2016-04-25T14:58:23-05:00 2015-06-30 310796034 FLAGEL HUBER FLAGEL 3400 SOUTH DIXIE DRIVE DAYTON OH 45439 990 2014-07-01 311352092 WRIGHT STATE PHYSICIANS INC WRIG 9372599900 P O BOX 1144 DAYTON OH 45401 ALAN MARCO MD CEO AND PRESIDENT 9372457100 2016-04-08 1 DAVID P DIRKSEN P00189814 9372993400 2014 2016-08-17 19:52:53Z ALAN MARCO MD P O BOX 1144 DAYTON OH 45401 42113748 0 X WWW.WRIGHTSTATEPHYSICIANS.ORG X 1992 OH TO PROVIDE CLINICAL SERVICES FOR PATIENTS, ENGAGE IN SCIENTIFIC AND MEDICAL RESEARCH, SUPPORT AND ENHANCE THE MEDICAL EDUCATION PROGRAM AT WRIGHT STATE UNIVERSITY. 18 0 447 0 0 0 0 0 39877184 40135534 386579 281195 25304 -524314 40289067 39892415 178030 496310 0 0 28943686 30242683 0 0 0 10136592 11040608 39258308 41779601 1030759 -1887186 21778758 19185129 11071688 10643247 10707070 8541882 OUR UNIVERSITY-BASED MULTI-SPECIALTY PRACTICE PLAN HAS A PRIMARY MISSION TO RECRUIT AND RETAIN OUTSTANDING MEDICAL FACULTY AND STAFF IN SUPPORT OF THE CLINICAL, EDUCATIONAL, RESEARCH, AND COMMUNITY SERVICE ACTIVITIES OF WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE. 0 0 37271582 496310 40135534 PROVIDE CLINICAL SERVICES FOR PATIENTS, ENGAGE IN SCIENTIFIC AND MEDICAL RESEARCH, SUPPORT AND ENHANCE THE MEDICAL EDUCATION PROGRAM AT WRIGHT STATE UNIVERSITY 37271582 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 1 0 1 102 0 1 447 1 0 0 0 0 0 0 0 0 0 0 X 18 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X THE ORGANIZATION 9372457100 725 UNIVERSITY BLVD DAYTON OH 45435 MARY MCCARTHY MD DIRECTOR 40.00 X 104794 392878 16078 MICHAEL JOHNSON MD DIRECTOR 40.00 X 358023 0 52000 RICHARD LAUGHLIN MD DIRECTOR 40.00 X 237244 261862 52000 LARRY LAWHORNE MD DIRECTOR 25.00 X 0 282841 0 PAUL KOLES MD DIRECTOR 20.00 X 8578 238198 1791 JULIAN TREVINO MD DIRECTOR 35.00 X 72000 106600 14400 JAMES EBERT MD DIRECTOR 20.00 X 42000 176112 8400 THOMAS HERCHLINE MD DIRECTOR 40.00 X 74500 153316 12000 JAMES OUELLETTE DO DIRECTOR 40.00 X 277549 161089 52000 WILLIAM KLYKYLO MD DIRECTOR 40.00 X 19000 175608 1800 JAMES MOORE MD DIRECTOR 40.00 X 212210 0 42442 SHERMAN ALTER MD DIRECTOR 40.00 X 52656 46435 11980 JAMES E BROWN MD TREASURER 35.00 X 102095 278515 21850 GLEN SOLOMON MD VICE PRESIDENT 35.00 X 101475 347457 20361 MARGARET DUNN MD CHAIRMAN 30.00 X 38000 201665 7600 KENNETH SILLAMAN CFO 40.00 X 122053 0 0 CANDY HARPER COO 40.00 X 0 127741 0 JEROME YAKLIC MD 2ND VICE PRESIDENT 35.00 X 201664 221464 39430 ALAN MARCO MD PRESIDENT 40.00 X 382779 0 19500 THERESE ZINK MD SECRETARY 40.00 X 43463 263416 9135 MICHAEL HERBENICK MD PHYSICIAN 40.00 X 393553 0 52000 TAMER MALIK PHYSICIAN 40.00 X 274539 0 19500 MINIA HELLAN PHYSICIAN 40.00 X 279467 0 19500 MICHAEL PRAYSON