2018-05-11T13:39:10-05:00 2017-06-30 550657218 HESS STEWART & CAMPBELL PLLC PO BOX 1060 HUNTINGTON WV 257131060 990 2016-07-01 550564945 UNIVERSITY PHYSICIANS & SURGEONS INC UNIV 3046911653 1001 TENTH AVENUE HUNTINGTON WV 25701 JOHN M STRAUB CFO 3046911653 2018-05-08 1 JOHN G HESS P00115975 3045236464 64.139.66.5 2018-05-08 11:44:21 ED P B9E3D049A52A9DAD9B1B63A7DB5C011DF59C7081 71D9FC7FFB400F5F16F86D51CFB86B6FB59FF591 2016 2021-01-29 14:40:06Z BETH HAMMERS 1001 TENTH AVENUE HUNTINGTON WV 25701 175440282 0 X WWW.MARSHALLHEALTH.ORG/ X 1976 WV UNIVERSITY PHYSICIANS & SURGEONS, INC. IS A NOT-FOR-PROFIT ORGANIZATION INCORPORATED IN THE STATE OF WEST VIRGINIA. THE MEMBERSHIP OF THE ORGANIZATION CONSISTS OF PHYSICIANS WHO ARE FACULTY MEMBERS OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE (MUSOM).REVENUES OF THE ORGANIZATION ARE USED FOR THE PUBLIC PURPOSE OF FURTHERING THE GOALS AND OBJECTIVES OF THE MUSOM AND ARE DERIVED PRINCIPALLY FROM BILLINGS FOR MEDICAL SERVICES FURNISHED BY THE ORGANIZATION'S MEMBERSHIP WITHIN THE SCOPE OF THEIR DUTIES AS FACULTY OF THE MUSOM. 10 0 1404 0 12091042 -485222 635604 574175 152565273 161278914 481825 976572 888514 520757 154571216 163350418 3042875 2091872 0 0 105261897 114202104 0 0 0 38919504 43683683 147224276 159977659 7346940 3372759 79686371 101350634 44109554 60362121 35576817 40988513 UNIVERSITY PHYSICIANS & SURGEONS, INC. (THE CORPORATION) IS A NOT-FOR PROFIT ORGANIZATION INCORPORATED IN THE STATE OF WEST VIRGINIA. THE MEMBERSHIP OF THE CORPORATION CONSISTS OF PHYSICIANS WHO ARE FACULTY MEMBERS OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. 0 0 149593135 2091872 149187872 THE CORPORATION SUPPORTED THE FACULTY PHYSICIANS OF THE SCHOOL OF MEDICINE IN THEIR PROVISION OF MEDICAL SERVICES WITH APPROXIMATELY 555,873 PATIENT ENCOUNTERS. 149593135 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 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 1 209 0 1404 1 1 1 0 0 0 0 0 0 0 X 10 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 1 1 1 1 0 WV X THE ORGANIZATION 3046911653 1001 TENTH AVE HUNTINGTON WV 25701 JOSEPH SHAPIRO CHAIRMAN 15.00 X X 359600 291737 31800 F LAYTON COTTRILL DESIGNEE 1.00 X 25031 156291 10806 PAULETTE WEHNER MD DIRECTOR 35.00 X 150000 219160 21185 DAVID DENNING MD DIRECTOR 80.00 X 363046 388620 31182 STEPHEN PETRANY MD DIRECTOR 25.00 X 99240 253284 19507 JOSEPH EVANS MD SECRETARY/TREASURER 50.00 X X 147676 105934 14149 JAMES BECKER MD DIRECTOR 30.00 X 245654 71490 18010 SUZANNE HOLROYD MD DIRECTOR 35.00 X 119604 253967 19506 DAVID JUDE MD DIRECTOR 36.00 X 173231 239300 20085 SUSAN FLESHER MD DIRECTOR 50.00 X 136300 53222 10844 LARRY DIAL MD VICE-CHAIRMAN 50.00 X X 189247 