2014-05-09T13:06:52-05:00 2013-06-30 550657218 HESS STEWART & CAMPBELL PLLC PO BOX 1060 HUNTINGTON WV 257131060 990 2012-07-01 550564945 UNIVERSITY PHYSICIANS & SURGEONS INC UNIV 3046911284 1001 TENTH AVE HUNTINGTON WV 25701 JOHN M STRAUB 3046911284 2014-05-08 1 RICHARD M STEWART P00115975 3045236464 2012 2015-11-30 17:44:51Z BETH HAMMERS 1001 TENTH AVE HUNTINGTON WV 25701 107018066 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 0 984 0 0 0 630629 437620 103485293 98849233 1528729 748914 928387 375112 106573038 100410879 1423982 755874 0 0 72187227 75502105 0 0 0 31214206 20571949 104825415 96829928 1747623 3580951 51967968 54133756 37445462 35605594 14522506 18528162 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 90722728 755874 99224345 THE CORPORATION SUPPORTED THE FACULTY PHYSICIANS OF THE SCHOOL OF MEDICINE IN THEIR PROVISION OF MEDICAL SERVICES WITH APPROXIMATELY 480,549 PATIENT ENCOUNTERS. 90722728 1 1 0 0 0 0 0 0 0 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 66 0 984 1 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 1 1 1 1 0 X THE ORGANIZATION 3046911653 1001 TENTH AVE HUNTINGTON WV 25701 JOSEPH SHAPIRO 15.00 X X 129890 92344 6906 JOSEPH W WERTHAMMER 30.00 X X 300650 80253 23412 F LAYTON COTTRILL 11.00 X 20000 117607 10219 PAULETTE WEHNER MD 35.00 X 115400 187065 20558 JOHN WALDEN MD 35.00 X X 36900 157855 13194 ALI OLIASHIRAZI MD 95.00 X 691200 288029 30000 SHANNON BROWNING 30.00 X 62865 75644 8887 BRENT MARSTELLER 7.00 X 0 0 0 DAVID JUDE MD 36.00 X X 119525 169705 16637 BETH HAMMERS 30.00 X 171150 0 9000 MATT STRAUB 30.00 X 148428 0 8147 MICHAEL MCCARTHY 7.00 X 42866 83346 7576 JOSHUA DORSEY 30.00 X 110727 0 6035 ANTHONY ALBERICO MD 60.00 X 746240 23761 16634 ALAN KOESTER MD 65.00 X 625000 20808 16586 RAJESH SEHGAL MD 60.00 X 997955 0 15000 DAVID DENNING MD 80.00 X 625000 176152 26760 RIDA MAZAGRI MD 60.00 X 661652 6233 16500 JAMES J SCHNEIDER 10.00 X 94600 27003 6694 JEANINE PRICE 40.00 X 115384 0 6923 5815432 1505805 265668 153 1 1 0 PER-SE TECHNOLOGIES PO BOX 403421 ATLANTA GA 30384 A/R & BILLING SERVICES 4035559 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 60673 MEDICAL RECORDS SUPPORT 678846 CABELL HUNTINGTON HOSPITAL 1340 HAL GREER BLVD HUNTINGTON WV 25701 MEDICAL SUPPORT 389012 GRANT COOPER & ASSOCIATES ONE NORTH BRENTWOOD SUITE 610 ST LOUIS MO 63105 CONSULTING SERVICES 227944 CULBERT HEALTHCARE SOLUTIONS INC 800 W CUMMINGS PARK STE 6000 WOBURN MA 01801 CONSULTING SERVICES 168530 6 231443 206177 437620 HEALTH CARE SERVICES 621111 98701311 98701311 EDUCATION & RESEARCH 611600 147922 147922 98849233 563980 563980 96900 183827 0 0 96900 183827 280727 280727 6792121 6606886 301 185235 -301 184934 184934 FORFEITED RETIREMENT PREMIUMS 900099 94385 94385 94385 100410879 99224345 0 748914 755874 755874 2159585 2030010 129575 63686359 59865177 3821182 2712124 2549397 162727 3480387 3271564 208823 3463650 3255831 207819 109574 109574 98279 98279 7384952 6941855 443097 252825 237655 15170 2148942 1719608 429334 2114407 1987543 126864 104513 98242 6271 827024 777403 49621 42910 42910 589976 554577 35399 