UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACILITY INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACILITY INC (EIN 20-1304472)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201401359349302850
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-05-15T09:21:10-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341145015 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM VAUGHAN COMPANY | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 145 CHESTERFIELD LANE | AddressLine1 |
| City | MAUMEE | City |
| State | OH | State |
| ZIP Code | 435373836 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201304472 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL | BusinessNameLine1 |
| Business Name Line2 | FACULTY INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIV | NameControl |
| Phone | 4193837100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3355 GLENDALE AVENUE 3RD FLOOR | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43614 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HAITHAM M ELSAMALOTY MD | Name |
| Title | TREASURER | Title |
| Phone | 4193837100 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACK C HAGMEYER | Name |
| PTIN | P00051646 | PTIN |
| Phone | 4198911040 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KRISTOPHER BRICKMAN MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3355 GLENDALE AVENUE 3RD FLOOR | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 81203986 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | PROMOTE, ENHANCE, SUPPLEMENT AND ASSIST IN THE PERFORMANCE OF THE MEDICAL AND HEALTH EDUCATION PROGRAMS AND SERVICES OF THE UNIVERSITY OF TOLEDO. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 472 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 77828434 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 78608413 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 83 | InvestmentIncomePriorYear |
| Investment Income Current Year | -3576 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 997949 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2581520 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 78826466 | TotalRevenuePriorYear |
| Total Revenue Current Year | 81186357 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5100 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 36450 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 53116112 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 59402184 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22280973 | OtherExpensePriorYear |
| Other Expenses Current Year | 17723657 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 75402185 | TotalExpensesPriorYear |
| Total Expenses Current Year | 77162291 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3424281 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4024066 | RevenuesLessExpensesCY |
| Total Assets BOY | 20699738 | TotalAssetsBOY |
| Total Assets EOY | 24131341 | TotalAssetsEOY |
| Total Liabilities BOY | 9786922 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9194459 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10912816 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 14936882 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROMOTE, ENHANCE, SUPPLEMENT AND ASSIST IN THE PERFORMANCE OF THE MEDICAL AND HEALTH EDUCATION PROGRAMS AND SERVICES OF THE UNIVERSITY OF TOLEDO. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 72990266 | Expense |
| Grants | 36450 | Grants |
| Revenue | 81189933 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 72990266 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 64 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 472 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAMMY SCARBOROUGH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4193837100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3355 GLENDALE AVE THIRD FLOOR | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43614 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BLUMER PHD MD JEFFREY | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 220000 | 195000 | 110506 | ||
| BOOTH JR MD ROBERT L | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 153491 | 111886 | 66017 | ||
| BRICKMAN MD KRISTOPHER | ||||||||
| PRESIDENT | 20.00 | 20.00 | X | 358488 | 174150 | 109375 | X | |
| CASABIANCA MD ANDREW B | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 248240 | 140632 | 96981 | ||
| COOPER MD CHRISTOPHER J | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 231376 | 321213 | 156594 | ||
| EBRAHEIM MD NABIL | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 1921202 | 220124 | 125777 | ||
| ELMER MD LAWRENCE W | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 51524 | 106291 | 55130 | ||
