECT HEALTH CARE SERVICES. 42 42 11 42 0 0 1013556 1101993 696068 727483 857 375 0 0 1710481 1829851 0 30000 0 0 951692 1042726 0 0 0 592558 676479 1544250 1749205 166231 80646 1172742 1225205 608480 530407 564262 694798 TO IMPROVE ACCESS TO QUALITY HEALTH SERVICES BY BRINGING TOGETHER AGENCIES, LEGISLATORS AND KEY PERSONS ABLE TO AFFECT HEALTH CARE SERVICES. 0 0 1031239 30000 727483 EXEMPT PURPOSE ACCOMPLISHED THROUGH CONFERENCES, MEETINGS AND EDUCATIONAL PROGRAMS OF FLORIDA MEMBER ORGANIZATIONS AND PRIMARY CARE ADVOCACY ON MEMBERS' BEHALF. 1031239 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 11 1 0 0 0 0 0 0 0 0 0 0 X 42 42 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 X DON PORTERFIELD CFO 8509421822 2340 HANSEN LANE TALLAHASSEE FL 32301 MIKE HILL 1.00 X 0 0 0 MARIO JARDON 1.00 X 0 0 0 ANNIE R NEASMAN 1.00 X 0 0 0 RENEE POLLARD 1.00 X 0 0 0 BOB LINDER 1.00 X 0 0 0 LISA GURRI 1.00 X 0 0 0 JACQUELINE LOBBAN-MARSAN 1.00 X 0 0 0 RAYMOND J KAYAL 1.00 X 0 0 0 RICK SICLARI 1.00 X 0 0 0 LESLIE SMITH 1.00 X 0 0 0 GAYE WILLIAMS 1.00 X 0 0 0 STEVEN D WEINMAN 1.00 X 0 0 0 BARBARA J SNELL 1.00 X 0 0 0 COL BRODES HARTLEY JR RET 1.00 X 0 0 0 DON TURNER 1.00 X 0 0 0 JOHN TERRY MYLES 1.00 X 0 0 0 FRANK MAZZEO 1.00 X 0 0 0 LAURA SPENCER 1.00 X 0 0 0 MICHAEL GERVASI 1.00 X 0 0 0 TERESA GOODMAN 1.00 X 0 0 0 KERRIE JONES CLARK 1.00 X 0 0 0 CALEB DAVIS 1.00 X 0 0 0 WALTER 'MICKEY' PRESHA 1.00 X 0 0 0 KATHRYN ABBATE 1.00 X 0 0 0 ELIZABETH CALLAGHAN 1.00 X 0 0 0 JOEL MONTGOMERY 1.00 X 0 0 0 KATHY WILKES 1.00 X 0 0 0 GWENDOLYN WARREN 1.00 X 0 0 0 KIM SCHUKNECHT 1.00 X 0 0 0 VIANCA MCCLUSKEY 1.00 X 0 0 0 MARSHA LINDEMAN 1.00 X 0 0 0 LINDA STONE 1.00 X 0 0 0 KATHLEEN PATNEAU 1.00 X 0 0 0 BRAD HERREMANS 1.00 X 0 0 0 VICKI SOULE 1.00 X 0 0 0 ANITA RIELS 1.00 X 0 0 0 ROSALYN FRAZIER 1.00 X 0 0 0 BAKARI BURNS 1.00 X 0 0 0 JR RICHARDS 1.00 X 0 0 0 PAT MABE 1.00 X 0 0 0 EVERETT KELLY 1.00 X 0 0 0 CHARLES BOTTOMS 1.00 X 0 0 0 ANDREW BEHRMAN 50.00 X 275384 0 0 275384 0 0 1 0 1 0 0 1101993 1101993 MEMBERSHIP DUES 900099 507525 507525 CONFERENCES AND MEETIN 900099 212263 212263 MISCELLANEOUS 900099 7695 7695 727483 375 375 1829851 727483 0 375 30000 30000 281463 197024 84439 612024 420178 191846 23167 7493 15674 56613 48353 8260 69459 56818 12641 12845 12845 17395 8974 8421 26052 26052 1875 1875 5871 5871 32796 24863 7933 23538 22144 1394 30220 15590 14630 95079 81866 13213 252752 52057 200695 23639 23639 19231 16346 2885 5138 5138 EDUCATION 98500 98500 EQUIPMENT RENTAL 10533 10533 MEMBERSHIP APPRECIATION 8101 8101 DUES AND SUBSCRIPTIONS 7315 7315 5599 5170 429 1749205 1031239 717966 0 700346 72550 512982 55363 155618 359 567714 120021 417033 447693 0 36003 1172742 1225205 118590 134246 105168 22639 384722 373522 608480 530407 X 564262 694798 564262 694798 1172742 1225205 X 80646 49890 X X 0 1 1 X 1 1 X 1256848 1664622 1133801 1013556 1101993 6170820 1256848 1664622 1133801 1013556 1101993 6170820 6170820 6462 2484 1090 857 375 11268 7472 5121 10205 8944 7695 39437 6221525 2707362 0.99190 0.99090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 127621 127621 1621584 1749205 237460 59365 0 0 225536 228102 227213 237460 