2019-05-15T09:53:16-05:00 2018-06-30 621517792 PYA PC 3000 Bayport Drive Suite 860 Tampa FL 33607 990 2017-07-01 591867557 University of Florida Jacksonville Physicians Inc UNIV 9042449500 653 West 8th Street Jacksonville FL 32209 Timothy Reinschmidt VP of Finance 9042449500 2019-05-14 1 Terry Haefner P01258953 7274427110 35.136.33.75 2019-05-15 09:53:13 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 C933B529A1AB80BD3F3F4E67FF1D7B62E966208F 2017 2019-02-21 02:37:17Z Leon L Haley Jr MD 653 West 8th Street Jacksonville FL 32209 322231145 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 (UF) College of Medicine - Jacksonville (COM) in its mission to comfort, to heal, to educate and to discover. 23 0 1766 0 0 0 2003195 1936403 281806283 319342923 5310870 906964 343969 44855 289464317 322231145 138642823 157804111 0 0 91555549 96461861 0 0 0 57850544 65849545 288048916 320115517 1415401 2115628 91719796 93695819 25141846 22781748 66577950 70914071 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 287523262 157804111 319387778 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. 287523262 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 1 0 0 0 0 0 0 0 1 0 0 0 1 39 0 1 1766 1 0 0 0 0 0 0 0 0 0 0 X 23 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 746471 36872 Pradeep Kadambi MD President 1.00 40.00 X X 0 104137 9860 Andy Goodwin MD Vice-President 1.00 40.00 X X 0 505594 41689 Steven Cuffe MD Secretary/Treasurer 1.00 40.00 X X 0 380515 41187 Ted Bass MD Trustee 1.00 40.00 X 0 673978 52374 Guy Benrubi MD Trustee 1.00 40.00 X 0 525903 35682 Alan Berger MD Trustee 1.00 40.00 X 0 441727 46915 Joseph Costa MD Trustee 1.00 40.00 X 0 518717 20255 Paul Doughtery MD Trustee 1.00 40.00 X 0 819444 31698 Tirbod Fattahi MD Trustee 1.00 40.00 X 0 632239 34306 Laura Huntley UF Trustee 1.00 40.00 X 0 244382 35578 Mark Hudak MD Trustee 1.00 40.00 X 0 464872 51727 Scott Lind MD Trustee 1.00 40.00 X 0 563191 40047 Shahla Masood MD Trustee 1.00 40.00 X 0 512935 36369 Mike Mckee UF Trustee 1.00 40.00 X 0 323820 88721 Saurin Shah MD Trustee 1.00 40.00 X 0 488912 33277 Arshag Mooradian MD Trustee 1.00 40.00 X 0 504475 33281 Paul Wasserman MD Trustee 1.00 40.00 X 0 496495 35238 Ashley Norse Trustee 1.00 40.00 X 0 299567 33517 Nipa Shah MD Trustee 1.00 40.00 X 0 414891 34156 Daryoush Tavanaiepour MD Trustee 1.00 40.00 X 0 724847 33230 David Guzick MD UF Trustee 1.00 40.00 X 0 1510509 42538 Chandana Lall MD Trustee 1.00 40.00 X 0 0 0 Rita James VP Ambulatory Services 40.00 X 185558 0 28423 Timothy Reinschmidt VP Finance 40.00 X 180925 0 24467 Richard Scanu VP Operations 40.00 X 83578 0 14938 Joseph Kelly CRNA 40.00 X 200518 0 15935 John King ARNP III 40.00 X 179259 0 13748 Valerie Redmon CRNA 40.00 X 162986 0 20762 Joy Elliott CRNA 40.00 X 162686 0 15342 Jill Silvey CRNA 40.00 X 161303 0 24030 George Wilson MD Former Officer 0.00 X 272192 0 0 1589005 11897621 1006162 105 1 1 0 Jacksonville MOB LLC 839 N Jefferson St Milwaukee WI 53202 Rent 1725816 GV-IP Jacksonville Owner LLC 721 Emerson Road Suite 300 St Louis MO 63141 Rent 1111159 Jacksonville 4555 Medical Properties PO Box 257 Emerson NJ 07630 Rent 1006416 Locumtenenscom PO Box 405547 Atlanta GA 30384 Temporary Staffing 847309 SNI Companies PO Box 840912 Dallas TX 75284 Staffing Services 829896 55 1936403 1936403 Patient Revenue 621990 257716453 257716453 Contract and Grants 621990 57326893 57326893 Charity Care Settlemen 621990 4299577 4299577 319342923 330728 330728 576236 0 576236 576236 576236 Management Fees 561000 44855 44855 44855 322231145 319387778 0 906964 157804111 157804111 76282223 58014336 18267887 1677517 1275789 401728 13246047 10002863 3243184 5256074 3997362 1258712 124936 124936 176640 176640 3414791 2058108 1356683 614890 614890 1003802 822541 181261 2493611 1994889 498722 11192190 9702404 1489786 363763 50109 313654 1000845 615661 385184 70386 70386 4812983 2978170 1834813 1408353 1324632 83721 Bad Debt Expense 23734843 23734843 Medical Supplies 6394430 6394430 Repairs and Maintenance 1309533 1309533 Dean's Fund 469842 469842 7263707 4973639 2290068 320115517 287523262 32592255 0 25033805 32769337 25765521 5974267 13217157 11952458 1614026 1804819 58734256 