2024-05-07T09:11:00-05:00 2023-06-30 621517792 PYA PC 100 NORTH TAMPA STREET STE 1850 TAMPA FL 33602 990 2022-07-01 592856153 FACULTY CLINIC INC FACU 9042449500 PO BOX 44008 JACKSONVILLE FL 322314008 TIMOTHY REINSCHMIDT SECRETARY/TREASURER 9042449500 2024-05-07 1 TIMOTHY REINSCHMIDT 999009999 0 DEBORAH O ERNSBERGER P00364912 8134243700 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PRADEEP KADAMBI MD PO BOX 44008 JACKSONVILLE FL 322314008 1624219 0 X N/A X 1987 FL SEE SCHEDULE O 8 0 0 0 0 0 326428 329498 1319411 1292309 1597 2412 0 0 1647436 1624219 0 0 0 0 0 0 0 0 0 1243608 1497914 1243608 1497914 403828 126305 11327186 10429089 9038797 8014395 2288389 2414694 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 1497914 1292309 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. 1497914 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 0 0 0 0 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 DEAN COCCHI TRUSTEE 1.00 40.00 X 0 592173 20941 JON DEBARDELEBEN TRUSTEE 1.00 40.00 X 0 312106 24110 PRADEEP KADAMBI MD CEO 1.00 40.00 X X 0 530177 35627 GREG MILLER VICE CHAIR 1.00 40.00 X X 0 698082 25037 CHRISTOPHER COWEN TRUSTEE 1.00 40.00 X 0 750991 100774 LINDA EDWARDS MD CHAIR 1.00 40.00 X X 0 626227 57588 RUSS ARMISTEAD TRUSTEE 1.00 40.00 X 0 1026063 4788 ANDY GODWIN MD TRUSTEE 1.00 40.00 X 0 581690 48391 TIMOTHY REINSCHMIDT SECRETARY/TREASURER 1.00 40.00 X 0 230569 12633 0 5348078 329889 0 0 1 0 W W GAY FIRE & INTEGRATED SYSTEMS 2251 ROSSELLE ST JACKSONVILLE FL 32204 347103 W W GAY MECHANICAL CONTRACTOR INC 524 STOCKTON ST JACKSONVILLE FL 32204 197989 PERRY-MCCALL CONSTRUCTION INC 6104 S GAZEBO PARK PL JACKSONVILLE FL 32257 100823 3 329498 329498 OFFICE LEASE REVENUE 532000 1046251 1046251 LEASE INTEREST INCOME 532000 246058 246058 1292309 2412 2412 1624219 1292309 0 2412 313382 313382 26004 26004 55265 55265 83217 83217 348015 348015 152691 152691 3090 3090 REPAIRS 490709 490709 SECURITY 12435 12435 SUBSCRIPTIONS 4569 4569 EQUIPMENT RENTAL 4140 4140 4397 4397 1497914 1497914 0 0 686606 686608 761445 587179 947002 974832 7165 3962 15064161 14025114 854772 1039047 8070196 7137461 11327186 10429089 82008 89040 8893135 7846883 63654 78472 9038797 8014395 X 2288389 2414694 2288389 2414694 11327186 10429089 126305 0 X 0 1 X 1 0 X X 1 UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC 591867557 5 1 648315 0 1 648315 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 11193326 10177776 1015550 3870835 3847338 23497 1039047 LEASE RECEIVABLE 7073625 ACCRUED INTEREST RECEIVABLE 19450 DUE FROM SHANDS 44386 7137461 DUE TO UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. 78472 78472 X 1624219 0 1624219 0 1624219 1497914 0 1497914 0 1497914 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, 2019 THROUGH 2023 ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. 0 0 0 0 0 0 0 0 0 RUSS ARMISTEAD TRUSTEE 0 850000 0 163625 0 12438 0 3185 0 1603 0 1030851 0 0 CHRISTOPHER COWEN TRUSTEE 0 723127 0 20720 0 7144 0 90945 0 9829 0 851765 0 0 GREG MILLER VICE CHAIR 0 562577 0 76725 0 58780 0 13477 0 11560 0 723119 0 0 LINDA EDWARDS MD CHAIR 0 626227 0 0 0 0 0 42264 0 15324 0 683815 0 0 ANDY GODWIN MD TRUSTEE 0 556702 0 11513 0 13475 0 28459 0 19932 0 630081 0 0 DEAN COCCHI TRUSTEE 0 479769 0 65450 0 46954 0 3634 0 17307 0 613114 0 0 PRADEEP KADAMBI MD CEO 0 530177 0 0 0 0 0 15695 0 19932 0 565804 0 0 JON DEBARDELEBEN TRUSTEE 0 259153 0 28270 0 24683 0 12877 0 11233 0 336216 0 0 TIMOTHY REINSCHMIDT SECRETARY/TREASURER 0 217964 0 0 0 12605 0 6795 0 5838 0 243202 0 0 PART I, LINE 3 CEO COMPENSATION IS DETERMINED AND PAID BY A RELATED ORGANIZATION. 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 11B 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 VP OF FINANCE. 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) 12A - 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 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0