2025-05-15T11:02:53-05:00 2024-06-30 593204548 JAMES MOORE & CO PL 2477 TIM GAMBLE PLACE SUITE 200 TALLAHASSEE FL 323084386 990 2023-07-01 571234883 FLORIDA MEDICAL PRACTICE PLAN INC FLOR 8506452827 1115 W CALL ST TALLAHASSEE FL 323043556 ALMA LITTLES MD PRESIDENT 8502247144 2025-05-14 1 1 KEVIN WARREN P00642409 8503866184 2025-05-08 2023 2025-03-06 01:10:19Z ALMA LITTLES MD 1115 W CALL ST TALLAHASSEE FL 323043556 11756652 0 X WWW.MED.FSU.EDU/FMPP X 2006 FL THE PURPOSES OF FLORIDA MEDICAL PRACTICE PLAN ARE TO: 1) FURTHER THE EDUCATION, SERVICE, AND RESEARCH MISSIONS OF THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE, A COMPONENT OF THE FLORIDA STATE UNIVERSITY BOARD OF TRUSTEES; AND 2) ENABLE FACULTY TO MAINTAIN CLINICAL COMPETENCE, FULFILL CERTIFICATION REQUIREMENTS, SHARE EXPERTISE WITH OTHER HEALTH CARE PROVIDERS, AND SERVE AS CLINICAL TEACHERS FOR STUDENTS AND RESIDENT PHYSICIANS. 10 0 155 0 0 0 0 900000 10571217 10855473 351187 1179 0 0 10922404 11756652 402343 373704 0 0 9530952 8567505 0 0 0 2230535 2208075 12163830 11149284 -1241426 607368 4906814 6475996 4209008 4785473 697806 1690523 X THE PURPOSES OF FLORIDA MEDICAL PRACTICE PLAN ARE TO: 1) FURTHER THE EDUCATION, SERVICE, AND RESEARCH MISSIONS OF THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE, A COMPONENT OF THE FLORIDA STATE UNIVERSITY BOARD OF TRUSTEES; AND 2) ENABLE FACULTY TO MAINTAIN CLINICAL COMPETENCE, FULFILL CERTIFICATION REQUIREMENTS, SHARE EXPERTISE WITH OTHER HEALTH CARE PROVIDERS, AND SERVE AS CLINICAL TEACHERS FOR STUDENTS AND RESIDENT PHYSICIANS. 0 0 10908811 373704 10855473 PERFORMED PROFESSIONAL SERVICES IN SUPPORT OF: 1) AN AFFILIATION AGREEMENT WITH A HOSPITAL FOR GRADUATE MEDICAL EDUCATION PROGRAMS, AND 2) AGREEMENTS WITH HEALTH DEPARTMENTS, CLINICS, AND OTHER FOR PATIENT CARE. 10908811 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 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 1 0 0 0 1 X 8 0 1 155 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAQUANTA ROSIER 8506452827 1115 W CALL ST TALLAHASSEE FL 323043556 ALMA LITTLES MD PRESIDENT 1.00 40.00 X X 0 436256 54740 JOEDRECKA BROWN-SPEIGHTS MD VICE PRESIDENT AS OF 8/18/2023, FORMER DIRECTOR 1.00 40.00 X X 14312 306212 38494 BENJAMIN SMITH DMSC PA-C DFAAPA SECRETARY AS OF 8/18/2023, FORMER DIRECTOR 1.00 40.00 X X 36494 161790 39242 RICHARD NOWAKOWSKI PHD TREASURER 1.00 40.00 X X 0 289934 39254 WILLIAM C BOYER DHSC MS CHSE DIRECTOR 1.00 40.00 X 150710 131309 36569 JAMES CLARK PHD DIRECTOR 0.50 40.00 X 0 543692 52038 KYLE CLARK MBA DIRECTOR 1.00 40.00 X 0 493894 53520 HEATHER FLYNN PHD DIRECTOR 2.00 40.00 X 0 307241 38989 LISA GRANVILLE MD DIRECTOR 1.00 40.00 X 21628 297216 50681 MICHAEL J SWEENEY MD MBA FACS DIRECTOR AS OF 3/29/2024 1.00 40.00 X 0 317132 50382 JONATHAN S APPELBAUM MD DIRECTOR UNTIL 3/28/2024 1.00 40.00 X 78799 262645 49289 LAQUANTA JAUNICE GOWDER ROSIER CFO 40.00 0.00 X 21405 75276 32609 CHRISTOPHER PAUL MULROONEY COO 40.00 0.00 X 13590 208082 40992 PAUL KATZ MD FORMER DIRECTOR 0.00 40.00 X 