UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACILITY INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACILITY INC (EIN 20-1304472)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201711359349308816
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T14:32:55-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341145015 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM VAUGHAN COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 CHESTERFIELD LANE | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 435373836 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201304472 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL | BusinessNameLine1Txt |
| Business Name Line2 | FACULTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIV | BusinessNameControlTxt |
| Phone | 4193837100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3355 GLENDALE AVENUE 3RD FLOOR | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43614 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HAITHAM M ELSAMALOTY MD | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4193837100 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACK C HAGMEYER | PreparerPersonNm |
| PTIN | P00051646 | PTIN |
| Phone | 4198911040 | PhoneNum |
| Preparation | 2017-05-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KRISTOPHER BRICKMAN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3355 GLENDALE AVENUE 3RD FLOOR | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43614 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $89,634,972 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HUMAN CONDITION THROUGH EXCELLENCE IN PATIENT CARE AND MEDICAL DISCOVERY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 544 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $80,189,752 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $86,539,675 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,983,021 | PYInvestmentIncomeAmt |
| CY Investment Income | -$18,362 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,293,199 | PYOtherRevenueAmt |
| CY Other Revenue | $3,083,820 | CYOtherRevenueAmt |
| PY Total Revenue | $86,465,972 | PYTotalRevenueAmt |
| CY Total Revenue | $89,605,133 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,591,443 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $177,081 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,726,883 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $69,662,444 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,699,405 | PYOtherExpensesAmt |
| CY Other Expenses | $19,095,731 | CYOtherExpensesAmt |
| PY Total Expenses | $84,017,731 | PYTotalExpensesAmt |
| CY Total Expenses | $88,935,256 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,448,241 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $669,877 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,916,318 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,449,523 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,155,090 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,018,418 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,761,228 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,431,105 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HUMAN CONDITION THROUGH EXCELLENCE IN PATIENT CARE AND MEDICAL DISCOVERY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $84,389,628 | ExpenseAmt |
| Grant | $177,081 | GrantAmt |
| Revenue | $89,623,495 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $84,389,628 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 544 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHY BISHOP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4193837100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3355 GLENDALE AVE THIRD FLOOR | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43614 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BLUMER PHD MD JEFFREY | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $220,000 | $196,785 | $93,102 | ||
| BOOTH JR MD ROBERT L | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $178,968 | $112,910 | $59,178 | ||
| BRICKMAN MD KRISTOPHER | ||||||||
| PRESIDENT | 20.00 | 20.00 | Yes (X) | $417,156 | $193,700 | $98,866 | Yes (X) | |
| CASABIANCA MD ANDREW B | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $252,025 | $171,279 | $91,754 | ||
