2021-05-14T08:00:58-05:00 2020-06-30 621517792 PYA PC 3000 Bayport Drive Suite 860 Tampa FL 33607 990 2019-07-01 591680273 Florida Clinical Practice Association Inc FLOR 3522658017 PO Box 100205 Gainesville FL 326100205 Jeremy Sibiski Executive Vice President 3522658017 2021-05-13 1 Terry Haefner P01258953 7274427110 2019 2022-09-23 18:48:47Z Anthony A Mancuso MD PO Box 100205 Gainesville FL 326100205 741971762 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. 25 0 0 0 0 0 91540177 106135375 617847263 632236735 1794091 1667167 0 1929500 711181531 741968777 499133289 520740145 0 0 0 0 0 0 0 208756461 231652078 707889750 752392223 3291781 -10423446 277658867 276739646 117590540 132250555 160068327 144489091 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 544436401 370935936 632232374 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 also will enhance skills and knowledge of faculty members who must teach and train medical and other health professional students. 102970178 92405388 Research - bench to patient research around medical and healthcare issues. 63335355 57398821 4361 Education - education of medical students, residents and graduate students. 710741934 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 47 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 25 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 Patrick J Antonelli MD Otolaryngology, Chair 0.10 40.00 X 0 758190 41833 Regina Bussing MD Psychiatry, Chair 0.10 40.00 X 0 477902 37672 Peter Carek MD CHFM, Chair 0.10 40.00 X 0 372004 35013 Michael Clare-Salzler MD Pathology, Chair 0.10 40.00 X 0 535571 43965 Jamie Conti MD Medicine, Chair 0.10 40.00 X 0 681531 37847 Marvin Dewar MD JD Senior Assoc. Dean & CEO, UF Physicians 10.00 40.00 X X 0 658806 36058 Andrew Eisman JD Secretary 0.10 40.00 X X 0 186217 40772 C Parker Gibbs MD Senior Associate Dean, Cli 0.10 40.00 X 0 758674 43447 Brian Hoh MD Neurosugery, Chair 0.10 40.00 X 0 988775 34990 Laura Huntley Health Affairs, Vice Presi 0.10 40.00 X 0 251295 41152 Anthony A Mancuso MD President 0.10 40.00 X X 0 724205 41442 Michael McKee UF Chief Financial Officer 0.10 40.00 X 0 336541 104334 Timothy Morey MD Anesthesiology, Chair 0.10 40.00 X 0 672990 44697 Michael Okun MD Neurology, Chair 0.10 40.00 X 0 613655 34814 Paul Okunieff MD Radiation Oncology, Chair 0.10 40.00 X 0 713870 34880 Marco Pahor MD Aging & Geriatric Research 0.10 40.00 X 0 564153 32890 Mark T Scarborough MD Orthopaedics, Chair 0.10 40.00 X 0 891797 45688 Desmond Schatz MD Pediatrics, Interim Chair 0.10 40.00 X 0 351426 37013 Jeremy W Sibiski Executive Vice President/T 2.00 40.00 X X 0 328590 40140 John C Smulian MD Ob-Gyn, Chair 0.10 40.00 X 0 704468 43868 Li-Ming Su MD Urology, Chair 0.10 40.00 X 0 714586 45822 Abel Torres MD Dermatology, Chair 0.10 40.00 X 0 548375 33974 Sonal Tuli MD Ophthalmology, Chair 0.10 40.00 X X 0 627837 38434 Joseph A Tyndall MD Interim Dean, College of M 4.00 40.00 X X 0 648437 38945 Gilbert Upchurch MD Vice President 0.10 40.00 X X 0 802835 36481 Andrei Boyarshinov JD Former Secretary 0.00 40.00 X 0 114289 23227 Francesca K Enneking MD Former Dermatology, Chair 0.00 40.00 X 0 185990 8583 Timothy C Flynn MD Former Senior Associate Dean, Cli 0.00 40.00 X 0 12868 0 William A Friedman MD Former Neurosugery, Chair 0.00 40.00 X 0 826957 37181 Bruce Mast MD Former Interim Surgery, Chair 0.00 40.00 X 0 620817 34916 David M Quillen MD Former Member 0.00 40.00 X 0 63578 11066 Scott A Rivkees MD Former Pediatrics, Chair 0.00 40.00 X 0 401297 30768 Laurence Solberg MD Former Member at Large 0.00 40.00 X 0 213611 25305 Thomas Stringer MD Former Urology, Chair 0.00 