2012-05-15T14:06:13-05:00 2011-06-30 WILLIAM VAUGHAN COMPANY 145 CHESTERFIELD LANE MAUMEE OH 435373836 990 2010-07-01 201304472 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC UNIV 4193837100 3355 GLENDALE AVENUE 3RD FLOOR TOLEDO OH 43614 TAMMY SCARBOROUGH 4193837100 2012-05-15 1 JACK C HAGMEYER 4198911040 2010 2016-02-24 21:20:13Z TAMMY SCARBOROUGH 3355 GLENDALE AVENUE 3RD FLOOR TOLEDO OH 43614 74192775 0 X N/A X 2004 OH PROMOTE, ENHANCE, SUPPLEMENT AND ASSIST IN THE PERFORMANCE OF THE MEDICAL AND HEALTH EDUCATION PROGRAMS AND SERVICES OF THE UNIVERSITY OF TOLEDO. 24 0 449 0 0 0 0 0 69689800 73877488 -26789 97 3616609 315190 73279620 74192775 0 0 0 0 47667825 50816896 0 0 0 22040962 22906076 69708787 73722972 3570833 469803 19839078 20112525 12820346 12623990 7018732 7488535 PROMOTE, ENHANCE, SUPPLEMENT AND ASSIST IN THE PERFORMANCE OF THE MEDICAL AND HEALTH EDUCATION PROGRAMS AND SERVICES OF THE UNIVERSITY OF TOLEDO. 0 0 70401994 74192678 FACULTY PRACTICE PLAN FOR THE UNIVERSITY OF TOLEDO TO PROVIDE HEALTH CARE SERVICES AS AN INTEGRAL COMPONENT OF THE ACADEMIC AND RESEARCH MISSION OF THE UNIVERSITY. 70401994 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 54 0 1 449 1 0 0 0 0 0 0 0 0 0 0 X 24 0 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 OH X X TAMMY SCARBOROUGH 4193837100 3355 GLENDALE AVE THIRD FLOOR TOLEDO OH 43614 JEFFREY L BLUMER PHD MD 40.00 X 45330 42443 13341 ROBERT L BOOTH JR MD 40.00 X 146944 108559 40927 KRISTOPHER BRICKMAN MD 40.00 X 307260 160431 61467 ANDREW B CASABIANCA MD 40.00 X 239461 133717 56896 NABIL EBRAHEIM MD 40.00 X 2247614 213270 71865 LAWRENCE W ELMER MD 40.00 X X 58844 99413 33297 HAITHAM M ELSAMALOTY MD 40.00 X X 342091 70719 52658 LINDA M FRENCH MD 40.00 X X 208338 177147 57527 JEFFREY R HAMMERSLEY MD 40.00 X 229266 108131 57080 KELLY MANAHAN MD 40.00 X 384190 55109 44465 ALAN P MARCO MD 40.00 X 190096 181160 57634 ROBERT MRAK MD 40.00 X 210000 179740 58192 MUNIER MS NAZZAL MD 40.00 X 403665 124010 57368 STEVEN H SELMAN MD 40.00 X 290000 204001 67567 JOSEPH I SHAPIRO MD 40.00 X 155000 221942 59579 MARTIN SKIE MD 40.00 X 619632 93278 54466 MARIJO TAMBURRINO MD 40.00 X 15000 200345 30298 GRETCHEN E TIETJEN MD 40.00 X 61258 190507 36083 LEE S WOLDENBERG MD 40.00 X X 366673 115860 56898 GERALD B ZELENOCK MD 40.00 X 272830 204619 70999 JEFFREY P GOLD MD 40.00 X X 166100 409885 84556 STEVEN J FARRELL MD 40.00 X 162152 105777 42669 SANFORD R KIMMEL MD 40.00 X 61904 98636 25823 CHRISTOPHER K LYNN MD 40.00 X 41294 117260 24138 MICHAEL REES MD 40.00 X 225578 147216 59704 ASHOK BIYANI MD 40.00 X 676289 74371 48828 ABDUL AZIM MUSTAPHA MD 40.00 X 635862 70749 48912 HOSSEIN ELGAFY MD 40.00 X 579205 58893 47252 JOSEPH ATALLAH MD 40.00 X 457251 114489 55035 AZEDINE MEDHKOUR MD 40.00 X 451525 