2015-05-14T15:23:10-05:00 2014-06-30 590548468 PURVIS GRAY & COMPANY LLP 443 EAST COLLEGE AVENUE TALLAHASSEE FL 32301 990 2013-07-01 571234883 FLORIDA MEDICAL PRACTICE PLAN INC FLOR 8506452827 1115 WEST CALL STREET TALLAHASSEE FL 32306 JOHN P FOGARTY MD PRESIDENT, FMPP 8506452827 2015-05-06 true RYAN M TUCKER CPA P00524189 8502247144 2015-05-06 2013 2016-03-07 17:11:31Z JOHN P FOGARTY 1115 WEST CALL STREET TALLAHASSEE FL 32306 12065166 false 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 0 0 0 11811302 12052714 6970 4390 5212 8062 11823484 12065166 43250 78759 0 9328122 10290514 0 0 2028862 2018157 11400234 12387430 423250 -322264 3993965 3701473 1650610 1680382 2343355 2021091 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. false false 12240716 78759 12060776 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 OTHERS FOR PATIENT CARE. 12240716 true false false false false false false false false false false false false false true false true true false false true false false false false false false true false true false false false false false false false false false false false false false true false false false true 12 0 0 false false false false false false false false false false false false X 10 0 true false false false false false false true true false false true true true true true true true true false X DAWN SNYDER 8506452827 1115 WEST CALL STREET TALLAHASSEE FL 32306 X JOHN P FOGARTY MD PRESIDENT 2.00 40.00 X X 0 387511 33852 GARNETT S STOKES PHD DIRECTOR 0.50 40.00 X 0 336482 19570 RICARDO GONZALEZ-ROTHI MD DIRECTOR 1.00 40.00 X 0 288937 33576 ALMA B LITTLES MD SEC/TREASURE 1.00 40.00 X X 0 266877 33943 DANIEL J VAN DURME MD VICE PRESIDE 1.00 40.00 X X 0 264430 33975 KENNETH V BRUMMEL-SMITH MD DIRECTOR 1.00 40.00 X 0 253635 36392 LESLIE M BEITSCH MD JD DIRECTOR 1.00 40.00 X 0 239631 31129 RICHARD S NOWAKOWSKI PHD DIRECTOR 1.00 40.00 X 0 235846 28042 DAVID COBURN DIRECTOR 0.50 40.00 X 0 194096 17814 KYLE CLARK MBA VICE PRESIDE 1.00 40.00 X X 0 106600 12401 2574045 280694 false true false FSU COLLEGE OF MEDICINE SELF INSURAN PO BOX 112735 GAINESVILLE FL 32611 MALPRACTICE INS 503180 BLUE CROSS BLUE SHIELD OF FLORIDA PO BOX 44144 JACKSONVILLE FL 32231 HEALTH INSURANC 221157 2 CLINICAL REVENUE 624100 11845428 11845428 MEDICAID REVENUE 624100 207286 207286 12052714 4390 4390 CREDIT CARD REBATE 8062 8062 8062 12065166 12052714 12452 78759 78759 8988229 8988229 428527 428527 503724 503724 370034 370034 117322 117322 21500 21500 295998 295998 13203 13203 112011 112011 55858 55858 20900 20900 142721 142721 789345 789345 MEDICAL SUPPLIES 281456 281456 TRAINING 68444 68444 MEMBERSHIPS/LICENSURE 41985 41985 REGISTRATION FEES 35070 35070 22344 22344 12387430 12240716 146714 0 2091416 2146051 1767462 1295610 43386 59502 65624 162298 26077 38012 3993965 3701473 101438 90520 1549172 1589862 1650610 1680382 X 2343355 2021091 2343355 2021091 3993965 3701473 -322264 X false true X true false X X X X false false false FLORIDA STATE UNIVERSITY 591961248 2 true true true 10346590 1 10346590 FLORIDA STATE UNIVERSITY AUXILIARY 1589862 1589862 12062572 12062572 2594 2594 12065166 12384836 12384836 2594 2594 12387430 SCHEDULE D, PAGE 4, PART XI, LINE 4B CLASSIFY BAD DEBTS AS EXPENSE 2,594 SCHEDULE D, PAGE 4, PART XII, LINE 4B BAD DEBT EXPENSE 2,594 false CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICE MEDICAL MISSION TRIP 11305 EAST ASIA AND THE PACIFIC EDUCATION EDUCATIONAL RELATION 9135 SOUTH ASIA REIMBURSEMENT REIMBURSE RESIDENT 1239 21679 21679 false false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 11,305 0 EAST ASIA AND THE PACIFIC 9,135 0 SOUTH ASIA 1,239 0 false FLORIDA STATE UNIVERSITY FOUNDATION INNOVATION PARK 2010 LEVY AVENUE TALLAHASSEE FL 32306 596152180 501C3 73247 CONTRIBUTION 1 