2022-05-16T13:01:16-05:00 2021-06-30 621517792 PYA PC 3000 Bayport Drive Suite 860 Tampa FL 33607 990 2020-07-01 591680273 Florida Clinical Practice Association Inc FLOR 3522658017 PO Box 100205 Gainesville FL 326100205 Scott Sumner Chief Financial Officer 3522658017 2022-05-16 1 Scott Sumner 999009999 Terry Haefner P01258953 8134243700 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z Anthony A Mancuso MD PO Box 100205 Gainesville FL 326100205 849874924 0 X N/A X 1976 FL See Supplementary Schedule Schedule OThe Florida Clinical Practice Association, Inc. (FCPA) was formed primarily for the purpose of enhancing the quality of medical education and research at the University of Florida. 24 0 0 0 0 0 106135375 90225835 632236735 758918728 1667167 691827 1929500 0 741968777 849836390 520740145 578389810 0 0 0 0 0 0 0 231652078 246509842 752392223 824899652 -10423446 24936738 276739646 318503929 132250555 143957069 144489091 174546860 The Florida Clinical Practice Association, Inc. was formed primarily for the purpose of enhancing the quality of medical education and research at the University of Florida. 0 0 605162512 417931775 758914729 Clinical services and education - The FCPA facilitates the provision of educationally oriented clinical practice settings and opportunities, through which University of Florida faculty members provide health and medical treatment to patients as an integral part of their academic activities and their employment as faculty. Such faculty practice activities are designed to assure clinical practice opportunities and experiences that are essential in the training of students and postgraduate health professionals. These activities will also enhance skills and knowledge of faculty members who must teach and train medical and other health professional students. 115773902 104671991 Research - bench to patient research around medical and healthcare issues. 60993204 55786044 3999 Education - education of medical students, residents and graduate students. 781929618 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 48 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 24 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 X J Tommy Washer 3522658017 1329 SW 16th Street Room 4250 Gainesville FL 32608 X Patrick J Antonelli MD Otolaryngology, Chair 0.10 40.00 X 0 662288 43581 Regina Bussing MD Psychiatry, Chair 0.10 40.00 X 0 492302 39846 Peter Carek MD CHFM, Chair 0.10 40.00 X 0 368889 36748 Jamie Conti MD Medicine, Chair 0.10 40.00 X 0 658332 37901 Chistopher Cowen CPA UF Chief Financial Officer 0.10 40.00 X 0 283698 41295 Marvin Dewar MD JD Senior Associate Dean & CEO, UF Physicians 10.00 40.00 X X 0 606332 36530 Andrew Eisman JD Secretary 0.10 40.00 X X 0 197390 43506 C Parker Gibbs MD Senior Associate Dean, Clinical Affairs 0.10 40.00 X 0 734281 44550 Brian Hoh MD Neurosurgery, Chair 0.10 40.00 X 0 1024517 35539 Jennifer Hunt MD Pathology, Chair 0.10 40.00 X 0 319991 20484 Laura Huntley Health Affairs, Vice President 0.10 40.00 X 0 266301 46615 Colleen G Koch MD MS MBA Dean, COM 2.00 40.00 X X 0 0 0 Anthony A Mancuso MD President 0.10 40.00 X X 0 749569 44121 Timothy Morey MD Anesthesiology, Chair 0.10 40.00 X 0 649910 45657 Michael Okun MD Neurology, Chair 0.10 40.00 X 0 555156 36599 Paul Okunieff MD Radiation Oncology, Chair 0.10 40.00 X 0 765884 35991 Marco Pahor MD Aging & Geriatric Research, Chair 0.10 40.00 X 0 559296 35053 Mary D Patterson MD Emergency Medicine, Chair 0.10 40.00 X 0 356372 32473 Mark T Scarborough MD Orthopaedics, Chair 0.10 40.00 X 0 879843 46083 Desmond Schatz MD Pediatrics, Interim Chair 0.10 40.00 X 0 382850 40819 Jeremy W Sibiski Executive Vice President/Treasurer 2.00 40.00 X X 0 335126 42520 John C Smulian MD Ob-Gyn, Chair 0.10 40.00 X 0 672665 31564 Li-Ming Su MD Urology, Chair 0.10 40.00 X 0 658900 46729 Abel Torres MD Dermatology, Chair 0.10 40.00 X 0 523498 20228 Sonal Tuli MD Ophthalmology, Chair 0.10 40.00 X X 0 600635 38735 Joseph A Tyndall MD Emergency Medicine, Chair 2.00 40.00 X X 0 678698 39237 Gilbert Upchurch MD Vice President 0.10 40.00 X X 0 763709 37567 Alan M West CPA CGMA UF Asst. VP and Controller 0.10 40.00 X 0 231232 39091 Charles Wood