| CHANGHU CHEN MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $470,073 | $181,648 | $96,066 | ||
| COOPER MD CHRISTOPHER J | ||||||||
| CHAIRMAN & DEAN | 20.00 | 20.00 | Yes (X) | $213,575 | $376,960 | $138,167 | Yes (X) | |
| EBRAHEIM MD NABIL | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $1,405,024 | $222,139 | $106,492 | ||
| ELSAMALOTY MD HAITHAM M | ||||||||
| TREASURER | 20.00 | 20.00 | Yes (X) | $361,744 | $86,765 | $74,486 | Yes (X) | |
| FARRELL MD STEVEN J | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $200,641 | $114,301 | $62,822 | ||
| SPEER MD LINDA M | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $120,258 | $181,779 | $67,867 | ||
| SRINI K HEJEEBU DO | ||||||||
| SECRETARY | 20.00 | 20.00 | Yes (X) | $232,032 | $96,074 | $71,683 | Yes (X) | |
| MRAK MD ROBERT | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $212,100 | $183,770 | $88,856 | ||
| SKIE MD MARTIN | ||||||||
| VICE PRESIDENT | 20.00 | 20.00 | Yes (X) | $467,163 | $100,359 | $75,480 | Yes (X) | |
| SAMAY JAIN MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $285,000 | $30,875 | $57,643 | ||
| DINKAR KAW MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $328,795 | $86,857 | $69,870 | ||
| TAMBURRINO MD MARIJO | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $15,000 | $205,552 | $54,597 | ||
| TIETJEN MD GRETCHEN E | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $163,300 | $199,790 | $75,375 | ||
| JACOB BIESZCZAD MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $344,860 | $40,366 | $60,033 | ||
| SAMER KHOURI MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $254,933 | $83,786 | $69,426 | ||
| JASON SCHROEDER MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $571,137 | $35,320 | $58,916 | ||
| THOMAS SCHWANN MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $475,000 | $199,314 | $94,167 | ||
| ROLAND T SKEEL MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $176,184 | $165,458 | $71,741 | ||
| THOMAS C SODEMAN MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $172,997 | $169,693 | $79,271 | ||
| LANCE TALMAGE MD | ||||||||
| TRUSTEE | 20.00 | 20.00 | Yes (X) | $25,000 | $106,118 | $34,718 | ||
| MOUHAMMAD JUMAA MD | ||||||||
| PHYSICIAN | 20.00 | 20.00 | $621,032 | $90,824 | $73,051 | Yes (X) | ||
| HOSSEIN ELGAFY MD | ||||||||
| PHYSICIAN | 20.00 | 20.00 | $574,969 | $65,499 | $82,321 | Yes (X) | ||
| JOSEPH ATALLAH MD | ||||||||
| PHYSICIAN | 20.00 | 20.00 | $728,059 | $125,007 | $81,760 | Yes (X) | ||
| SYED FAZAL ABBAS ZAIDI MD | ||||||||
| PHYSICIAN | 20.00 | 20.00 | $662,681 | $90,824 | $33,301 | Yes (X) | ||
| MUNIER MS NAZZAL MD | ||||||||
| PHYSICIAN | 20.00 | 20.00 | $460,596 | $169,432 | $93,134 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,610,302 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,083,184 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,214,143 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 227 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 621110 | $86,594,465 | $86,594,465 |
| DIALYSIS CENTER AND ACO | 621110 | -$54,790 | -$54,790 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $86,539,675 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,477 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $29,839 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$18,362 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,362 | TotalRevenueColumnAmt |
| Exclusion | -$18,362 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 900099 | $2,537,350 | $2,537,350 |
| MEANINGFUL USE REVENUE | 900099 | $546,470 | $546,470 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,083,820 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,605,133 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $89,623,495 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$18,362 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,081 | TotalAmt |
| Program Services | $177,081 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,330,111 | TotalAmt |
| Program Services | $8,330,111 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,266,991 | TotalAmt |
| Program Services | $49,416,652 | ProgramServicesAmt |
| Management And General | $2,850,339 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,278,487 | TotalAmt |