117397 55443 THOMAS SCHWANN MD 40.00 X 400000 159536 103459 CHRISTOPHER J COOPER MD 40.00 X 224920 265139 73075 JIHAD T ABBAS MD 40.00 X 399122 73763 49295 AMISH PATEL DO 40.00 X 400417 58690 45721 JASON LEVINE MD 40.00 X 381264 61273 46051 JOHN GEISLER MD 40.00 X 391162 49116 46701 REGINALD BAUGH MD 40.00 X 325000 100227 53684 JACOB ZEISS MD 40.00 X 323789 89731 56840 ROBERT J COOMBS MD 40.00 X 325770 83628 50715 MARK W BURKET MD 40.00 X 248424 146978 59584 DAVID SOHN MD 40.00 X 340000 50341 47055 IMAN E MOHAMED MD 40.00 X 258234 130595 55033 YOUNGSOOK YOON KRAWCZYK MD 40.00 X 313703 65094 45863 PRABIR CHAUDHURI MD 40.00 X 229034 147696 56560 BASIL E AKPUNONU MD 40.00 X 204584 157519 54998 JAMES P HOFMANN MD 40.00 X 247985 118693 58769 DANIEL GAUDIN MD 40.00 X 273966 76787 49187 IMRAN ALI MD 40.00 X 185936 159014 52409 MOHAMMED Y KANJWAL MD 40.00 X 265955 78295 49968 TERRENCE J HORRIGAN MD X 112473 187493 48522 JOAN GRIFFITH MD X 80000 128935 34588 16182390 6587617 2669044 125 1 1 0 WALID MAHMOUD MD 546 TROON RD HOLLAND OH 43528 EMERGENCY ROOM COVERAGE 394900 1 PATIENT SERVICE 621110 73746998 73746998 DIALYSIS CENTER 621110 130490 130490 73877488 97 97 MISCELLANEOUS 900099 217780 217780 REFUND OF EMPLOYER FIC 900099 97410 97410 315190 74192775 74192678 0 97 18360056 18360056 27770995 25735360 2035635 2935897 2727250 208647 655917 337478 318439 1094031 933666 160365 1278226 1278226 130762 130762 875393 841273 34120 481328 390363 90965 991137 991137 91700 91700 2878530 2878530 PHARMACEUTICALS AND LAB 8217314 8217314 BAD DEBT EXPENSE 4615275 4615275 MCO CLINICAL COST AND D 1798382 1798382 MISCELLANEOUS 613781 271736 342045 PROFESSIONAL DUES AND S 429468 429468 504780 504780 73722972 70401994 3320978 0 1280390 4812688 17238179 13933137 75210 81620 96430 167648 751033 355024 394512 396009 548357 488847 206000 232576 19839078 20112525 5132166 5144733 7688180 7479257 12820346 12623990 X 7018732 7488535 7018732 7488535 19839078 20112525 469803 0 X X 0 1 1 X 0 X X 0 0 0 UNIVERSITY OF TOLEDO 340967014 6 0 1 1 0 1 0 751033 355024 396009 396009 ACCRUED EXPENSES 7129186 ACCRUED PENSION 350071 7479257 X X X 1 0 0 0 0 0 0 0 0 ROBERT L BOOTH JR MD 143944 108559 3000 0 0 0 22042 15198 0 3687 168986 127444 0 0 KRISTOPHER BRICKMAN MD 307260 160431 0 0 0 0 36750 22460 0 2257 344010 185148 0 0 ANDREW B CASABIANCA MD 239461 133717 0 0 0 0 35919 18720 0 2257 275380 154694 0 0 NABIL EBRAHEIM MD 12604 213270 2235010 0 0 0 36750 29858 0 5257 2284364 248385 0 0 LAWRENCE W ELMER MD 0 99413 58844 0 0 0 8827 13918 3000 7552 70671 120883 0 0 HAITHAM M ELSAMALOTY MD 20000 70719 322091 0 0 0 36750 9901 1800 4207 380641 84827 0 0 LINDA M FRENCH MD 208338 177147 0 0 0 0 31251 24801 0 1475 239589 203423 0 0 JEFFREY R HAMMERSLEY MD 47945 108131 181321 0 0 0 34390 15138 