2020-05-11T17:11:22-05:00 2019-06-30 621517792 PYA PC 3000 Bayport Drive Suite 860 Tampa FL 33607 990 2018-07-01 591867557 University of Florida Jacksonville Physicians Inc UNIV 9042449500 653 West 8th Street Jacksonville FL 32209 Timothy Reinschmidt VP of Finance 9042449500 2020-05-11 1 Terry Haefner P01258953 7274427110 50.228.55.2 2020-05-11 17:11:18 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AF23F2A68CFF53983216DF8908F842EE3670BFA3 2018 2020-09-23 17:36:50Z Leon L Haley Jr MD 653 West 8th Street Jacksonville FL 32209 339308981 0 X www.hscj.ufl.edu X 1978 FL University of Florida Jacksonville Physicians, Inc. is dedicated to making a difference in the lives of those we serve by providing exceptional and innovative practice management in support of the University of Florida College of Medicine - Jacksonville in its mission to comfort, to heal, to educate and to discover. 26 0 1795 0 0 0 1936403 1488544 319342923 337242955 906964 528651 44855 45803 322231145 339305953 157804111 166460859 0 0 96461861 100657215 0 0 0 65849545 74115954 320115517 341234028 2115628 -1928075 93695819 100755082 22781748 32079599 70914071 68675483 X University of Florida Jacksonville Physicians, Inc. is dedicated to making a difference in the lives of those we serve by providing exceptional and innovative practice management in support of the University of Florida College of Medicine - Jacksonville in its mission to comfort, to heal, to educate and to discover. 0 0 307417123 166460859 337288758 The University of Florida Jacksonville Physicians, Inc., is an approved practice plan of the University of Florida College of Medicine (COM) in which the primary mission is to bill and collect professional fees from the clinical practice of University Physicians in order to fund the educational, clinical and research missions of the Jacksonville campus of the COM. 307417123 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 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 1 0 0 0 1 63 0 1 1795 1 0 0 0 0 0 0 0 0 0 0 0 0 X 26 0 0 0 0 0 1 0 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X David M Schreck 9042449500 653 W 8th Street Jacksonville FL 322096511 Leon Haley MD Chair 1.00 40.00 X X 0 891949 34635 Pradeep Kadambi MD President 1.00 40.00 X X 0 517198 41068 Andy Goodwin MD Vice-President 1.00 40.00 X X 0 535597 42921 Steven Cuffe MD Secretary/Treasurer 1.00 40.00 X X 0 391344 42624 Kethandapatti Balaji MD Trustee 1.00 40.00 X 0 250394 11402 Ted Bass MD Trustee 1.00 40.00 X 0 699247 54407 Guy Benrubi MD Trustee 1.00 40.00 X 0 531171 41990 Alan Berger MD Trustee 1.00 40.00 X 0 470317 49094 John Davis MD Trustee 1.00 40.00 X 0 302809 32435 Paul Doughtery MD Trustee 1.00 40.00 X 0 737546 22055 Tirbod Fattahi MD Trustee 1.00 40.00 X 0 678902 33858 Laura Huntley UF Trustee 1.00 40.00 X 0 261597 37145 Mark Hudak MD Trustee 1.00 40.00 X 0 526134 55518 Chandana Lall MD Trustee 1.00 40.00 X 0 381686 20150 Andy Kerwin MD Trustee 1.00 40.00 X 0 489031 33796 Shahla Masood MD Trustee 1.00 40.00 X 0 589227 36400 Mike Mckee UF Trustee 1.00 40.00 X 0 345764 94449 Paul Mongan MD Trustee 1.00 40.00 X 0 489235 37804 Arshag Mooradian MD Trustee 1.00 40.00 X 0 538148 39764 David Nelson MD UF Trustee 1.00 40.00 X 0 766495 63962 Ashley Norse Trustee 1.00 40.00 X 0 288557 34066 Nipa Shah MD Trustee 1.00 40.00 X 0 453586 33861 Daryoush Tavanaiepour MD Trustee 1.00 40.00 X 0 733538 33509 Darrell Wudunn MD Trustee 1.00 40.00 X 0 142855 9990 Jeff Brunelli MD Trustee 1.00 40.00 X 0 491629 22466 Joseph Costa MD Trustee 1.00 40.00 X 0 540239 33772 Scott Lind MD Trustee 1.00 40.00 X 0 597073 40685 Saurin Shah MD