UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACILITY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACILITY INC (EIN 20-1304472)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-22
IRS object ID
201300539349300460
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-02-22T11:49:23-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341145015EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM VAUGHAN COMPANYBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1145 CHESTERFIELD LANEAddressLine1
CityMAUMEECity
StateOHState
ZIP Code435373836ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201304472EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF TOLEDO PHYSICIANS CLINICALBusinessNameLine1
Business Name Line2FACULTY INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone4193837100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13355 GLENDALE AVENUE 3RD FLOORAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43614ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHAITHAM M ELSAMALOTY MDName
TitleTREASURERTitle
Phone4193837100Phone
Date Signed2013-02-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACK C HAGMEYERName
PTINP00051646PTIN
Phone4198911040Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKRISTOPHER BRICKMAN MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13355 GLENDALE AVENUE 3RD FLOORAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43614ZIPCode
FieldValueIRS element (for citing)
Gross Receipts78826466GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROMOTE, 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 Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees451TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year73877488ProgramServiceRevenuePriorYear
Program Service Revenue CY77828434ProgramServiceRevenueCY
Investment Income Prior Year97InvestmentIncomePriorYear
Investment Income Current Year83InvestmentIncomeCurrentYear
Other Revenue Prior Year315190OtherRevenuePriorYear
Other Revenue Current Year997949OtherRevenueCurrentYear
Total Revenue Prior Year74192775TotalRevenuePriorYear
Total Revenue Current Year78826466TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5100GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year50816896SalariesEtcPriorYear
Salaries Etc Current Year53116112SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year22906076OtherExpensePriorYear
Other Expenses Current Year22280973OtherExpensesCurrentYear
Total Expenses Prior Year73722972TotalExpensesPriorYear
Total Expenses Current Year75402185TotalExpensesCurrentYear
Revenues Less Expenses Prior Year469803RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3424281RevenuesLessExpensesCY
Total Assets BOY20112525TotalAssetsBOY
Total Assets EOY20699738TotalAssetsEOY
Total Liabilities BOY12623990TotalLiabilitiesBOY
Total Liabilities EOY9786922TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7488535NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10912816NetAssetsOrFundBalancesEOY
Mission DescriptionPROMOTE, 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense70652182Expense
Grants5100Grants
Revenue78826383Revenue
DescriptionFACULTY 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 Expense70652182TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109647NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees451NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TAMMY SCARBOROUGHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4193837100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13355 GLENDALE AVE THIRD FLOORAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43614ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BLUMER PHD MD JEFFREY
TRUSTEE40.00X22000019390865781
BOOTH JR MD ROBERT L
TRUSTEE40.00X15111911007242099
BRICKMAN MDKRISTOPHER
VICE PRESIDENT/PRESIDENT40.00X30595516776363413X
CASABIANCA MD ANDREW B
TRUSTEE40.00X23333013864657586
EBRAHEIM MD NABIL
TRUSTEE40.00X174645021592873156
ELMER MD LAWRENCE W
TRUSTEE40.00X5247510221232342
ELSAMALOTY MD HAITHAM M
TREASURER40.00X3199187516952300X
FARRELL MD STEVEN J
TRUSTEE40.00X636210723549005
FRENCH MD LINDA M
VICE PRESIDENT40.00X11535017968745778X
GOLD MD JEFFREY P
CHAIRMAN40.00X16610046325692887X
HAMMERSLEY MD JEFFREY R
TRUSTEE40.00X15000111280541494
KIMMEL MD SANFORD R
TRUSTEE40.00X7700413756934868
LYNN MD CHRISTOPHER K
VICE PRESIDENT40.00X5775611996027561X
MANAHAN MD KELLY
TRUSTEE40.00X4227257971747910
MARCO MD ALAN P
TRUSTEE40.00X19266918255559635
MRAK MD ROBERT
TRUSTEE40.00X21000018153359466
NAZZAL MD MUNIER MS
TRUSTEE40.00X48531712541057483
SELMAN MD STEVEN H
TRUSTEE40.00X29000020600068766
SHAPIRO MD JOSEPH I
PRESIDENT40.00X17192322317560208X
SKIE MD MARTIN
TRUSTEE40.00X5587569442355545
TAMBURRINO MD MARIJO
TRUSTEE40.00X1500018460928095
TIETJEN MD GRETCHEN E
TRUSTEE40.00X15275019397150410
WOLDENBERG MD LEE S
PAST PRESIDENT40.00X34034115337562780X
ZELENOCK MD GERALD B
SECRETARY40.00X29000020683470313X
ELGAFY MD HOSSEIN
PHYSICIAN40.004913495888348170X
SCHWANN MD THOMAS
PHYSICIAN40.0040750016194162742X
ABBAS MD JIHAD T
PHYSICIAN40.004981977512050402X
COOPER MD CHRISTOPHER J
PHYSICIAN40.0027153630675182830X
MUSTAPHA MD ABDUL AZIM