| ELSAMALOTY MD HAITHAM M | ||||||||
| TREASURER | 20.00 | 20.00 | X | 364200 | 78660 | 76748 | X | |
| FARRELL MD STEVEN J | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 222426 | 114121 | 77147 | ||
| FRENCH MD LINDA M | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 115000 | 180116 | 89505 | ||
| GOLD MD JEFFREY P | ||||||||
| CHAIRMAN | 20.00 | 20.00 | X | 166100 | 463057 | 138332 | X | |
| HAMMERSLEY MD JEFFREY R | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 159549 | 111463 | 71957 | ||
| KIMMEL MD SANFORD R | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 84208 | 139646 | 60499 | ||
| LYNN MD CHRISTOPHER K | ||||||||
| VICE PRESIDENT | 20.00 | 20.00 | X | 72550 | 117774 | 59282 | X | |
| MANAHAN MD KELLY | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 408930 | 95000 | 71557 | ||
| MARCO MD ALAN P | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 200714 | 187041 | 106231 | ||
| MRAK MD ROBERT | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 210000 | 182103 | 106173 | ||
| NAZZAL MD MUNIER MS | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 475774 | 166357 | 106679 | ||
| SELMAN MD STEVEN H | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 290000 | 206876 | 120915 | ||
| SKIE MD MARTIN | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 607352 | 99449 | 83002 | ||
| TAMBURRINO MD MARIJO | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 15000 | 203688 | 74878 | ||
| TIETJEN MD GRETCHEN E | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 150000 | 193648 | 91329 | ||
| WOLDENBERG MD LEE S | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 356909 | 176989 | 102918 | ||
| ZELENOCK MD GERALD B | ||||||||
| SECRETARY | 20.00 | 20.00 | X | 290000 | 208260 | 114506 | X | |
| CHEN MD CHANGHU | ||||||||
| TRUSTEE | 20.00 | 20.00 | X | 0 | 0 | 0 | ||
| SOHN MD DAVID | ||||||||
| PHYSICIAN | 20.00 | 20.00 | 581653 | 52530 | 66181 | X | ||
| ELGAFY MD HOSSEIN | ||||||||
| PHYSICIAN | 20.00 | 20.00 | 671927 | 64786 | 79646 | X | ||
| MUSTAPHA MD ABDUL AZIM | ||||||||
| PHYSICIAN | 20.00 | 20.00 | 500563 | 73877 | 73834 | X | ||
| ATALLAH MD JOSEPH | ||||||||
| PHYSICIAN | 20.00 | 20.00 | 559503 | 118245 | 89346 | X | ||
| SCHWANN MD THOMAS | ||||||||
| PHYSICIAN | 20.00 | 20.00 | 450000 | 160409 | 102806 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 10136679 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4663391 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2683851 | TotalOtherCompensation |
| Number Individuals GT100 K | 146 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | WALID MAHMOUD MD | NamePerson |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 546 TROON RD | AddressLine1 |
| City | HOLLAND | City |
| State | OH | State |
| ZIP Code | 43528 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | EMERGENCY ROOM COVERAGE | DescriptionOfServices |
| Compensation | 106518 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE | 621110 | 78465014 | 78465014 |
| DIALYSIS CENTER AND ACO | 621110 | 143399 | 143399 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 78608413 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68 | TotalRevenueColumn |
| Exclusion | $68 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 13985 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 17629 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -3644 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3644 | TotalRevenueColumn |
| Exclusion | -$3,644 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEANINGFUL USE REVENUE | 900099 | 2010800 | 2010800 |
| MISCELLANEOUS | 900099 | 537030 | 537030 |
| REFUND OF INTEREST ON EMPLOYER FI | 900099 | 33690 | 33690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2581520 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 81186357 | TotalRevenueColumn |
| Related Or Exempt Function Income | 81189933 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$3,576 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36450 | Total |
| Program Services | 36450 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8060461 | Total |
| Program Services | 8060461 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44172768 | Total |
| Program Services | 41270387 | ProgramServices |
| Management And General | 2902381 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5062733 | Total |
| Program Services | 4828180 | ProgramServices |
| Management And General | 234553 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 698232 | Total |
| Program Services | 348677 | ProgramServices |
| Management And General | 349555 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1407990 | Total |
| Program Services | 1180204 | ProgramServices |
