2016-05-16T12:50:12-05:00 2015-06-30 550657218 HESS STEWART & CAMPBELL PLLC PO BOX 1060 HUNTINGTON WV 257131060 990 2014-07-01 550564945 UNIVERSITY PHYSICIANS & SURGEONS INC UNIV 3046911653 1001 TENTH AVENUE HUNTINGTON WV 25701 JOHN M STRAUB CFO 3046911653 2016-05-13 1 JOHN G HESS P00115975 3045236464 2014 2016-08-17 19:52:53Z BETH HAMMERS 1001 TENTH AVENUE HUNTINGTON WV 25701 137658534 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. 7 0 1244 0 0 -147579 412072 916614 109353973 126183703 1036447 668735 87035 109023 110889527 127878075 414703 2188892 0 0 84909162 92584123 0 0 0 22365102 27233047 107688967 122006062 3200560 5872013 62537636 72739947 39353321 43945716 23184315 28794231 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 112730161 2188892 126292726 THE CORPORATION SUPPORTED THE FACULTY PHYSICIANS OF THE SCHOOL OF MEDICINE IN THEIR PROVISION OF MEDICAL SERVICES WITH APPROXIMATELY 510,912 PATIENT ENCOUNTERS. 112730161 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 1 106 0 1244 1 1 1 0 0 0 0 0 0 0 X 7 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 357437 233525 28483 JOSEPH W WERTHAMMER VICE CHAIRMAN 30.00 X X 360000 67667 23205 F LAYTON COTTRILL DESIGNEE 1.00 X 20000 118707 10317 PAULETTE WEHNER MD DIRECTOR 35.00 X 150000 180285 21084 ALI OLIASHIRAZI MD DIRECTOR 100.00 X 770500 320479 31200 SHANNON BROWNING DIRECTOR 30.00 X 68733 94751 10483 DAVID JUDE MD SECRETARY/TREASURER 36.00 X X 126000 211056 18034 BETH HAMMERS EXECUTIVE DIRECTOR 30.00 X 230000 0 10500 JOHN STRAUB CFO 30.00 X 177500 0 9000 MICHAEL MCCARTHY CIO 7.00 X 69680 83756 8187 JOSHUA DORSEY COO 30.00 X 152500 0 7500 ANTHONY ALBERICO MD PHYSICIAN 60.00 X 665112 39168 18255 ROBERT MARSH MD PHYSICIAN 65.00 X 975518 20034 17114 TERRENCE JULIEN PHYSICIAN 55.00 X 738643 5500 17114 ANDREW FREEMAN MD PHYSICIAN 40.00 X 735223 21652 17034 RIDA MAZAGRI MD PHYSICIAN 65.00 X 967968 4508 17114 6564814 1401088 264624 167 0 1 0 PST SERVICES INC PO BOX 742526 ATLANTA GA 30374 A/R & BILLING SERVICES 3992641 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 60673 MEDICAL RECORDS SUPPORT 1165078 EP LEACH & SONS INC PO BOX 1823 HUNTINGTON WV 25719 CONSTRUCTION SERVICES 729300 MAXOR 320 S POLK SUITE 800 AMARILLO TX 79101 PHARMACY MANAGEMENT SERVICES 589674 WEATHERBY LOCUMS INC 800 W CUMMINGS PARK STE 6000 WOBURN MA 01801 PERSONNEL SERVICES 381157 8 297682 618932 916614 HEALTH CARE SERVICES 621111 126183703 126183703 126183703 489906 489906 9959288 9775009 5450 184279 -5450 178829 178829 FORFEITED RETIREMENT PREMIUMS 900099 109023 109023 109023 127878075 126292726 0 668735 2188892 2188892 2486585 2287658 198927 77475492 71277453 6198039 3367120 3097750 269370 4540135 4176924 363211 4714791 4337608 377183 255510 255510 182766 182766 10353028 9794410 558618 348448 320572 27876 2864561 2635396 229165 1900069 1748063 152006 147186 135411 11775 1035572 952726 82846 59412 59412 604304 555960 48344 