47778 122058 28212 DANIEL VAN DURME MD FORMER VICE PRESIDENT 0.00 40.00 X 5757 258356 26146 JOHN FOGARTY MD FORMER PRESIDENT 0.00 40.00 X 0 230386 9974 390473 4441479 641131 1 1 1 0 BANK OF AMERICA PO BOX 982238 EL PASO TX 79998 SERVICES FEES 975646 MARY TERRY MEEK 3244 ARBOR HILL WAY TALLAHASSEE FL 32309 CFMSD 214597 ATHENA HEALTH INC 311 ARSENAL STREET WATERWORN MA 04272 MEDICAL RECORDS & BILLING SOFTWARE 145146 3 900000 900000 CLINICAL REVENUE 624100 10670893 10670893 MEDICAID REVENUE 624100 184580 184580 10855473 1179 1179 11756652 10855473 0 1179 373704 373704 286664 181977 104687 5853831 5853831 558925 558925 1526597 1526597 341488 335609 5879 26700 26700 258702 258702 1293 1293 87791 87791 37384 37384 28620 28620 1408 1408 41414 41414 714095 714095 PROGRAM DEVELOPMENT 769144 769144 MEDICAL SUPPLIES 227401 227401 BANKING FEES 14123 14123 11149284 10908811 240473 0 2710 6778 936541 1658836 1247108 1862868 62990 135590 139855 80846 75572 59009 2272305 2657654 309588 825 94436 4906814 6475996 113184 381566 147104 152104 3948720 4251803 4209008 4785473 X 0 0 0 0 697806 1690523 697806 1690523 4906814 6475996 607368 385349 0 X 0 1 X 1 0 X X X 1 FLORIDA STATE UNIVERSITY 591961248 2 1 10908811 0 1 10908811 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 FORM 990, SCHEDULE A, PART I, LINE 12G: THE AMOUNT REPORTED ON LINE 12G, COLUMN V REPRESENTS AMOUNTS PAID TO OR ON BEHALF OF THE SUPPORTED ORGANIZATION FLORIDA STATE UNIVERSITY AND ITS AFFILIATES OR CHARITABLE BENEFIT CLASS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 139855 80846 59009 59009 FLORIDA STATE UNIVERSITY AUXILIARY 1839760 DEPARTMENTAL DISTRIBUTION 2316841 LEASE LIABILITY 95202 4251803 X 12142001 385349 385349 11756652 0 11756652 11149284 0 11149284 0 11149284 PART X, LINE 2: FMPP IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. FMPP IS CONSIDERED A TYPE I SUPPORTING ORGANIZATION OF THE FLORIDA STATE UNIVERSITY UNDER SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. IT IS THE POLICY OF MANAGEMENT TO EVALUATE ITS TAX POSITIONS ON AN ONGOING BASIS AND TO DISCLOSE ANY SUCH POSITIONS IT BELIEVES WOULD HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS AND RELATED NOTES. MANAGEMENT ALSO BELIEVES THAT NO SUCH REQUIRED DISCLOSURES CURRENTLY EXIST. FMPP FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION. FMPP'S INCOME TAX RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES AND MAY CHANGE UPON EXAMINATION. 1 FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE 1115 WEST CALL STREET TALLAHASSEE FL 32306 591961248 501(C)(3) 373704 0 DEPARTMENTAL DISTRBUTION SUPPORT 1 0 PART I, LINE 2: THE FUNDS AWARDED TO THE SUPPORTED ORGANIZATION AND ITS AFFILIATES ARE MONITORED BY ALL INVOLVED ORGANIZATIONS THROUGH THE OVERLAPPING OF BOARDS AND EMPLOYEES TO ENSURE THAT FUNDS ARE SPENT IN LINE WITH THE MISSION OF ALL ORGANIZATIONS AND THEIR CHARITABLE CLASSES. 