183007 19119 BETH HAMMERS EXECUTIVE DIRECTOR 50.00 X 277500 0 13500 JOHN STRAUB CFO 50.00 X 217500 0 11400 MICHAEL MCCARTHY CIO 24.00 X 94176 89665 9680 JOSHUA DORSEY COO 50.00 X 192500 0 9900 ALI OLIASHIRAZI MD PHYSICIAN 100.00 X 864050 343069 31800 IMRAN KHWAJA MD PHYSICIAN 40.00 X 739299 46726 19186 VISHAL VERMA MD PHYSICIAN 50.00 X 724623 23574 17400 ANDREW FREEMAN MD PHYSICIAN 40.00 X 774607 19266 17414 RIDA MAZAGRI MD PHYSICIAN 65.00 X 1018483 22806 17445 JOSEPH W WERTHAMMER EX-VICE CHAIRMAN 30.00 X 320471 0 15900 7231838 2761118 379818 204 1 1 0 PST SERVICES INC PO BOX 742526 ATLANTA GA 30374 A/R & BILLING SERVICES 3935209 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 60673 MEDICAL RECORDS SUPPORT 1277565 EDWARD TUCKER ARCHITECTS INC 1401 6TH AVENUE HUNTINGTON WV 25701 ARCHITECTURAL SERVICES 580092 CABELL HUNTINGTON HOSPITAL 1340 HAL GREER BLVD HUNTINGTON WV 25701 PROFESSIONAL & TRANSCRIPTION SERVICES 337249 CERIDIAN INC 3311 EAST OLD SHAKOPEE ROAD MINNEAPOLIS MN 55425 PAYROLL SERVICES 171329 8 62600 511575 574175 HEALTH CARE SERVICES 621111 161278914 149187872 12091042 161278914 627298 627298 520757 0 520757 520757 520757 12439138 12088194 1670 350944 -1670 349274 349274 163350418 149187872 12091042 1497329 2091872 2091872 3162698 2972936 189762 96841497 91031007 5810490 4006571 3766177 240394 4752259 4467123 285136 5439079 5112734 326345 820115 820115 101839 101839 13730915 12287022 1443893 488285 458988 29297 5823939 5474503 349436 2317141 2178113 139028 158843 149312 9531 1301385 1223302 78083 226059 226059 1154933 1085637 69296 1646446 1547659 98787 MEDICATIONS AND MEDICAL 13129894 13129894 RECRUITMENT AND EMPLOYE 1397138 1313310 83828 PROFESSIONAL DUES AND M 782554 735601 46953 REPAIRS AND MAINTENANCE 604197 567945 36252 159977659 149593135 10384524 0 14429 15763 11961563 14268525 8685299 10494946 1828017 2148458 1104468 547473 26556401 6550781 10987711 20005620 33228644 42478037 11876240 11391812 79686371 101350634 14424799 19057800 2117673 5198321 5756513 11979260 21810569 24126740 44109554 60362121 X 34940642 40325148 636175 663365 35576817 40988513 79686371 101350634 3372759 2038937 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 261189 261189 13487288 544921 12942367 2228699 746526 1482173 10579225 5259334 5319891 20005620 CONTRACTS RECEIVABLE 4186454 INTANGIBLES, DEPOSITS AND OTHER ASSETS 4358 INSURANCE RECOVERIES RECEIVABLE 7201000 11391812 PHYSICIAN LOAN GUARANTEES 248309 CONTINGENT PROFESSIONAL LIABILITY 15030271 OPEB LIABILITY 2360000 FICA TAX REFUND LIABILITY 350168 PROMISES TO GIVE 1250000 OTHER LIABILITIES 4887992 24126740 165389355 2038937 2038937 163350418 0 163350418 159977659 0 159977659 0 159977659 PART