38985306 17830760 19748950 8258527 21445988 91719796 93695819 19304441 17110405 4474663 3659506 1362742 2011837 25141846 22781748 X 66577950 70914071 66577950 70914071 91719796 93695819 X 2115628 2220493 X 0 1 X 1 0 X X 1 University of Florida 596002052 2 1 287523262 0 1 287523262 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3748493 3748493 2354490 2354490 15567220 12798288 2768932 36630804 26187018 10443786 433249 433249 19748950 Due from Shands Jacksonville Medical Center, Inc. 7783043 Other Receivables 13626844 Due from Faculty Clinic, Inc. 36101 21445988 Due to University of Florida 1041951 Due to Shands Jacksonville Medical Center, Inc. 716116 Due to Shands at the University of Florida, Inc. 253770 2011837 X 283971065 0 283971065 38260080 38260080 322231145 279634944 0 279634944 40480573 40480573 320115517 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, 2018, management does not believe UFJP holds any uncertain tax positions. Tax returns for the years ended June 30, 2015 through 2018 are subject to examination by taxing authorities. Part XI, Line 4b - Other Adjustments: Bad Debts Netted with Revenues 23,734,843. Grants Netted with Expenses 14,525,237. Part XII, Line 4b - Other Adjustments: Bad Debts Netted with Revenues 23,734,843. Grants Netted with Expenses 14,525,237. Accrual to Cash Difference in Grants 2,220,493. 1 University of Florida College of Medicine PO Box 113200 Gainesville FL 32611 596002052 115 140758381 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 720460 0 0 0 26011 0 17888 0 18984 0 783343 0 0 Andy Goodwin MD Vice-President 0 495627 0 9378 0 589 0 22705 0 18984 0 547283 0 0 Steven Cuffe MD Secretary/Treasurer 0 361475 0 14378 0 4662 0 22203 0 18984 0 421702 0 0 Ted Bass MD Trustee 0 658255 0 9378 0 6345 0 33390 0 18984 0 726352 0 0 Guy Benrubi MD Trustee 0 482115 0 34378 0 9410 0 21486 0 14196 0 561585 0 0 Alan Berger MD Trustee 0 426325 0 9378 0 6024 0 32719 0 14196 0 488642 0 0 Joseph Costa MD Trustee 0 497635 0 17967 0 3115 0 1271 0 18984 0 538972 0 0 Paul Doughtery MD Trustee 0 805318 0 9378 0 4748 0 18858 0 12840 0 851142 0 0 Tirbod Fattahi MD Trustee 0 620211 0 9378 0 2650 0 15322 0 18984 0 666545 0 0 Laura Huntley UF Trustee 0 244382 0 0 0 0 0 18870 0 16708 0 279960 0 0 Mark Hudak MD Trustee 0 448922 0 9926 0 6024 0 32743 0 18984 0 516599 0 0 Scott Lind MD Trustee 0 559805 0 0 0 3386 0 21063 0 18984 0 603238 0 0 Shahla Masood MD Trustee 0 494112 0 9378 0 9445 0 21777 0 14592 0 549304 0 0 Mike Mckee UF Trustee 0 315180 0 0 0 8640 0 70108 0 18613 0 412541 0 0 Saurin Shah MD Trustee 0 477204 0 9378 0 2330 0 14293 0 18984 0 522189 0 0 Arshag Mooradian MD Trustee 0 489073 0 9378 0 6024 0 14297 0 18984 0 537756 0 0 Paul Wasserman MD Trustee 0 488652 0 6448 0 1395 0 16254 0 18984 0 531733 0 0 Ashley Norse Trustee 0 279567 0 20000 0 0 0 14533 0 18984 0 333084 0 0 Nipa Shah MD Trustee 0 405238 0 9378 0 275 0 15172 0 18984 0 449047 0 0 Daryoush Tavanaiepour MD Trustee 0 712553 0 9378 0 2916 0 14246 0 18984 0 758077 0 0 David Guzick MD UF Trustee 0 960208 0 482252 0 68049 0 22815 0 19723 0 1553047 0 0 Rita James VP Ambulatory Services 170775 0 7500 0 7283 0 5253 0 23170 0 213981 0 0 0 Timothy Reinschmidt VP Finance 165795 0 10000 0 5130 0 5008 0 19459 0 205392 0 0 0 Joseph Kelly CRNA 198264 0 1604 0 650 0 4856 0 11079 0 216453 0 0 0 John King ARNP III 162910 0 4709 0 11640 0 2979 0 10769 0 193007 0 0 0 Valerie Redmon CRNA 161368 0 1618 0 0 0 4898 0 15864 0 183748 0 0 0 Joy Elliott CRNA 160447 0 1589 0 650 0 4812 0 10530 0 178028 0 0 0 Jill Silvey CRNA 159617 0 1604 0 82 0 4855 0 19175 0 185333 0 0 0 George Wilson MD Former Officer 272192 0 0 0 0 0 0 0 0 0 272192 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 employees in good standing of the organization receive a bonus. Charles Haddad MD Former Board Member of the University of Florida Jacksonville Healthcare 332783 Leases building to University of Florida Jacksonville Physicians, Inc. 0 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 a .51 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 2,220,493. 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) 11A - Type 1 University of Florida 0 0 1 1 1 1 0 0 0 1 0 1 0 0 1 1 0 0 0 0