PhD Aging & Geriatric, Chair 0.10 40.00 X 0 301261 37114 Michael Clare-Salzler MD Former Pathology, Chair 0.00 40.00 X 0 332281 25157 Francesca K Enneking MD Former Dermatology, Chair 0.00 40.00 X 0 216273 11372 William A Friedman MD Former Neurosurgery, Chair 0.00 40.00 X 0 865138 38645 Bruce Mast MD Former Surgery Chair 0.00 40.00 X 0 645419 35897 Michael McKee Former UF Chief Financial Officer 0.00 40.00 X 0 137298 42135 Scott A Rivkees MD Former Pediatrics, Chair 0.00 40.00 X 0 251042 38611 Laurence Solberg MD Former Member at Large 0.00 40.00 X 0 19573 41 Thomas Stringer MD Former Urology, Chair 0.00 40.00 X 0 330044 30781 Vladmir Vincek MD Former Dermatology, Chair 0.00 40.00 X 0 575416 35995 R Stan Williams MD Former Ob-Gyn, Chair 0.00 40.00 X 0 443892 38904 0 19095301 1373714 0 1 1 0 Agency for Healthcare Administration 2727 Mahan Dr Bldg 3 MS 21 Tallahassee FL 32308 Intergovernmental Transfers 40016584 State Collection Service Inc 2509 S Stoughton Road Madison WI 53716 Account Receivables Management 851366 Heartcare Imaging Inc 760 North US Highway One Tequesta FL 33469 Echo Tech Services 749716 LocumTenenscom 2575 Northwinds Pkwy Alpharetta GA 30009 Physicians Services 533007 TriZetto Provider Solutions 3300 Rider Trial S Earth City MO 63045 Revenue Cycle Management Services 461515 19 90225835 90225835 Program Service Revenue 621110 568040190 568040190 Indirect Patient Revenue 621110 187207696 187207696 Other Program Service Revenue 621110 3670842 3670842 758918728 730361 730361 38534 -38534 -38534 -38534 849836390 758918728 0 691827 X 578389810 578389810 70802 70802 101401 101401 174704319 138202029 36502290 379 379 3316294 2289333 1026961 9679787 9445836 233951 64941 53952 10989 2103547 2103547 6364716 5284516 1080200 678984 678984 Bad Debts 21885757 21885757 Educational/Medical Sup 19031025 19031025 Repairs & Maintenance 4254019 3845197 408822 Malpractice Insurance 2686556 2686556 1567315 815228 752087 824899652 781929618 42970034 0 1039052 2686617 103528693 78012404 45301356 94825644 25869490 47150859 1800 1800 125369199 37938620 91816035 87430579 1023510 1048600 6855537 6443246 1304173 904180 276739646 318503929 23017844 43970162 14758054 12334448 87566882 83737577 6907775 3914882 132250555 143957069 X 144489091 174546860 0 0 0 0 144489091 174546860 276739646 318503929 24936738 5121031 0 X X 0 1 X 1 1 0 X X 1 University of Florida 596002052 2 1 781929618 0 1 781929618 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 1648523 1648523 70248920 11259377 58989543 23836604 4585667 19250937 29635152 22093576 7541576 87430579 PT Refunds - Centralized 154300 Estimated Fair Value of Interest Rate Swaps 3760582 3914882 X 833071664 5121031 5121031 827950633 21885757 21885757 849836390 803013895 0 803013895 21885757 21885757 824899652 Part X, Line 2: The Florida Clinical Practice Association (FCPA) 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. There were no uncertain tax positions. Tax returns for the years ended June 30, 2018 through 2021 are subject to examination by taxing authorities. Part XI, Line 4b - Other Adjustments: Bad Debts Netted against Patient Revenue 21,885,757. Part XII, Line 4b - Other Adjustments: Bad Debts Netted against Patient Revenue 21,885,757. 1 University of Florida PO Box 113200 Gainesville FL 32611 596002052 115 571890171 General Support. 1 Part I, Line 2: The FCPA was established by the State of Florida legislature as a support organization of the University of Florida. The FCPA 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. 0 1 0 0 0 0 0 0 0 Patrick J Antonelli MD Otolaryngology, Chair 0 626293 0 31183 0 4812 0 23528 0 20053 0 705869 0 0 Regina Bussing MD Psychiatry, Chair 0 451425 0 19577 0 21300 0 23413 0 16433 0 532148 0 0 Peter Carek MD CHFM, Chair 0 345565 0 7912 0 15412 0 15923 0 20825 0 405637 0 0 Jamie Conti MD Medicine, Chair 0 641434 0 10775 0 6123 0 23784 0 14117 0 696233 0 0 Chistopher Cowen CPA UF Chief Financial Officer 0 251113 0 32585 0 0 0 31687 0 9608 0 324993 0 0 Marvin Dewar MD JD Senior Associate Dean & CEO, UF Phys 0 548463 0 0 0 57869 0 24382 0 12148 0 642862 0 0 Andrew Eisman JD Secretary 0 195886 0 0 0 1504 0 17691 0 25815 0 240896 0 0 C Parker