2018-05-08T10:17:04-05:00 2017-06-30 621517792 PYA PC 3000 Bayport Drive Suite 580 Tampa FL 33607 990 2016-07-01 591867557 University of Florida Jacksonville Physicians Inc UNIV 9042449500 653 West 8th Street Jacksonville FL 32209 Tim Reinschmidt VP of Finance 9042449500 2018-05-08 1 Terry Haefner P01258953 7274427110 2016 2022-09-23 18:48:47Z Leon L Haley Jr MD 653 West 8th Street Jacksonville FL 32209 289464317 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. 22 0 1764 0 0 0 0 2003195 290711592 281806283 3252887 5310870 4512305 343969 298476784 289464317 169129345 138642823 0 0 71497677 91555549 0 0 0 55011702 57850544 295638724 288048916 2838060 1415401 84390241 91719796 24884978 25141846 59505263 66577950 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 258134904 138642823 282150252 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. 258134904 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 1764 1 0 0 0 0 0 0 0 0 0 0 X 22 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 40.00 1.00 X X 0 0 0 Steven Cuffe MD Secretary/Treasurer 1.00 40.00 X X 0 370559 39376 Andy Godwin MD VP 1.00 40.00 X X 0 478477 41103 George Wilson MD President 1.00 40.00 X X 0 518500 0 Ted Bass MD Trustee 1.00 40.00 X 0 669178 49830 Guy Benrubi MD Trustee 1.00 40.00 X 0 562546 30668 Alan Berger MD Trustee 1.00 40.00 X 0 434131 44875 Joseph Costa MD Trustee 1.00 40.00 X 0 512282 30997 Tirbod Fatahi MD Trustee 1.00 40.00 X 0 610250 32413 David Guzick MD UF Trustee 1.00 40.00 X 0 1485396 42703 Paul Dougherty MD Trustee 1.00 40.00 X 0 187960 11783 Mark Hudak MD Trustee 1.00 40.00 X 0 488099 49552 Laura Huntley UF Trustee 1.00 40.00 X 0 218149 31578 Andy Kerwin MD Trustee 1.00 40.00 X 0 480641 32508 Scott Lind MD Trustee 1.00 40.00 X 0 448140 29148 Shahla Masood MD Trustee 1.00 40.00 X 0 494792 34923 Michael Mckee UF Trustee 1.00 1.00 X 0 321820 148923 Arshag Mooradian MD Trustee 1.00 40.00 X 0 496014 32396 Ashley Norse MD Trustee 1.00 40.00 X 0 289027 32633 Nipa Shah MD Trustee 1.00 40.00 X 0 392787 32507 Saurin Shah MD Trustee 1.00 40.00 X 0 470796 32887 Daryoush Tavanaiepour MD Trustee 1.00 40.00 X 0 720023 32016 Paul Wasserman MD Trustee 1.00 40.00 X 0 426065 32450 Nancy Frashuer Sr VP/CFO&CEO 20.00 1.00 X 258812 0 23868 Joseph Kelly CRNA-Chief 40.00 X 199886 0 15409 Rita Duggins ARNP III 40.00 X 184641 0 13308 Susanna Stewart CRNA 40.00 X 181157 0 15095 John A King ARNP III 40.00 X 172629 0 13050 Rita James VP Ambulatory Services 40.00 X 170202 0 26712 Daniel R Wilson MD Former Trustee 0.00 X 0 307111 11382 1167327 11382743 964093 93 1 1 0 Jacksonville MOB LLC 839 N Jefferson St Milwaukee WI 53202 Property Management 1750815 GV-IP Jacksonville Owner LLC PO Box 440668 Kennesaw GA 30160 Real Estate Management 1097354 Jacksonville 4555 Medical 181 West Madison 4700 Chicago IL 60602 Rent 996011 SNI Companies PO Box 740497 Atlanta GA 30374 Temporary Staffing 740906 Locumtenenscom PO Box 405547 Atlanta GA 30384 Temporary Staffing 501243 34 2003195 2003195 Patient Revenue 621990 218446513 218446513 Contract and Grants 621990 59014447 59014447 Charity Care Settlements 621990 4345323 4345323 281806283 220255 220255 5090615 0 5090615 5090615 5090615 Management Fees 561000 343969 343969 343969 289464317 282150252 0 5310870 138642823 138642823 71897227 54638524 17258703 1738957 1321526 417431 12976119 9860996 3115123 4943246 3756635 1186611 35900 35900 193716 193716 3094746 2042638 1052108 99703 99703 1112456 891213 221243 2333274 1866619 466655 10792036 9300133 1491903 331568 35052 296516 945274 598867 346407 38751 38751 4778813 2936964 1841849 1507750 1411357 96393 Bad Debt Expense 17604302 17604302 Medical Supplies 5935295 5935295 Repairs and Maintenance 1346159 1346159 Dean's Fund 327953 327953 7372848 5617848 1755000 288048916 258134904 29914012 0 38206642 25033805 5711432 25765521 15286198 13217157 1407499 1614026 62407884 44577124 19524760 17830760 4253710 