ACADEMIC PHYSICIANS INSURANCECOMPANY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ACADEMIC PHYSICIANS INSURANCECOMPANY (EIN 20-4687937)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-13
IRS object ID
201330449349300658
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)
Timestamp2013-02-13T10:11:27-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061533253EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SASLOW LUFKIN & BUGGY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TEN TOWER LANEAddressLine1
CityAVONCity
StateCTState
ZIP Code06001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN204687937EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ACADEMIC PHYSICIANS INSURANCE COMPANYBusinessNameLine1
Business Name Line2C/O MARSH CAPTIVE SOLUTIONSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlACADNameControl
Phone8608646269Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 BANK STREET SUITE 610AddressLine1
CityBURLINGTONCity
StateVTState
ZIP Code05401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARCY WATERFALLName
TitleSECRETARY & DIRECTORTitle
Phone8608646269Phone
Date Signed2013-02-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKATRINA COHENName
PTINP00739710PTIN
Phone8606789200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARCY WATERFALLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 BANK STREET SUITE 610AddressLine1
CityBURLINGTONCity
StateVTState
ZIP Code05401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15445268GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileVTStateLegalDomicile
Activity Or Mission DescriptionTHE COMPANY IS ORGANIZED AND OPERATED FOR THE EXCLUSIVE PURPOSE OF SUPPORTING (SEE SCHEDULE O) THE UNIVERSITY OF OKLAHOMA'S ACADEMIC, EDUCATIONAL, RESEARCH, CLINICAL CARE, AND INDIGENT CARE MISSIONS. ACCORDINGLY, ITS SERVICES ARE LIMITED TO PROVIDING MEDICAL PROFESSIONAL LIABILITY INSURANCE COVERAGE AND RELATED SERVICES TO THE UNIVERSITY AND ITS MEDICAL PROFESSIONAL EMPLOYEES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7388561ProgramServiceRevenuePriorYear
Program Service Revenue CY7678421ProgramServiceRevenueCY
Investment Income Prior Year1446710InvestmentIncomePriorYear
Investment Income Current Year1379544InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8835271TotalRevenuePriorYear
Total Revenue Current Year9057965TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6406317OtherExpensePriorYear
Other Expenses Current Year7465996OtherExpensesCurrentYear
Total Expenses Prior Year6406317TotalExpensesPriorYear
Total Expenses Current Year7465996TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2428954RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1591969RevenuesLessExpensesCY
Total Assets BOY43629378TotalAssetsBOY
Total Assets EOY47096717TotalAssetsEOY
Total Liabilities BOY21075338TotalLiabilitiesBOY
Total Liabilities EOY22122444TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22554040NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24974273NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE COMPANY IS ORGANIZED AND OPERATED FOR THE EXCLUSIVE PURPOSE OF SUPPORTING THE UNIVERSITY OF OKLAHOMA'S ACADEMIC, EDUCATIONAL, RESEARCH, CLINICAL CARE, AND INDIGENT CARE MISSIONS. ACCORDINGLY, ITS SERVICES ARE LIMITED TO PROVIDING MEDICAL ( SEE SCHEDULE O) PROFESSIONAL LIABILITY INSURANCE COVERAGE AND RELATED SERVICES TO THE UNIVERSITY AND ITS MEDICAL PROFESSIONAL EMPLOYEES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7306673Expense
Revenue7678421Revenue
DescriptionACADEMIC PHYSICIANS INSURANCE COMPANY PROVIDES MEDICAL PROFESSIONAL LIABILITY INSURANCE COVERAGES TO THE UNIVERSITY OF OKLAHOMA, A TAX-EXEMPT ORGANIZATION. THE INSURANCE COVERAGES PROVIDED TO THE UNIVERSITY OF OKLAHOMA WILL ASSIST THE UNIVERSITY IN STABILIZING ITS INSURANCE COSTS. THE UNIVERSITY OF OKLAHOMA IS OKLAHOMA'S PREMIER HIGHER EDUCATION INSTITUTION, SERVING THE EDUCATIONAL, CULTURAL AND HEALTH CARE NEEDS OF THE STATE AND SURROUNDING REGIONS. THE UNIVERSITY HAS MORE THAN 30,000 STUDENTS AND 2,400 FULL-TIME FACULTY MEMBERS AND OFFERS BOTH BACCALAUREATE AND GRADUATE PROGRAMS. COSTS ASSOCIATED WITH PROVIDING INSURANCE COVERAGES ARE IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE OF SUPPORTING THE UNIVERSITY OF OKLAHOMA.Description
Total Program Service Expense7306673TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARCY WATERFALL CPA ARMBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8028646269TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 BANK STREET SUITE 610AddressLine1
CityBURLINGTONCity
StateVTState
ZIP Code05401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
BRIAN L MADDY
PRESIDENT & DIRECTOR1.00XX033119327716
