2021-10-29T08:50:28-05:00 2021-01-31 560574444 CHERRY BEKAERT LLP 800 NORTH MAGNOLIA AVE SUITE 1300 ORLANDO FL 32803 990 2020-02-01 591404594 CENTRAL FLORIDA HEALTH CARE INC CENT 8634523000 47 5TH STREET NW WINTER HAVEN FL 33881 ANN CLAUSSEN CEO 8634523000 2021-10-28 1 ANN CLAUSSEN 999009999 AMANDA ADAMS P00748038 4074237911 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANN CLAUSSEN 47 5TH STREET NW WINTER HAVEN FL 33881 57013848 0 X CFHCONLINE.ORG X 1973 FL TO INCREASE ACCESS TO AFFORDABLE, QUALITY PRIMARY AND PREVENTATIVE HEALTHCARE. 13 13 597 0 0 0 13663079 21113075 28135155 35876607 7697 1385 48143 -3113 41854074 56987954 0 15345 0 0 27831396 31193453 0 0 0 12092149 15376458 39923545 46585256 1930529 10402698 16897811 27725673 8745549 9002620 8152262 18723053 CENTRAL FLORIDA HEALTH CARE, INC.'S MISSION IS TO SERVE AS THE PREMIER PATIENT CENTERED MEDICAL HOME OFFERING QUALITY, AFFORDABLE, PRIMARY, AND PREVENTATIVE HEALTH CARE. OUR VISION IS TO IMPROVE HEALTH, ENHANCE QUALITY OF LIFE, AND CREATE STRONG SOLID PARTNERSHIPS. 0 0 23487379 15345 14859461 CFHC HAS 14 CLINICS SERVING A THREE COUNTY POPULATION IN POLK, HIGHLANDS, AND HARDEE COUNTIES. WE PROVIDE PRIMARY AND PREVENTATIVE SERVICES, DENTAL SERVICES, LAB, X-RAY, AND PHARMACY SERVICES. WE ARE STAFFED WITH MEDICAL DOCTORS, ARNP'S, NURSES, DENTISTS, DENTAL HYGIENISTS, PHARMACISTS, AND CLINICAL SUPPORT STAFF FOR ALL AREAS. WE HAD APPROXIMATELY 41,500 PATIENTS IN 2020 AND EXPECT TO SEE THOSE NUMBERS INCREASE THIS YEAR. CHARITY CARE PROVIDED DURING THE YEAR WAS 5,294,000. 7004946 6923890 CFHC PROVIDES FULL DENTAL SERVICES IN TEN OF OUR FOURTEEN CLINICS. THOSE SERVICES ARE PROVIDED IN ALL THREE COUNTIES WITH STAFF CONSISTING OF DENTISTS, HYGIENISTS, DENTAL ASSISTANTS, AND CLINICAL SUPPORT STAFF. SERVICES INCLUDE PREVENTATIVE AND RESTORATION SERVICES, DENTAL EXAMS, SCREENINGS FOR CHILDREN, CLEANINGS, FLUORIDE TREATMENTS, SEALANTS, FILLINGS, SIMPLE EXTRACTIONS, AND DENTURES. SERVICES WERE PROVIDED TO APPROXIMATELY 25,500 PATIENTS. 7143492 14093256 CFHC HAS FULL PHARMACY SERVICES IN NINE OF OUR CLINICS. TWO SITES HAVE RETAIL PHARMACY AND ONE LOCATION HAS A DISPENSARY. OUR PHARMACISTS FILLED APPROXIMATELY 212,900 PRESCRIPTIONS FOR APPROXIMATELY 20,000 PATIENTS. 37635817 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 138 0 1 597 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X ANN CLAUSSEN 8632915110 47 5TH ST NW WINTER HAVEN FL 33881 NICK EMANUEL CHAIRMAN 1.00 1.00 X X 0 0 0 KEMP BRINSON CO-CHAIRMAN 1.00 0.00 X X 0 0 0 JOYCE EVERS SECRETARY 1.00 0.00 X X 0 0 0 HILARIA CUEVAS DIRECTOR 1.00 0.00 X 0 0 0 DAVID DUKE DIRECTOR 1.00 1.00 X 0 0 0 BRANDON GILES DIRECTOR 1.00 0.00 X 0 0 0 DANI HIGGINS DIRECTOR 1.00 0.00 X 0 0 0 CYNDI JANTOMASO DIRECTOR 1.00 1.00 X 0 0 0 KIM LONG DIRECTOR 1.00 0.00 X 0 0 0 BETH LUXFORD