IV, LINE 2B: THE ORGANIZATION MAINTAINS FUNDS ON BEHALF OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. THESE FUNDS ARE UNCLAIMED MONIES FROM A LEGAL SETTLEMENT AGREEMENT WITH THE MANUFACTURER OF THE DIABETES DRUG, REZULIN, THAT WERE DISTRIBUTED TO THE ORGANIZATION TO BE HELD ON BEHALF OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. SCHEDULE D (FORM 990), PART X PART X: THERE WERE NO UNCERTAIN TAX POSITIONS INDICATED IN THE AUDITED FINANCIAL STATEMENTS. 1 MARSHALL UNIVERSITY 1 JOHN MARSHALL DRIVE HUNTINGTON WV 25701 556000789 501(C)(3) 1560161 SCHOLARSHIPS & DEVELOPMENT CABELL HUNTINGTON HOSPITAL 1340 HAL GREER BLVD HUNTINGTON WV 25701 550675666 501(C)(3) 468483 DONATIONS & SPONSORSHIPS KINGS DAUGHTERS MEDICAL CENTER 2201 LEXINGTON AVE ASHLAND KY 41101 610444716 501(C)(3) 12500 DONATIONS & SPONSORSHIPS HUNTINGTON MUSEUM OF ART 2033 MCCOY ROAD HUNTINGTON WV 25701 550372921 501(C)(3) 15750 DONATIONS & SPONSORSHIPS AMERICAN HEART ASSOCIATION PO BOX 50065 PRESCOTT AZ 86304 135613797 501(C)(3) 5185 SPONSORSHIP WV CHAPTER AMERICAN COLLEGE OF SURGEONS PO BOX 1107 MORGANTOWN WV 26507 550576892 501(C)(3) 10000 SPONSORSHIP CABELL MIDLAND HIGH SCHOOL ATHLETICS 2300 US ROUTE 60 ONA WV 25545 550750760 501(C)(3) 8792 DONATIONS & SPONSORSHIPS MARSHALL RECREATION CENTER 402 THUNDERING HERD DRIVE HUNTINGTON WV 25755 556000789 501(C)(3) 6000 DONATIONS & SPONSORSHIPS LILY'S PLACE PO BOX 2 HUNTINGTON WV 25706 462235123 501(C)(3) 5000 DONATIONS & SPONSORSHIPS 9 0 PART I, LINE 2: THE CORPORATION'S PURPOSE IS TO SUPPORT THE FACULTY PHYSICIANS OF THE MARSHALL UNIVERSITY SCHOOL OF MEDICINE. CONTRIBUTIONS TO MARSHALL UNIVERSITY ARE DESIGNATED FOR THIS PURPOSE. X X 0 0 0 0 0 1 0 0 0 JOSEPH SHAPIRO CHAIRMAN 359600 291737 0 0 0 0 15900 15900 0 0 375500 307637 0 0 F LAYTON COTTRILL DESIGNEE 25031 156291 0 0 0 0 1202 9604 0 0 26233 165895 0 0 PAULETTE WEHNER MD DIRECTOR 150000 219160 0 0 0 0 7800 13385 0 0 157800 232545 0 0 DAVID DENNING MD DIRECTOR 362946 388620 0 0 100 0 15282 15900 0 0 378328 404520 0 0 STEPHEN PETRANY MD DIRECTOR 99240 253284 0 0 0 0 3674 15833 0 0 102914 269117 0 0 JOSEPH EVANS MD SECRETARY/TREASURER 147676 105934 0 0 0 0 7361 6788 0 0 155037 112722 0 0 JAMES BECKER MD DIRECTOR 245654 71490 0 0 0 0 13419 4591 0 0 259073 76081 0 0 SUZANNE HOLROYD MD DIRECTOR 119604 253967 0 0 0 0 4176 15330 0 0 123780 269297 0 0 DAVID JUDE MD DIRECTOR 173231 239300 0 0 0 0 5204 14881 0 0 178435 254181 0 0 SUSAN FLESHER MD DIRECTOR 136300 53222 0 0 0 0 7578 3266 0 0 143878 56488 0 0 LARRY DIAL MD VICE-CHAIRMAN 189247 183007 0 0 0 0 7488 11631 0 0 196735 194638 0 0 BETH HAMMERS EXECUTIVE DIRECTOR 277500 0 0 0 0 0 13500 0 0 0 291000 0 0 0 JOHN STRAUB CFO 217500 