2022-04-14T13:29:46-05:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 8390 EAST CRESCENT PARKWAY SUITE 300 GREENWOOD VILLAGE CO 80111 990 2020-07-01 201304472 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC UNIV 4193837100 4510 DORR STREET TOLEDO OH 43615 BRYAN PYLES CFO 4193837100 2022-04-14 1 BRYAN PYLES 999009999 SARAH HINTZ P00492291 3037795710 2022-04-14 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z LANCE DWORKIN MD 4510 DORR STREET TOLEDO OH 43615 116674062 0 X N/A X 2004 OH TO IMPROVE THE HUMAN CONDITION THROUGH EXCELLENCE IN PATIENT CARE AND MEDICAL DISCOVERY. 26 1 634 3 0 0 14095 3573734 101066273 111404227 308257 256124 13596625 1169791 114985250 116403876 21127346 1613072 0 0 92929479 87979590 0 0 0 17130018 19553765 131186843 109146427 -16201593 7257449 61206063 66626181 25173231 23509256 36032832 43116925 TO IMPROVE THE HUMAN CONDITION THROUGH EXCELLENCE IN PATIENT CARE AND MEDICAL DISCOVERY 0 0 103115662 1613072 111404227 FACULTY PRACTICE PLAN FOR THE UNIVERSITY OF TOLEDO TO PROVIDE HEALTH CARE SERVICES AS AN INTEGRAL COMPONENT OF THE ACADEMIC AND RESEARCH MISSION OF THE UNIVERSITY.CAPTIVE INSURANCE- WRITING OR FUNDING MEDICAL MALPRACTICE INSURANCE AND REINSURANCE FOR UNIVERSITY OF TOLEDO AND UNIVERSITY OF TOLEDO PHYSICIANS. 103115662 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 31 0 1 634 1 0 0 0 0 0 0 0 0 0 0 0 0 X 26 1 0 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 OH X MINDY WARD 4193837138 4510 DORR STREET TOLEDO OH 43615 X AKPUNONU BASIL MD TRUSTEE, UTP 20.00 20.00 X 296175 172437 144715 ALI IMRAN MD TRUSTEE, UTP 20.00 20.00 X 291118 240695 171756 BOSWELL MARK MD TRUSTEE, UTP 20.00 20.00 X 308075 184421 105801 BRICKMAN KRISTOPHER MD CPE UTP 20.00 20.00 X X 417877 154511 123643 CHAUDHURI PRABIR MD TRUSTEE, UTP 20.00 20.00 X 164575 96263 131706 CHEN CHANGHU MD DIRECTOR, UTP (THRU NOV 2020) 20.00 20.00 X 291154 89515 133188 COOPER CHRISTOPHER MD CHAIRMAN UTP/UTMAC,DIRECTOR UTD 20.00 20.00 X X 281066 465151 188355 DOMINIAK NICOLE MD TRUSTEE, UTP 20.00 20.00 X 200013 35142 59597 DWORKIN LANCE MD PRESIDENT, UTP; SECRETARY UTMAC 20.00 20.00 X X 232887 399299 144125 EBRAHEIM NABIL MD TRUSTEE, UTP 20.00 20.00 X 1009316 164603 191633 EL-ZAWAHRY AHMED MD TRUSTEE, UTP 20.00 20.00 X 408598 24968 87774 FEDERMAN DOUGLAS TRUSTEE, UTP 20.00 20.00 X 140364 71331 84452 GOHARA AMIR TRUSTEE, UTP 20.00 20.00 X 62790 86228 50302 GRIDER STEPHEN MD TRUSTEE, UTP 20.00 20.00 X 211198 161349 149295 HINCH BRYAN MD TRUSTEE, UTP 20.00 20.00 X 228960 83401 140105 JENKINS KIMBERLY MD TRUSTEE, UTP 20.00 20.00 X 179363 134926 122316 KHOURI SMAIR MD TRUSTEE, UTP 20.00 20.00 X 331677 80669 97946 LENHARD AMANDA MD DIRECTOR, UTP (THRU NOV 2020) 20.00 20.00 X 279216 79538 109110 MCCULLUMSMITH CHERYL MD SECRETARY, UTP 20.00 20.00 X X 174408 227708 132632 MRAK ROBERT MD DIRECTOR, UTP (THRU NOV 2020) 40.00 0.00 X 0 0 0 MUKUNDAN DEEPA MD TRUSTEE, UTP 20.00 20.00 X 53019 119252 76770 NAZZAL MUNIER MD VICE PRESIDENT, UTP 20.00 20.00 X X 634948 141141 157577 PYLES BRYAN T INTERIM CFO, UTP; TREASURER, UTMAC 