2025-05-13T06:43:06-05:00 2024-06-30 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2023-07-01 237313346 UNIVERSITY MEDICAL SERVICE ASSOCIATION INC UNIV 8139742120 12901 BRUCE B DOWNS BLVD FA MDC6 TAMPA FL 336124742 RENEE DUBAULT CEO, SR. ASSOCIATE VICE PRESIDENT 8139742196 2025-05-06 1 1 MEGAN RANDOLPH P00989558 2059794100 2025-05-06 2023 2025-03-06 01:10:19Z RENEE DUBAULT 12901 BRUCE B DOWNS BLVD FA MDC62 TAMPA FL 336124742 398928878 0 X N/A X 1973 FL SUPPORT THE UNIVERSITY OF SOUTH FLORIDA'S COLLEGE OF MEDICINE IN RESEARCH AND EDUCATION. 14 1 0 1 0 0 113084736 134420070 232599345 234802100 1263917 1185589 23185639 21579869 370133637 391987628 267999637 313512973 0 0 85942886 70852554 0 0 0 21334011 20917256 375276534 405282783 -5142897 -13295155 218757009 234502765 118619696 145472357 100137313 89030408 UNIVERSITY MEDICAL SERVICE ASSOCIAITON, INC., SUPPORTS THE UNIVERSITY OF SOUTH FLORIDA'S COLLEGE OF MEDICINE IN RESEARCH AND EDUCATION. 0 0 313512973 313512973 256381969 DURING ITS FISCAL YEAR ENDED JUNE 30, 2024, UNIVERSITY MEDICAL SERVICE ASSOCIATION, INC., ("UMSA", "THE ORGANIZATION") CONTINUED ITS SUPPORT OF THE UNIVERSITY OF SOUTH FLORIDA'S ("USF") COLLEGE OF MEDICINE BY PROVIDING FUNDS TO SUPPORT MEDICAL EDUCATION AND RESEARCH. DISBURSEMENTS WERE MADE ON BEHALF OF THE COLLEGE OF MEDICINE'S CLINICAL DEPARTMENTS FOR SUPPORT OF THEIR FACULTY AND CLINICAL SUPPORT STAFF. 313512973 1 0 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 33 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 FL X X MELODY MACZKO 8139749040 12901 BRUCE B DOWNS BLVD TAMPA FL 33612 CHARLES LOCKWOOD MD BOARD CHAIR 1.00 40.00 X 0 1266689 64530 HARRY VAN LOVEREN MD DIRECTOR 1.00 40.00 X 0 1211753 55246 STEPHEN LIGGETT MD DIRECTOR 1.00 40.00 X 0 808971 55472 TAPAN PADHYA MD DIRECTOR 1.00 40.00 X 0 766016 53527 RAMESH AYYALA MD DIRECTOR 1.00 40.00 X 0 756439 53794 JAMES GRICHNIK DIRECTOR 1.00 40.00 X 0 719443 43143 JOHN T SINNOTT MD DIRECTOR 1.00 40.00 X 0 673387 70499 RICHARD SOBIERAY DIRECTOR 1.00 40.00 X 0 608736 36071 PATRICIA EMMANUEL DIRECTOR 1.00 40.00 X 0 514320 51963 ERIC CORIS MD DIRECTOR 1.00 40.00 X 0 421874 44453 KEVIN SNEED PHARMD DIRECTOR 1.00 40.00 X 0 363599 37470 UDAY MURTHY DIRECTOR 1.00 40.00 X 0 318097 33705 STEVE OMLI CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 350970 34128 NISHIT S PATEL MD CHIEF MEDICAL INFORMATION 10.00 40.00 X 0 538864 50211 TERRI ASHMEADE MD CHIEF QUALITY OFFICER 10.00 40.00 X 0 424163 46882 RENEE DUBAULT CEO, SR. ASSOCIATE VICE PRESIDENT 40.00 0.00 X 0 263677 21602 MARK MOSELEY MD CHIEF CLINICAL OFFICER, USF HEALTH 10.00 40.00 X 0 124774 6279 HAL MULLIS DIRECTOR 1.00 0.00 X 0 0 0 0 10131772 758975 17 0 1 0 ROYAL SURGICAL ASSOCIATES LLC 7901 4TH ST N 7173 ST PETERSBURG FL 33702 TEMPORARY STAFFING AGENCY 1579896 FRIEDRICH WATKINS OF TAMPA LLC 5521 W CYPRESS ST STE 104 TAMPA FL 33607 CONSTRUCTION SERVICES 1369984 FLORIDA ORTHOPAEDIC 13020 N TELECOM PKWY TEMPLE TERRACE FL 336370925 PROFESSIONAL MEDICAL SERVICES 1020393 JETT MEDICAL STAFFING LLC 22 PEPPER BUSH CIR SAVANNAH GA 31411 TEMPORARY STAFFING AGENCY 549639 PINNACLE HEALTH GROUP PO BOX 467902 ATLANTA GA 311467902 TEMPORARY STAFFING