1400536 1288493 112043 MEDICATIONS AND MEDICAL 6221530 6221530 RECRUITMENT AND EMPLOYE 987260 908279 78981 PROFESSIONAL DUES AND M 474106 436178 37928 REPAIRS AND MAINTENANCE 398759 366858 31901 122006062 112730161 9275901 0 15316 16516 9481160 10817003 5264603 7749654 265701 1517147 523586 1504799 9971536 4947061 4630290 5024475 30079478 32071854 12277502 14038499 62537636 72739947 7768965 10701246 2564690 2682039 1430200 1330761 27589466 29231670 39353321 43945716 X 22522551 28124002 661764 670229 23184315 28794231 62537636 72739947 5872013 -262097 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 252679 252679 2079611 370182 1709429 1886729 446953 1439776 5752517 4129926 1622591 5024475 CONTRACTS RECEIVABLE 6916141 INTANGIBLES, DEPOSITS AND OTHER ASSETS 4358 INSURANCE RECOVERIES RECEIVABLE 7118000 14038499 PHYSICIAN LOAN GUARANTEES 463982 CONTINGENT PROFESSIONAL LIABILITY 14609724 OPEB LIABILITY 12714073 FICA TAX REFUND LIABILITY 350168 PROMISE TO GIVE 750000 OTHER LIABILITIES 343723 29231670 127878075 0 127878075 0 127878075 122006062 0 122006062 0 122006062 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) 1386405 SCHOLARSHIPS & DEVELOPMENT CABELL HUNTINGTON HOSPITAL 1340 HAL GREER BLVD HUNTINGTON WV 25701 550675666 501(C)(3) 38700 DONATIONS & SPONSORSHIPS HUNTINGTON AREA DEVELOPMENT COUNCIL 916 FIFTH AVENUE SUITE 400 HUNTINGTON WV 25701 550714570 501(C)(3) 10000 ANNUAL PLEDGES HUNTINGTON MUSEUM OF ART 2033 MCCOY ROAD HUNTINGTON WV 25701 550372921 501(C)(3) 11750 DONATIONS & SPONSORSHIPS KEITH ALBEE PERFORMING ARTS CENTER PO BOX 5425 HUNTINGTON WV 25703 205132843 501(C)(3) 5000 SPONSORSHIPS 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 357437 233525 0 0 0 0 14325 14158 0 0 371762 247683 0 0 JOSEPH W WERTHAMMER VICE CHAIRMAN 360000 67667 0 0 0 0 15600 7605 0 0 375600 75272 0 0 PAULETTE WEHNER MD DIRECTOR 150000 180285 0 0 0 0 7800 13284 0 0 157800 193569 0 0 ALI OLIASHIRAZI MD DIRECTOR 770500 320479 0 0 0 0 15600 15600 0 0 786100 336079 0 0 SHANNON BROWNING DIRECTOR 68733 94751 0 0 0 0 3491 6992 0 0 72224 101743 0 0 DAVID JUDE MD SECRETARY/TREASURER 126000 211056 0 0 0 0 4050 13984 0 0 130050 225040 0 0 BETH HAMMERS EXECUTIVE DIRECTOR 230000 0 0 0 0 0 10500 0 0 0 240500 0 0 0 JOHN STRAUB CFO 177500 0 0 0 0 0 9000 0 0 0 186500 0 0 0 MICHAEL MCCARTHY CIO 69680 83756 0 0 0 0 2531 5656 0 0 72211 89412 0 0 JOSHUA DORSEY COO 152500 0 0 0 0 0 7500 0 0 0 160000 0 0 0 ANTHONY ALBERICO MD PHYSICIAN 665112 39168 0 0 0 0 15600 2655 0 0 680712 41823 0 0 ROBERT MARSH MD PHYSICIAN 975518 20034 0 0 0 0 15600 1514 0 0 991118 21548 0 0 TERRENCE JULIEN PHYSICIAN 738643 5500 0 0 0 0 15600 1514 0 0 754243 7014 0 0 ANDREW FREEMAN MD PHYSICIAN 735223 21652 0 0 0 0 15600 1434 0 0 750823 23086 0 0 RIDA MAZAGRI MD PHYSICIAN 967968 4508 0 0 0 0 15600 1514 0 0 983568 6022 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 11 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