| Management And General | 227786 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57332 | Total |
| Program Services | 57332 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43350 | Total |
| Management And General | 43350 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1344976 | Total |
| Program Services | 1344976 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750232 | Total |
| Program Services | 715660 | ProgramServices |
| Management And General | 34572 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 521118 | Total |
| Program Services | 430153 | ProgramServices |
| Management And General | 90965 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1311322 | Total |
| Program Services | 1311322 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148415 | Total |
| Program Services | 148415 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2608336 | Total |
| Program Services | 2608336 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHARMACEUTICALS AND LAB | 6870607 | 6870607 | |
| MCO CLINICAL COST AND D | 1622483 | 1622483 | |
| MEANINGFUL USE PAYMENT | 900000 | 900000 | |
| MISCELLANEOUS | 554859 | 265996 | 288863 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 990627 | Total |
| Program Services | 990627 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77162291 | Total |
| Program Services | 72990266 | ProgramServices |
| Management And General | 4172025 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9129029 | BOY |
| EOY | 11474786 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10215453 | BOY |
| EOY | 11196255 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80618 | BOY |
| EOY | 86343 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139139 | BOY |
| EOY | 55712 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1037526 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 572108 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 474070 | BOY |
| EOY | 465418 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 455429 | BOY |
| EOY | 646827 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206000 | BOY |
| EOY | 206000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20699738 | BOY |
| EOY | 24131341 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2649388 | BOY |
| EOY | 1784887 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7137534 | BOY |
| EOY | 7409572 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9786922 | BOY |
| EOY | 9194459 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10912816 | BOY |
| EOY | 14936882 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10912816 | BOY |
| EOY | 14936882 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20699738 | BOY |
| EOY | 24131341 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4024066 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF TOLEDO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 340967014 | EIN |
| Type Of Organization | 6 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $36,450 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 36450 | SumOfAmounts |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1037526 | OtherCostOrOtherBasis |
| Depreciation | 572108 | Depreciation |
| Book Value | 465418 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 465418 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED EXPENSES | $6,791,515 |
| ACCRUED PENSION | $618,057 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7409572 | TotalOfAmounts |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF TOLEDO | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 ARLINGTON AVE | AddressLine1 |
| City | TOLEDO | City |
| State | OH | State |
| ZIP Code | 43614 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 340967014 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 36450 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
| Purpose Of Grant | SUPPORT FOR THE UNIVERSITY OF TOLEDO MEDICAL CENTER | PurposeOfGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES BY ONLY DONATING TO THE RELATED ORGANIZATIONS LISTED UNDER SCHEDULE R. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (29 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLUMER PHD MD JEFFREY | ||||||||||||||
| TRUSTEE | 220000 | 195000 | 0 | 0 | 0 | 0 | 33000 | 19500 | 0 | 58006 | 253000 | 272506 | 0 | 0 |
| BOOTH JR MD ROBERT L | ||||||||||||||
| TRUSTEE | 148491 | 111886 | 5000 | 0 | 0 | 0 | 23023 | 11189 | 0 | 31805 | 176514 | 154880 | 0 | 0 |
| BRICKMAN MD KRISTOPHER | ||||||||||||||
| PRESIDENT | 322313 | 174150 | 36175 | 0 | 0 | 0 | 37500 | 17415 | 0 | 54460 | 395988 | 246025 | 0 | 0 |
| CASABIANCA MD ANDREW B | ||||||||||||||
| TRUSTEE | 218014 | 140632 | 30226 | 0 | 0 | 0 | 37236 | 14063 | 0 | 45682 | 285476 | 200377 | 0 | 0 |
| COOPER MD CHRISTOPHER J | ||||||||||||||
