2017-01-09T07:26:35-06:00 2016-06-30 621517792 Pershing Yoakley & Associates P C One Cherokee Mills 2220 Sutherland Ave Knoxville TN 37919 990 2015-07-01 592856153 Faculty Clinic Inc FACU 9042449500 PO Box 44008 Jacksonville FL 322314008 Nancy D Frashuer Secretary/Treasurer 9042449500 2017-01-06 1 Terry Haefner P01258953 8656730844 2015 2017-02-10 21:41:12Z Nancy D Frashuer PO Box 44008 Jacksonville FL 322314008 1517403 0 X N/A X 1987 FL To provide support by operating as a facilities management company and lease space to both University of Florida Jacksonville Physicians, Inc. and Shands Jacksonville Medical Center. 8 0 0 0 0 0 336222 336222 1188423 1180153 -1639 421 0 0 1523006 1516796 0 0 0 0 0 0 0 0 0 1486085 1505220 1486085 1505220 36921 11576 4916602 4407356 3382714 2861892 1533888 1545464 To provide healthcare support by operating as a facilities management company and lease space to both University of Florida Jacksonville Physicians and Shands Jacksonville Medical Center. 0 0 1505220 1180153 The Faculty Clinic, Inc. operates primarily as a facilities management company and leases space to the University of Florida Jacksonville Physicians, Inc. and Shands Jacksonville Medical Center, Inc. 1505220 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 1 0 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X David M Schreck 9042449500 653 W 8th Street Jacksonville FL 322096511 Daniel R Wilson MD Chairperson 1.00 40.00 X X 0 556750 31521 George Wilson MD Trustee 1.00 40.00 X 0 409600 0 Michael McKee Trustee 1.00 40.00 X 0 248536 53996 Nancy Frashuer Secretary/Treasurer 1.00 40.00 X X 0 243084 23009 Russ Armistead Vice Chair 1.00 40.00 X X 0 699662 49091 Tre Dixon Trustee 1.00 40.00 X 0 210186 45036 Bill Ryan Trustee 1.00 40.00 X 0 144000 0 Greg Miller Trustee 1.00 40.00 X 0 510415 49889 Mike Gleason Trustee 1.00 40.00 X 0 366976 46294 0 3389209 298836 0 0 1 0 Johnson Controls PO Box 905240 Charlotte NC 282905240 Repair & Maintenance Service Contracts 114027 1 336222 336222 Physician Office Lease 532000 1180153 1180153 1180153 1028 1028 607 -607 -607 -607 1516796 1180153 0 421 322668 322668 25000 25000 24739 24739 78884 78884 305093 305093 35412 35412 466795 466795 17150 17150 Repairs 207102 207102 Security 15996 15996 Service Charges 2935 2935 Rental Expense 1779 1779 1667 1667 1505220 1505220 0 0 1816187 1443935 394 394 12574 13254 14070125 11758455 2683125 2311670 404322 638103 4916602 4407356 120839 128607 3200000 2700000 61875 33285 3382714 2861892 X 1550763 945464 500000 600000 -516875 0 1533888 1545464 4916602 4407356 11576 0 X 0 1 X 1 0 X X 1 University of Florida Jacksonville Physicians Inc 591867557 5 1 692532 0 1 692532 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 10218413 8013797 2204616 3851712 3744658 107054 2311670 Bond Escrow 600000 Due from Shands Jacksonville Medical Center, Inc. 38103 638103 Due to University of Florida Jacksonville Physicians, Inc. 33285 33285 X 1516796 0 1516796 0 1516796 1505220 0 1505220 0 1505220 Part X, Line 2: Faculty Clinic, Inc. (The Clinic) is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code and is also exempt from state income taxes. The Internal Revenue Code provides for taxation of certain unrelated business income. The Clinic has no taxable unrelated business income. 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, 2013 through 2016 are subject to examination by taxing authorities. X 0 0 0 0 0 0 0 0 0 Daniel R Wilson MD Chairperson 0 549902 0 6000 0 848 0 13965 0 17556 0 588271 0 0 George Wilson MD Trustee 0 409600 0 0 0 0 0 0 0 0 0 409600 0 0 Michael McKee Trustee 0 248536 0 0 0 0 0 37177 0 16819 0 302532 0 0 Nancy Frashuer Secretary/Treasurer 0 238037 0 5000 0 47 0 6750 0 16259 0 266093 0 0 Russ Armistead Vice Chair 0 600001 0 82500 0 17161 0 26000 0 23091 0 748753 0 0 Tre Dixon Trustee 0 171750 0 10725 0 27711 0 18000 0 27036 0 255222 0 0 Greg Miller Trustee 0 356924 0 55000 0 98491 0 24000 0 25889 0 560304 0 0 Mike Gleason Trustee 0 294231 0 0 0 72745 0 17957 0 28337 0 413270 0 0 Form 990, Part VI, Section A, line 6 The following are the members of Faculty Clinic, Inc. as stated in its articles and bylaws: The only members of Faculty Clinic, Inc. shall be the persons who from time to time serve as members of the Board of Trustees of Faculty Clinic, Inc. Form 990, Part VI, Section A, line 7b The University of Florida can override a decision made by the board. Form 990, Part VI, Section B, line 11 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 Chief Financial Officer. 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 C, line 19 This organization is covered by the Sunshine Laws of the State of Florida 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. University of Florida PO Box 113200 Gainesville FL 32611 596002052 Education FL 115 N/A N/A 0 University of Florida Jacksonville Physicians Inc 653 West 8th Street Jacksonville FL 32209 591867557 Healthcare FL 501(c)(3) 11A - Type 1 University of Florida 0 University of Florida Jacksonville Healthcare Inc 653 West 8th Street Jacksonville FL 32209 592274759 Healthcare FL 501(c)(3) 11A - Type 1 University of Florida 0 Shands Jacksonville Medical Center Inc 655 West 8th Street Jacksonville FL 32209 592142859 Healthcare FL 501(c)(3) 3 University of Florida 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 1 1 0 0 0