8258527 84390241 91719796 17984711 19304441 5258421 4474663 1641846 1362742 24884978 25141846 X 59505263 66577950 59505263 66577950 84390241 91719796 X 1415401 5657286 X 0 1 X 1 0 X X 1 University of Florida 596002052 2 1 258134904 0 1 258134904 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 98093 98093 2354490 2354490 15005415 11757206 3248209 44905369 32819918 12085451 44517 44517 17830760 Due from Shands Jacksonville Medical Center, Inc. 280357 Other Receivables 7942370 Due from Faculty Clinic, Inc. 35800 8258527 Due to University of Florida 478109 Due to Shands Jacksonville Medical Center, Inc. 650959 Due to Shands at the University of Florida, Inc. 233674 1362742 X 257150586 0 257150586 32313731 32313731 289464317 250077899 0 250077899 37971017 37971017 288048916 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, 2017, management does not believe UFJP holds any uncertain tax positions. Tax returns for the years ended June 30, 2014 through 2017 are subject to examination by taxing authorities. Part XI, Line 4b - Other Adjustments: Bad Debts Netted with Revenues 17,604,302. Grants Netted with Expenses 14,709,429. Part XII, Line 4b - Other Adjustments: Bad Debts Netted with Revenues 17,604,302. Grants Netted with Expenses 14,709,429. Accrual to Cash Difference in Grants 5,657,286. 1 University of Florida College of Medicine PO Box 113200 Gainesville FL 32611 596002052 115 138492823 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 Steven Cuffe MD Secretary/Treasurer 0 353592 0 12342 0 4625 0 21292 0 18084 0 409935 0 0 Andy Godwin MD VP 0 466783 0 11353 0 341 0 23019 0 18084 0 519580 0 0 George Wilson MD President 0 518500 0 0 0 0 0 0 0 0 0 518500 0 0 Ted Bass MD Trustee 0 644591 0 18242 0 6345 0 31746 0 18084 0 719008 0 0 Guy Benrubi MD Trustee 0 516783 0 36353 0 9410 0 17144 0 13524 0 593214 0 0 Alan Berger MD Trustee 0 419931 0 8176 0 6024 0 31351 0 13524 0 479006 0 0 Joseph Costa MD Trustee 0 501560 0 7607 0 3115 0 12913 0 18084 0 543279 0 0 Tirbod Fatahi MD Trustee 0 607507 0 0 0 2743 0 14329 0 18084 0 642663 0 0 David Guzick MD UF Trustee 0 948538 0 534125 0 2733 0 21519 0 21184 0 1528099 0 0 Paul Dougherty MD Trustee 0 186011 0 0 0 1949 0 7151 0 4632 0 199743 0 0 Mark Hudak MD Trustee 0 476527 0 5548 0 6024 0 31468 0 18084 0 537651 0 0 Laura Huntley UF Trustee 0 218049 0 0 0 100 0 16125 0 15453 0 249727 0 0 Andy Kerwin MD Trustee 0 467582 0 10986 0 2073 0 14424 0 18084 0 513149 0 0 Scott Lind MD Trustee 0 441502 0 3747 0 2891 0 14078 0 15070 0 477288 0 0 Shahla Masood MD Trustee 0 482800 0 0 0 11992 0 21027 0 13896 0 529715 0 0 Michael Mckee UF Trustee 0 309698 0 11970 0 152 0 126815 0 22108 0 470743 0 0 Arshag Mooradian MD Trustee 0 481814 0 8176 0 6024 0 14312 0 18084 0 528410 0 0 Ashley Norse MD Trustee 0 269527 0 19500 0 0 0 14549 0 18084 0 321660 0 0 Nipa Shah MD Trustee 0 383360 0 8176 0 1251 0 14423 0 18084 0 425294 0 0 Saurin Shah MD Trustee 0 460571 0 8176 0 2049 0 14803 0 18084 0 503683 0 0 Daryoush Tavanaiepour MD Trustee 0 706474 0 11353 0 2196 0 13932 0 18084 0 752039 0 0 Paul Wasserman MD Trustee 0 424668 0 0 0 1397 0 14366 0 18084 0 458515 0 0 Nancy Frashuer Sr VP/CFO&CEO 245337 0 13428 0 47 0 7403 0 16465 0 282680 0 0 0 Joseph Kelly CRNA-Chief 197496 0 1610 0 780 0 4879 0 10530 0 215295 0 0 0 Rita Duggins ARNP III 166036 0 990 0 17615 0 2999 0 10309 0 197949 0 0 0 Susanna Stewart CRNA 173352 0 1596 0 6209 0 4836 0 10259 0 196252 0 0 0 John A King ARNP III 158254 0 3289 0 11086 0 2921 0 10129 0 185679 0 0 0 Rita James VP Ambulatory Services 158634 0 5000 0 6568 0 4885 0 21827 0 196914 0 0 0 Daniel R Wilson MD Former Trustee 0 305651 0 0 0 1460 0 79 0 11303 0 318493 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 327844 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 VP of Finance, 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 5,657,286. 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