20.00 20.00 X X 0 227952 96983 SAUNDERS WILLIAM III MD TRUSTEE, UTP 20.00 20.00 X 257939 25786 98600 SCHROEDER JASON MD TRUSTEE, UTP 20.00 20.00 X 673823 58096 138423 SINDHWANI PUNEET MD TRUSTEE, UTP 20.00 20.00 X 445246 173543 158715 SKIE MARTIN MD TRUSTEE, UTP 20.00 20.00 X 548595 81686 128439 SPEER LINDA MD TREASURER, UTP 20.00 20.00 X X 142122 145940 152834 VAN HOOK JAMES MD TRUSTEE, UTP 20.00 20.00 X 318666 276503 162790 BASKARAARUNKUMAR PHYSICIAN 40.00 0.00 X 564956 90433 118992 BURGESSRICHARD PHYSICIAN 40.00 0.00 X 654860 31621 119164 GEHLINGDANIEL PHYSICIAN 40.00 0.00 X 864137 7846 116014 MASROOR SAQIB PHYSICIAN 40.00 0.00 X 722375 17937 109000 OSMAN MOHAMED PHYSICIAN 40.00 0.00 X 805727 25460 101349 BARBEE DANIEL MANAGER, UTMAC(FORMER) 40.00 0.00 X 0 155312 45045 BOOTH ROBERT MD TRUSTEE, UTP (FORMER) 40.00 0.00 X 56499 68537 29658 BRUNICARDI FRANCIS MD TRUSTEE, UTP (FORMER) 0.00 40.00 X 36923 58602 30715 CASABIANCA ANDREW MD TRUSTEE, UTP (FORMER) 20.00 20.00 X 324154 162862 149032 ELSAMALOTY HAITHAM MD TRUSTEE, UTP (FORMER) 20.00 20.00 X 146781 226208 144678 FARRELL MD STEVEN J TRUSTEE, UTP (FORMER) 40.00 0.00 X 189205 48131 134898 HEJEEBU SRINI DO SECRETARY, UTP (FORMER) 40.00 0.00 X 303994 67854 132878 KAW DINKAR MD TRUSTEE, UTP (FORMER) 40.00 0.00 X 261635 43526 138337 KOLTZ BROOKE MD TRUSTEE, UTP (FORMER) 20.00 20.00 X 67526 16192 38336 LYNN CHRISTOPHER K MD TRUSTEE, UTP (FORMER) 40.00 0.00 X 0 50778 39238 MAHMOOD ASIF MD TRUSTEE, UTP (FORMER) 20.00 20.00 X 570638 23389 126387 MOLONEY BRYAN MD CPE, UTP (FORMER) 40.00 0.00 X 73869 8521 48475 SINGH TANVIR MD TRUSTEE, UTP (FORMER) 40.00 0.00 X 558981 102867 159243 SKEEL ROLAND T MD TRUSTEE, UTP (FORMER) 40.00 0.00 X 162422 78843 70275 SODEMAN THOMAS C MD TRUSTEE, UTP (FORMER) 40.00 0.00 X 141738 92350 149564 TIETJEN GRETCHEN MD TRUSTEE, UTP(FORMER) 40.00 0.00 X 6826 33595 3350 WROBLEWSKI MARY BETH MD TRUSTEE, UTP (FORMER) 40.00 0.00 X 46696 92920 72203 15143130 5705838 5616413 247 1 1 0 SELLERS DORSEY & ASSOCIATES LLC 1635 MARKET ST SUITE 301 PHILADELPHIA PA 19103 CONSULTING SERVICES 731105 INTERIM PHYSICIANS LLC PO BOX 679139 DALLAS TX 72267 LOCUM PHYSICIAN SERVICES 193611 EASTMAN & SMITH LTD ONE SEAGATE 24TH FLOOR TOLEDO OH 43699 LEGAL SERVICES 190090 ISCRIBE MD LLC PO BOX 351357 TOLEDO OH 43635 MEDICAL RECORDS TRANSCRIPTION SERVICES 152945 CLIFTONLARSONALLEN LLP 220 S 6TH ST SUITE 300 MINNEAPOLIS MN 55402 AUDIT AND FINANCIAL SERVICES 135296 6 174118 3399616 3573734 PATIENT SERVICE 621110 96660311 96660311 UPL REVENUE 621110 10290215 10290215 UTMAC INSURANCE PREMIUMS 621110 2380846 2380846 PERFORMANCE INCENTIVE PAYMENTS 621110 2025740 2025740 UTMAC INVESTMENT INCOME 621110 47115 47115 111404227 251310 251310 245000 30000 245199 24987 -199 5013 4814 4814 UTMC ATHENA REVENUE 900099 1011520 1011520 MISCELLANEOUS REVENUE 900099 158271 158271 1169791 116403876 111404227 0 1425915 X 1613072 1613072 10116405 10116405 67403257 63593600 3809657 7693252 7348942 344310 1197402 263933 933469 1569274 1349576 219698 132621 132621 83297 83297 11378772 11378772 38248 38248 