UNIVERSITY MEDICAL SERVICE ASSOCIATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY MEDICAL SERVICE ASSOCIATION INC (EIN 23-7313346)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-06
IRS object ID
201321269349301227
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-06T12:52:41-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237313346EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY MEDICAL SERVICE ASSOC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone8139742120Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112901 BRUCE B DOWNS BLVDFA MDC62AddressLine1
CityTAMPACity
StateFLState
ZIP Code336124742ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameOON SOO UNGName
TitleCHIEF FINANCIAL OFFICERTitle
Phone8139742120Phone
Date Signed2013-05-02DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonOON SOO UNGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112901 BRUCE B DOWNS BLVD FA MDC62AddressLine1
CityTAMPACity
StateFLState
ZIP Code336124772ZIPCode
FieldValueIRS element (for citing)
Gross Receipts194475500GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSUPPORT THE UNIVERSITY OF SOUTH FLORIDA'S COLLEGE OF MEDICINE IN RESEARCH AND EDUCATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body37NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees311TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year35182346ContributionsGrantsPriorYear
Contributions Grants Current Year40541820ContributionsGrantsCurrentYear
Program Service Revenue Prior Year131763553ProgramServiceRevenuePriorYear
Program Service Revenue CY132926157ProgramServiceRevenueCY
Investment Income Prior Year379180InvestmentIncomePriorYear
Investment Income Current Year379060InvestmentIncomeCurrentYear
Other Revenue Prior Year14961221OtherRevenuePriorYear
Other Revenue Current Year17626389OtherRevenueCurrentYear
Total Revenue Prior Year182286300TotalRevenuePriorYear
Total Revenue Current Year191473426TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year148787302GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY157780818GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13725462SalariesEtcPriorYear
Salaries Etc Current Year13782313SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17930385OtherExpensePriorYear
Other Expenses Current Year20991529OtherExpensesCurrentYear
Total Expenses Prior Year180443149TotalExpensesPriorYear
Total Expenses Current Year192554660TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1843151RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1081234RevenuesLessExpensesCY
Total Assets BOY83214795TotalAssetsBOY
Total Assets EOY79881877TotalAssetsEOY
Total Liabilities BOY11489556TotalLiabilitiesBOY
Total Liabilities EOY9447557TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY71725239NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY70434320NetAssetsOrFundBalancesEOY
Mission DescriptionSUPPORT THE UNIVERSITY OF SOUTH FLORIDA'S COLLEGE OF MEDICINE INMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense157780818Expense
Grants157780818Grants
Revenue173467977Revenue
DescriptionDURING ITS FISCAL YEAR ENDING JUNE 30, 2012, UMSA CONTINUED ITS SUPPORT OF THE USF COLLEGE OF MEDICINE BY PROVIDING FUNDS TO SUPPORT MEDICAL EDUCATION AND RESEARCH. DISBURSEMENTS WERE MADE ON BEHALF OF THE COLLEGE OF MEDICINE'S 19 CLINICAL DEPARTMENTS FOR SUPPORT OF APPROXIMATELY 320 FACULTY AND 610 SUPPORT STAFF.Description
Total Program Service Expense157780818TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees311NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members37NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1OON SOO UNGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8139742120TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112901 BRUCE B DOWNS BLVDAddressLine1
CityTAMPACity
StateFLState
ZIP Code336124742ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
AGAZZI SIVIERO MD
DIRECTOR1.00X046853149155
BELSOLE ROBERT J MD
DIRECTOR1.00X075751690287
BERLOWITZ MICHAEL S MD
DIRECTOR1.00X030320154651
BOYEV K PAUL MD
DIRECTOR1.00X026003937696
BROWNLEE H JAMES MD
DIRECTOR1.00X022115842938
CAMPOS ALFONSO MD
DIRECTOR1.00X015813835385
CHAE SANDERS H MD
DIRECTOR1.00X021501539804
CHERPELIS BASIL S MD
DIRECTOR1.00X067785748821
CORIS ERIC E MD
DIRECTOR1.00X021729138587
EDWARDS CHARLES M MD
DIRECTOR1.00X022288043725
EKARIUS JOHN C
DIRECTOR1.00X023971931005
EMMANUEL PATRICIA J MD
DIRECTOR1.00X023157543574
FENSKE NEIL A
DIRECTOR1.00X0140430085795
FERNANDEZ FRANCISCO MD
DIRECTOR1.00X035382856851
GARDNER MARY S MD
DIRECTOR1X33813453385
GOLDMAN ALLAN MD
DIRECTOR1X46194568048
GOOCH CLIFTON L MD
DIRECTOR1X369899571367
GREENBERG HARVEY M MD
DIRECTOR1X41204456607
GREENBERG MARK S MD
DIRECTOR1X15257822237
HALL KATHRYN L MD
DIRECTOR1X19876422246
HAZELTON TODD MD
DIRECTOR1X42676763365
HOLSTRUM GARY CPA
DIRECTOR1X
HOYTE LENNOX P MD
DIRECTOR143146959308X
KARL RICHARD
DIRECTOR1100593X
KATZIN LARA W MD
DIRECTOR1X17415133493
FieldValueIRS element (for citing)
Total Reportable Comp From Org779142TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs23227128TotalReportableCompFrmRltdOrgs
Total Other Compensation3343868TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
RADIOLOGY ASSOC OF TAMPA PA
PO BOX 30728TAMPAFL33631RADIOLOGY SERVICES1228829
HEMOPHILIA OF GEORGIA
8800 ROSWELL RD STE 170ATLANTAGA30350MEDICAL SERVICES188907
