2014-05-14T13:49:53-05:00 2013-06-30 PURVIS GRAY & COMPANY LLP 443 EAST COLLEGE AVENUE TALLAHASSEE FL 32301 990 2012-07-01 571234883 FLORIDA MEDICAL PRACTICE PLAN INC FLOR 8506452827 1115 WEST CALL STREET TALLAHASSEE FL 32306 JOHN P FOGARTY MD 8506452827 2014-04-22 true RYAN M TUCKER CPA 8502247144 2014-05-09 2012 2015-11-30 17:44:51Z JOHN P FOGARTY 1115 WEST CALL STREET TALLAHASSEE FL 32306 11823484 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 RESIDENTS. 11 0 0 0 0 9366824 11811302 5425 6970 5212 9372249 11823484 5500 43250 0 6669077 9328122 0 0 2183591 2028862 8858168 11400234 514081 423250 3212259 3993965 1292154 1650610 1920105 2343355 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 RESIDENTS. false false 11339817 43250 11816514 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. 11339817 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 7 0 0 false false false false false false false false false false X 11 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 JOHN P FOGARTY MD 2.00 40.00 X X 0 382235 27936 GARNETT S STOKES PHD 0.50 40.00 X 0 327675 18516 JOHN R CARNAGHI MED 1.00 40.00 X 0 288892 33922 RICARDO GONZALEZ-ROTHI MD 1.00 40.00 X 0 284885 27309 ALMA B LITTLES MD 1.00 40.00 X X 0 263857 29251 DANIEL J VAN DURME MD 1.00 40.00 X X 0 248307 29859 KENNETH V BRUMMEL-SMITH MD 1.00 40.00 X 0 246283 29422 RICHARD S NOWAKOWSKI PHD 1.00 40.00 X 0 232529 23335 LESLIE M BEITSCH MD JD 1.00 40.00 X 0 212666 23686 JANINE EDWARDS PHD 1.00 40.00 X 0 200418 19965 DAVID COBURN 0.50 40.00 X 0 29672 1471 2717419 264672 false true false FSU COLLEGE OF MEDICINE SELF INSURAN 1115 W CALL STREET TALLAHASSEE FL 32306 SELF INSURANCE 491530 BLUE CROSS BLUE SHIELD OF FLORIDA PO BOX 44144 JACKSONVILLE FL 32231 HEALTH INSURANC 122648 2 X CLINICAL REVENUE 624100 11559458 11559458 MEDICAID REVENUE 624100 251844 251844 11811302 6970 6970 CREDIT CARD REBATE 5212 5212 5212 11823484 11811302 12182 43250 43250 8237729 8237729 294678 294678 438781 438781 356934 356934 300806 300806 20500 20500 136547 136547 8627 8627 31290 31290 6637 6637 59465 59465 957237 957237 MEDICAL SUPPLIES 375906 375906 OTHER 80548 80548 PROGRAM FEES 33083 33083 BAD DEBT EXPENSE 18216 18216 11400234 11339817 60417 0 1567878 2091416 1406219 1767462 40810 43386 147923 65624 49429 26077 3212259 3993965 70681 101438 1221473 1549172 1292154 1650610 X 1920105 2343355 1920105 2343355 3212259 3993965 423250 X false true X true false X X X X false false false FLORIDA STATE UNIVERSITY 591961248 2 true true true 9678293 1 9678293 FLORIDA STATE UNIVERSITY AUXILIARY 1549172 1549172 11805268 11805268 18216 18216 11823484 11382018 11382018 18216 18216 11400234 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 4B CLASSIFY BAD DEBTS AS EXPENSE 18,216 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B BAD DEBT EXPENSE 18,216 false CENTRAL AMERICA AND THE CARIBBEAN PROGRAM SERVICE MEDICAL MISSION TRIP 18159 18159 18159 false false false false false false ACTIVITIES PER REGION SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 18,159 0 false FLORIDA STATE UNIVERSITY FOUNDATION INNOVATION PARK 2010 LEVY AVENUE TALLAHASSEE FL 32306 596152180 501C3 42750 CONTRIBUTION 1 X X X X false false false false false false false false false JOHN P FOGARTY MD 382235 15121 12815 410171 GARNETT S STOKES PHD 321675 6000 18277 239 346191 JOHN R CARNAGHI MED 279487 2842 6563 19194 14728 322814 RICARDO GONZALEZ-ROTHI MD 284885 14494 12815 312194 ALMA B LITTLES MD 263857 16436 12815 293108 DANIEL J VAN DURME MD 248307 17044 12815 278166 KENNETH V BRUMMEL-SMITH MD 245083 1200 16607 12815 275705 RICHARD S NOWAKOWSKI PHD 232529 16000 7335 255864 LESLIE M BEITSCH MD JD 212666 10871 12815 236352 JANINE EDWARDS PHD 200418 13913 6052 220383 OTHER ADDITIONAL INFORMATION 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. ORGANIZATION'S MISSION 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 RESIDENTS. ADDITIONAL INFORMATION 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. RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 GARNETT S. STOKES, PH.D. JOHN R. CARNAGHI, M.ED. DIRECTOR DIRECTOR ON 3 OTHER FSU BOARDS TOGETHER GARNETT S. STOKES, PH.D. DAVID COBURN DIRECTOR DIRECTOR ON 3 OTHER FSU BOARDS TOGETHER 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 ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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. ADDITIONAL INFORMATION FORM 990, PART VIII PART VII SECTION A SEE ADDITIONAL INFORMATION ON SCHEDULE J REGARDING THE DEFINED BENEFIT PLAN. RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 CLASSIFY BAD DEBTS AS EXPENSE -18,216 BAD DEBT EXPENSE 18,216 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 9584478 CASH FLORIDA STATE UNIVERSITY M 93900 CASH