PHYSICIAN 40.00 X 430143 209614 52000 BRADLEY JACOBS PHYSICIAN 40.00 X 246604 0 18475 GREG PALMER PHYSICIAN 40.00 X 225318 51992 45063 MATTHEW LAWLESS PHYSICIAN 40.00 X 292611 110321 52000 STEVEN BURDETTE PHYSICIAN 40.00 X 221504 0 17109 HARI POLENAKOVIK PHYSICIAN 40.00 X 203439 0 16260 LOUIS RUBINO PHYSICIAN 40.00 X 422948 0 52000 MARK KAYANJA PHYSICIAN 40.00 X 229750 35798 52000 JOHN MATSUURA PHYSICIAN 40.00 X 494730 0 19500 INDRESH VENKATARAYAPPA PHYSICIAN 40.00 X 244541 78568 52000 RM JOHNSON PHYSICIAN 40.00 X 358023 173676 52000 ELEINA MIKAYLOV PHYSICIAN 40.00 X 241376 0 19500 MARK FRIEDMAN PHYSICIAN 40.00 X 244755 0 18922 SALIM MANCHO PHYSICIAN 40.00 X 230000 76890 49000 BARBARA PHILLIPS PHYSICIAN 40.00 X 221799 0 17442 RONALD MARKERT PHYSICIAN 40.00 X 208523 0 16142 7913706 4172056 1023180 29 0 1 0 WRIGHT STATE UNIVERSITY 3640 COLONEL GLENN HWY DAYTON OH 45435 RENTAL SPACE AND OTHER EXPENSES 662000 MIAMI VALLEY HOSPITAL 110 N MAIN ST STE 420 DAYTON OH 45402 RENT 606112 LEPPLA ASSOCIATES LTD 2100 S PATTERSON BLVD PO BOX 612 DAYTON OH 45409 LEGAL 600000 PHS INC 110 N MAIN ST STE 420 DAYTON OH 45402 RENT 146623 THE TRIONA FIRM 2021 AUBURN AVE CINCINNATI OH 45219 LEGAL 124273 5 PROFESSIONAL INCOME 621110 39984327 39984327 EXEMPT-FUNCTION RENT INCOME 532000 151207 151207 40135534 230053 230053 2264975 7500 2181017 40316 83958 -32816 51142 51142 MISCELLANEOUS 900099 -524314 -524314 -524314 39892415 39611220 0 281195 496310 496310 2498365 2225551 272814 22355409 19914261 2441148 3104788 2765754 339034 1749637 1558582 191055 534484 476119 58365 212749 189518 23231 38505 34300 4205 13134 11700 1434 159819 142367 17452 726382 647063 79319 414477 369217 45260 390884 348201 42683 579588 516299 63289 OCCUPANCY, MAINTENANCE 3288510 2929414 359096 CONTRACT & PURCHASED SE 2129099 1896607 232492 TRAVEL, MEETINGS, SEMIN 1012420 901867 110553 MEDICAL MALPRACTICE INS 843757 751621 92136 1231284 1096831 134453 41779601 37271582 4508019 0 627859 751579 1506621 0 649696 585309 14993401 3390678 12163487 11602723 5948582 6044954 19800 183505 862713 17059 21778758 19185129 17345 33042 10615802 10214901 438541 395304 11071688 10643247 X 10707070 8541882 10707070 8541882 21778758 19185129 -1887186 -278002 0 X X 0 1 X 1 0 X X 1 WRIGHT STATE UNIVERSITY 310732831 6 1 463440 0 1 463440 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10345381 775528 9569853 815430 197085 618345 3832590 2418065 1414525 11602723 ACCRUED DEFINED CONTRIBUTION RETIREMENT PLAN EXPENSE 213817 LINE OF CREDIT 181487 395304 X 39614413 -278002 -278002 39892415 0 39892415 41779601 0 41779601 0 41779601 PART X, LINE 2: THE ORGANIZATION DETERMINES THE RECOGNITION OF UNCERTAIN TAX POSITIONS, IF APPLICABLE, THAT MAY SUBJECT THE ORGANIZATION TO UNRELATED BUSINESS INCOME TAX NECESSARY BY APPLYING A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND DETERMINES THE MEASUREMENT OF UNCERTAIN TAX POSITIONS CONSIDERING THE AMOUNTS AND PROBABILITIES OF THE OUTCOMES THAT COULD BE REALIZED UPON ULTIMATE SETTLEMENT WITH TAX AUTHORITIES. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS WHICH MUST BE CONSIDERED FOR DISCLOSURE, INCLUDING ANY POSITIONS THAT WOULD PLACE THE ORGANIZATION'S EXEMPT STATUS IN JEOPARDY AT JUNE 30, 2015. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO THE YEAR ENDED JUNE 30, 2012. 1 WRIGHT STATE UNIVERSITY FOUNDATION 3640 COLONEL GLENN HWY DAYTON OH 45435 237019799 N/A 410590 N/A N/A SCHOLARSHIP FUNDS WRIGHT STATE UNIVERSITY 3640 COLONEL GLENN HWY DAYTON OH 45435 310732831 115 52850 N/A N/A SCHOLARSHIP FUNDS VANGUARD CHARITABLE ENDOWMENT P O BOX 55766 BOSTON MA 02205 232888152 N/A 12000 N/A N/A GENERAL SUPPORT 3 PART I, LINE 2: THE ORGANIZATION DETERMINES ITS GRANT DISTRIBUTION BASED UPON THE RECEIVING ORGANIZATIONS' COMMITMENTS TO MEDICAL RESEARCH AND EDUCATION. 1 X X 0 0 0 0 0 0 0 0 0 MARY MCCARTHY MD DIRECTOR 104794 392878 0 0 0 0 16078 0 0 0 120872 392878 0 0 MICHAEL JOHNSON MD DIRECTOR 358023 0 0 0 0 0 52000 0 0 0 410023 0 0 0 RICHARD LAUGHLIN MD DIRECTOR 237244 261862 0 0 0 0 52000 0 0 0 289244 261862 0 0 LARRY LAWHORNE MD DIRECTOR 0 282841 0 0 0 0 0 0 0 0 0 282841 0 0 PAUL KOLES MD DIRECTOR 8578 238198 0 0 0 0 1791 0 0 0 10369 238198 0 0 JULIAN TREVINO MD DIRECTOR 72000 106600 0 0 0 0 14400 0 0 0 86400 106600 0 0 JAMES EBERT MD DIRECTOR 42000 176112 0 0 0 0 8400 0 0 0 50400 176112 0 0 THOMAS HERCHLINE MD DIRECTOR 74500 153316 0 0 0 0 12000 0 0 0 86500 153316 0 0 JAMES OUELLETTE DO DIRECTOR 277549 161089 0 0 0 0 52000 0 0 0 329549 161089 0 0 WILLIAM KLYKYLO MD DIRECTOR 19000 175608 0 0 0 0 1800 0 0 0 20800 175608 0 0 JAMES MOORE MD DIRECTOR 212210 0 0 0 0 0 42442 0 0 0 254652 0 0 0 JAMES E BROWN MD TREASURER 102095 278515 0 0 0 0 21850 0 0 0 123945 278515 0 0 GLEN SOLOMON MD VICE PRESIDENT 101475 347457 0 0 0 0 20361 0 0 0 121836 347457 0 0 MARGARET DUNN MD CHAIRMAN 38000 201665 0 0 0 0 7600 0 0 0 45600 201665 0 0 JEROME YAKLIC MD 2ND VICE PRESIDENT 201664 221464 0 0 0 0 39430 0 0 0 241094 221464 0 0 ALAN MARCO MD PRESIDENT 382779 0 0 0 0 0 19500 0 0 0 402279 0 0 0 THERESE ZINK MD SECRETARY 43463 263416 0 0 0 0 9135 0 0 0 52598 263416 0 0 MICHAEL HERBENICK MD PHYSICIAN 393553 0 0 0 0 0 52000 0 0 0 445553 0 0 0 TAMER MALIK PHYSICIAN 274539 0 0 0 0 0 19500 0 0 0 294039 0 0 0 MINIA HELLAN PHYSICIAN 279467 0 0 0 0 0 19500 0 0 0 298967 0 0 0 MICHAEL PRAYSON PHYSICIAN 430143 209614 0 0 0 0 52000 0 0 0 482143 209614 0 0 BRADLEY