M DEWAYNE ANDREWS MD
DIRECTOR1.00X056462844118
MICHAEL S BRONZE MD
CHAIRMAN & DIRECTOR1.00XX056996425411
MARCY WATERFALL
SECRETARY & DIRECTOR1.00XX000
KENNETH D ROWE
DIRECTOR1.00X027257127925
TERRENCE L STULL MD
DIRECTOR1.00X056839529510
CHARLES J FOULKS MD
DIRECTOR1.00X05359186769
LYNN MITCHELL MD
DIRECTOR1.00X017925017624
RUSSELL POSTIER MD
DIRECTOR1.00X049666127875
HEATHER MCCLURE
CHIEF OPERATING OFFICER5.00X02512186769
JESUS E MEDINA MD
DIRECTOR1.00024898612124X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4018784TotalReportableCompFrmRltdOrgs
Total Other Compensation225841TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIVERSITY OF OKLAHOMA
1122 NE 13TH STREETOKLAHOMA CITYOK73117INSURANCE PROGRAM ADMINISTRATION960684
EMMI SOLUTIONS
300 WEST ADAMS STREET SUITE 1200CHICAGOIL60606MEDICAL CONSULTING365788
ALLIANT INSURANCE SERVICES
3 LINCOLN CENTER 5430 LBJ FREEWAYDALLASTX75240UNDERWRITING & POLICY ADMIN.249771
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPREMIUMS EARNEDDescription
Business Code524298BusinessCode
Total Revenue Column7678421TotalRevenueColumn
Related Or Exempt Function Income7678421RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7678421TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1304104TotalRevenueColumn
Exclusion$1,304,104ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6462743Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6387303Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities75440Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column75440TotalRevenueColumn
Exclusion$75,440ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9057965TotalRevenueColumn
Related Or Exempt Function Income7678421RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,379,544ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total75000Total
Program Services56250ProgramServices
Management And General18750ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15002Total
Management And General15002ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29835Total
Management And General29835ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total83905Total
Management And General83905ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29239Total
Program Services29239ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total52453Total
Program Services52453ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total42003Total
Program Services42003ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total48925Total
Program Services48925ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
LOSSES AND EXPENSES52465255246525
UNIVERSITY OF OKLAHOMA960684960684
CONSULTING FEES-EMMI SO365788365788
BROKERAGE FEES249771249771

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total266866Total
Program Services255035ProgramServices
Management And General11831ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7465996Total
Program Services7306673ProgramServices
Management And General159323ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2179894BOY
EOY1027121EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY8446EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY415517BOY
EOY157592EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY40059141BOY
EOY44796437EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY974826BOY
EOY1107121EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY43629378BOY
EOY47096717EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY126917BOY
EOY75273EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20948421BOY
EOY22047171EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21075338BOY
EOY22122444EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY250000BOY
EOY250000EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY22304040BOY
EOY24724273EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22554040BOY
EOY24974273EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43629378BOY
EOY47096717EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1591969ReconcilationRevenueExpenses
Reconcilation Other Changes828264ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
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 OKLAHOMABusinessNameLine1
FieldValueIRS element (for citing)
EIN731477155EIN
Type Of Organization2TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OUTSTANDING LOSS RESERVES (CLAIM SPECIFIC)$6,378,181
INCURRED BUT NOT REPORTED LOSS RESERVES$15,668,990
FieldValueIRS element (for citing)
Total Of Amounts22047171TotalOfAmounts
Total Revenue9057965TotalRevenue
Total Expenses7465996TotalExpenses
Excess Or Deficit For Year1591969ExcessOrDeficitForYear
Other$828,264OtherAmount
Total Adjustments828264TotalAdjustments