Gibbs MD Senior Associate Dean, Clinical Affa 0 729469 0 0 0 4812 0 23631 0 20919 0 778831 0 0 Brian Hoh MD Neurosurgery, Chair 0 1002479 0 18822 0 3216 0 14931 0 20608 0 1060056 0 0 Jennifer Hunt MD Pathology, Chair 0 218651 0 100000 0 1340 0 11622 0 8862 0 340475 0 0 Laura Huntley Health Affairs, Vice President 0 264321 0 0 0 1980 0 24963 0 21652 0 312916 0 0 Anthony A Mancuso MD President 0 659251 0 60733 0 29585 0 23561 0 20560 0 793690 0 0 Timothy Morey MD Anesthesiology, Chair 0 592387 0 48410 0 9113 0 24482 0 21175 0 695567 0 0 Michael Okun MD Neurology, Chair 0 479751 0 36189 0 39216 0 15979 0 20620 0 591755 0 0 Paul Okunieff MD Radiation Oncology, Chair 0 653463 0 6298 0 106123 0 15072 0 20919 0 801875 0 0 Marco Pahor MD Aging & Geriatric Research, Chair 0 518023 0 30150 0 11123 0 16026 0 19027 0 594349 0 0 Mary D Patterson MD Emergency Medicine, Chair 0 338703 0 10746 0 6923 0 15946 0 16527 0 388845 0 0 Mark T Scarborough MD Orthopaedics, Chair 0 873045 0 0 0 6798 0 22464 0 23619 0 925926 0 0 Desmond Schatz MD Pediatrics, Interim Chair 0 368990 0 6885 0 6975 0 19976 0 20843 0 423669 0 0 Jeremy W Sibiski Executive Vice President/Treasurer 0 332632 0 0 0 2494 0 25345 0 17175 0 377646 0 0 John C Smulian MD Ob-Gyn, Chair 0 636542 0 30000 0 6123 0 15100 0 16464 0 704229 0 0 Li-Ming Su MD Urology, Chair 0 650895 0 4333 0 3672 0 23089 0 23640 0 705629 0 0 Abel Torres MD Dermatology, Chair 0 492375 0 25000 0 6123 0 15995 0 4233 0 543726 0 0 Sonal Tuli MD Ophthalmology, Chair 0 590626 0 6337 0 3672 0 15107 0 23628 0 639370 0 0 Joseph A Tyndall MD Emergency Medicine, Chair 0 675026 0 0 0 3672 0 15072 0 24165 0 717935 0 0 Gilbert Upchurch MD Vice President 0 728897 0 30000 0 4812 0 15031 0 22536 0 801276 0 0 Alan M West CPA CGMA UF Asst. VP and Controller 0 194720 0 35046 0 1466 0 17243 0 21848 0 270323 0 0 Charles Wood PhD Aging & Geriatric, Chair 0 296829 0 2175 0 2257 0 24049 0 13065 0 338375 0 0 Michael Clare-Salzler MD Former Pathology, Chair 0 277584 0 0 0 54697 0 15187 0 9970 0 357438 0 0 Francesca K Enneking MD Former Dermatology, Chair 0 197048 0 5681 0 13544 0 10556 0 816 0 227645 0 0 William A Friedman MD Former Neurosurgery, Chair 0 855538 0 0 0 9600 0 22984 0 15661 0 903783 0 0 Bruce Mast MD Former Surgery Chair 0 640607 0 0 0 4812 0 15072 0 20825 0 681316 0 0 Michael McKee Former UF Chief Financial Officer 0 133698 0 3600 0 0 0 34075 0 8060 0 179433 0 0 Scott A Rivkees MD Former Pediatrics, Chair 0 245396 0 0 0 5646 0 13824 0 24787 0 289653 0 0 Laurence Solberg MD Former Member at Large 0 19573 0 0 0 0 0 0 0 41 0 19614 0 0 Thomas Stringer MD Former Urology, Chair 0 320267 0 0 0 9777 0 14613 0 16168 0 360825 0 0 Vladmir Vincek MD Former Dermatology, Chair 0 409209 0 77284 0 88923 0 15942 0 20053 0 611411 0 0 R Stan Williams MD Former Ob-Gyn, Chair 0 425292 0 0 0 18600 0 22867 0 16037 0 482796 0 0 Part I, Line 4b A related organization has a Supplemental Executive Retirement Plan, which provides an annual contribution based on a percentage of the participant's annual salary, payable on behalf of the participants by the affiliate. The annual contribution, when coupled with other organization-provided retirement benefits, is intended to provide a market competitive level of total retirement benefits to attract and retain executive talent. All amounts are appropriately reported in column E of the Main Form Part VII and Column B(iii) of Schedule J. Listed persons and plan amounts received during the reporting period: Marvin Dewar $25,795 Form 990, Part VI, Section A, line 6 The following are the members of Florida Clinical Practice Assocation as stated in the articles of incorporation: All clinical practitioners who serve full-time on the faculty of the University of Florida College of Medicine, the Dean of the College of Medicine, the Senior Vice President for Health Affairs of the University of Florida or designee, the Executive Vice President of the corporation, if one has been selected by the Board of Directors, and each Chair of a clinical department of the College of Medicine shall be members. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by an unrelated and independent accountant and reviewed by the organization's financial management. The Florida Clinical Practice Association's audit committee reviews the form 990 before it is filed with the Internal Revenue Service. Form 990, Part VI, Section B, line 12 The Florida Clinical Practice Association does not have a conflict of interest policy because the organization does not have actual employees. All Board Members are employees of the University of Florida and follow the University of Florida's Conflict of Interest Policy. The University of Florida is a related organization for which the Florida Clinical Practice Association is a support organization. All faculty and staff of the University of Florida are required to disclose relevant 'outside activities and financial interests. In addition, the College of Medicine of the University of Florida has an additional conflict of interest policy and review processes that are tailored to the College of Medicine to focus on mitigating potential conflicts that are specific to the academic healthcare environment. The College of Medicine has a Compliance Office that administers and oversees the College's conflict of interest policy and processes under the direction of leadership. Form 990, Part VI, Section B, line 15 The Florida Clinical Practice Association does not provide compensation to the organization's CEO, Executive Director, or top management official. In addition, the FCPA does not provide compensation to the organization's other officers or key employees. The University of Florida ("University") provides compensation to these individuals in their role as University employees. The compensation is determined, reviewed, and approved following the University's procedures which require review and approval by University officials that are not in the College of Medicine. Form 990, Part VI, Section C, line 19 Florida Clinical Practice Association will make its governing documents and financial statements available to the public upon request. Form 990, Part VI Section B Line 13 The Florida Clinical Practice Association does not have a written whistleblower policy but its related organization, the University of Florida, does. All Board Members are University of Florida employees and adhere to this policy for Florida Clinical Practice Association's business activities. Form 990, Part VI Section B Line 14 The Florida Clinical Practice Association does not have a written document retention and destruction policy but its related organization, the University of Florida, does. All Board Members are University of Florida employees and adhere to this policy for Florida Clinical Practice Association's documents. Form 990, Part VII, Section A, Line 1a The following changes to the board occurred during the fiscal tax year ending June 30, 2021: - Colleen G. Koch, M.D., M.S., M.B.A - Dean, COM - started January 2021 - Marco Pahor, M.D. - Aging & Geriatric Research, Chair - ended 11/30/2020 - Mary D. Patterson, M.D. - Emergency Medicine, Chair - started 6/11/2021 - Joseph A. Tyndall, M.D. - Emergency Medicine, Chair - ended 6/10/2021 - Alan M. West, CPA, CGMA - UF Asst. VP and Controller - ended 8/15/2020 - Charles Wood, PhD. - Aging & Geriatric, Chair - started 12/23/2020 Form 990, Part IX, line 11g Other professional fees: Program service expenses 138,202,029. Management and general expenses 36,502,290. Fundraising expenses 0. Total expenses 174,704,319. Form 990, Part XII, Line 3b: The required Single Audit was not completed or in progress during the tax year ending June 30, 2021. The Single Audit is currently in process but has not been completed as of the filing of the Form 990. University of Florida 226 Tigert Hall Gainesville FL 32611 596002052 Education FL 115 N/A N/A 0 Shands Teaching Hospital and Clinics Inc PO Box 100336 Gainesville FL 32610 591943502 Hospital FL 501(c)(3) Line 3 University of Florida 0 The University of Florida Foundation PO Box 14425 Gainesville FL 32604 590974739 Fundraising FL 501(c)(3) Line 7 University of Florida 0 UF Health South Central LLC PO Box 100336 Gainesville FL 32610 814845198 Healthcare Joint Venture FL N/A related 162852 6526683 0 0 0.50000 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0