846476 821082 25394 310119 310119 1711503 1523238 188265 322644 322644 1213 1213 202694 202694 1612449 1612449 UTMAC EXPENSES 1239128 1239128 PROFESSIONAL DUES AND L 540294 540294 PHARMACEUTICALS 422722 422722 IRS PENALTY ACCRUAL 308359 308359 403226 201613 201613 109146427 103115662 6030765 0 4738441 6053989 25580183 28172237 16199064 13733569 4912955 4961955 69212 101185 874305 546607 2675756 1251752 944092 1424004 7887811 11632635 61206063 66626181 16082422 14137386 604326 328382 8486483 9043488 25173231 23509256 X 36032832 43116925 36032832 43116925 61206063 66626181 7257449 -173356 0 X X 0 1 X 1 0 X X 1 UNIVERSITY OF TOLEDO 346401483 2 1 1613072 0 1 1613072 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X SCHEDULE A, PAGE 5, LINE 1C THE ORGANIZATION SERVES AS THE FACULTY PRACTICE PLAN FOR THE UNIVERSITY OF TOLEDO TO PROVIDE HEALTH CARE SERVICES AS AN INTEGRAL COMPONENT OF THE ACADEMIC AND RESEARCH MISSION OF THE UNIVERSITY. SCHEDULE A, PAGE 5, SECTION D, LINE 3 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY, INC. (UTP) HAS ONLY ONE CLASS OF MEMBER, AND ONLY ONE MEMBER, THE UNIVERSITY OF TOLEDO. THE SOLE MEMBER, UNIVERSITY OF TOLEDO HAS A SIGNIFICANT VOICE IN THE ACTIVITIES AND OPERATIONS OF UTP. ACT ON ITS BEHALF AS THE SOLE MEMBER OF THE ORGANIZATION. THE SOLE MEMBER OF UTP HAS THE POWER TO NOMINATE, ELECT AND REMOVE THE BOARD OF DIRECTORS OF THE CORPORATION; APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS OF THE CORPORATION; AND EXERCISE SUCH OTHER POWERS AS ARE NECESSARY, APPROPRIATE, AND CONSISTENT WITH LAW AND WITH THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS OF THE CORPORATION. THE FOLLOWING ACTIONS REQUIRE PRIOR APPROVAL OF THE SOLE MEMBER: (A) ANY CHANGE IN THE PURPOSE OR MISSION OF THE CORPORATION; (B) ANY CHANGE IN THE CODE OF REGULATIONS OR ARTICLES OF INCORPORATION OF THE CORPORATION; (C) ANY MERGER OR CONSOLIDATION OF THE CORPORATION WITH AN UNRELATED ENTITY; (D) THE PROPOSED SALE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; (E) ANY BORROWING OF FUNDS BY THE CORPORATION (EXCLUDING TRADE PAYABLES OR OTHER ORDINARY COURSE INDEBTEDNESS) IN EXCESS OF ITS GENERAL OPERATING LINE OF CREDIT IN AN AMOUNT TO BE ESTABLISHED ON AN ANNUAL BASIS BY APPROVAL OF THE BOARD OR ANY LOAN OF FUNDS BY THE CORPORATION;(F) ANY MATERIAL CHANGES IN THE CORPORATION'S PROFESSIONAL LIABILITYINSURANCE COVERAGE, INCLUDING CHANGES IN THE PARTIES PROVIDING SUCH COVERAGE; AND (G) THE DISSOLUTION OR LIQUIDATION OF THE CORPORATION. SCHEDULE A, SECTION A, LINE 2 THE ORGANIZATION IS OPERATING FOR THE BENEFIT OF THE UNIVERSITY OF TOLEDO AND ITS MEDICAL SCHOOL, A PUBLIC UNIVERSITY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 60784 9387 51397 2043256 1242365 800891 571716 571716 1424004 LOSSES AND LOSS ADJUSTMENT EXPENSES - UTMAC 9033690 LOSSES AND CLAIMS HANDLING FEES PAYABLE - UTMAC 9798 9043488 113063464 -173356 875190 701834 112361630 4042246 4042246 116403876 105984655 0 105984655 3161772 3161772 109146427 PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON UTMAC 1,188,833. LOSS ON DAVIS DENTAL -5,284. IRS PENALTY ACCRUAL -308,359. PART XI, LINE 4B - OTHER ADJUSTMENTS: UTMAC INCOME 2,427,961. DONATIONS TO UTF 300. UT MISSION SUPPORT 1,612,772. CAPITAL LEASE 1,213. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATIONS TO UTF 300. UT MISSION SUPPORT 1,612,772. UTMAC EXPENSES 1,239,128. CAPITAL LEASE EXPENSE 1,213. IRS PENALTY ACCRUAL 308,359. 1 UNIVERSITY OF TOLEDO 2801 W BANCROFT ST TOLEDO OH 43614 346401483 STATE OF OHIO 1613072 N/A N/A SUPPORT FOR THE UNIVERSITY OF TOLEDO 1 0 PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES BY ONLY DONATING TO THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R. X 0 1 X X X 0 0 0 1 0 0 0 1 0 EBRAHEIM NABIL MD TRUSTEE, UTP 0 164603 1009316 0 0 0 42750 84810 0 64073 1052066 313486 0 0 GEHLINGDANIEL PHYSICIAN 0 7846 864137 0 0 0 42750 22749 19500 31015 926387 61610 0 0 COOPER CHRISTOPHER MD CHAIRMAN UTP/UTMAC,DIRECTOR UTD 279066 465151 2000 0 0 0 42160 57767 0 88428 323226 611346 0 0 NAZZAL MUNIER MD VICE PRESIDENT, UTP 0 141141 634948 0 0 0 42750 49029 19571 46227 697269 236397 0 0 OSMAN MOHAMED PHYSICIAN 0 25460 805727 0 0 0 42750 4427 19500 34672 867977 64559 0 0 SCHROEDER JASON MD TRUSTEE, UTP 642445 58096 31378 0 0 0 42750 32458 19500 43715 736073 134269 0 0 MASROOR SAQIB PHYSICIAN 714804 17937 7571 0 0 0 42750 4362 24581 37307 789706 59606 0 0 SINGH TANVIR MD TRUSTEE, UTP (FORMER) 2269 102867 556712 0 0 0 42750 38932 26000 51561 627731 193360 0 0 BURGESSRICHARD PHYSICIAN 544269 31621 110591 0 0 0 42750 22627 19500 34287 717110 88535 0 0 SINDHWANI PUNEET MD TRUSTEE, UTP 374500 173543 70746 0 0 0 42750 29367 26000 60598 513996 263508 0 0 DWORKIN LANCE MD PRESIDENT, UTP; 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TREASURER, UTMAC 0 227952 0 0 0 0 0 28299 0 68684 0 324935 0 0 SKEEL ROLAND T MD TRUSTEE, UTP (FORMER) 159173 78843 3249 0 0 0 24363 13137 0 32775 186785 124755 0 0 FEDERMAN DOUGLAS TRUSTEE, UTP 134434 71331 5930 0 0 0 22163 12438 7388 42463 169915 126232 0 0 DOMINIAK NICOLE MD TRUSTEE, UTP 186641 35142 13372 0 0 0 30930 6114 6186 16367 237129 57623 0 0 MUKUNDAN DEEPA MD TRUSTEE, UTP 51019 119252 2000 0 0 0 11853 19266 26000 19651 90872 158169 0 0 WROBLEWSKI MARY BETH MD TRUSTEE, UTP (FORMER) 38619 92920 8077 0 0 0 7373 22265 2458 40107 56527 155292 0 0 BARBEE DANIEL MANAGER, UTMAC(FORMER) 0 155312 0 0 0 0 0 9755 0 35290 0 200357 0 0 GOHARA AMIR TRUSTEE, UTP 59418 86228 3372 0 0 0 9811 13817 2616 24058 75217 124103 0 0 BOOTH ROBERT MD TRUSTEE, UTP (FORMER) 49127 68537 7372 0 0 0 8475 5673 0 15510 64974 89720 0 0 MOLONEY BRYAN MD CPE, UTP (FORMER) 73869 8521 0 0 0 0 13240 9715 14400 11120 101509 29356 0 0 BRUNICARDI FRANCIS MD TRUSTEE, UTP (FORMER) 36923 58602 0 0 0 0 5815 12084 1846 10970 44584 81656 0 0 KOLTZ BROOKE MD TRUSTEE, UTP (FORMER) 62654 16192 4872 0 0 0 13054 0 19500 5782 100080 21974 0 0 LYNN CHRISTOPHER K MD TRUSTEE, UTP (FORMER) 0 50778 0 0 0 0 0 9608 0 29630 0 90016 0 0 TIETJEN GRETCHEN MD TRUSTEE, UTP(FORMER) 6826 33595 0 0 0 0 1059 1028 235 1028 8120 35651 0 0 PART I, LINE 1A CHRISTOPHER COOPER WAS REIMBURSED $6,931 IN COUNTRY CLUB DUES, WHICH WAS INCLUDED IN HIS TAXABLE WAGES. PART I, LINE 1B UTP DOES NOT HAVE A POLICY REGARDING THE PAYMENT OR REIMBURSEMENT OF THE EXPENSES DESCRIBED ON LINE 1A. PAYMENT OR REIMBURSEMENT IS BASED UPON THE BUSINESS PURPOSE OF SUCH REQUEST AND APPROVED BY APPROPRIATE INDIVIDUAL(S) WITHIN UTP. PART I, LINE 5 MANY PHYSICIANS ON STAFF DO RECEIVE COMPENSATION COMPUTED ON SERVICES RENDERED/COLLECTIONS RECEIVED. FOR THIS COMPENSATION, ESTABLISHED FORMULAS AND COMPUTATIONS ARE UTILIZED TO DETERMINE THE COMPENSATION. PART I, LINE 7 MANY PHYSICIANS ON STAFF DO RECEIVE NON-FIXED PAYMENTS BASED ON ACHIEVING VARIOUS MEASURABLES AND GOALS WITHIN THEIR PRACTICE. FORM 990, PART VI, SECTION A, LINE 1 THE BOARD WILL ESTABLISH AN EXECUTIVE COMMITTEE WHICH WILL CONSIST OF BOARD MEMBERS WHO ARE EMPOWERED TO TRANSACT THE DAY-TO-DAY MANAGEMENT AND BUSINESS OF THE CORPORATION PURSUANT TO THE POLICIES, PROCEDURES AND RULES OF THE CORPORATION. THE EXECUTIVE COMMITTEE WILL ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD. A QUORUM FOR A MEETING OF THE EXECUTIVE COMMITTEE WILL BE A MAJORITY OF ITS MEMBERS. FORM 990, PART VI, SECTION A, LINE 3 UTMAC, LLC DELEGATES AUTHORITY TO STRATEGIC RISK SOLUTIONS WHICH SERVES AS THE CAPTIVE MANAGER. STRATEGIC RISK SOLUTIONS RECEIVED $53,000 AS COMPENSATION FOR CAPTIVE MANAGEMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY, INC. (UTP) HAS ONLY ONE CLASS OF MEMBER, AND ONLY ONE MEMBER, THE UNIVERSITY OF TOLEDO, EXERCISING ALL MEMBER RIGHTS. THE REPRESENTATIVES OF THE UNIVERSITY OF TOLEDO ACT ON ITS BEHALF AS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER THE UNIVERSITY OF TOLEDO HAS THE POWER TO NOMINATE, ELECT AND REMOVE THE BOARD OF DIRECTORS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, THE UNIVERSITY OF TOLEDO HAS THE AUTHORITY TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS OF THE CORPORATION; AND EXERCISE SUCH OTHER POWERS AS ARE NECESSARY, APPROPRIATE, AND CONSISTENT WITH LAW AND WITH THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS OF THE CORPORATION. THE FOLLOWING ACTIONS REQUIRE PRIOR APPROVAL OF THE SOLE MEMBER: (A) ANY CHANGE IN THE PURPOSE OR MISSION OF THE CORPORATION; (B) ANY CHANGE IN THE CODE OF REGULATIONS OR ARTICLES OF INCORPORATION OF THE CORPORATION; (C) ANY MERGER OR CONSOLIDATION OF THE CORPORATION WITH AN UNRELATED ENTITY; (D) THE PROPOSED SALE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; (E) ANY BORROWING OF FUNDS BY THE CORPORATION (EXCLUDING TRADE PAYABLES OR OTHER ORDINARY COURSE INDEBTEDNESS) IN EXCESS OF ITS GENERAL OPERATING LINE OF CREDIT IN AN AMOUNT TO BE ESTABLISHED ON AN ANNUAL BASIS BY APPROVAL OF THE BOARD OR ANY LOAN OF FUNDS BY THE CORPORATION; (F) ANY MATERIAL CHANGES IN THE CORPORATION'S PROFESSIONAL LIABILITY INSURANCE COVERAGE, INCLUDING CHANGES IN THE PARTIES PROVIDING SUCH COVERAGE; AND (G) THE DISSOLUTION OR LIQUIDATION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY AN OUTSIDE PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE A DRAFT RETURN IS AVAILABLE, IT IS PROVIDED TO