| Program Services | $6,047,513 | ProgramServicesAmt |
| Management And General | $230,974 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,261,562 | TotalAmt |
| Program Services | $456,118 | ProgramServicesAmt |
| Management And General | $805,444 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,525,293 | TotalAmt |
| Program Services | $1,310,258 | ProgramServicesAmt |
| Management And General | $215,035 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,350 | TotalAmt |
| Program Services | $66,350 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,115 | TotalAmt |
| Management And General | $49,115 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,394,227 | TotalAmt |
| Program Services | $5,394,227 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,352,849 | TotalAmt |
| Program Services | $1,327,288 | ProgramServicesAmt |
| Management And General | $25,561 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $845,460 | TotalAmt |
| Program Services | $754,495 | ProgramServicesAmt |
| Management And General | $90,965 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,035,906 | TotalAmt |
| Program Services | $1,035,906 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,586 | TotalAmt |
| Program Services | $203,586 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,660,595 | TotalAmt |
| Program Services | $2,660,595 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS AND LAB | $4,253,288 | $4,253,288 | |
| MCO CLINICAL COST AND D | $1,659,600 | $1,659,600 | |
| MISCELLANEOUS | $635,633 | $357,438 | $278,195 |
| PROFESSIONAL DUES AND S | $471,248 | $471,248 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,874 | TotalAmt |
| Program Services | $467,874 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,935,256 | TotalAmt |
| Program Services | $84,389,628 | ProgramServicesAmt |
| Management And General | $4,545,628 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,370,263 | BOYAmt |
| EOY | $21,926,715 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,245,318 | BOYAmt |
| EOY | $12,272,512 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,477 | BOYAmt |
| EOY | $100,207 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,454 | BOYAmt |
| EOY | $86,844 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,689,232 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $858,738 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,421 | BOYAmt |
| EOY | $830,494 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,385 | BOYAmt |
| EOY | $27,751 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,000 | BOYAmt |
| EOY | $205,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,916,318 | BOYAmt |
| EOY | $35,449,523 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,104,885 | BOYAmt |
| EOY | $3,301,760 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,050,205 | BOYAmt |
| EOY | $8,716,658 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,155,090 | BOYAmt |
| EOY | $12,018,418 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,761,228 | BOYAmt |
| EOY | $23,431,105 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,761,228 | BOYAmt |
| EOY | $23,431,105 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,916,318 | BOYAmt |
| EOY | $35,449,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $669,877 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF TOLEDO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 346401483 | EIN |
| Organization Type | 5 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | 0 | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | 0 | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Governmental Entity | Yes (X) | GovernmentalEntityInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PAGE 5, LINE 1C | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,689,232 | OtherCostOrOtherBasisAmt |
| Depreciation | $858,738 | DepreciationAmt |
| Book Value | $830,494 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $830,494 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED EXPENSES | $8,375,961 |