918311 1377467 77275 61746 143508 127621 410150 56384 57026 56803 59365 229578 344367 49890 49890 451821 72762 379059 66003 47259 18744 447693 1829851 1749205 80646 49890 49890 130536 1829851 0 1829851 0 1829851 1749205 0 1749205 0 1749205 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ASSOCIATION UTILIZES THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF MARCH 31, 2012, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. FEDERAL RETURNS ARE AVAILABLE FOR EXAMINATION BY THE INTERNAL REVENUE SERVICE GENERALLY FOR THREE YEARS AFTER FILED. NET ASSETS AT THE END OF FISCAL 2011 HAVE BEEN ADJUSTED TO CORRECT AN ERROR MADE IN FISCAL 2011. AN ADJUSTMENT WAS MADE IN THE PRIOR YEAR TO DISPOSE OF SEVERAL ASSETS THAT WERE CONTRIBUTED TO DIFFERENT CENTERS. AN ASSET WAS INCORRECTLY DISPOSED AND ACCUMULATED DEPRECIATION WAS OVERSTATED BY THE AMOUNT OF $49,890. THE CHANGE IN UNRESTRICTED NET ASSETS FOR FISCAL 2011 REMAINS UNAFFECTED AS A RESULT OF THE PRIOR PERIOD ADJUSTMENT. 1 BREVARD HEALTH ALLIANCE 3661 S BABCOCK ST MELBOURNE FL 32901 900068515 501(C)(3) 10000 N/A HEALTH DISPARITIES COLLABORATIVE DEPARTMENT OF HEALTH DISEASE AND STROKE PREVENTION PROGRAM PALMS MEDICAL GROUP 911 S MAIN STREET TRENTON FL 32693 592871302 501(C)(3) 10000 N/A HEALTH DISPARITIES COLLABORATIVE DEPARTMENT OF HEALTH DISEASE AND STROKE PREVENTION PROGRAM FAMILY MEDICAL & DENTAL CENTERS 1302 RIVER STREET PALATKA FL 32177 591792958 501(C)(3) 10000 N/A HEALTH DISPARITIES COLLABORATIVE DEPARTMENT OF HEALTH DISEASE AND STROKE PREVENTION PROGRAM 3 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE FLORIDA DEPARTMENT OF HEALTH AWARDED THE ASSOCIATION A GRANT FOR HEALTH DISPARITIES COLLABORATIVE DEPARTMENT OF HEALTH DISEASE & STROKE PREVENTION PROGRAM THAT WAS TO BE RE-AWARDED TO THREE QUALIFIED FEDERALLY QUALIFIED HEALTH CENTERS IN FLORIDA. THE ASSOCIATION PUT THE ANNOUNCEMENT AND APPLICATION ON ITS WEB SITE AND ALL THE CEOS WERE NOTIFIED OF THE AVAILABILITY OF THE MINI GRANTS AT A MEETING. THREE FEDERALLY QUALIFIED HEALTH CENTERS SUBMITTED THEIR APPLICATIONS AND THE ASSOCIATION AWARDED EACH $10,000. X 1 0 X X X 0 0 0 0 0 0 0 0 0 ANDREW BEHRMAN 204539 0 30000 0 40845 0 0 0 0 0 275384 0 0 0 PART I, LINE 1A THE ASSOCIATION PROVIDES AN APARTMENT FOR ANDREW BEHRMAN. THE RENT WAS $11,580 IN 2011. FORM 990, PART VI, SECTION B, LINE 11 THE TAX PREPARER AND ORGANIZATION REVIEW FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 18 AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PRIOR PERIOD ADJUSTMENTS: 49,890. AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT FORM 990 PART XII LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CHANGES IN NET ASSETS: PRIOR PERIOD ADJUSTMENTS FORM 990, PART XI, LINE 5 NET ASSETS AT THE END OF FISCAL 2011 HAVE BEEN ADJUSTED TO CORRECT AN ERROR MADE IN FISCAL 2011. AN ADJUSTMENT WAS MADE IN THE PRIOR YEAR TO DISPOSE OF SEVERAL ASSETS THAT WERE CONTRIBUTED TO DIFFERENT CENTERS. AN ASSET WAS INCORRECTLY DISPOSED AND ACCUMULATED DEPRECIATION WAS OVERSTATED BY THE AMOUNT OF $49,890. THE CHANGE IN UNRESTRICTED NET ASSETS FOR FISCAL 2011 REMAINS UNAFFECTED AS A RESULT OF THE PRIOR PERIOD ADJUSTMENT.