2024-04-23T12:57:12-05:00 2023-06-30 721396621 CARR RIGGS & INGRAM LLC 2633 CENTENNIAL BLVD STE 200 TALLAHASSEE FL 32308 990 2022-07-01 861171352 PROFESSIONALS RESOURCE NETWORK INC PROF 8502246496 1430 PIEDMONT DRIVE EAST TALLAHASSEE FL 32308 KRISTY JONES CHIEF FINANCIAL OFFICER 8502246496 2024-04-06 1 KRISTY JONES 999009999 1 MICHAEL C CARTER P00292302 8508788777 2024-04-04 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KRISTY JONES 1430 PIEDMONT DRIVE EAST TALLAHASSEE FL 32308 2537350 0 X WWW.FLPRN.ORG X 2006 FL TO PROTECT THE HEALTH, SAFETY AND WELFARE OF THE PUBLIC, WHILE AT THE SAME TIME TO SUPPORT THE INTEGRITY OF THE HEALTHCARE TEAM AND OTHER PROFESSIONS; THROUGH EARLY IDENTIFICATION, INTERVENTION AND APPROPRIATE REFERRAL OF ALL LICENSED HEALTHCARE AND OTHER PROFESSIONALS WHO ARE AFFECTED WITH ALL IMPAIRMENT TYPES. 21 21 26 37 0 0 2365462 2425821 83590 82825 9824 28704 0 0 2458876 2537350 20000 20000 0 0 1670257 1605722 0 0 0 712259 808592 2402516 2434314 56360 103036 2442208 3162439 173931 791126 2268277 2371313 X TO PROTECT THE HEALTH, SAFETY AND WELFARE OF THE PUBLIC, WHILE AT THE SAME TIME TO SUPPORT THE INTEGRITY OF THE HEALTHCARE TEAM AND OTHER PROFESSIONS; THROUGH EARLY IDENTIFICATION, INTERVENTION AND APPROPRIATE REFERRAL OF ALL LICENSED HEALTHCARE AND OTHER PROFESSIONALS WHO ARE AFFECTED WITH ALL IMPAIRMENT TYPES. 0 0 2268081 20000 82825 TO PROTECT THE HEALTH, SAFETY AND WELFARE OF THE PUBLIC, WHILE AT THE SAME TIME TO SUPPORT THE INTEGRITY OF THE HEALTHCARE TEAM AND OTHER PROFESSIONS; THROUGH EARLY IDENTIFICATION, INTERVENTION AND APPROPRIATE REFERRAL OF ALL LICENSED HEALTHCARE AND OTHER PROFESSIONALS WHO ARE AFFECTED WITH ALL IMPAIRMENT TYPES. 2268081 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 26 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KRISTY JONES 8502246496 1430 PIEDMONT DRIVE EAST TALLAHASSEE FL 32308 ALAN B PILLERSDORF DIRECTOR 1.00 X 0 0 0 ANA M VIAMONTE ROS DIRECTOR 1.00 X 0 0 0 ANN ANDERSON DIRECTOR 1.00 X 0 0 0 BARRY M MCCOOK DIRECTOR 1.00 X 0 0 0 DAVID RICE DIRECTOR 1.00 X 0 0 0 DAVID THOMAS DIRECTOR 1.00 X 0 0 0 GARY M REISFIELD DIRECTOR 1.00 X 0 0 0 GEORGE R WILSON III DIRECTOR 1.00 X 0 0 0 GEROLD L SCHIEBLER DIRECTOR 1.00 X 0 0 0 JAMES ANDRIOLE DIRECTOR 1.00 X 0 0 0 JAMES HOWELL DIRECTOR 1.00 X 0 0 0 JAMES PATRICK O'LEARY DIRECTOR 1.00 X 0 0 0 JASON B FIELDS DIRECTOR 1.00 X 0 0 0 JENNIFER TSCHETTER DIRECTOR 1.00 X 0 0 0 JOHN S CURRAN DIRECTOR 1.00 X 0 0 0 KEVIN B SNEED DIRECTOR 1.00 X 0 0 0 LYNN R HANKES DIRECTOR 1.00 X 0 0 0 MARCIA VERDUIN DIRECTOR 1.00 X 0 0 0 MARK S GOLD DIRECTOR 1.00 X 0 0 0 MARK KAUFFMAN DIRECTOR 1.00 X 0 0 0 MICHAEL JOHN SORNA DIRECTOR 1.00 X 0 0 0 N HENRY PEVSNER DIRECTOR 1.00 X 0 0 0 PENELOPE P ZIEGLER DIRECTOR 1.00 X 0 0 0 RALPH J NOBO JR DIRECTOR 1.00 X 0 0 0 ROBERT E WHITE JR DIRECTOR 1.00 X 0 0 0 ROBERT T WATSON DIRECTOR 1.00 X 0 0 0 RONALD F GIFFLER DIRECTOR 1.00 X 0 0 0 RONALD RENUART DIRECTOR 1.00 X 0 0 0 MARCUS H LACKEY DIRECTOR 1.00 X 0 0 0 ALEXIS G POLLES MEDICAL DIRECTOR 40.00 X 241721 0 21916 DALE F SYFERT CHAIR 10.00 X 0 0 0 MARK N GOLDBERG SECRETARY 1.00 X 0 0 0 MAUREEN A NOVAK TREASURER 1.00 X 0 0 0 ROBERT C NUSS IMMEDIATE PAST CHAIR 1.00 X 0 0 0 TISH CONWELL COO 40.00 X 80981 0 37224 VINCENT A DEGENNARO VICE CHAIR 1.00 X 0 0 0 KRISTY JONES CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 154536 27311 WILLIAM S JACOBS ASSOCIATE MEDICAL DIRECTOR 40.00 X 135406 0 24073 458108 154536 110524 2 0 1 0 0 2309737 116084 2425821 CONFERENCE 611430 82825 82825 82825 28704 28704 2537350 82825 0 28704 20000 20000 428605 428605 824587 819769 4818 24296 24296 247177 247177 81057 81057 53269 33937 19332 19500 14500 5000 44100 39123 4977 134 