X X X X false false false false false false false false false JOHN P FOGARTY MD PRESIDENT 387267 244 17611 16241 421363 GARNETT S STOKES PHD DIRECTOR 330238 244 6000 17303 2267 356052 RICARDO GONZALEZ-ROTHI MD DIRECTOR 288693 244 17665 15911 322513 ALMA B LITTLES MD SEC/TREASURER 266633 244 16542 17401 300820 DANIEL J VAN DURME MD VICE PRESIDENT 259297 244 4889 17398 16577 298405 KENNETH V BRUMMEL-SMITH MD DIRECTOR 253391 244 16591 19801 290027 LESLIE M BEITSCH MD JD DIRECTOR 222912 244 16475 14760 16369 270760 RICHARD S NOWAKOWSKI PHD DIRECTOR 235602 244 15609 12433 263888 DAVID COBURN DIRECTOR 143846 2250 48000 17764 50 211910 SCHEDULE J, PART III THROUGH THE RELATED ORGANIZATION THAT EMPLOYS THEM, ONE OF THE INDIVIDUALS REPORTED IN PART VII OF FORM 990 AND IN SCHEDULE J (FORM 990) PARTICIPATES IN THE FLORIDA RETIREMENT SYSTEM (FRS), A MULTI-EMPLOYER RETIREMENT SYSTEM CREATED UNDER CHAPTER 121 OF THE FLORIDA STATUTES AND ADMINISTERED BY THE FLORIDA DIVISION OF RETIREMENT. AS STATED ON THE WEBSITE OF FRS, IT IS FUNDED BY CONTRIBUTIONS PAID BY EMPLOYERS, BASED ON A PERCENTAGE OF THE EMPLOYEES' SALARIES AND A THREE PERCENT CONTRIBUTION BY THE EMPLOYEE. THE RATE OF CONTRIBUTIONS REQUIRED IS DETERMINED BY AN ACTUARIAL CONSULTING FIRM TO ASSURE COMPLIANCE WITH THE REQUIREMENTS OF THE CONSTITUTION OF THE STATE OF FLORIDA. THE INSTRUCTIONS FOR FORM 990 INDICATE THAT PART VII AND SCHEDULE J SHOULD INCLUDE A REASONABLE ESTIMATE OF THE INCREASE IN THE ACTUARIAL VALUE OF ANY QUALIFIED OR NONQUALIFIED RETIREMENT ACCRUALS UNDER A DEFINED BENEFIT PLAN. FRS HAS STATED THAT SUCH INFORMATION CURRENTLY IS NOT AVAILABLE FOR PARTICIPANTS IN ITS PLAN. THEREFORE, THE AMOUNTS REPORTED IN PART VII AND SCHEDULE J, AS APPROPRIATE, INCLUDE THE CONTRIBUTION PAID BY THE RELATED ORGANIZATION AS ITS CONTRIBUTION ON BEHALF OF THE NAMED INDIVIDUAL. THIS AMOUNT IS CONSIDERED THE BEST REASONABLE ESTIMATE OF INFORMATION REQUIRED IN THIS FORM 990 AND RELATED SCHEDULES. FORM 990 - ORGANIZATION'S MISSION 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. FORM 990 FORM 990, PART IX, STATEMENT OF FUNCTIONAL EXPENSES: THE FLORIDA MEDICAL PRACTICE PLAN, INC. DOES NOT HAVE EMPLOYEES. THE SALARIES AND BENEFITS REPORTED ON THE STATEMENT OF FUNCTIONAL EXPENSES ARE SALARIES AND BENEFITS REIMBURSED TO FLORIDA STATE UNIVERSITY. OTHER REIMBURSEMENTS TO FLORIDA STATE UNIVERSITY INCLUDE MANAGEMENT FEES AND INSURANCE EXPENSES. FORM 990, PAGE 6, PART VI, LINE 2 ALMA B. LITTLES, M.D. JOHN P. FOGARTY, M.D. DIRECTOR DIRECTOR ON AMA COUNCIL TOGETHER ALMA B. LITTLES, M.D. DANIEL J. VAN DURME, M.D. DIRECTOR DIRECTOR ON FAFP BOARD TOGETHER ALMA B. LTTILES, M.D. GARNETT S. STOKES, PH.D. DIRECTOR DIRECTOR ON FSU ATHLETIC BOARD TOGETHER GARNETT S. STOKES, PH.D. KYLE CLARK, MBA DIRECTOR DIRECTOR ON 3 OTHER FSU BOARDS TOGETHER GARNETT S. STOKES, PH.D. DAVID COBURN DIRECTOR DIRECTOR ON 3 OTHER FSU BOARDS TOGETHER FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE ORGANIZATION'S TOP OFFICIAL IS DETERMINED BY FAIR MARKET VALUE, SALARY SURVEYS AND A SALARY RANGE PROVIDED BY FLORIDA STATE UNIVERSITY, THE SUPPORTED ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION FOR THE ORGANIZATION'S 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, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII PART VII SECTION A SEE ADDITIONAL INFORMATION ON SCHEDULE J REGARDING THE DEFINED BENEFIT PLAN. FORM 990, PART XI, LINE 9 CLASSIFY BAD DEBTS AS EXPENSE -2,594 BAD DEBT EXPENSE 2,594 FLORIDA STATE UNIVERSITY A2201 UNIVERSITY CENTER TALLAHASSEE FL 32306 591961248 UNIVERSITY FL 501C3 2 N/A false false false false false false false false false false false false false false true true true false false false FLORIDA STATE UNIVERSITY O 10237761 CASH FLORIDA STATE UNIVERSITY M 108829 CASH