0 0 0 0 0 0 0 0 0 JAMES CLARK PHD DIRECTOR 0 523692 0 20000 0 0 0 30169 0 21869 0 595730 0 0 KYLE CLARK MBA DIRECTOR 0 465194 0 20000 0 8700 0 31676 0 21844 0 547414 0 0 ALMA LITTLES MD PRESIDENT 0 436256 0 0 0 0 0 34884 0 19856 0 490996 0 0 JONATHAN S APPELBAUM MD DIRECTOR UNTIL 3/28/2024 78799 262645 0 0 0 0 2145 27288 7436 12420 88380 302353 0 0 LISA GRANVILLE MD DIRECTOR 18509 256007 1800 0 1319 41209 474 30351 2090 17766 24192 345333 0 0 MICHAEL J SWEENEY MD MBA FACS DIRECTOR AS OF 3/29/2024 0 278511 0 0 0 38621 0 30526 0 19856 0 367514 0 0 JOEDRECKA BROWN-SPEIGHTS MD VICE PRESIDENT AS OF 8/18/2023, FORM 13212 306212 1100 0 0 0 397 28893 1374 7830 16083 342935 0 0 HEATHER FLYNN PHD DIRECTOR 0 307241 0 0 0 0 0 29785 0 9204 0 346230 0 0 RICHARD NOWAKOWSKI PHD TREASURER 0 289934 0 0 0 0 0 28405 0 10849 0 329188 0 0 WILLIAM C BOYER DHSC MS CHSE DIRECTOR 150710 131309 0 0 0 0 22725 4640 2128 7076 175563 143025 0 0 DANIEL VAN DURME MD FORMER VICE PRESIDENT 5427 122635 0 0 330 135721 417 17459 955 7315 7129 283130 0 0 CHRISTOPHER PAUL MULROONEY COO 13218 173489 0 0 372 34593 677 20459 889 18967 15156 247508 0 0 JOHN FOGARTY MD FORMER PRESIDENT 0 81326 0 0 0 149060 0 6665 0 3309 0 240360 0 0 BENJAMIN SMITH DMSC PA-C DFAAPA SECRETARY AS OF 8/18/2023, FORMER DI 33408 136830 0 0 3086 24960 1492 17894 3328 16528 41314 196212 0 0 PAUL KATZ MD FORMER DIRECTOR 47778 67365 0 54693 0 0 732 7663 1773 18044 50283 147765 0 0 PART I, LINE 3 COMPENSATION FOR THE ORGANIZATION'S OFFICERS/FACULTY ARE DETERMINED BY THE FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE AND APPROVED BY FSU'S HUMAN RESOURCE DEPARTMENT (A RELATED ORGANIZATION). THE COMPENSATION IS ESTABLISHED BASED ON BENCHMARKS WITHIN THE INDUSTRY. IN ADDITION, FSU UTILIZES A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACTS AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION. FORM 990, PART V, LINES 2A AND 2B THE NUMBER OF EMPLOYEES REPORTED ON PART V, LINE 2A REPRESENTS THE NUMBER OF EMPLOYEES OF THE FILING ORGANIZATION DURING TAX YEAR 2023. DUE TO THE USE OF THE SUPPORTED ORGANIZATION, FLORIDA STATE UNIVERSITY (FSU) AS A COMMON PAYMASTER, THE EMPLOYEES WERE REPORTED ON FSU'S FORM W-3. SIMILARLY THE SALARY EXPENSES WERE ALL REPORTED ON FSU'S FORM 941, EMPLOYER'S QUARTERLY FEDERAL TAX RETURN. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FINAL FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS THROUGH ELECTRONIC MAIL PRIOR TO SUBMITTAL TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, PRINCIPAL, OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, IS COVERED UNDER THE POLICY. ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST MUST BE DISCLOSED TO THE DIRECTORS, AND THE DIRECTORS WILL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF A MEMBER FAILS TO DISCLOSE A CONFLICT OF INTEREST IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ORGANIZATION'S TOP OFFICIAL, OFFICERS, AND KEY EMPLOYEES IS DETERMINED BY FAIR MARKET VALUE, SALARY SURVEYS AND A SALARY RANGE PROVIDED BY FLORIDA STATE UNIVERSITY, THE SUPPORTED ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. 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