Trustee 1.00 40.00 X 0 506003 33358 David Guzick MD UF Trustee 1.00 40.00 X 0 1400567 43840 Andrew Kaunitz MD Interim Trustee 1.00 40.00 X 0 370698 31027 Rita James VP Ambulatory Services 40.00 X 212888 0 29853 Timothy Reinschmidt VP Finance 40.00 X 215719 0 25998 Richard Scanu VP Operations 40.00 X 208314 0 25253 Joseph Kelly CRNA 40.00 X 197272 0 16370 Rita Duggins ARNP III - Supervisor 40.00 X 179623 0 22529 Jill Silvey CRNA 40.00 X 175097 0 24579 John King ARNP III 40.00 X 172369 0 13805 Lori Lauro CRNA 40.00 X 169648 0 27249 1530930 15918536 1327687 101 0 1 0 Brasfield & Gorrie LLC 4601 Touchton Road Bldg 300 Suite Jacksonville FL 32246 Contractor/Project Manager 3346805 Jacksonville MOB LLC 839 N Jefferson St Milwaukee WI 53202 Rent 1904673 GV-IP Jacksonville Owner LLC 721 Emerson Road Suite 300 St Louis MO 63141 Rent 1236673 CMK2 Jacksonville 4555 LLC PO Box 257 Emerson NJ 07630 Rent 1103848 SNI COMPANIES 7751 Belfort Road Suite 150 Jacksonville FL 32256 Temporary Staffing 882409 78 1488544 1488544 Patient Revenue 621990 274927664 274927664 Contract and Grants 621990 57967857 57967857 Charity Care Settlement 621990 4347434 4347434 337242955 531679 531679 3028 -3028 -3028 -3028 Management Fees 561000 45803 45803 45803 339305953 337288758 0 528651 166460859 166460859 78652662 60160711 18491951 1742293 1332664 409629 14872444 11309704 3562740 5389816 4122622 1267194 36037 36037 175932 175932 3755962 2651749 1104213 731041 731041 764516 653445 111071 2972959 2378367 594592 11472160 9934563 1537597 257673 46135 211538 923554 585197 338357 117817 117817 4749340 2905917 1843423 1677948 1589030 88918 Bad Debt Expense 29227737 29227737 Medical Supplies 6932676 6932676 Repairs and Maintenance 1632596 945633 686963 Early Steps 417427 417427 8270579 5762687 2507892 341234028 307417123 33816905 0 32769337 9295258 5974267 20252834 11952458 10063988 1804819 2266968 69853214 43514008 19748950 26339206 21445988 32536828 93695819 100755082 17110405 22507287 3659506 8005868 2011837 1566444 22781748 32079599 X 70914071 68675483 70914071 68675483 93695819 100755082 X -1928075 -310513 X 0 1 X 1 0 X X 1 University of Florida 596002052 2 1 307417123 0 1 307417123 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3748493 3748493 2354490 1722562 631928 16316818 11663793 4653025 38677568 30127653 8549915 8755845 8755845 26339206 Due from Shands Jacksonville Medical Center, Inc. 18560172 Other Receivables 13943883 Due from Faculty Clinic, Inc. 32773 32536828 Due to University of Florida 639729 Due to Shands Jacksonville Medical Center, Inc. 619577 Due to Shands at the University of Florida, Inc. 307138 1566444 X 293890281 0 293890281 45415672 45415672 339305953 296128869 0 296128869 45105159 45105159 341234028 Part X, Line 2: University of Florida Jacksonville Physicians, Inc. (UFJP) is exempt from federal income taxes under Internal Revenue Code Section 501(c)(3) and is exempt from state income taxes. Accordingly, no provision for income taxes has been included in the accompanying financial statements. At June 30, 2019, management does not believe UFJP holds any uncertain tax positions. Tax returns for the years ended June 30, 2016 through 2019 are subject to examination by taxing authorities. Part XI, Line 4b - Other Adjustments: Bad Debts Netted with Revenues 29,227,738. Grants Netted with Expenses 16,187,934. Part XII, Line 4b - Other Adjustments: Bad Debts Netted with Revenues 29,227,738. Grants Netted with Expenses 16,187,934. Accrual to Cash Difference in Grants -310,513. 