PHYSICIAN40.005073477101149867X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8907230TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4629518TotalReportableCompFrmRltdOrgs
Total Other Compensation1592892TotalOtherCompensation
Number Individuals GT100 K140NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonWALID MAHMOUD MDNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1546 TROON RDAddressLine1
CityHOLLANDCity
StateOHState
ZIP Code43528ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesEMERGENCY ROOM COVERAGEDescriptionOfServices
Compensation330566Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE6211107767185377671853
DIALYSIS CENTER621110156581156581
FieldValueIRS element (for citing)
Total Program Service Revenue77828434TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column83TotalRevenueColumn
Exclusion$83ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REFUND OF INTEREST ON900099534330534330
MISCELLANEOUS900099463619463619
FieldValueIRS element (for citing)
Total Other Revenue997949TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column78826466TotalRevenueColumn
Related Or Exempt Function Income78826383RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$83ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5100Total
Program Services5100ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total9752373Total
Program Services9752373ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37104922Total
Program Services33962920ProgramServices
Management And General3142002ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4201510Total
Program Services3929266ProgramServices
Management And General272244ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total774186Total
Program Services295070ProgramServices
Management And General479116ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1283121Total
Program Services1040825ProgramServices
Management And General242296ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total154033Total
Program Services154033ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total77273Total
Management And General77273ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1158619Total
Program Services1158619ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1829702Total
Program Services1758410ProgramServices
Management And General71292ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total487636Total
Program Services396671ProgramServices
Management And General90965ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total962031Total
Program Services962031ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total117669Total
Program Services117669ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2681996Total
Program Services2681996ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACEUTICALS AND LAB68296476829647
BAD DEBT EXPENSE44669144466914
MCO CLINICAL COST AND D19607371960737
MISCELLANEOUS580034205219374815

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total974682Total
Program Services974682ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total75402185Total
Program Services70652182ProgramServices
Management And General4750003ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4812688BOY
EOY9129029EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13933137BOY
EOY10215453EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY81620BOY
EOY80618EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY167648BOY
EOY139139EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis946477LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec472407LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY396009BOY
EOY474070EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY488847BOY
EOY455429EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY232576BOY
EOY206000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20112525BOY
EOY20699738EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5144733BOY
EOY2649388EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7479257BOY
EOY7137534EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12623990BOY
EOY9786922EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7488535BOY
EOY10912816EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7488535BOY
EOY10912816EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20112525BOY
EOY20699738EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3424281ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF TOLEDOBusinessNameLine1
FieldValueIRS element (for citing)
EIN340967014EIN
Type Of Organization6TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$5,100Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts5100SumOfAmounts

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis946477OtherCostOrOtherBasis
Depreciation472407Depreciation
Book Value474070BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings474070TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED EXPENSES$6,713,420
ACCRUED PENSION$424,114
FieldValueIRS element (for citing)
Total Of Amounts7137534TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF TOLEDOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13000 ARLINGTON AVEAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43614ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient340967014EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant5100AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation
Purpose Of GrantSUPPORT FOR THE UNIVERSITY OF TOLEDO MEDICAL CENTERPurposeOfGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (29 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BLUMER PHD MD JEFFREY
220000193908000033000271470563425300022668900
BOOTH JR MD ROBERT L
146119110072500000022668154100402117378712950300
BRICKMAN MDKRISTOPHER
305955167763000036750234870317634270519442600
CASABIANCA MD ANDREW B
233330138646000035000194100317626833016123200
EBRAHEIM MD NABIL
323402159281714110000367503023006176178320025233400
ELMER MD LAWRENCE W
010221252475000823114310240074016310612392300
ELSAMALOTY MD HAITHAM M
18800751693011180003675010524120038263578688951900
FARRELL MD STEVEN J
010723563620003036115013036313672312587900
FRENCH MD LINDA M
11500017968735000017302251560332013265220816300
GOLD MD JEFFREY P
166100463256000024915648560311619101553122800
HAMMERSLEY MD JEFFREY R
4794511280510205600022500157930320117250113179900
KIMMEL MD SANFORD R
6867513756983290001155119260040578855516088600
LYNN MD CHRISTOPHER K
2566511996032091000866316794021046641913885800
MANAHAN MD KELLY
4227257971700003675011160004594759087700
MARCO MD ALAN P
192669182555000028901255580517622157021328900
MRAK MD ROBERT
210000181533000031500254150255124150020949900
NAZZAL MD MUNIER MS
012541048531700036750175570317652206714614300
SELMAN MD STEVEN H
290000206000000036750288400317632675023801600
SHAPIRO MD JOSEPH I
1619232231751000000025788312440317619771125759500
SKIE MD MARTIN
09442355875600036750132190557659550611321800
TAMBURRINO MD MARIJO
150001846090000225025845001725021045400
TIETJEN MD GRETCHEN E
14711519397156350002291227156034217566222146900
WOLDENBERG MD LEE S
4157715337529876400036750214731500305737859117790500
ZELENOCK MD GERALD B
290000206834000036750289570460632675024039700
ELGAFY MD HOSSEIN
058883491349000367508244031765280997030300
SCHWANN MD THOMAS
407500161941000036750226720332044425018793300
ABBAS MD JIHAD T
0751204981970003675010517031355349478877200
COOPER MD CHRISTOPHER J
1790373067519249900036750429450313530828635283100
MUSTAPHA MD ABDUL AZIM
071011507347000367509941031765440978412800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationGERARD L OTTEN RECEIVED $59,458 FROM UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY, INC. FOR SERVERANCE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 4FORMER MEMBERS WERE TWO CLASSES: UNIVERSITY OF TOLEDO (UT) MEMBERS (PRESIDENT AND 2 MEMBERS OF THE BOARD OF TRUSTEES OF UT) AND FACULTY MEMBERS (PHYSICIANS WHO HAVE FACULTY APPOINTMENTS IN THE UT COLLEGE OF MEDICINE AND EMPLOYMENT WITH UTP, LLC (LLC).) THE ORGANIZATION HAS MOVED TO A SINGLE MEMBER MODEL WITH UT AS THE SOLE MEMBER. THE PRESIDENT OF UT, EXEC. VP FOR HEALTH AFFAIRS, AND 3 MEMBERS OF THE BOARD OF TRUSTEES OF UT HAVE BEEN AUTHORIZED TO ACT ON BEHALF OF THE SOLE MEMBER, UT. THE SOLE MEMBER MUST NOW SEEK INPUT ON ANY MATERIAL CHANGE TO THE ARTICLES OF INCORPORATION OR THE CODE OF REGULATIONS FROM THE CLINICAL FACULTY MEMBERS OF THE UT COLLEGE OF MEDICINE WHO ARE EMPLOYEES OF THE LLC, TO BE TAKEN IN TO CONSIDERATION SUBJECT TO THE MISSION AND CHARITABLE PURPOSES OF THE CORPORATION. FACULTY MEMBERS ARE NO LONGER VOTING MEMBERS FOR SECTION 2.3 RESERVED POWERS
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE 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 7BTHE 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 11DISTRIBUTED TO BOARD OF DIRECTORS FOR REVIEW BEFORE SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CALL 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 15USE 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 19UPON 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UNIVERSITY OF TOLEDO PHYSICIANS LLC
3355 GLENDALE AVE 3RD FLOORTOLEDOOH43614341127097DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBEROH7702999420039309100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC
UTP PATHOLOGY SERVICES LLC
3355 GLENDALE AVE 3RD FLOORTOLEDOOH43614264032238DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBEROH16398910100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC
NORTHWEST OHIO MEDICINE INC
3355 GLENDALE AVE 3RD FLOORTOLEDOOH43614020624653DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBEROH0205000100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
TOLEDO AREA MEDICAL FOUNDATION
3355 GLENDALE AVE 3RD FLOORTOLEDOOH43614341308939PROVIDE FINANCIAL SUPPORT TO UNIV. OF TOLEDO PHYSICIANS CLINICAL FACULTY INCOH501(C)(3)LINE 11C, III-FIN/A0
UNIVERSITY OF TOLEDO
2801 W BANCROFT MS 319TOLEDOOH43606340967014A PUBLIC INSTITUTION OF HIGHER EDUCATIONOH501(C)(3)LINE 6N/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipShare Of Total IncomeShareOfTotalIncome
REGIONAL CENTER FOR SLEEP MEDICINE OF TOLEDO LLC
3450 W CENTRAL AVE STE 118TOLEDOOH43606264665939SLEEP CENTEROHN/ARELATED27750000.05000
G A M RENAL LTD DIALYSIS PARTNERS OF NORTHWEST OHIO
30100 TELEGRAPH ROAD SUITE 200BINGHAM FARMSMI48025341877956DIALYSISMIN/ARELATED427679000.19000156581
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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