WOODASSOCIATES
4700 N HABANA AVE STE 300TAMPAFL33614CONSULTING150489
GRANT THORNTON LLC
PO BOX 532019ATLANTAGA30353FINANCIAL SERVICES148896
ORION MEDICAL MNGMT
PO BOX 30728TAMPAFL33630CONSULTING2408231
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
All Other Contributions40541820AllOtherContributions
Total Contributions40541820TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column132926157TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue132926157TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column370638TotalRevenueColumn
Exclusion$370,638ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3010496Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3002074Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8422Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8422TotalRevenueColumn
Exclusion$8,422ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER OPERATING REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column17567647TotalRevenueColumn
Related Or Exempt Function Income17567647RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column58742TotalRevenueColumn
Exclusion$58,742ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue17626389TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column191473426TotalRevenueColumn
Related Or Exempt Function Income150493804RelatedOrExemptFunctionIncome
Exclusion$437,802ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total157780818Total
Program Services157780818ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total238549Total
Program Services0ProgramServices
Management And General238549ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10655858Total
Program Services0ProgramServices
Management And General10655858ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total595748Total
Program Services0ProgramServices
Management And General595748ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1432931Total
Program Services0ProgramServices
Management And General1432931ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total859227Total
Program Services0ProgramServices
Management And General859227ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total238774Total
Program Services0ProgramServices
Management And General238774ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total168309Total
Program Services0ProgramServices
Management And General168309ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total308884Total
Program Services0ProgramServices
Management And General308884ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total731320Total
Program Services0ProgramServices
Management And General731320ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total319676Total
Program Services0ProgramServices
Management And General319676ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total104540Total
Program Services0ProgramServices
Management And General104540ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1846399Total
Program Services0ProgramServices
Management And General1846399ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total283560Total
Program Services0ProgramServices
Management And General283560ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROVISION FOR BAD DEBTS8185734081857340
DATA PROCESSING SERVICES2210873022108730
OTHER OPERATING EXPENSES6593460065934600

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total192554660Total
Program Services157780818ProgramServices
Management And General34773842ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY205266BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY24542501BOY
EOY20524564EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4624198BOY
EOY4250782EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13250293BOY
EOY13265831EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY5278955BOY
EOY6481342EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY382114BOY
EOY509268EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24740120LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22888180LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2980413BOY
EOY1851940EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY30130513BOY
EOY31466433EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1765251BOY
EOY1531717EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY55291BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY83214795BOY
EOY79881877EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7951685BOY
EOY5617456EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY885239BOY
EOY666849EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2652632BOY
EOY3163252EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11489556BOY
EOY9447557EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY71725239BOY
EOY70434320EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY71725239BOY
EOY70434320EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83214795BOY
EOY79881877EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1081234ReconcilationRevenueExpenses
Reconcilation Other Changes-209685ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
College Support Org170b1 AivXCollegeSupportOrg170b1Aiv

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33383878CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32754645CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37156562CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35182346CurrentTaxYearMinus1Year