MANAGEMENT FOR THEIR REVIEW. ANY CHANGES NOTED BY MANAGEMENT ARE INCORPORATED INTO THE RETURN BEFORE THE DOCUMENT IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C UTP DOES HAVE A CONFLICT OF INTEREST POLICY THAT IT FOLLOWS WHEN ADDRESSING POTENTIAL CONFLICTS. ALL OFFICERS, DIRECTORS, OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTERESTS WHICH MAY ARISE. SHOULD AN INDIVIDUAL HAVE A CONFLICT OF INTEREST, THE INDIVIDUAL IDENTIFIED WITH THE CONFLICT MAY NOT VOTE ON SUCH ISSUE BEFORE GOVERNANCE. UNIVERSITY OF TOLEDO PHYSICIANS, LLC. AND UTP PATHOLOGY SERVICES, LLC FOLLOWS THE SAME CONFLICT OF INTEREST POLICY THAT WAS ADOPTED BY UTP LLC. UNIVERSITY OF TOLEDO MEDICAL ASSURANCE COMPANY, LLC HAS A SIMILAR CONFLICT OF INTEREST POLICY THAT IS FOLLOWED BY ALL UTMAC MANAGERS. THE POLICY REQUIRES SIMILAR DISCLOSURES AS NOTED ABOVE. ANY DISCUSSION DELIBERATION OR DECISION RELATED TO A POTENTIAL CONFLICT OF INTEREST IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 WHEN DETERMINING COMPENSATION FOR THE PRESIDENT/CEO OF THE VARIOUS ENTITIES, GOVERNANCE UTILIZES COMPARABILITY DATA. COMPENSATION LEVELS ARE REVIEWED BY CHAIRMAN AND COMPENSATION COMMITTEE OF THE BOARD. THIS PROCESS IS UTILIZED FOR ALL OFFICERS AND EMPLOYEES PLUS APPLIES TO ALL ORGANIZATIONS. COMPENSATION IS REVIEWED ANNUALLY AND WAS LAST COMPLETED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FROM 990, PART VII - BOARD OF DIRECTOR LISTING FOR THE PURPOSE OF THE PART VII REPORTING, THE TRUSTEES OF UNIVERSITY OF TOLEDO PHSICIANS CLINICAL FACULTY, INC. (UTP) SERVE AS GOVERNANCE FOR UNIVERSITY OF TOLEDO PHSICIANS, LLC AND UTP PATHOLOGY SERVICES, LLC. THE SOLE MEMBER OF EACH OF THE LLCS IS UTP. UNIVERSITY OF TOLEDO MEDICAL ASSURANCE COMPANY, LLC (UTMAC) GOVERNANCE IS DESIGNATED IN PART VII OF THE FORM 990. UTP IS ALSO THE SOLE MEMBER OF UTMAC. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 11,378,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,378,772. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED THEIR PROCESS FOR THE SELECTION AND OVERSIGHT OF THE INDEPENDENT ACCOUNTANT FROM THE PRIOR YEAR. PART VI LINE 13 - WRITTEN WHISTLEBLOWER POLICY NEITHER UTP NOR UTMAC HAS YET ADOPTED A WRITTEN WHISTLEBLOWER POLICY. UNIVERSITY OF TOLEDO PHYSICIANS LLC 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 341127097 DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER OH 110001057 43116926 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC UTP PATHOLOGY SERVICES LLC 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 264032238 DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER OH 0 0 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC UNIVERSITY OF TOLEDO MEDICAL ASSURANCE COMPANY LLC 159 BANK ST 4TH FLOOR BURLINGTON VT 05401 DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER VT 2427961 19777652 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC TOLEDO AREA MEDICAL FOUNDATION 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 341308939 FINANCIAL SUPPORT TO UNIV. 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