0 7552 263656 130821 0 0 KELLY MANAHAN MD 384190 55109 0 0 0 0 36750 7715 0 0 420940 62824 0 0 ALAN P MARCO MD 190096 181160 0 0 0 0 28515 25362 0 3757 218611 210279 0 0 ROBERT MRAK MD 210000 179740 0 0 0 0 31500 25164 0 1528 241500 206432 0 0 MUNIER MS NAZZAL MD 0 124010 403665 0 0 0 36750 17361 1000 2257 441415 143628 0 0 STEVEN H SELMAN MD 290000 204001 0 0 0 0 36750 28560 0 2257 326750 234818 0 0 JOSEPH I SHAPIRO MD 155000 221942 0 0 0 0 23250 31072 0 5257 178250 258271 0 0 MARTIN SKIE MD 0 93278 619632 0 0 0 36750 13059 0 4657 656382 110994 0 0 MARIJO TAMBURRINO MD 15000 200345 0 0 0 0 2250 28048 0 0 17250 228393 0 0 GRETCHEN E TIETJEN MD 0 190507 61258 0 0 0 9189 26671 0 223 70447 217401 0 0 LEE S WOLDENBERG MD 50000 115860 316673 0 0 0 36750 16220 2400 1528 405823 133608 0 0 GERALD B ZELENOCK MD 272830 204619 0 0 0 0 36750 28647 0 5602 309580 238868 0 0 JEFFREY P GOLD MD 166100 409885 0 0 0 0 24915 57384 0 2257 191015 469526 0 0 STEVEN J FARRELL MD 0 105777 162152 0 0 0 24323 14809 0 3537 186475 124123 0 0 SANFORD R KIMMEL MD 60404 98636 1500 0 0 0 9286 13809 0 2728 71190 115173 0 0 CHRISTOPHER K LYNN MD 25665 117260 15629 0 0 0 6194 16416 0 1528 47488 135204 0 0 MICHAEL REES MD 120222 147216 105356 0 0 0 33837 20610 0 5257 259415 173083 0 0 ASHOK BIYANI MD 0 74371 676289 0 0 0 36750 10412 0 1666 713039 86449 0 0 ABDUL AZIM MUSTAPHA MD 0 70749 635862 0 0 0 36750 9905 0 2257 672612 82911 0 0 HOSSEIN ELGAFY MD 0 58893 579205 0 0 0 36750 8245 0 2257 615955 69395 0 0 JOSEPH ATALLAH MD 0 114489 457251 0 0 0 36750 16028 0 2257 494001 132774 0 0 AZEDINE MEDHKOUR MD 451525 117397 0 0 0 0 36750 16436 0 2257 488275 136090 0 0 THOMAS SCHWANN MD 400000 159536 0 0 0 0 73500 22335 0 7624 473500 189495 0 0 CHRISTOPHER J COOPER MD 182305 265139 42615 0 0 0 33738 37119 0 2218 258658 304476 0 0 JIHAD T ABBAS MD 0 73763 399122 0 0 0 36750 10327 0 2218 435872 86308 0 0 AMISH PATEL DO 0 58690 400417 0 0 0 36750 8217 0 754 437167 67661 0 0 JASON LEVINE MD 173736 61273 207528 0 0 0 36750 8578 0 723 418014 70574 0 0 JOHN GEISLER MD 391162 49116 0 0 0 0 36750 6876 0 3075 427912 59067 0 0 REGINALD BAUGH MD 325000 100227 0 0 0 0 36750 14032 1500 1402 363250 115661 0 0 JACOB ZEISS MD 20000 89731 303789 0 0 0 36750 12562 3000 4528 363539 106821 0 0 ROBERT J COOMBS MD 20000 83628 305770 0 0 0 36750 11708 0 2257 362520 97593 0 0 MARK W BURKET MD 207855 146978 40569 0 0 0 36750 20577 0 2257 285174 169812 0 0 DAVID SOHN MD 325000 50341 15000 0 0 0 36750 7048 1000 2257 377750 59646 0 0 IMAN E MOHAMED MD 131377 130595 126857 0 0 0 36750 18283 0 0 294984 148878 0 0 YOUNGSOOK YOON KRAWCZYK MD 50284 65094 263419 0 0 0 36750 9113 0 0 350453 74207 0 0 PRABIR CHAUDHURI MD 229034 147696 0 0 0 0 34355 20677 0 1528 263389 169901 0 0 BASIL E AKPUNONU MD 51379 157519 