40.00 X 0 377371 29697 Vladmir Vincek MD Former Dermatology, Chair 0.00 40.00 X 0 600067 34913 R Stan Williams MD Former Ob-Gyn, Chair 0.00 40.00 X 0 445550 33690 0 18775125 1315517 0 1 1 0 Agency for Healthcare Administration 2727 Mahan Dr Bldg 3 MS 21 Tallahassee FL 32308 Intergovernmental transfers 35973074 Tiva Healthcare Inc 7700 West Sunrise Blvd Plantation FL 33322 Locum tenens physician services 2327129 State Collection Service Inc 2509 S Stoughton Road Madison WI 53716 Account receivables management 667507 Vista Staffing Solutions Inc 2800 E Cottonwood Pywy Ste 400 Cottonwood Heights UT 84121 Locum tenens physician services 656481 Heartcare Imaging Inc 760 North US Highway One Tequesta FL 33469 Echo Tech Services 618996 14 11490094 94645281 106135375 Program Service Revenue 621110 474905833 474905833 Indirect Patient Revenue 621110 153960482 153960482 Other Program Service Revenue 621110 3370420 3370420 632236735 1670152 1670152 2985 -2985 -2985 -2985 Gain on Extinguishment of Debt 525990 1929500 1929500 1929500 741968777 632236735 0 3596667 X 520740145 520740145 62200 62200 114820 114820 163813155 129472129 34341026 20227 19249 978 3961155 1959596 2001559 7869970 7671123 198847 117221 51503 65718 2274686 2274686 5466805 4288406 1178399 597339 597339 Bad Debts 20794004 20794004 Educational/Medical Sup 18045790 18045790 Repairs & Maintenance 4260765 3949206 311559 Malpractice Insurance 2837096 2837096 1416845 913687 503158 752392223 710741934 41650289 0 20795922 1039052 80343319 103528693 39771642 45301356 19104904 25869490 4797 1800 125090874 33274839 83901748 91816035 1975750 1023510 6855537 6855537 24905248 1304173 277658867 276739646 21107321 23017844 1847009 14758054 92205826 87566882 2430384 6907775 117590540 132250555 X 160068327 144489091 0 0 0 0 160068327 144489091 277658867 276739646 -10423446 -5155790 0 X 0 1 X 1 0 X X 1 University of Florida 596002052 2 1 710741934 0 1 710741934 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 9386751 60862169 22690153 3556844 19133309 30352413 20331244 10021169 150865 150865 91816035 PT Refunds - Centralized 264125 Estimated Fair Value of Interest Rate Swaps 6643650 6907775 X 716018983 -5155790 -5155790 721174773 20794004 20794004 741968777 731598219 0 731598219 20794004 20794004 752392223 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, 2017 through 2020 are subject to examination by taxing authorities. Part XI, Line 4b - Other Adjustments: Bad Debts Netted against Patient Revenue 20,794,004. Part XII, Line 4b - Other Adjustments: Bad Debts Netted against Patient Revenue 20,794,004. 1 University of Florida PO Box 113200 Gainesville FL 32611 596002052 115 514388106 General support. Stop Children's Cancer 2622 NW 43rd Street Suite B3 Gainesville FL 32606 592624901 501(c)(3) 19600 General support. Ronald McDonald House 1600 SW 14th Street Gainesville FL 32608 591887896 501(c)(3) 6500 General support. Climb for Cancer Foundation 7545 SW 75th St 317 Gainesville FL 32608 113655183 501(c)(3) 7500 General support. Ocala Royal Dames for Cancer Research PO Box 6163 Ocala FL 34478 592845664 501(c)(3) 5000 General support. Peaceful Paths Inc 2100 NW 53rd Ave Suite A Gainesville FL 32653 591809014 501(c)(3) 5000 General support. Tallahassee Memorial Healthcare Foundation 1331 E 6th Street Tallahassee FL 32303 591727645 501(c)(3) 10000 General support. American Heart Association PO Box 50015 Prescot AZ 86304 135613797 501(c)(3) 10000 General support. Children's Miracle Network PO Box 100386 Gainesville FL 32610 591943502 501(c)(3) 10000 General support. 