| TRUSTEE | 216043 | 321213 | 15333 | 0 | 0 | 0 | 34706 | 32061 | 0 | 89827 | 266082 | 443101 | 0 | 0 |
| EBRAHEIM MD NABIL | ||||||||||||||
| TRUSTEE | 39836 | 220124 | 1881366 | 0 | 0 | 0 | 37500 | 22012 | 0 | 66265 | 1958702 | 308401 | 0 | 0 |
| ELMER MD LAWRENCE W | ||||||||||||||
| TRUSTEE | 0 | 106291 | 51524 | 0 | 0 | 0 | 7729 | 10629 | 1200 | 35572 | 60453 | 152492 | 0 | 0 |
| ELSAMALOTY MD HAITHAM M | ||||||||||||||
| TREASURER | 18800 | 78660 | 345400 | 0 | 0 | 0 | 37500 | 7866 | 1200 | 30182 | 402900 | 116708 | 0 | 0 |
| FARRELL MD STEVEN J | ||||||||||||||
| TRUSTEE | 0 | 114121 | 222426 | 0 | 0 | 0 | 33364 | 11412 | 0 | 32371 | 255790 | 157904 | 0 | 0 |
| FRENCH MD LINDA M | ||||||||||||||
| TRUSTEE | 115000 | 180116 | 0 | 0 | 0 | 0 | 17250 | 18012 | 0 | 54243 | 132250 | 252371 | 0 | 0 |
| GOLD MD JEFFREY P | ||||||||||||||
| CHAIRMAN | 166100 | 463057 | 0 | 0 | 0 | 0 | 24915 | 23123 | 0 | 90294 | 191015 | 576474 | 0 | 0 |
| HAMMERSLEY MD JEFFREY R | ||||||||||||||
| TRUSTEE | 47945 | 111463 | 111604 | 0 | 0 | 0 | 23932 | 11146 | 0 | 36879 | 183481 | 159488 | 0 | 0 |
| KIMMEL MD SANFORD R | ||||||||||||||
| TRUSTEE | 79920 | 139646 | 4288 | 0 | 0 | 0 | 12631 | 13965 | 0 | 33903 | 96839 | 187514 | 0 | 0 |
| LYNN MD CHRISTOPHER K | ||||||||||||||
| VICE PRESIDENT | 25665 | 117774 | 46885 | 0 | 0 | 0 | 10883 | 11717 | 0 | 36682 | 83433 | 166173 | 0 | 0 |
| MANAHAN MD KELLY | ||||||||||||||
| TRUSTEE | 408930 | 95000 | 0 | 0 | 0 | 0 | 37500 | 9500 | 0 | 24557 | 446430 | 129057 | 0 | 0 |
| MARCO MD ALAN P | ||||||||||||||
| TRUSTEE | 171029 | 187041 | 29685 | 0 | 0 | 0 | 30107 | 18704 | 0 | 57420 | 230821 | 263165 | 0 | 0 |
| MRAK MD ROBERT | ||||||||||||||
| TRUSTEE | 210000 | 182103 | 0 | 0 | 0 | 0 | 31500 | 18210 | 0 | 56463 | 241500 | 256776 | 0 | 0 |
| NAZZAL MD MUNIER MS | ||||||||||||||
| TRUSTEE | 0 | 166357 | 475774 | 0 | 0 | 0 | 37500 | 16636 | 0 | 52543 | 513274 | 235536 | 0 | 0 |
| SELMAN MD STEVEN H | ||||||||||||||
| TRUSTEE | 290000 | 206876 | 0 | 0 | 0 | 0 | 37500 | 20688 | 0 | 62727 | 327500 | 290291 | 0 | 0 |
| SKIE MD MARTIN | ||||||||||||||
| TRUSTEE | 5765 | 99449 | 601587 | 0 | 0 | 0 | 37500 | 9945 | 0 | 35557 | 644852 | 144951 | 0 | 0 |
| TAMBURRINO MD MARIJO | ||||||||||||||
| TRUSTEE | 15000 | 203688 | 0 | 0 | 0 | 0 | 2250 | 20369 | 0 | 52259 | 17250 | 276316 | 0 | 0 |
| TIETJEN MD GRETCHEN E | ||||||||||||||
| TRUSTEE | 150000 | 193648 | 0 | 0 | 0 | 0 | 22500 | 19365 | 0 | 49464 | 172500 | 262477 | 0 | 0 |
| WOLDENBERG MD LEE S | ||||||||||||||
| TRUSTEE | 23731 | 176989 | 333178 | 0 | 0 | 0 | 37500 | 15002 | 2500 | 47916 | 396909 | 239907 | 0 | 0 |
| ZELENOCK MD GERALD B | ||||||||||||||
| SECRETARY | 290000 | 208260 | 0 | 0 | 0 | 0 | 37500 | 20826 | 0 | 56180 | 327500 | 285266 | 0 | 0 |
| SOHN MD DAVID | ||||||||||||||
| PHYSICIAN | 1809 | 52530 | 579844 | 0 | 0 | 0 | 37500 | 5253 | 0 | 23428 | 619153 | 81211 | 0 | 0 |
| ELGAFY MD HOSSEIN | ||||||||||||||
| PHYSICIAN | 5694 | 64786 | 666233 | 0 | 0 | 0 | 37500 | 6479 | 0 | 35667 | 709427 | 106932 | 0 | 0 |
| MUSTAPHA MD ABDUL AZIM | ||||||||||||||
| PHYSICIAN | 5182 | 73877 | 495381 | 0 | 0 | 0 | 37500 | 7388 | 0 | 28946 | 538063 | 110211 | 0 | 0 |
| ATALLAH MD JOSEPH | ||||||||||||||
| PHYSICIAN | 0 | 118245 | 559503 | 0 | 0 | 0 | 37500 | 11825 | 0 | 40021 | 597003 | 170091 | 0 | 0 |
| SCHWANN MD THOMAS | ||||||||||||||
| PHYSICIAN | 450000 | 160409 | 0 | 0 | 0 | 0 | 37500 | 16041 | 0 | 49265 | 487500 | 225715 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 COMPARIBILITY 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
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF TOLEDO PHYSICIANS LLC | |||||||||
| 3355 GLENDALE AVE 3RD FLOOR | TOLEDO | OH | 43614 | 341127097 | DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER | OH | 78328145 | 23279513 | 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 | 2718457 | 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 | 205000 | 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 340967014 | A PUBLIC INSTITUTION OF HIGHER EDUCATION | OH | 501(C)(3) | LINE 6 | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Share Of Total IncomeShareOfTotalIncome |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| REGIONAL CENTER FOR SLEEP MEDICINE OF TOLEDO LLC | |||||||||||||
| 3450 W CENTRAL AVE STE 118 | TOLEDO | OH | 43606 | 264665939 | SLEEP CENTER | OH | N/A | RELATED | 27750 | 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 | 492532 | 0 | 0 | 0.19000 | 143399 |
| NORTHWEST OHIO ACO LLC | |||||||||||||
| 4235 SECOR ROAD | TOLEDO | OH | 43614 | 455444018 | ACCOUNTABLE CARE ORGANIZATION | OH | N/A | RELATED | 126546 | 0 | 0 | 0.40000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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