DIRECTOR 1.00 0.00 X 0 0 0 NASSEAM MCPHERSON-JAMES DIRECTOR 1.00 1.00 X 0 0 0 GREG PHILPOT DIRECTOR 1.00 0.00 X 0 0 0 MELISSA THIBODEAU TREASURER 1.00 0.00 X X 0 0 0 ANN CLAUSSEN CEO 40.00 1.00 X 296652 0 18648 TINA BAUGH CFO 40.00 1.00 X 185512 0 3267 CARA NELSON-JAMES CMO 40.00 0.00 X 268586 0 9514 ANDREW HEIN ASSISTANT CMO 40.00 0.00 X 209880 0 15342 PHILIP KENNEY CHRO 40.00 0.00 X 182338 0 12110 BARBARA TURNER CHIEF QUALITY OFFICER & RISK MANAGER 40.00 0.00 X 173804 0 6206 LAWRENCE BEST COO 40.00 0.00 X 170658 0 8754 EZER OJEDA PHYSICIAN-OB/GYN 40.00 0.00 X 233706 0 15628 ANDREA FRANCIS PHYSICIAN-OB/GYN 40.00 0.00 X 229102 0 8613 RON PICKOS DIRECTOR OF PHARMACY 40.00 0.00 X 193248 0 15638 HEATHER MCKENTLY PHYSICIAN-PEDIATRICIAN 40.00 0.00 X 179367 0 6197 REBECCA THOMAS PHYSICIAN-FAMILY 40.00 0.00 X 176908 0 8975 2499761 0 128892 55 0 1 0 LABCORP OF AMERICA HOLDINGS PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 572805 JAN-PRO OF MID FLORIDA 615 MID-FLORIDA DR STE 4 LAKELAND FL 33813 JANITORIAL SERVICES 339096 SPHERION STAFFING LLC 856 SWEETEN CREEK RD UNIT H ASHEVILLE NC 28803 STAFFING SERVICES 336653 LANGUAGE LINE SERVICES 1 LOWER RAGSDALE DR BLDG 2 MONTEREY CA 93940 TRANSLATION SERVICES 189967 PARATA SYSTEMS LLC 106 ROCHE DRIVE DURHAM NC 27703 PHARMACEUTICAL WORKFLOW 166000 8 51580 20937145 124350 124350 21113075 PATIENT SERVICE REVENUE 621990 35791094 35791094 EMPLOYEE LEASE INCOME 621990 85513 85513 35876607 1385 1385 22457 51580 25894 -3437 -3437 324 324 324 56987954 35876607 0 -1728 15345 15345 1890014 1530911 359103 23481624 19181841 4299783 394918 322752 72166 3585106 2927080 658026 1841791 1508617 333174 28746 28746 79284 79284 2242576 2115017 127559 122639 8004 114635 1520546 1138654 381892 789913 138872 651041 1995513 1429774 565739 121595 45191 76404 154095 129808 24287 696364 10608 685756 156357 30202 126155 MEDICAL SUPPLIES 6379298 6218343 160955 EHR EXPENSES 876544 876544 212988 8254 204734 46585256 37635817 8949439 0 2419391 946342 284594 10784626 1309439 1928379 3542603 4262476 268117 682236 328967 356851 13462998 4823486 8612448 8639512 67718 64534 125251 16897811 27725673 3347139 4826895 73865 63445 5044584 3978834 175000 104961 133446 8745549 9002620 X 8152262 18539185 183868 8152262 18723053 16897811 27725673 X 10402698 168093 X 0 1 X 1 1 1 X 10995273 11263060 14451344 13663079 21113075 71485831 10995273 11263060 14451344 13663079 21113075 71485831 71485831 1049 2265 6233 7697 1385 18629 324 324 71504784 106471854 0.99970 0.99970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 352399 352399 8859836 3025322 5834514 747122 281847 465275 2756622 1170364 1586258 747019 345953 401066 8639512 DUE TO AFFILIATES 133446 133446 X PART X, LINE 2: CFHC IS NOT AWARE OF ANY TAX POSITIONS IT HAS TAKEN THAT ARE SUBJECT TO A SIGNIFICANT DEGREE OF