UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACILITY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACILITY INC (EIN 20-1304472)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201241369349305519
Schema version
2010v3.4
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)
Timestamp2012-05-15T14:06:13-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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)
NameTAMMY SCARBOROUGHName
TitleCFOTitle
Phone4193837100Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJACK C HAGMEYERName
Phone4198911040Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTAMMY SCARBOROUGHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13355 GLENDALE AVENUE 3RD FLOORAddressLine1
CityTOLEDOCity
StateOHState
ZIP Code43614ZIPCode
FieldValueIRS element (for citing)
Gross Receipts74192775GrossReceipts
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 Employees449TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year69689800ProgramServiceRevenuePriorYear
Program Service Revenue CY73877488ProgramServiceRevenueCY
Investment Income Prior Year-26789InvestmentIncomePriorYear
Investment Income Current Year97InvestmentIncomeCurrentYear
Other Revenue Prior Year3616609OtherRevenuePriorYear
Other Revenue Current Year315190OtherRevenueCurrentYear
Total Revenue Prior Year73279620TotalRevenuePriorYear
Total Revenue Current Year74192775TotalRevenueCurrentYear
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 Year47667825SalariesEtcPriorYear
Salaries Etc Current Year50816896SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year22040962OtherExpensePriorYear
Other Expenses Current Year22906076OtherExpensesCurrentYear
Total Expenses Prior Year69708787TotalExpensesPriorYear
Total Expenses Current Year73722972TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3570833RevenuesLessExpensesPriorYear
Revenues Less Expenses CY469803RevenuesLessExpensesCY
Total Assets BOY19839078TotalAssetsBOY
Total Assets EOY20112525TotalAssetsEOY
Total Liabilities BOY12820346TotalLiabilitiesBOY
Total Liabilities EOY12623990TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7018732NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7488535NetAssetsOrFundBalancesEOY
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
Expense70401994Expense
Revenue74192678Revenue
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 Expense70401994TotalProgramServiceExpense
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 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 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 With109654NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees449NumberOfEmployees
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 Docs0ChangesToOrganizingDocs
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 (51 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JEFFREY L BLUMER PHD MD
TRUSTEE40.00X453304244313341
ROBERT L BOOTH JR MD
TRUSTEE40.00X14694410855940927
KRISTOPHER BRICKMAN MD
TRUSTEE40.00X30726016043161467
ANDREW B CASABIANCA MD
TRUSTEE40.00X23946113371756896
NABIL EBRAHEIM MD
TRUSTEE40.00X224761421327071865
LAWRENCE W ELMER MD
SECRETARY40.00X588449941333297X
HAITHAM M ELSAMALOTY MD
TREASURER40.00X3420917071952658X
LINDA M FRENCH MD
VICE PRESIDENT40.00X20833817714757527X
JEFFREY R HAMMERSLEY MD
TRUSTEE40.00X22926610813157080
KELLY MANAHAN MD
TRUSTEE40.00X3841905510944465
ALAN P MARCO MD
TRUSTEE40.00X19009618116057634
ROBERT MRAK MD
TRUSTEE40.00X21000017974058192
MUNIER MS NAZZAL MD
TRUSTEE40.00X40366512401057368
STEVEN H SELMAN MD
TRUSTEE40.00X29000020400167567
JOSEPH I SHAPIRO MD
TRUSTEE40.00X15500022194259579
MARTIN SKIE MD
TRUSTEE40.00X6196329327854466
MARIJO TAMBURRINO MD
TRUSTEE40.00X1500020034530298
GRETCHEN E TIETJEN MD
TRUSTEE40.00X6125819050736083
LEE S WOLDENBERG MD
PRESIDENT40.00X36667311586056898X
GERALD B ZELENOCK MD
TRUSTEE40.00X27283020461970999
JEFFREY P GOLD MD
CHAIRMAN40.00X16610040988584556X
STEVEN J FARRELL MD
TRUSTEE40.00X16215210577742669
SANFORD R KIMMEL MD
TRUSTEE40.00X619049863625823