1 University of Florida College of Medicine PO Box 113200 Gainesville FL 32611 596002052 115 150433438 Cash value General Support to Academic Enrichment Fund Shands Jacksonville Medical Center Inc 655 West 8th Street Jacksonville FL 32209 592142859 501(c)(3) 150000 Cash value General Support 2 Part I, Line 2: The largest grants or assistance were made to the University of Florida. The University of Florida Jacksonville Physicians, Inc. was established by the State of Florida legislation as a support organization of the University of Florida. The University of Florida Jacksonville Physicians, Inc. is required to transfer funds to the University of Florida to fulfill its mission as a support organization of the University of Florida. Once the funds are transferred to the University of Florida, the University ensures that the funds are used to fulfill the mission of the University of Florida. X 0 0 0 0 0 0 0 1 0 Leon Haley MD Chair 0 846449 0 45500 0 0 0 15651 0 18984 0 926584 0 0 Pradeep Kadambi MD President 0 498724 0 10000 0 8474 0 22084 0 18984 0 558266 0 0 Andy Goodwin MD Vice-President 0 519585 0 15445 0 567 0 23937 0 18984 0 578518 0 0 Steven Cuffe MD Secretary/Treasurer 0 371520 0 15445 0 4379 0 23640 0 18984 0 433968 0 0 Kethandapatti Balaji MD Trustee 0 248443 0 0 0 1951 0 9822 0 1580 0 261796 0 0 Ted Bass MD Trustee 0 677478 0 15445 0 6324 0 35423 0 18984 0 753654 0 0 Guy Benrubi MD Trustee 0 499095 0 20445 0 11631 0 27794 0 14196 0 573161 0 0 Alan Berger MD Trustee 0 438848 0 25445 0 6024 0 34898 0 14196 0 519411 0 0 John Davis MD Trustee 0 298646 0 0 0 4163 0 15033 0 17402 0 335244 0 0 Paul Doughtery MD Trustee 0 717353 0 15445 0 4748 0 14471 0 7584 0 759601 0 0 Tirbod Fattahi MD Trustee 0 661828 0 15445 0 1629 0 14874 0 18984 0 712760 0 0 Laura Huntley UF Trustee 0 251561 0 10036 0 0 0 20355 0 16790 0 298742 0 0 Mark Hudak MD Trustee 0 494665 0 25445 0 6024 0 36534 0 18984 0 581652 0 0 Chandana Lall MD Trustee 0 380108 0 0 0 1578 0 15726 0 4424 0 401836 0 0 Andy Kerwin MD Trustee 0 483647 0 3136 0 2248 0 14812 0 18984 0 522827 0 0 Shahla Masood MD Trustee 0 523543 0 56762 0 8922 0 21808 0 14592 0 625627 0 0 Mike Mckee UF Trustee 0 323820 0 12944 0 9000 0 75741 0 18708 0 440213 0 0 Paul Mongan MD Trustee 0 473610 0 0 0 15625 0 18820 0 18984 0 527039 0 0 Arshag Mooradian MD Trustee 0 498293 0 30445 0 9410 0 20780 0 18984 0 577912 0 0 David Nelson MD UF Trustee 0 661683 0 73764 0 31048 0 43860 0 20102 0 830457 0 0 Ashley Norse Trustee 0 284957 0 3500 0 100 0 15082 0 18984 0 322623 0 0 Nipa Shah MD Trustee 0 436686 0 15445 0 1455 0 14877 0 18984 0 487447 0 0 Daryoush Tavanaiepour MD Trustee 0 715177 0 15445 0 2916 0 14525 0 18984 0 767047 0 0 Darrell Wudunn MD Trustee 0 128283 0 0 0 14572 0 5244 0 4746 0 152845 0 0 Jeff Brunelli MD Trustee 0 470140 0 18931 0 2558 0 14882 0 7584 0 514095 0 0 Joseph Costa MD Trustee 0 521679 0 15445 0 3115 0 14788 0 18984 0 574011 0 0 Scott Lind MD Trustee 0 577249 0 15445 0 4379 0 21701 0 18984 0 637758 0 0 Saurin Shah MD Trustee 0 488775 0 15445 0 1783 0 14374 0 18984 0 539361 0 0 David Guzick MD UF Trustee 0 988413 0 347704 0 64450 0 23787 0 20053 0 1444407 0 0 Andrew Kaunitz MD Interim Trustee 0 355332 0 13606 0 1760 0 16435 0 14592 0 401725 0 0 Rita James VP Ambulatory Services 194963 0 10000 0 7925 0 5981 0 23872 0 242741 0 0 0 Timothy Reinschmidt VP Finance 197945 0 10000 0 7774 0 5971 0 20027 0 241717 0 0 0 Richard Scanu VP Operations 197062 0 10000 0 1252 0 2589 0 22664 0 233567 0 0 0 Joseph Kelly CRNA 196622 0 0 0 650 0 5076 0 11294 0 213642 0 0 0 Rita Duggins ARNP III - Supervisor 176301 0 3322 0 0 0 2987 0 19542 0 202152 0 0 0 Jill Silvey CRNA 167155 0 0 0 7942 0 4952 0 19627 0 199676 0 0 0 John King ARNP III 155784 0 4725 0 11860 0 3039 0 