9 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 598343 0 155035 0 4812 0 21780 0 20053 0 800023 0 0 Regina Bussing MD Psychiatry, Chair 0 432017 0 34762 0 11123 0 22011 0 15661 0 515574 0 0 Peter Carek MD CHFM, Chair 0 330881 0 32111 0 9012 0 14960 0 20053 0 407017 0 0 Michael Clare-Salzler MD Pathology, Chair 0 504586 0 21385 0 9600 0 21912 0 22053 0 579536 0 0 Jamie Conti MD Medicine, Chair 0 596700 0 80019 0 4812 0 24502 0 13345 0 719378 0 0 Marvin Dewar MD JD Senior Assoc. Dean & CEO, UF Physici 0 518377 0 17222 0 123207 0 23912 0 12146 0 694864 0 0 Andrew Eisman JD Secretary 0 184713 0 0 0 1504 0 16709 0 24063 0 226989 0 0 C Parker Gibbs MD Senior Associate Dean, Cli 0 690384 0 59478 0 8812 0 23394 0 20053 0 802121 0 0 Brian Hoh MD Neurosugery, Chair 0 958015 0 22544 0 8216 0 14681 0 20309 0 1023765 0 0 Laura Huntley Health Affairs, Vice Presi 0 249315 0 0 0 1980 0 21205 0 19947 0 292447 0 0 Anthony A Mancuso MD President 0 630657 0 56931 0 36617 0 21748 0 19694 0 765647 0 0 Michael McKee UF Chief Financial Officer 0 324859 0 9000 0 2682 0 81779 0 22555 0 440875 0 0 Timothy Morey MD Anesthesiology, Chair 0 566766 0 66275 0 39949 0 24388 0 20309 0 717687 0 0 Michael Okun MD Neurology, Chair 0 458883 0 43556 0 111216 0 14761 0 20053 0 648469 0 0 Paul Okunieff MD Radiation Oncology, Chair 0 625127 0 22620 0 66123 0 14827 0 20053 0 748750 0 0 Marco Pahor MD Aging & Geriatric Research 0 495620 0 57410 0 11123 0 14729 0 18161 0 597043 0 0 Mark T Scarborough MD Orthopaedics, Chair 0 819409 0 62265 0 10123 0 22985 0 22703 0 937485 0 0 Desmond Schatz MD Pediatrics, Interim Chair 0 307167 0 28346 0 15913 0 16982 0 20031 0 388439 0 0 Jeremy W Sibiski Executive Vice President/T 0 309373 0 16722 0 2495 0 25345 0 14795 0 368730 0 0 John C Smulian MD Ob-Gyn, Chair 0 559821 0 89034 0 55613 0 28296 0 15572 0 748336 0 0 Li-Ming Su MD Urology, Chair 0 622460 0 88454 0 3672 0 22954 0 22868 0 760408 0 0 Abel Torres MD Dermatology, Chair 0 466177 0 51075 0 31123 0 13921 0 20053 0 582349 0 0 Sonal Tuli MD Ophthalmology, Chair 0 564165 0 60000 0 3672 0 14863 0 23571 0 666271 0 0 Joseph A Tyndall MD Interim Dean, College of M 0 644765 0 0 0 3672 0 14827 0 24118 0 687382 0 0 Gilbert Upchurch MD Vice President 0 697096 0 100927 0 4812 0 14784 0 21697 0 839316 0 0 Andrei Boyarshinov JD Former Secretary 0 114289 0 0 0 0 0 11045 0 12182 0 137516 0 0 Francesca K Enneking MD Former Dermatology, Chair 0 159969 0 8771 0 17250 0 8540 0 43 0 194573 0 0 Timothy C Flynn MD Former Senior Associate Dean, Cli 0 0 0 12868 0 0 0 0 0 0 0 12868 0 0 William A Friedman MD Former Neurosugery, Chair 0 817357 0 0 0 9600 0 21520 0 15661 0 864138 0 0 Bruce Mast MD Former Interim Surgery, Chair 0 596005 0 20000 0 4812 0 14863 0 20053 0 655733 0 0 David M Quillen MD Former Member 0 62401 0 0 0 1177 0 4424 0 6642 0 74644 0 0 Scott A Rivkees MD Former Pediatrics, Chair 0 395392 0 0 0 5905 0 7047 0 23721 0 432065 0 0 Laurence Solberg MD Former Member at Large 0 207485 0 2918 0 3208 0 11922 0 13383 0 238916 0 0 Thomas Stringer MD Former Urology, Chair 0 366332 0 0 0 11039 0 14290 0 15407 0 407068 0 0 Vladmir Vincek MD Former Dermatology, Chair 0 390947 0 204308 0 4812 0 14860 0 20053 0 634980 0 0 R Stan Williams MD Former Ob-Gyn, Chair 0 417977 0 8223 0 19350 0 18425 0 15265 0 479240 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 $25,297 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 IX, line 11g Other professional fees: Program service expenses 129,472,129. Management and general expenses 34,341,026. Fundraising expenses 0. Total expenses 163,813,155. 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 67477 6855534 0 0 0.50000 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0