CHRISTOPHER K LYNN MD
TRUSTEE40.00X4129411726024138
MICHAEL REES MD
PHYSICIAN40.0022557814721659704X
ASHOK BIYANI MD
PHYSICIAN40.006762897437148828X
ABDUL AZIM MUSTAPHA MD
PHYSICIAN40.006358627074948912X
HOSSEIN ELGAFY MD
PHYSICIAN40.005792055889347252X
JOSEPH ATALLAH MD
PHYSICIAN40.0045725111448955035X
AZEDINE MEDHKOUR MD
PHYSICIAN40.0045152511739755443X
THOMAS SCHWANN MD
PHYSICIAN40.00400000159536103459X
CHRISTOPHER J COOPER MD
PHYSICIAN40.0022492026513973075X
JIHAD T ABBAS MD
PHYSICIAN40.003991227376349295X
AMISH PATEL DO
PHYSICIAN40.004004175869045721X
JASON LEVINE MD
PHYSICIAN40.003812646127346051X
JOHN GEISLER MD
PHYSICIAN40.003911624911646701X
REGINALD BAUGH MD
PHYSICIAN40.0032500010022753684X
JACOB ZEISS MD
PHYSICIAN40.003237898973156840X
ROBERT J COOMBS MD
PHYSICIAN40.003257708362850715X
MARK W BURKET MD
PHYSICIAN40.0024842414697859584X
DAVID SOHN MD
PHYSICIAN40.003400005034147055X
IMAN E MOHAMED MD
PHYSICIAN40.0025823413059555033X
YOUNGSOOK YOON KRAWCZYK MD
PHYSICIAN40.003137036509445863X
PRABIR CHAUDHURI MD
PHYSICIAN40.0022903414769656560X
BASIL E AKPUNONU MD
PHYSICIAN40.0020458415751954998X
JAMES P HOFMANN MD
PHYSICIAN40.0024798511869358769X
DANIEL GAUDIN MD
PHYSICIAN40.002739667678749187X
IMRAN ALI MD
PHYSICIAN40.0018593615901452409X
MOHAMMED Y KANJWAL MD
PHYSICIAN40.002659557829549968X
TERRENCE J HORRIGAN MD
PHYSICIAN - FORMER TRUSTEE11247318749348522X
JOAN GRIFFITH MD
PHYSICIAN - FORMER TRUSTEE8000012893534588X
FieldValueIRS element (for citing)
Total Reportable Comp From Org16182390TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6587617TotalReportableCompFrmRltdOrgs
Total Other Compensation2669044TotalOtherCompensation
Number Individuals GT100 K125NumberIndividualsGT100K
Formers Listed1FormersListed
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
Compensation394900Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE6211107374699873746998
DIALYSIS CENTER621110130490130490
FieldValueIRS element (for citing)
Total Program Service Revenue73877488TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column97TotalRevenueColumn
Exclusion$97ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS900099217780217780
REFUND OF EMPLOYER FIC9000999741097410
FieldValueIRS element (for citing)
Total Other Revenue315190TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column74192775TotalRevenueColumn
Related Or Exempt Function Income74192678RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$97ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total18360056Total
Program Services18360056ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27770995Total
Program Services25735360ProgramServices
Management And General2035635ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2935897Total
Program Services2727250ProgramServices
Management And General208647ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total655917Total
Program Services337478ProgramServices
Management And General318439ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1094031Total
Program Services933666ProgramServices
Management And General160365ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1278226Total
Program Services1278226ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total130762Total
Management And General130762ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total875393Total
Program Services841273ProgramServices
Management And General34120ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total481328Total
Program Services390363ProgramServices
Management And General90965ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total991137Total
Program Services991137ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total91700Total
Program Services91700ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2878530Total
Program Services2878530ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACEUTICALS AND LAB82173148217314
BAD DEBT EXPENSE46152754615275
MCO CLINICAL COST AND D17983821798382
MISCELLANEOUS613781271736342045
PROFESSIONAL DUES AND S429468429468