153205 0 0 0 30688 22053 0 2257 235272 181829 0 0 JAMES P HOFMANN MD 247985 118693 0 0 0 0 36750 16617 0 5402 284735 140712 0 0 DANIEL GAUDIN MD 273966 76787 0 0 0 0 36750 10750 0 1687 310716 89224 0 0 IMRAN ALI MD 12363 159014 173573 0 0 0 27890 22262 0 2257 213826 183533 0 0 MOHAMMED Y KANJWAL MD 220350 78295 45605 0 0 0 36750 10961 0 2257 302705 91513 0 0 TERRENCE J HORRIGAN MD 112473 187493 0 0 0 0 16871 26249 0 5402 129344 219144 0 0 JOAN GRIFFITH MD 80000 128935 0 0 0 0 12000 18051 0 4537 92000 151523 0 0 PART I, LINE 4A GERARD L OTTEN RECEIVED $51,189 FROM UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY, INC. FOR SERVERANCE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF STOCKHOLDERS, AND ALL STOCKHOLDERS HAVE EQUAL RIGHTS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONE CLASS OF STOCKHOLDERS, AND ALL STOCKHOLDERS HAVE EQUAL RIGHTS. FORM 990, PART VI, SECTION A, LINE 7B THE 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 11 DISTRIBUTED TO BOARD OF DIRECTORS FOR REVIEW BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C 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 15 USE COMPARIBILITY DATA. REVIEWED BY CHAIRMAN AND COMPENSATION COMMITTEE OF THE BOARD. PROCESS IS THE SAME FOR OTHER OFFICERS AND EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS IN WHICH THE COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. UNIVERSITY OF TOLEDO PHYSICIANS LLC 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 341127097 DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER OH 72642852 19418678 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC UTP PATHOLOGY SERVICES LLC 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 264032238 DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER OH 1419433 0 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC NORTHWEST OHIO MEDICINE INC 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 020624653 DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER OH 0 205000 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC TOLEDO AREA MEDICAL FOUNDATION 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 341308939 PROVIDE FINANCIAL SUPPORT TO UNIV. OF TOLEDO PHYSICIANS CLINICAL FACULTY INC OH 501(C)(3) TYPE III UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC 1 UNIVERSITY OF TOLEDO 3000 ARLINGTON AVE TOLEDO OH 43614 340967014 HEALTH CARE AND EDUCATION OH 501(C)(3) 2 N/A 0 REGIONAL CENTER FOR SLEEP MEDICINE OF TOLEDO LLC 3450 W CENTRAL AVE STE 118 TOLEDO OH 43606 264665939 SLEEP CENTER OH N/A RELATED 27750 0 0 0.05000 G A M RENAL LTD DIALYSIS PARTNERS OF NORTHWEST OHIO 30100 TELEGRAPH ROAD SUITE 200 BINGHAM FARMS MI 48025 341877956 DIALYSIS MI N/A RELATED 130490 461097 0 0 0.19000 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0