| ACCRUED PENSION | $340,697 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,716,658 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF TOLEDO FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2801 W BANCROFT ST | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 346555110 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $177,081 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | SUPPORT FOR THE UNIVERSITY OF TOLEDO FOUNDATION | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES BY ONLY DONATING TO THE RELATED ORGANIZATIONS LISTED UNDER SCHEDULE R. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUMER PHD MD JEFFREY | ||||||||||||||
| TRUSTEE | $220,000 | $196,785 | $0 | $0 | $0 | $0 | $33,000 | $22,564 | $0 | $37,538 | $253,000 | $256,887 | $0 | $0 |
| BOOTH JR MD ROBERT L | ||||||||||||||
| TRUSTEE | $159,039 | $112,910 | $19,929 | $0 | $0 | $0 | $26,845 | $12,947 | $0 | $19,386 | $205,813 | $145,243 | $0 | $0 |
| BRICKMAN MD KRISTOPHER | ||||||||||||||
| PRESIDENT | $372,609 | $193,700 | $44,547 | $0 | $0 | $0 | $39,750 | $22,161 | $0 | $36,955 | $456,906 | $252,816 | $0 | $0 |
| CASABIANCA MD ANDREW B | ||||||||||||||
| TRUSTEE | $234,053 | $171,279 | $17,972 | $0 | $0 | $0 | $37,804 | $19,799 | $0 | $34,151 | $289,829 | $225,229 | $0 | $0 |
| CHANGHU CHEN MD | ||||||||||||||
| TRUSTEE | $470,073 | $181,648 | $0 | $0 | $0 | $0 | $39,750 | $20,898 | $0 | $35,418 | $509,823 | $237,964 | $0 | $0 |
| COOPER MD CHRISTOPHER J | ||||||||||||||
| CHAIRMAN & DEAN | $213,575 | $376,960 | $0 | $0 | $0 | $0 | $31,843 | $43,378 | $0 | $62,946 | $245,418 | $483,284 | $0 | $0 |
| EBRAHEIM MD NABIL | ||||||||||||||
| TRUSTEE | $44,957 | $222,139 | $1,360,067 | $0 | $0 | $0 | $39,750 | $25,471 | $0 | $41,271 | $1,444,774 | $288,881 | $0 | $0 |
| ELSAMALOTY MD HAITHAM M | ||||||||||||||
| TREASURER | $17,600 | $86,765 | $344,144 | $0 | $0 | $0 | $39,750 | $10,018 | $2,400 | $22,318 | $403,894 | $119,101 | $0 | $0 |
| FARRELL MD STEVEN J | ||||||||||||||
| TRUSTEE | $0 | $114,301 | $200,641 | $0 | $0 | $0 | $30,096 | $13,145 | $0 | $19,581 | $230,737 | $147,027 | $0 | $0 |
| SPEER MD LINDA M | ||||||||||||||
| TRUSTEE | $118,058 | $181,779 | $2,200 | $0 | $0 | $0 | $17,925 | $20,913 | $0 | $29,029 | $138,183 | $231,721 | $0 | $0 |
| SRINI K HEJEEBU DO | ||||||||||||||
| SECRETARY | $34,466 | $96,074 | $197,566 | $0 | $0 | $0 | $35,105 | $11,040 | $2,000 | $23,538 | $269,137 | $130,652 | $0 | $0 |
| MRAK MD ROBERT | ||||||||||||||
| TRUSTEE | $210,000 | $183,770 | $2,100 | $0 | $0 | $0 | $31,815 | $21,142 | $0 | $35,899 | $243,915 | $240,811 | $0 | $0 |
| SKIE MD MARTIN | ||||||||||||||
| VICE PRESIDENT | $7,222 | $100,359 | $459,941 | $0 | $0 | $0 | $39,750 | $11,508 | $0 | $24,222 | $506,913 | $136,089 | $0 | $0 |
| SAMAY JAIN MD | ||||||||||||||
| TRUSTEE | $285,000 | $30,875 | $0 | $0 | $0 | $0 | $39,750 | $3,483 | $0 | $14,410 | $324,750 | $48,768 | $0 | $0 |
| DINKAR KAW MD | ||||||||||||||
| TRUSTEE | $59,512 | $86,857 | $269,283 | $0 | $0 | $0 | $39,750 | $9,896 | $0 | $20,224 | $368,545 | $116,977 | $0 | $0 |
| TAMBURRINO MD MARIJO | ||||||||||||||
| TRUSTEE | $15,000 | $205,552 | $0 | $0 | $0 | $0 | $2,250 | $23,570 | $0 | $28,777 | $17,250 | $257,899 | $0 | $0 |
| TIETJEN MD GRETCHEN E | ||||||||||||||
| TRUSTEE | $153,000 | $199,790 | $10,300 | $0 | $0 | $0 | $24,495 | $22,909 | $0 | $27,971 | $187,795 | $250,670 | $0 | $0 |
| JACOB BIESZCZAD MD | ||||||||||||||
| TRUSTEE | $21,287 | $40,366 | $323,573 | $0 | $0 | $0 | $39,750 | $4,644 | $0 | $15,639 | $384,610 | $60,649 | $0 | $0 |
| SAMER KHOURI MD | ||||||||||||||
| TRUSTEE | $254,933 | $83,786 | $0 | $0 | $0 | $0 | $38,069 | $9,540 | $0 | $21,817 | $293,002 | $115,143 | $0 | $0 |
| JASON SCHROEDER MD | ||||||||||||||
| TRUSTEE | $571,137 | $35,320 | $0 | $0 | $0 | $0 | $39,750 | $4,050 | $0 | $15,116 | $610,887 | $54,486 | $0 | $0 |
| THOMAS SCHWANN MD | ||||||||||||||
| TRUSTEE | $475,000 | $199,314 | $0 | $0 | $0 | $0 | $39,750 | $20,025 | $0 | $34,392 | $514,750 | $253,731 | $0 | $0 |
| ROLAND T SKEEL MD | ||||||||||||||
| TRUSTEE | $176,184 | $165,458 | $0 | $0 | $0 | $0 | $26,298 | $18,975 | $0 | $26,468 | $202,482 | $210,901 | $0 | $0 |
| THOMAS C SODEMAN MD | ||||||||||||||
| TRUSTEE | $146,069 | $169,693 | $26,928 | $0 | $0 | $0 | $25,949 | $19,429 | $0 | $33,893 | $198,946 | $223,015 | $0 | $0 |
| LANCE TALMAGE MD | ||||||||||||||
| TRUSTEE | $25,000 | $106,118 | $0 | $0 | $0 | $0 | $3,750 | $12,481 | $0 | $18,487 | $28,750 | $137,086 | $0 | $0 |