134 87629 83486 4143 163321 163321 52590 36725 15865 156063 105627 50436 -2145 -2145 11183 11183 25940 25940 MANAGEMENT SERVICES 80000 80000 DATA STAT ANALYSIS 64518 64518 MISCELLANEOUS 42239 42239 DUES & SUBSCRIPTIONS 10251 10251 2434314 2268081 166233 0 480646 1401957 1499627 792496 406873 260205 15197 11872 203596 174669 26824 28927 13041 666982 2442208 3162439 148156 109199 25775 681927 173931 791126 X 2246844 2353776 21433 17537 2268277 2371313 2442208 3162439 103036 0 X X 0 1 X 1 1 1 X 2439583 2390524 2373800 2365462 2425824 11995193 2439583 2390524 2373800 2365462 2425824 11995193 11995193 22455 29266 17246 9824 28704 107495 2500 500 1200 4200 12106888 360704 0.99080 0.99140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 203596 174669 28927 28927 DUE FROM RELATED PARTY 10896 OPERATING LEASE RIGHTOFUSE ASSETS, NET 656086 666982 REGISTRATION FEE LIABILITY 16725 CONDITIONAL CONTRIBUTIONS 8000 OPERATING LEASE LIABILITY 657202 681927 X 2537350 0 2537350 0 2537350 2434314 0 2434314 0 2434314 PART X, LINE 2: PURSUANT TO A DETERMINATION LETTER RECEIVED FROM THE INTERNAL REVENUE SERVICE, THE CORPORATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), AND AS SUCH, IS LIABLE FOR TAX ONLY ON BUSINESS INCOME UNRELATED TO THE PURPOSE FOR WHICH IT IS EXEMPT. NO PROVISIONS FOR INCOME TAXES HAVE BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. 0 FOUNDATION FOR HEALTHY FLORIDIANS 1430 E PIEDMONT DR TALLAHASSEE FL 32308 462259497 501(C)(3) 20000 0 DONATION 1 X X X 0 0 0 0 0 0 0 0 0 ALEXIS G POLLES MEDICAL DIRECTOR 241721 0 0 0 0 0 19200 0 2716 0 263637 0 0 0 KRISTY JONES CHIEF FINANCIAL OFFICER 0 148609 0 5927 0 0 0 11810 0 15501 0 181847 0 0 WILLIAM S JACOBS ASSOCIATE MEDICAL DIRECTOR 135406 0 0 0 0 0 9261 0 14812 0 159479 0 0 0 PART I, LINE 3 THE ORGANIZATION'S EXECUTIVE COMMITTEE COMPLETED A COMPENSATION REVIEW IN THE FALL OF 2016 DURING THE HIRING PROCESS OF DR. ALEXIS G. POLLES AS THE MEDICAL DIRECTOR. THE EXECUTIVE COMMITTEE COMPLETED A FOLLOW UP REVIEW OF HER COMPENSATION PACKAGE IN THE SPRING OF 2018 AND 2023, RESULTING IN PAY INCREASES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND ACCOMPANYING SCHEDULES ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. FLORIDA MEDICAL ASSOCIATION'S CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 AND ACCOMPANYING SCHEDULES WITH THE PROFESSIONALS RESOURCE NETWORK BOARD TREASURER. ALL QUESTIONS AND ISSUES ARE RESOLVED WITH THE INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE CENTER. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE OBTAINED EVERY YEAR UPON REAPPOINTMENT BY THE FLORIDA MEDICAL ASSOCIATION (FMA) PRESIDENT. PROFESSIONALS RESOURCE NETWORK USES THE FMA CONFLICT OF INTEREST POLICY AND PROCEDURES TO MONITOR AND ENFORCE THIS POLICY. ANY CONFLICTS OR POTENTIAL CONFLICTS ARE RESOLVED BY THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE PROFESSIONALS RESOURCE NETWORK (PRN) EXECUTIVE COMMITTEE HAS BEEN DELEGATED TO ACT AS THE COMPENSATION COMMITTEE TO OBTAIN AND REVIEW COMPARABLE DATA REGARDING THE MEDICAL DIRECTOR'S SALARY AND COMPENSATION PACKAGE. THEIR RECOMMENDATION IS THEN PRESENTED AND REVIEWED BY THE PRN BOARD OF DIRECTORS. THIS REVIEW WAS LAST PERFORMED IN 2023 DURING THE SEARCH FOR A NEW MEDICAL DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES FROM THE PREVIOUS YEAR. FLORIDA MEDICAL ASSOCIATION INC 1430 PIEDMONT DR EAST TALLAHASSEE FL 32308 590559672 MEDICAL EDUCATION FL 501(C)(6) 0 FOUNDATION FOR HEALTHY FLORIDIANS 1430 PIEDMONT DR EAST TALLAHASSEE FL 32308 462259497 EDUCATION FL 501(C)(3) 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 FLORIDA MEDICAL ASSOCIATION M 80000 FMV FOUNDATION FOR HEALTHY FLORIDIANS B 20000 FMV