AGENCY 540335 16 2098957 132321113 134420070 PATIENT SERVICE REVENUE 621110 234802100 234802100 234802100 1126839 1126839 7000000 6941250 58750 58750 58750 OTHER OPERATING REVENUES 621110 21579869 21579869 21579869 391987628 256381969 0 1185589 313512973 313512973 70850553 70850553 2001 2001 185571 185571 405585 405585 702462 702462 637496 637496 2205995 2205995 6465585 6465585 200869 200869 1964696 1964696 7976231 7976231 172766 172766 405282783 313512973 91769810 0 21735747 12186543 8485896 8461743 17141582 25255959 70088441 88450455 1130339 1563748 2717794 2558759 127269382 56488579 69525956 70780803 26054173 25216002 1877081 28753 218757009 234502765 55319293 86844230 475046 801348 62825357 57826779 118619696 145472357 X 100137313 89030408 100137313 89030408 218757009 234502765 -13295155 2188250 0 X X 0 1 X 1 0 X 79757487 101007817 116803519 113084736 134420070 545073629 79757487 101007817 116803519 113084736 134420070 545073629 545073629 1067894 534405 829635 1307769 1126839 4866542 21025497 15645763 19268210 23185639 21579869 100704978 650645149 1133070160 0.83770 0.83380 X 87852199 33002723 54849476 11075058 5656008 5419050 13999540 10362420 3637120 14342585 7467428 6875157 70780803 FINANCING OBLIGATIONS - USF FIN CORP 38160000 CAPITAL LEASES PAYABLE 242420 DEFERRED LEASE RECEIVABLE 18340692 DEFERRED COMPENSATION 1083667 57826779 X 385048959 2188250 2188250 382860709 9126919 9126919 391987628 396155864 0 396155864 9126919 9126919 405282783 PART X, LINE 2: THE ASSOCIATION PERIODICALLY ASSESSES WHETHER IT HAS INCURRED INCOME TAX EXPENSE OR RELATED INTEREST OR PENALTIES, WHICH ARE RECOGNIZED IN INCOME TAX EXPENSE IN ACCORDANCE WITH ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ASSOCIATION DID NOT IDENTIFY ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2024. PART XI, LINE 4B - OTHER ADJUSTMENTS INTEREST EXPENSE AND OTHER NON OPERATING EXPENSE SHOWN AS OFFSET TO REVENUE ON AUDITED FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS INTEREST EXPENSE AND OTHER NON OPERATING EXPENSE SHOWN AS OFFSET TO REVENUE ON AUDITED FINANCIAL STATEMENTS. 1 USF COLLEGE OF MEDICINE 12910 BRUCE B DOWNS BLVD FA MDC62 TAMPA FL 33612 510526334 115 313512973 0 N/A N/A SALARIES & OPERATING EXPENSES 1 0 PART I, LINE 2: ALL EXPENDITURES ARE PAID BY THIS ORGANIZATION WITH DOCUMENTATION FOR EXPENSES ALONG WITH AN INVOICE. 0 0 0 0 0 0 0 0 0 CHARLES LOCKWOOD MD BOARD CHAIR 0 1266689 0 0 0 0 0 39686 0 24844 0 1331219 0 0 HARRY VAN LOVEREN MD DIRECTOR 0 1211753 0 0 0 0 0 31270 0 23976 0 1266999 0 0 STEPHEN LIGGETT MD DIRECTOR 0 808971 0 0 0 0 0 32568 0 22904 0 864443 0 0 TAPAN PADHYA MD DIRECTOR 0 766016 0 0 0 0 0 31355 0 22172 0 819543 0 0 RAMESH AYYALA MD DIRECTOR 0 756439 0 0 0 0 0 30374 0 23420 0 810233 0 0 JAMES GRICHNIK DIRECTOR 0 719443 0 0 0 0 0 30374 0 12769 0 762586 0 0 JOHN T SINNOTT MD DIRECTOR 0 673387 0 0 0 0 0 43384 0 27115 0 743886 0 0 RICHARD SOBIERAY DIRECTOR 0 608736 0 0 0 0 0 14209 0 21862 0 644807 0 0 PATRICIA EMMANUEL DIRECTOR 0 514320 0 0 0 0 0 28543 0 23420 0 566283 0 0 ERIC CORIS MD DIRECTOR 0 421874 0 0 0 0 0 23355 0 21098 0 466327 0 0 KEVIN SNEED PHARMD DIRECTOR 0 363599 0 0 0 0 0 15559 0 21911 0 401069 0 0 UDAY