2101135 1975067 126068 MEDICATIONS AND MEDICAL 3222619 3222619 RECRUITMENT AND EMPLOYE 837119 786892 50227 REPAIRS AND MAINTENANCE 379540 356768 22772 PROFESSIONAL DUES AND M 358134 336646 21488 96829928 90722728 6107200 0 14025 14069 8002832 9103140 4512103 4463734 593531 386367 597114 675004 8565504 5687569 2970907 2877935 25171432 26747361 10106024 9866146 51967968 54133756 6156615 6056809 3572147 2553005 933964 863230 26782736 26132550 37445462 35605594 X 13978353 17962866 544153 565296 14522506 18528162 51967968 54133756 3580951 424705 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 252679 252679 1380229 274051 1106178 992223 254280 737943 5940373 5159238 781135 2877935 CONTRACTS RECEIVABLE 3737788 INTANGIBLES, DEPOSITS AND OTHER ASSETS 32358 INSURANCE RECOVERIES RECEIVABLE 6096000 9866146 PHYSICIAN LOAN GUARANTEES 570806 CONTINGENT PROFESSIONAL LIABILITY 13355972 OPEB LIABILITY 11855604 FICA TAX REFUND LIABILITY 350168 26132550 100410879 0 100410879 0 100410879 96829928 0 96829928 0 96829928 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. 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) 712000 SUPPORT MARSHALL UNIVERSITY SCHOOL OF MEDICINE, SCHOLARSHIPS, ARTIST SERIES, AND BIG GREEN HUNTINGTON AREA DEVELOPMENT COUNCIL 915 5TH AVE STE 400 HUNTINGTON WV 25701 550714570 501(C)(3) 5000 ANNUAL PLEDGE/DONATION ANNUAL PLEDGE/DONATION PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 129890 92344 0 0 0 0 6375 531 0 0 136265 92875 0 0 JOSEPH W WERTHAMMER 300650 80253 0 0 0 0 15000 8412 0 0 315650 88665 0 0 PAULETTE WEHNER MD 115400 187065 0 0 0 0 6870 13688 0 0 122270 200753 0 0 JOHN WALDEN MD 36900 157855 0 0 0 0 1800 11394 0 0 38700 169249 0 0 ALI OLIASHIRAZI MD 691200 288029 0 0 0 0 15000 15000 0 0 706200 303029 0 0 DAVID JUDE MD 119500 169705 0 0 25 0 5250 11387 0 0 124775 181092 0 0 BETH HAMMERS 171150 0 0 0 0 0 9000 0 0 0 180150 0 0 0 MATT STRAUB 148428 0 0 0 0 0 8147 0 0 0 156575 0 0 0 ANTHONY ALBERICO MD 746240 23761 0 0 0 0 15000 1634 0 0 761240 25395 0 0 ALAN KOESTER MD 625000 20808 0 0 0 0 15000 1586 0 0 640000 22394 0 0 RAJESH SEHGAL MD 997955 0 0 0 0 0 15000 0 0 0 1012955 0 0 0 DAVID DENNING MD 625000 176152 0 0 0 0 15000 11760 0 0 640000 187912 0 0 RIDA MAZAGRI MD 661652 6233 0 0 0 0 15000 1500 0 0 676652 7733 0 0 JAMES J SCHNEIDER 94600 27003 0 0 0 0 2916 3778 0 0 97516 30781 0 0 JEANINE PRICE 115384 0 0 0 0 0 6923 0 0 0 122307 0 0 0 PART I, LINE 6 ADDITIONAL SALARY SUPPLEMENTS ARE PAID BY THE CORPORATION MAY BE AUTHORIZED FROM CLINICAL SERVICE INCOME SUBJECT TO THE SPECIFIC WRITTEN RECOMMENDATION OF THE DEPARTMENT CHAIR AND WRITTEN APPROVAL OF THE DEAN. SUCH SUPPLEMENTS ARE SUBJECT TO THE AVAILABILITY OF FUNDS AND ARE THEREFORE, DISCRETIONARY IN NATURE AND ARE NOT GUARANTEED. THE PAYMENT OF SUCH A SUPPLEMENT DOES NOT GUARANTEE FURTHER SUPPLEMENTS OR AFFECT THE SALARY COMPONENTS. FORM 990, PART VI, SECTION A, LINE 7A MEDICAL DEPARTMENT HEADS OF THE ORGANIZATION HAVE THE RIGHT TO DETERMINE TWO MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION 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 0 1 1 1 1 0