0 0 0 0 0 11400 0 0 0 228900 0 0 0 MICHAEL MCCARTHY CIO 94176 89665 0 0 0 0 4001 5679 0 0 98177 95344 0 0 JOSHUA DORSEY COO 192500 0 0 0 0 0 9900 0 0 0 202400 0 0 0 ALI OLIASHIRAZI MD PHYSICIAN 864050 343069 0 0 0 0 15900 15900 0 0 879950 358969 0 0 IMRAN KHWAJA MD PHYSICIAN 739299 46726 0 0 0 0 15900 3286 0 0 755199 50012 0 0 VISHAL VERMA MD PHYSICIAN 724623 23574 0 0 0 0 15900 1500 0 0 740523 25074 0 0 ANDREW FREEMAN MD PHYSICIAN 774607 19266 0 0 0 0 15900 1514 0 0 790507 20780 0 0 RIDA MAZAGRI MD PHYSICIAN 1018483 22806 0 0 0 0 15900 1545 0 0 1034383 24351 0 0 JOSEPH W WERTHAMMER EX-VICE CHAIRMAN 320471 0 0 0 0 0 15900 0 0 0 336371 0 0 0 PART I, LINE 6 ADDITIONAL SALARY SUPPLEMENTS ARE PAID BY THE CORPORATION MAY BE AUTHORIZED FROM CLINICAL SERVICE INCOME SUBJECT TO THE SPECIFIC WRITTEN RECOMMENDATION OF THE DEPARTMENT CHAIR AND WRITTEN APPROVAL OF THE DEAN. SUCH SUPPLEMENTS ARE SUBJECT TO THE AVAILABILITY OF FUNDS AND ARE THEREFORE, DISCRETIONARY IN NATURE AND ARE NOT GUARANTEED. THE PAYMENT OF SUCH A SUPPLEMENT DOES NOT GUARANTEE FURTHER SUPPLEMENTS OR AFFECT THE SALARY COMPONENTS. FORM 990, PART VI, SECTION A, LINE 7A MEDICAL DEPARTMENT HEADS OF THE ORGANIZATION HAVE THE RIGHT TO DETERMINE TWO MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER REVIEWS THE COMPLETED DRAFT OF THE FORM 990 PREPARED BY A CERTIFIED PUBLIC ACCOUNTING FIRM. ONCE THE RETURN IS APPROVED, IT IS SIGNED BY THE CFO AND COPIES ARE DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE SUBMITTING IT TO THE IRS, TIME PERMITTING. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED AND APPROVED BY THE DEAN OF MARSHALL UNIVERSITY'S SCHOOL OF MEDICINE IN HIS CAPACITY AS BOTH DEAN OF THE RELATED ORGANIZATION AND EX OFFICIO CHAIR OF THE ORGANIZATION'S BOARD OF DIRECTORS. COMPARATIVE SALARY INFORMATION FROM THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES' GROUP ON BUSINESS AFFAIRS AND GROUP ON FACULTY PRACTICE AS WELL AS THE MEDICAL GROUP MANAGEMENT ASSOCIATION IS EXAMINED BY THE DEAN. SALARIES OF ALL MAJOR CLINICAL DEPARTMENT CHAIRS, EXECUTIVE MANAGEMENT TEAM MEMBERS AND DEPARTMENTAL ADMINISTRATORS ARE ALSO REVIEWED AND APPROVED UTILIZING A SIMILAR PROCESS. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS MAINTAINED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES AND IS MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE FOR PUBLIC REVIEW, BUT ARE DISTRIBUTED AMONG THE DEPARTMENTS WITHIN THE ORGANIZATION. THE FINANCIAL STATEMENTS CAN BE ACCESSED BY LETTER, IN PERSON OR VIA WEB SEARCH. MARSHALL UNIVERSITY 1 JOHN MARSHALL DRIVE HUNTINGTON WV 25701 556000789 HIGHER EDUCATION WV 501(C)(3) LINE 2 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0