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          <BusinessNameLine1>reuben mezrich MD</BusinessNameLine1>
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        <ReturnReference>Part I, Line 5</ReturnReference>
        <Explanation>THE ORGANIZATION HAS VARIABLE COMPENSATION ARRANGEMENTS WHICH TAKE INTO CONSIDERATION REVENUES, NET EARNINGS, AND OTHER OPERATIONAL TARGETS, SOME OF WHICH ARE POSITION SPECIFIC AND OTHERS ARE ORGANIZATION WIDE.</Explanation>
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        <ReturnReference>Part I, Line 6</ReturnReference>
        <Explanation>THE ORGANIZATION HAS VARIABLE COMPENSATION ARRANGEMENTS WHICH TAKE INTO CONSIDERATION REVENUES, NET EARNINGS, AND OTHER OPERATIONAL TARGETS, SOME OF WHICH ARE POSITION SPECIFIC AND OTHERS ARE ORGANIZATION WIDE.</Explanation>
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        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>THE ORGANIZATION HAS VARIABLE COMPENSATION ARRANGEMENTS WHICH TAKE INTO CONSIDERATION REVENUES, NET EARNINGS, AND OTHER OPERATIONAL TARGETS, SOME OF WHICH ARE POSITION SPECIFIC AND OTHERS ARE ORGANIZATION WIDE.</Explanation>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>THE ENTITY IS A MARYLAND CORPORATION WHOSE STOCKHOLDERS ARE PHYSICIANS AND MEMBERS OF THE GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE ENTITY RECEIVES A COPY OF THE 990 AND A REPRESENTATIVE OF THE GOVERNING BODY APPROVES IT BEFORE SIGNING THE ELECTRONIC FILING AUTHORIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>As part of their employment by the University Physicians, Inc. (UPI) and the faculty practices of the University of Maryland (PAs), employees and faculty are required to follow the Medical Service Plan. MSP Policy #37 lists the requirements of Compliance and Good Business Practices. As part of the MSP Policy #37, UPI also maintains a Corporate Compliance Plan, which details expectations around conflict of interest situations and billing responsibilities. UPI relies on the good faith of its employees in the exercise of their responsibilities. All business judgments on behalf of UPI should be made by its employees on the basis of such trust and in UPI's best interests. UPI fully respects the rights of employees to privacy in their personal affairs and financial activities. The purpose of this policy is to provide guidance to employees in avoiding situations in their personal activities which are, or appear to be, in conflict with their responsibilities to UPI. Although it is impractical to attempt to define every situation which might be considered a conflict of interest, generally speaking, a conflict exists when an employee's personal interests or activities may influence his or her judgment in the performance of his or her duty to UPI. There may be cases where such conflicts are more theoretical than real, but employees should be concerned about possible conflicts and review and disclose this situation in light of the following guidelines. A major focus of the Corporate Compliance Plan is currently on coding, billing, and documentation compliance and ensuring that regulations are being followed. However, compliance goes beyond avoiding penalties. Our total corporate compliance plan includes a full range of issues, including: - Employment Contracts - Conflicts of Interest - Patient Confidentiality - Records Retention - Contracts and Business Relationships (including Professional Service Agreements) - Waivers of Co-payments, Coinsurance and Deductibles, and more. While the Compliance Office will make every effort to provide appropriate compliance information to all employees, and to respond to all inquiries, no educational and training program, however comprehensive, can anticipate every situation that may present compliance issues. Responsibility for compliance with the Corporate Compliance Plan, including the duty to seek guidance when in doubt, rests with each employee. The above information is discussed with each new employee and faculty member upon hire. Annual Corporate Compliance training touches on the above as well.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The process of determining salary is the same for all of UPI's positions, including the executive class. Executive class positions include UPI's Chief Corporate Officer (CCO) and other senior staff members (CFO, CIO, CHRO, COO). UPI conducts an annual market review. The market review includes a review of all established positions and their salary levels within relevant markets, consistent with job content, responsibilities, and requirements. The following compensation surveys are used as benchmarks: Watson Wyatt, MHHRA and AAMC. UPI's Benefits and Compensation Manager reviews the market analysis and completes an internal equity review. For executive class positions, salary recommendations are then presented to UPI's President (the Dean of the Medical School) for approval. Every three or four years (most recently 2008) UPI engages an outside consulting firm to confirm the adequacy of salary grades and benchmarks at the individual position level.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>form 990, part xi, line 2c:</Identifier>
        <Explanation>The process for selecting the auditors has not changed from the preceding year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>UOM ANESTHESIOLOGY ASSOCIATES</BusinessNameLine1>
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          <BusinessNameLine1>UOM DIAGNOSTIC IMAGING SPECIALISTS PA</BusinessNameLine1>
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