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total504780Total
Program Services504780ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total73722972Total
Program Services70401994ProgramServices
Management And General3320978ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1280390BOY
EOY4812688EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17238179BOY
EOY13933137EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY75210BOY
EOY81620EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY96430BOY
EOY167648EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis751033LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec355024LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY394512BOY
EOY396009EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY548357BOY
EOY488847EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY206000BOY
EOY232576EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19839078BOY
EOY20112525EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5132166BOY
EOY5144733EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7688180BOY
EOY7479257EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12820346BOY
EOY12623990EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7018732BOY
EOY7488535EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7018732BOY
EOY7488535EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19839078BOY
EOY20112525EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses469803ReconcilationRevenueExpenses
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 Doc0ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis751033OtherCostOrOtherBasis
Depreciation355024Depreciation
Book Value396009BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings396009TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED EXPENSES$7,129,186
ACCRUED PENSION$350,071
FieldValueIRS element (for citing)
Total Of Amounts7479257TotalOfAmounts

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 (50 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
ROBERT L BOOTH JR MD
143944108559300000022042151980368716898612744400
KRISTOPHER BRICKMAN MD
307260160431000036750224600225734401018514800
ANDREW B CASABIANCA MD
239461133717000035919187200225727538015469400
NABIL EBRAHEIM MD
126042132702235010000367502985805257228436424838500
LAWRENCE W ELMER MD
09941358844000882713918300075527067112088300
HAITHAM M ELSAMALOTY MD
2000070719322091000367509901180042073806418482700
LINDA M FRENCH MD
208338177147000031251248010147523958920342300
JEFFREY R HAMMERSLEY MD
4794510813118132100034390151380755226365613082100
KELLY MANAHAN MD
384190551090000367507715004209406282400
ALAN P MARCO MD
190096181160000028515253620375721861121027900
ROBERT MRAK MD
210000179740000031500251640152824150020643200
MUNIER MS NAZZAL MD
012401040366500036750173611000225744141514362800
STEVEN H SELMAN MD
290000204001000036750285600225732675023481800
JOSEPH I SHAPIRO MD
155000221942000023250310720525717825025827100
MARTIN SKIE MD
09327861963200036750130590465765638211099400
MARIJO TAMBURRINO MD
150002003450000225028048001725022839300
GRETCHEN E TIETJEN MD
01905076125800091892667102237044721740100
LEE S WOLDENBERG MD
5000011586031667300036750162202400152840582313360800
GERALD B ZELENOCK MD
272830204619000036750286470560230958023886800
JEFFREY P GOLD MD
166100409885000024915573840225719101546952600
STEVEN J FARRELL MD
010577716215200024323148090353718647512412300
SANFORD R KIMMEL MD
60404986361500000928613809027287119011517300
CHRISTOPHER K LYNN MD
2566511726015629000619416416015284748813520400
MICHAEL REES MD
12022214721610535600033837206100525725941517308300
ASHOK BIYANI MD
0743716762890003675010412016667130398644900
ABDUL AZIM MUSTAPHA MD
070749635862000367509905022576726128291100
HOSSEIN ELGAFY MD
058893579205000367508245022576159556939500
JOSEPH ATALLAH MD
011448945725100036750160280225749400113277400
AZEDINE MEDHKOUR MD
451525117397000036750164360225748827513609000
THOMAS SCHWANN MD
400000159536000073500223350762447350018949500
CHRISTOPHER J COOPER MD
1823052651394261500033738371190221825865830447600
JIHAD T ABBAS MD
0737633991220003675010327022184358728630800
AMISH PATEL DO
05869040041700036750821707544371676766100
JASON LEVINE MD
1737366127320752800036750857807234180147057400
JOHN GEISLER MD
391162491160000367506876030754279125906700
REGINALD BAUGH MD
325000100227000036750140321500140236325011566100
JACOB ZEISS MD
200008973130378900036750125623000452836353910682100
ROBERT J COOMBS MD
20000836283057700003675011708022573625209759300
MARK W BURKET MD
2078551469784056900036750205770225728517416981200
DAVID SOHN MD
3250005034115000000367507048100022573777505964600
IMAN E MOHAMED MD
13137713059512685700036750182830029498414887800
YOUNGSOOK YOON KRAWCZYK MD
5028465094263419000367509113003504537420700
PRABIR CHAUDHURI MD
229034147696000034355206770152826338916990100
BASIL E AKPUNONU MD
5137915751915320500030688220530225723527218182900
JAMES P HOFMANN MD
247985118693000036750166170540228473514071200
DANIEL GAUDIN MD
2739667678700003675010750016873107168922400
IMRAN ALI MD
1236315901417357300027890222620225721382618353300
MOHAMMED Y KANJWAL MD
22035078295456050003675010961022573027059151300
TERRENCE J HORRIGAN MD
112473187493000016871262490540212934421914400
JOAN GRIFFITH MD
8000012893500001200018051045379200015152300

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationGERARD L OTTEN RECEIVED $51,189 FROM UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY, INC. FOR SERVERANCE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE CLASS OF STOCKHOLDERS, AND ALL STOCKHOLDERS HAVE EQUAL RIGHTS.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION HAS ONE CLASS OF STOCKHOLDERS, AND ALL STOCKHOLDERS HAVE EQUAL RIGHTS.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION HAS ONE CLASS OF STOCKHOLDERS, AND ALL STOCKHOLDERS HAVE EQUAL VOTING RIGHTS. MEMBERS SHALL: 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 VOTING CLASS: (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.
ALL TDOKE 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 12C
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 B, LINE 15
UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
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.FORM 990, PART XII, LINE 2C:

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 MEMBEROH7264285219418678100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC
UTP PATHOLOGY SERVICES LLC
3355 GLENDALE AVE 3RD FLOORTOLEDOOH43614264032238DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBEROH14194330100 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 StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
TOLEDO AREA MEDICAL FOUNDATION
3355 GLENDALE AVE 3RD FLOORTOLEDOOH43614341308939PROVIDE FINANCIAL SUPPORT TO UNIV. OF TOLEDO PHYSICIANS CLINICAL FACULTY INCOH501(C)(3)TYPE IIIUNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC1
UNIVERSITY OF TOLEDO
3000 ARLINGTON AVETOLEDOOH43614340967014HEALTH CARE AND EDUCATIONOH501(C)(3)20N/A

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/ARELATED461097000.19000130490
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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