| MOUHAMMAD JUMAA MD | ||||||||||||||
| PHYSICIAN | $460,000 | $90,824 | $161,032 | $0 | $0 | $0 | $39,750 | $10,414 | $0 | $22,887 | $660,782 | $124,125 | $0 | $0 |
| HOSSEIN ELGAFY MD | ||||||||||||||
| PHYSICIAN | $10,220 | $65,499 | $564,749 | $0 | $0 | $0 | $39,750 | $14,060 | $0 | $28,511 | $614,719 | $108,070 | $0 | $0 |
| JOSEPH ATALLAH MD | ||||||||||||||
| PHYSICIAN | $0 | $125,007 | $728,059 | $0 | $0 | $0 | $39,750 | $14,337 | $0 | $27,673 | $767,809 | $167,017 | $0 | $0 |
| SYED FAZAL ABBAS ZAIDI MD | ||||||||||||||
| PHYSICIAN | $460,000 | $90,824 | $202,681 | $0 | $0 | $0 | $0 | $10,414 | $0 | $22,887 | $662,681 | $124,125 | $0 | $0 |
| MUNIER MS NAZZAL MD | ||||||||||||||
| PHYSICIAN | $0 | $169,432 | $460,596 | $0 | $0 | $0 | $39,750 | $19,492 | $0 | $33,892 | $500,346 | $222,816 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST OHIO EMERGENCY SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | ENTITY MORE THAN 35% OWNED BY KRISTOPHER BRICKMAN, M.D.,PRESIDENT | RelationshipDescriptionTxt |
| Transaction | $185,511 | TransactionAmt |
| Transaction | BILLING AND MANAGEMENT SERVICES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | SINCE THE FILING OF THE PREVIOUS FORM 990, THE ORGANIZATION CHANGED ITS MISSION STATEMENT. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONLY ONE CLASS OF MEMBERS, 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 ORGANIZATION HAS ONLY ONE CLASS OF MEMBERS, 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 7B | THE ORGANIZATION HAS ONE MEMBER, THE UNIVERSITY OF TOLEDO, WHICH EXERCISES ALL MEMBER RIGHTS THROUGH THE ACTIONS OF ITS AUTHORIZED REPRESENTATIVES. THE SOLE MEMBER 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 CHANGE 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 11 | DISTRIBUTED TO BOARD OF DIRECTORS FOR REVIEW BEFORE SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL OFFICERS, DIRECTORS, OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTERESTS, WHICH IS SPECIFIED IN EACH EMPLOYMENT CONTRACT, INCLUDING NON-COMPETE REQUIREMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | USE COMPARABILITY DATA. REVIEWED BY CHAIRMAN AND COMPENSATION COMMITTEE OF THE BOARD. PROCESS IS THE SAME FOR OTHER OFFICERS AND EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS IN WHICH THE COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF TOLEDO PHYSICIANS LLC | |||||||||
| 3355 GLENDALE AVE 3RD FLOOR | TOLEDO | OH | 43614 | 341127097 | DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER | OH | $87,165,225 | $35,216,773 | 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 | $2,519,390 | $0 | 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC |
| NORTHWEST OHIO MEDICINE INC | |||||||||
| 3355 GLENDALE AVE 3RD FLOOR | TOLEDO | OH | 43614 | 020624653 | DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER | OH | $0 | $205,000 | 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| TOLEDO AREA MEDICAL FOUNDATION | ||||||||||
| 3355 GLENDALE AVE 3RD FLOOR | TOLEDO | OH | 43614 | 341308939 | PROVIDE FINANCIAL SUPPORT TO UNIV. OF TOLEDO PHYSICIANS CLINICAL FACULTY INC | OH | 501(C)(3) | LINE 11C, III-FI | N/A | 0 |
| UNIVERSITY OF TOLEDO | ||||||||||
| 2801 W BANCROFT MS 319 | TOLEDO | OH | 43606 | 346401483 | A PUBLIC INSTITUTION OF HIGHER EDUCATION | OH | SECTION 115 | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REGIONAL CENTER FOR SLEEP MEDICINE OF TOLEDO LLC | |||||||||||||
| 3450 W CENTRAL AVE STE 118 | TOLEDO | OH | 43606 | 264665939 | SLEEP CENTER | OH | N/A | RELATED | $27,750 | 0 | 0 | 0.05000 | |
| G A M RENAL LTD DIALYSIS PARTNERS OF NORTHWEST OHIO | |||||||||||||
| 30100 TELEGRAPH ROAD SUITE 200 | BINGHAM FARMS | MI | 48025 | 341877956 | DIALYSIS | MI | N/A | RELATED | 0 | 0 | 0.19000 | $11,829 | |
| NORTHWEST OHIO ACO LLC | |||||||||||||
| 4235 SECOR ROAD | TOLEDO | OH | 43614 | 455444018 | ACCOUNTABLE CARE ORGANIZATION | OH | N/A | RELATED | 0 | 0 | 0.40000 | -$72,949 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UNIVERSITY OF TOLEDO | ||
| K | $104,269 | COST |
| UNIVERSITY OF TOLEDO | ||
| N | $104,269 | COST |
| UNIVERSITY OF TOLEDO | ||
| O | $17,935,883 | COST |
| UNIVERSITY OF TOLEDO | ||
| P | $7,982,595 | COST |
| UNIVERSITY OF TOLEDO | ||
| Q | $17,935,883 | COST |
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