UNCERTAINTY. TAX YEARS AFTER 2015 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. GOLF TOURNAMENT 74037 51580 22457 700 3131 5616 6825 9622 74037 51580 22457 700 3131 5616 6825 9622 25894 -3437 1 UNITED WAY OF CENTRAL FLORIDA 5605 US-98 LAKELAND FL 33812 592116280 501(C)(3) 15345 OPERATIONAL SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION MAKES DONATIONS TO THE UNITED WAY AND DOES NOT MONITOR THE FUNDS BECAUSE THE UNITED WAY IS A NATIONALLY RECOGNIZED CHARITY. X X X 0 0 0 0 0 0 0 1 0 ANN CLAUSSEN CEO 271652 0 25000 0 0 0 9975 0 8673 0 315300 0 0 0 CARA NELSON-JAMES CMO 257746 0 10840 0 0 0 9393 0 121 0 278100 0 0 0 EZER OJEDA PHYSICIAN-OB/GYN 229486 0 4220 0 0 0 8087 0 7541 0 249334 0 0 0 ANDREA FRANCIS PHYSICIAN-OB/GYN 216181 0 12921 0 0 0 5978 0 2635 0 237715 0 0 0 ANDREW HEIN ASSISTANT CMO 187915 0 21965 0 0 0 7005 0 8337 0 225222 0 0 0 RON PICKOS DIRECTOR OF PHARMACY 155748 0 37500 0 0 0 7057 0 8581 0 208886 0 0 0 PHILIP KENNEY CHRO 156702 0 25636 0 0 0 6556 0 5554 0 194448 0 0 0 TINA BAUGH CFO 159592 0 25920 0 0 0 2949 0 318 0 188779 0 0 0 REBECCA THOMAS PHYSICIAN-FAMILY 168948 0 7960 0 0 0 6282 0 2693 0 185883 0 0 0 HEATHER MCKENTLY PHYSICIAN-PEDIATRICIAN 172107 0 7260 0 0 0 6056 0 141 0 185564 0 0 0 BARBARA TURNER CHIEF QUALITY OFFICER & RISK MANAGER 145975 0 27829 0 0 0 6065 0 141 0 180010 0 0 0 LAWRENCE BEST COO 143067 0 27591 0 0 0 6061 0 2693 0 179412 0 0 0 PART I, LINE 7 ANNUAL BONUSES ARE BASED ON ROLE AND PERFORMANCE. X PHARMACEUTICAL SUPPLIES 1 124350 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A PUBLIC ACCOUNTING FIRM, THEN REVIEWED BY THE CFO. AFTERWARDS THE FORM 990 IS PRESENTED TO THE BOARD AT ONE OF ITS SCHEDULED MEETINGS PRIOR TO SUBMITTING TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL BOD MEMBERS TO READ AND SIGN THE ORGANIZATION'S CODE OF ETHICS AND CONDUCT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES AND APPROVES THE CEO'S SALARY. INFORMATION IS USED FROM THE NATIONAL ASSOCATION OF COMMUNITY HEALTH CENTERS, OTHER COMMUNITY HEALTH CENTERS IN FLORIDA, AND OTHER SALARY SURVEYS. A MARKET ANALYSIS APPROACH HAS BEEN UTILIZED TO ESTABLISH BASE SALARY RANGES FOR THE REMAINING EXECUTIVE TEAM. THE EXECUTIVE COMPENSATION SURVEY DATA WAS COMPILED UTILIZING THE ANNUAL NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS HEALTH CENTER SALARY & BENEFITS REPORT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: INTEREST RATE SWAP 168,093. CFHC SUPPORT ORGANIZATION INC 47 5TH STREET NW WINTER HAVEN FL 33881 475087635 TO PROVIDE SUPPORT FOR CENTRAL FLORIDA HEALTH CARE, INC FL 501(C)(3) LINE 7 CENTRAL FLORIDA HEALTH CARE INC 1 CFHC WE CARE INC 47 5TH STREET NW WINTER HAVEN FL 33881 474846241 TO PROVIDE SUPPORT FOR CENTRAL FLORIDA HEALTH CARE, INC FL 501(C)(2) N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0