10766 0 186174 0 0 0 Lori Lauro CRNA 160539 0 0 0 9109 0 4899 0 22350 0 196897 0 0 0 Part I, Line 7 Subject to the discretion of the Dean of the College of Medicine, bonuses may be paid to all employees in good standing of UFJP. The amount is not fixed and a bonus is not paid each year. In a year in which the Dean approves the payment of bonuses, all eligible employees in good standing of the organization receive a bonus. Form 990, Part VI, Section A, line 6 The following are the members of the University of Florida Jacksonville Physicians, Inc. as stated in its bylaws: The membership of the Corporation shall consist of all clinical faculty who serve at least 0.50 full time equivalent (FTE) on the faculty of the University of Florida College of Medicine - Jacksonville and each member shall retain his or her status only so long as he or she remains at least a .50 FTE member of the clinical faculty of the University of Florida College of Medicine - Jacksonville. Form 990, Part VI, Section A, line 7b The Bylaws and Articles of Incorporation of the University of Florida Jacksonville Physicians, Inc. may be amended only by a majority vote of all members of the Board of Directors. All of the Amendments to the Bylaws of the University of Florida Jacksonville Physicians, Inc. are subject to approval by the Dean of the University of Florida College of Medicine - Jacksonville, the University of Florida Senior Vice President for Health Affairs, and the President of the University of Florida. Form 990, Part VI, Section B, line 11b The 990 will first be reviewed by the Manager of Financial Reporting. Any necessary changes will be made and then a second level of review will be administered by the Director of Accounting. The 990 will then go through a final level of review by the VP of Finance. Form 990, Part VI, Section B, line 12c Faculty members are state employees and are covered by the University of Florida policies. Such employees are covered by two policies: 1) Business Ethics and 2) Gifts. All employees are required to sign a receipt that they have received and read the Business Ethics Policy. In addition, all employees have to annually sign the "Standards of Behavior" of which a copy goes into the Human Resources record. Directors and Managers are responsible for monitoring and enforcing compliance. In addition, the Accounts Payable Department will consult with the HR department if anything seems out of line in the administration of this policy. Form 990, Part VI, Section B, line 15 Top and key employee compensation is recommended based on the current market and the rates established by the Human Resource Department for that specific job and level. Approval is required by the Director of HR and the Dean of the Regional Campus in Jacksonville. A faculty member's compensation package has to be approved by the Dean of the Regional Campus in Jacksonville and by the Senior VP of Health Affairs at the College of Medicine in Gainesville, Florida. Form 990, Part VI, Section C, line 19 This organization is covered by the Sunshine Laws and, with few exceptions (personal health information for one), all documents, financial information, board minutes, etc., are public information. Anyone can make a formal request to the legal office and the information will be provided. Form 990, Part XI, line 9: Accrual to Cash Difference in Grants -310,513. University of Florida PO Box 113200 Gainesville FL 32611 596002052 Education FL 115 N/A N/A 0 Faculty Clinic Inc PO Box 44008 Jacksonville FL 32231 592856153 Healthcare FL 501(c)(3) Line 12a, I University of Florida 0 0 1 1 1 1 0 0 0 1 0 1 0 0 1 1 0 0 0 0