MURTHY DIRECTOR 0 318097 0 0 0 0 0 13849 0 19856 0 351802 0 0 STEVE OMLI CHIEF FINANCIAL OFFICER 0 350970 0 0 0 0 0 16048 0 18080 0 385098 0 0 NISHIT S PATEL MD CHIEF MEDICAL INFORMATION 0 538864 0 0 0 0 0 29952 0 20259 0 589075 0 0 TERRI ASHMEADE MD CHIEF QUALITY OFFICER 0 424163 0 0 0 0 0 24704 0 22178 0 471045 0 0 RENEE DUBAULT CEO, SR. ASSOCIATE VICE PRESIDENT 0 263677 0 0 0 0 0 12398 0 9204 0 285279 0 0 FORM 990, SCHEDULE J, LINE 3 THE UNIVERSITY MEDICAL SERVICE ASSOCIATION, INC. DOES NOT HAVE ANY EMPLOYEES AND DOES NOT COMPENSATE ANY EMPLOYEES, OFFICERS, OR BOARD MEMBERS. EMPLOYEES AND OFFICERS ARE COMPENSATED THROUGH A RELATED TAX-EXEMPT ORGANIZATION, THE UNIVERSITY OF SOUTH FLORIDA (USF) (FEIN: 59-3102112). AS SUCH, THEY ARE SUBJECT TO COMPENSATION, CLASSIFICATION, AND ALL PERSONNEL POLICIES OF USF. COMPENSATION IS DETERMINED BASED ON EMPLOYEE PERFORMANCE HISTORY AND INDUSTRY STANDARDS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS. FORM 990, PART VI, SECTION B, LINE 11B THE 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 990 IS DISTRIBUTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS PRIOR TO FILING THE FORM WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE ORGANIZATION DISTRIBUTES ITS CONFLICT OF INTEREST POLICY TO ITS BOARD OF DIRECTORS. EACH BOARD MEMBER IS REQUIRED TO SIGN AN ACKNOWLEDGEMENT 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. FORM 990, PART VI, SECTION B, LINE 15 THE UNIVERSITY MEDICAL SERVICE ASSOCIATION, INC. DOES NOT HAVE ANY EMPLOYEES AND DOES NOT COMPENSATE ANY EMPLOYEES, OFFICERS, OR BOARD MEMBERS. EMPLOYEES AND OFFICERS ARE COMPENSATED THROUGH A RELATED TAX-EXEMPT ORGANIZATION, THE UNIVERSITY OF SOUTH FLORIDA (USF) (FEIN: 59-3102112). AS SUCH, THEY ARE SUBJECT TO COMPENSATION, CLASSIFICATION, AND ALL PERSONNEL POLICIES OF USF. COMPENSATION IS DETERMINED BASED ON EMPLOYEE PERFORMANCE HISTORY AND INDUSTRY STANDARDS FOR SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES COPIES OF FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS TO MEMBERS OF THE GENERAL PUBLIC UPON RECEIPT OF A WRITTEN REQUEST. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE OF UNIVERSITY MEDICAL SERVICE ASSOCIATION, INC. IS RESPONSIBLE FOR THE SELECTION OF THE ORGANIZATION'S INDEPENDENT AUDITORS. THE AUDIT COMMITTEE MAINTAINS COMMUNICATION WITH THE INDEPENDENT AUDITORS, AS NECESSARY, DURING THE AUDIT AND IS RESPONSIBLE FOR REVIEWING AND APPROVING THE AUDITED FINANCIAL STATEMENTS. UNIVERSITY OF SOUTH FLORIDA 4202 E FOWLER AVE TAMPA FL 33620 593102112 EDUCATION FL 115 N/A 0 USF COLLEGE OF MEDICINE ASF 12901 BRUCE B DOWNS BLVD FA MDC62 TAMPA FL 33612 510526334 PAYROLL FL 115 USF 0 USF MEDICAL SERVICES SUPPORT CORP 12901 BRUCE B DOWNS BLVD FA MDC62 TAMPA FL 33612 592944683 EDUCATION FL 501(C)(3) LINE 5 USF 0 USF HEALTH SERVICES SUPPORT ORG 12901 BRUCE B DOWNS BLVD FA MDC62 TAMPA FL 33612 593431802 EDUCATION FL 115 USF 0 USF HEALTH PROF CONFERENCING CORP 124 S FRANKLIN STREET TAMPA FL 33602 161765073 HR SERVICE FL 501(C)(3) LINE 5 USF 0 USF FOUNDATION 4202 E FOWLER AVE TAMPA FL 33620 590879015 EDUCATION FL 501(C)(3) LINE 5 USF 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0