Excess Or Deficit Per FS2420233ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8974060TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8974060RevenueSubtotal
Investment Expenses Not Included83905InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt83905RevenueNotRptdOnFinStmt
Total Revenue Per Form9909057965TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7382091TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7382091ExpensesSubtotal
Investment Expenses Not Included283905InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt83905ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907465996TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740 "INCOME TAXES," WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THE FINANCIAL STATEMENTS. THE COMPANY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE COMPANY DID NOT RECORD ANY UNRECOGNIZED TAX BENEFITS AS OF AND FOR THE YEARS ENDED JUNE 30, 2012 AND 2011. THEREFORE, FASB ASC 740 HAD NO IMPACT ON THE ANNUAL EFFECTIVE TAX RATE. THE COMPANY DOES NOT BELIEVE IT IS REASONABLY POSSIBLE THAT ITS UNRECOGNIZED TAX BENEFITS WOULD MATERIALLY CHANGE IN THE NEXT TWELVE MONTHS. IN THE EVENT THE COMPANY WERE TO BECOME SUBJECT TO FEDERAL INCOME TAXES, ITS POLICY WOULD BE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAXES AS A COMPONENT OF GENERAL AND ADMINISTRATIVE EXPENSES. AS OF JUNE 30, 2012 AND 2011, THE COMPANY DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS. ALL TAX YEARS FROM FISCAL YEAR 2009 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED HOLDING GAINS 903,704. RECLASSIFICATION FOR REALIZED GAINS -75,440. TOTAL TO SCHEDULE D, PART XI, LINE 8: 828,264.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
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 (10 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
BRIAN L MADDY
0191900011120102809200027716035890900
M DEWAYNE ANDREWS MD
040100000016362800044118060874600
MICHAEL S BRONZE MD
019517500037478900025411059537500
KENNETH D ROWE
02494500217502094600027925030049600
TERRENCE L STULL MD
022485000034354500029510059790500
CHARLES J FOULKS MD
01500000003859180006769054268700
LYNN MITCHELL MD
01683330001091700017624019687400
RUSSELL POSTIER MD
022616303325026717300027875052453600
HEATHER MCCLURE
01485340885740141100006769025798700
JESUS E MEDINA MD
012634800012263800012124026111000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMARCY WATERFALLNamePerson
FieldValueIRS element (for citing)
RelationshipEMPLOYEE OF SERVICE PROVIDERRelationship
Amount Of Transaction75000AmountOfTransaction
Description Of TransactionMARSH CAPTIVE SOLUTIONS PROVIDES ACCOUNTING AND ADMINISTRATIVE SERVICES TO THE ORGANIZATION.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION CONTRACTS WITH MARSH CAPTIVE SOLUTIONS TO RECEIVE SPECIALIZED INSURANCE ACCOUNTING AND MANAGEMENT SERVICES.
FORM 990, PART VI, SECTION A, LINE 6THE UNIVERSITY OF OKLAHOMA IS THE SOLE MEMBER OF ACADEMIC PHYSICIANS INSURANCE COMPANY (APIC). APIC IS ORGANIZED AND IS OPERATED EXCLUSIVELY TO PROVIDE PROFESSIONAL LIABILITY INSURANCE TO THE MEDICAL PROFESSIONALS EMPLOYED BY THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION HAS MEMBERS,OR OTHER PERSONS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION PROVIDES COPY OF FORM 990 TO THE PRESIDENT BRIAN MADDY FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CAT EACH ANNUAL MEETING, CONFLICT OF INTEREST FORMS ARE COLLECTED FROM EACH OFFICER AND DIRECTOR OF THE ORGANIZATION AND REVIEWED FOR POTENTIAL CONFLICTS. DIRECTORS ARE REMINDED THAT IF THERE ARE CHANGES DURING THE YEAR, THEY ARE RESPONSIBLE TO COMMUNICATE THESE CHANGES TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19TO BE IN COMPLIANCE WITH TAX AND REGULATORY REQUIREMENTS, THE COMPANY SUBMITS ITS FORM 990 TO THE IRS, AND THE CAPTIVE ANNUAL REPORT, AUDITED FINANCIALS, AND CONFLICT OF INTEREST STATEMENTS TO THE STATE OF VERMONT. NO OTHER FINANCIAL DOCUMENTS ARE DISTRIBUTED OR MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 5:UNREALIZED HOLDING GAINS 903,704. RECLASSIFICATION FOR REALIZED GAINS -75,440. TOTAL TO FORM 990, PART XI, LINE 5: 828,264.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE BOARD IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY OF OKLAHOMABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11122 NE 13TH STREETAddressLine1
CityOKLAHOMA CITYCity
StateOKState
ZIP Code73117ZIPCode
FieldValueIRS element (for citing)
EIN731477155EIN
Primary ActivitiesEDUCATIONPrimaryActivities
Legal Domicile StateOKLegalDomicileState
Exempt Code SectionSEC. 501(C)(3)ExemptCodeSection
Public Charity StatusSEC 170(B)(1)(1)(II)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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