Current Tax Year40541820CurrentTaxYear
Total179019251Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33383878CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32754645CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37156562CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35182346CurrentTaxYearMinus1Year
Current Tax Year40541820CurrentTaxYear
Total179019251Total
FieldValueIRS element (for citing)
Public Support Total170179019251PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2908315CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1149961CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years279698CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year333418CurrentTaxYearMinus1Year
Current Tax Year429380CurrentTaxYear
Total5100772Total
FieldValueIRS element (for citing)
Total Support184120023TotalSupport
Public Support Pertcentage1700.97230PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96640PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis782534OtherCostOrOtherBasis
Depreciation733451Depreciation
Book Value49083BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23726338OtherCostOrOtherBasis
Depreciation22154729Depreciation
Book Value1571609BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis231248OtherCostOrOtherBasis
Book Value231248BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1851940TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
DUE USF MEDICAL SERVICES SUPPORT CORP$3,087,880
DUE USF ACADEMIC SUPPORT FUND$47,974
CURRENT PORTION OF CAPITAL LEASE OBLIGATION
ACCRUED RENT$4,080
DUE USF HEALTH PROF CONF CORP$23,318
FieldValueIRS element (for citing)
Total Of Amounts3163252TotalOfAmounts
Total Revenue191473426TotalRevenue
Total Expenses192554660TotalExpenses
Excess Or Deficit For Year-1081234ExcessOrDeficitForYear
Net Unrealized GL On Investments-209685NetUnrealizedGLOnInvestments
Other-$228,117OtherAmount
Total Adjustments-437802TotalAdjustments
Excess Or Deficit Per FS-1519036ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt191035624TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-209685NetUnrealizedGainsInvestments
Other Revenues-228117OtherRevenues
Revenue Not Rptd F990-437802RevenueNotRptdF990
Revenue Subtotal191473426RevenueSubtotal
Total Revenue Per Form990191473426TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt192554660TotExpensesEtcAuditedFinclStmt
Expenses Subtotal192554660ExpensesSubtotal
Total Expenses Per Form990192554660TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Pt XI Line 8NET INVESTMENT INCOME INCLUDED IN TOTAL REVENUE
Pt XII Line 2dNET INVESTMENT INCOME INCLUDED IN TOTAL REVENUE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
12910 BRUCE B DOWNS BLVD FA MDC62TAMPAFL3361251052633468351795CASH-FMV0FACULTY SALARY & OPERATING EXPENSE SUPPORT
USF MEDICAL SERVICES SUPPORT CORP
12910 BRUCE B DOWNS BLVD FA MDC62TAMPAFL3361259294468377825929CASH-FMV0STAFF SALARY & OPERATING EXPENSE SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 2ALL EXPENDITURES ARE PAID BY THIS ORGANIZATION WITH DOCUMENTATION FOR
Pt I Line 2EXPENSES ALONG WITH AN INVOICE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
AGAZZI SIVIERO MD
291899310861455463399315163517687
BELSOLE ROBERT J MD
71685825000156586767322615847804
BERLOWITZ MICHAEL S MD
26980170032700335242127338852
BOYEV K PAUL MD
2402113500163282564212054297735
BROWNLEE H JAMES MD
2019757500116832243020508264096
CAMPOS ALFONSO MD
1360255849162641602319362193523
CHAE SANDERS H MD
21161570027002515414651254820
CHERPELIS BASIL S MD
6130656165231403521013611726678
CORIS ERIC E MD
2007454124124222045618131255878
EDWARDS CHARLES M MD
1442837152714452462919096266605
EKARIUS JOHN C
22708486004035220458960270724
EMMANUEL PATRICIA J MD
2051938500178822429819276275149
FENSKE NEIL A
10516182500032768264577212181490095
FERNANDEZ FRANCISCO MD
2705225000783063449922352410679
GARDNER MARY S MD
283652544823543822946396518
GOLDMAN ALLAN MD
4194077500350384598322066529994
GOOCH CLIFTON L MD
3267297700354703598121156427036
GREENBERG HARVEY M MD
40954425004533011277468651
GREENBERG MARK S MD
719071000070671135088729174815
HALL KATHRYN L MD
1652711399519498173164930221010
HAZELTON TODD MD
3926976000280704338819977490132
HOYTE LENNOX P MD
29771453581283973736521943490777
KARL RICHARD
100593100593
KATZIN LARA W MD
14846311871138171668016813207644
KLASKO STEPHEN K MD
713228375000117678844893229412332850
LEFFERS DAVID MD
6101142500067444530023889711047
LOCKHART JORGE L MD
41386011500492664742221521543569
LYNCH CATHERINE M MD
3245081076064255319659494326
MADOW BRIAN MD
1970521078918421989214157243732
MCCAFFREY THOMAS V MD
41705120000519004149422674553119
MILLER LESLIE W MD
6825119000340185548120561801571
NELSON ROBERT M JR MD
35391345001255084734617249548516

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (22 entries)

IdentifierIdentifierExplanationExplanation
Pt V, Line 3bTHE ORGANIZATION HAD NO UNRELATED BUSINESS GROSS INCOME
Pt VI, Line 11aTHE ORGANIZATION'S AUDIT COMMITTEE SERVES AS A SUB-COMMITTEE
OF THE BOARD OF DIRECTORS FOR THE PURPOSES OF REVIEWING
THE ORGANIZATION'S FORM 990. THE AUDIT COMMITTE REVIEWS THE
990 AND PROVIDES THE FULL BOARD OF DIRECTORS
WITH A BRIEFING OF THAT REVIEW PRIOR TO MANAGEMENT'S
FILING OF THE FORM WITH THE IRS.