JACOBS PHYSICIAN 246604 0 0 0 0 0 18475 0 0 0 265079 0 0 0 GREG PALMER PHYSICIAN 225318 51992 0 0 0 0 45063 0 0 0 270381 51992 0 0 MATTHEW LAWLESS PHYSICIAN 292611 110321 0 0 0 0 52000 0 0 0 344611 110321 0 0 STEVEN BURDETTE PHYSICIAN 221504 0 0 0 0 0 17109 0 0 0 238613 0 0 0 HARI POLENAKOVIK PHYSICIAN 203439 0 0 0 0 0 16260 0 0 0 219699 0 0 0 LOUIS RUBINO PHYSICIAN 422948 0 0 0 0 0 52000 0 0 0 474948 0 0 0 MARK KAYANJA PHYSICIAN 229750 35798 0 0 0 0 52000 0 0 0 281750 35798 0 0 JOHN MATSUURA PHYSICIAN 494730 0 0 0 0 0 19500 0 0 0 514230 0 0 0 INDRESH VENKATARAYAPPA PHYSICIAN 244541 78568 0 0 0 0 52000 0 0 0 296541 78568 0 0 RM JOHNSON PHYSICIAN 358023 173676 0 0 0 0 52000 0 0 0 410023 173676 0 0 ELEINA MIKAYLOV PHYSICIAN 241376 0 0 0 0 0 19500 0 0 0 260876 0 0 0 MARK FRIEDMAN PHYSICIAN 244755 0 0 0 0 0 18922 0 0 0 263677 0 0 0 SALIM MANCHO PHYSICIAN 230000 76890 0 0 0 0 49000 0 0 0 279000 76890 0 0 BARBARA PHILLIPS PHYSICIAN 221799 0 0 0 0 0 17442 0 0 0 239241 0 0 0 RONALD MARKERT PHYSICIAN 208523 0 0 0 0 0 16142 0 0 0 224665 0 0 0 PART I, LINE 3 BOARD APPROVAL IS REQUIRED FOR THE PURPOSE OF DETERMING THE COMPENSATION OF THE ORGANIZATION'S CEO AND EXECUTIVE DIRECTOR; A WRITTEN CONTRACT IS IN PLACE FOR THIS INDIVIDUAL. FORM 990, PART VI, SECTION B, LINE 11 EACH MEMBER OF THE ENTITY'S GOVERNING BODY IS PROVIDED WITH A COPY OF FORM 990, AND GIVEN AN OPPORTUNITY TO COMMENT ON ITS CONTENTS PRIOR TO THE FILING OF THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ENTITY'S CONFLICT OF INTEREST POLICY IS DETAILED IN ITS POLICY AND PROCEDURE MANUAL WHICH IS UPDATED PEIRODICALLY. THE DOCUMENT OUTLINES ENFORCEMENT PROCEDURES PERTAINING TO VIOLATIONS OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 BOARD APPROVAL IS REQUIRED FOR THE PURPOSE OF DETERMINING THE COMPENSATION OF THE ENTITY'S CEO, OFFICERS, AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS ITS GOVERNING DOCUMENTS, TAX RETURNS, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON THE REQUEST OF THIS INFORMATION. FORM 990, PART XII, LINE 1: WRIGHT STATE PHYSICIANS USES THE MODIFIED CASH BASIS OF ACCOUNTING UNDER WHICH ONLY REVENUES COLLECTED AND EXPENSES PAID ARE RECOGNIZED EXCEPT FOR CERTAIN EXPENSES AS DETERINED BY MANAGEMENT WHICH ARE REPORTED ON AN ACCRUAL BASIS. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WRIGHT STATE UNIVERSITY 3640 COLONEL GLENN HWY DAYTON OH 454350001 310732831 PUBLIC UNIVERSITY OH IRC SECTION 115 N/A N/A 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 WRIGHT STATE UNIVERSITY B 463440 ACTUAL DOLLAR AMOUNT WRIGHT STATE UNIVERSITY K 18800 ACTUAL EXPENSE WRIGHT STATE UNIVERSITY O 1223835 ACTUAL EXPENSE WRIGHT STATE UNIVERSITY P 15125 ACTUAL EXPENSE