Pt VI, Line 12cON AN ANNUAL BASIS, THE ORGANIZATION DISTRIBUTES ITS
CONFLICT OF INTEREST POLICY TO ITS BOARD OF DIRECTORS.
EACH BOARD MEMBER IS REQUIRED TO SIGN AN ACKNOWLEDGMENT
WHICH STATES THAT HE/SHE HAS RECEIVED, READ, UNDERSTANDS
AND AGREES TO COMPLY WITH THE POLICY. THAT ACKNOWLEDGEMENT
IS KEPT ON FILE IN THE EXECUTIVE DIRECTOR'S OFFICE.
Pt VI, Line 19THE ORGANIZATION PROVIDES COPIES OF SUCH DOCUMENTS TO
MEMBERS OF THE PUBLIC UPON RECEIPT OF WRITTEN A REQUEST
FOR SUCH INFORMATION.
Pt XII, Line 2cTHE ORGANIZATION HAS AN INDEPENDENT AUDIT COMMITTEE
THAT MEETS AT A MINIMUM ON A QUARTERLY BASIS. THIS
COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF AN
INDEPENDENT ACCOUNTANT, INCLUDING APPROVAL OF ALL ACCOUNTING
FEES, AND EVALUATION OF ANY AND ALL AUDIT FINDINGS.
Pt XIUNREALIZED GAINS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Public Charity StatusPublicCharityStatus
UNIVERSITY OF SOUTH FLORID
4202 E FOWLER AVETAMPAFL33620593102112EDUCATIONFL170(B)NA
USF COLLEGE OF MEDICINE ACADEMIC SUPPORT FUND
12901 BRUCE B DOWNS BLVD FA MDC62TAMPAFL336124742510526334TO ASSIST THE UNIVERSITY OF SOUTH FLORIDA'S COLLEGE OF MEDICINE AND THE UNIVERSITYFL501(C)(3)UNIVERSITY OF SOUTH FLORIDA 59-3102112 4202 E FOWLER AVE TAMPA FL 33620LINE 5
USF MEDICAL SERVICES SUPPORT CORPORATION
12901 BRUCE B DOWNS BLVD FA MDC62TAMPAFL336124742592944683TO ASSIST THE UNIVERSITY OF SOUTH FLORIDA'S COLLEGE OF MEDICINE AND THE UNIVERSITYFL501(C)(3)UNIVERSITY OF SOUTH FLORIDA 59-3102112 4202 E FOWLER AVE TAMPA FL 33620LINE 5
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
USF MEDICAL SERVICES SUPPORT CORP
b54704000FMV-CASH
USF MEDICAL SERVICES SUPPORT CORP
c3872000COST BASIS
USF MEDICAL SERVICES SUPPORT CORP
b3807000COST BASIS
UNIVERSITY OF SOUTH FLORIDA
b31098000FMV-CASH
USF COLLEGE OF MEDICINE ACADEMIC SUPPORT FUND
b57708000FMV-CASH
USF MEDICAL SERVICES SUPPPORT CORP
d67200000
USF MEDICAL SERVICES SUPPORT CORP
d32300000

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