2011-05-11T16:02:00-05:00 2010-06-30 ROSEN SAPPERSTEIN & FRIEDLANDER CHRTD 300 RED BROOK BOULEVARD SUITE 200 OWINGS MILLS MD 21117 990 2009-07-01 521136675 University of Maryland Diagnostic Imaging Specialists PA UNIV 4103289130 110 S PACA STREET 2nd floor BALTIMORE MD 21201 William Regine MD 4103289130 2011-05-11 1 JACQUELINE M REARDON CPA 4105810800 2009 2016-02-24 21:20:13Z William Regine MD 22 South Greene Street Baltimore MD 21201 33946070 0 X WWW.UPI.UMARYLAND.EDU X 1978 MD Under the Medical Service Plan of the University of Maryland, School of Medicine, medical services are rendered by members of the faculty in connection with their duties to provide clinical instruction for medical students and other trainees (including post-graduate students) and to deliver healthcare to the general public and, without charge, to the indigent on behalf of the School of Medicine. 48 0 74 0 0 0 0 33825101 33956594 77409 49731 157527 -60255 34060037 33946070 0 0 10665175 10311601 0 0 24588406 24747698 35253581 35059299 -1193544 -1113229 7582943 6939413 5548107 5990459 2034836 948954 Under the Medical Service Plan of the University of Maryland, School of Medicine, medical services are rendered by members of the faculty in connection with their duties to provide clinical instruction for medical students and other trainees (including post-graduate students) and to deliver healthcare to the general public and, without charge, to the indigent on behalf of the School of Medicine. 0 0 19812445 33946070 Under the Medical Service Plan of the University of Maryland, School of Medicine, medical services are rendered by members of the faculty in connection with their duties to provide clinical instruction for medical students and other trainees (including post-graduate students) and to deliver healthcare to the general public and, without charge, to the indigent on behalf of the School of Medicine. 19812445 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 74 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MD X VICKI CLOSE 4103289130 110 S PACA STREET 2ND FLOOR BALTIMORE MD 21201 REUBEN MEZRICH MD 50.00 X X 144927 0 0 STUART MIRVIS MD 50.00 X X 201494 0 0 CHARLES WHITE MD 50.00 X X 105403 0 0 ALLAN WEKSBERG MD 50.00 X X 209856 0 0 GREGG ZOARSKI MD 50.00 X X X 261997 0 0 ZIV HASKAL MD 50.00 X 64247 0 0 ROBERT MORALES MD 50.00 X 0 0 0 tabassum ahmad md 50.00 X 0 0 0 Krystal archer-arroyo md 50.00 X 0 0 0 avni chudgar md 50.00 X 0 0 0 bary daly md 50.00 X 0 0 0 vasken dilsizian md 50.00 X 0 0 0 thorston fleiter md 50.00 X 0 0 0 jeffrey galvin md 50.00 X 0 0 0 George Gross md 50.00 X 0 0 0 anita hawkins md 50.00 X 0 0 0 navid homayouni md 50.00 X 0 0 0 bogdan iliescu md 50.00 X 0 0 0 jean jeudy md 50.00 X 0 0 0 moonjohn kim md 50.00 X 0 0 0 DHARMENDRA kumar md 50.00 X 0 0 0 barton lane md 50.00 X 0 0 0 lisa miller md 50.00 X X 213491 0 0 fred moeslein md 50.00 X 0 0 0 michael mulligan md 50.00 X 0 0 0 Thu Nguyen md 50.00 X 0 0 0 abraham obuchowski md 50.00 X X 224009 0 0 rahul patel md 50.00 X 0 0 0 robert pugatch md 50.00 X 0 0 0 charles resnik md 50.00 X 0 0 0 Howard richard md 50.00 X 0 0 0 nabile safdar md 50.00 X 0 0 0 eliot seigel md 50.00 X 0 0 0 k shanmuganathan md 50.00 X X 229439 0 0 allan skrenta md 50.00 X 0 0 0 Clint Sliker md 50.00 X 0 0 0 scott steenberg md 50.00 X 0 0 0 david widlus md 50.00 X 0 0 0 Jade Wong MD 50.00 X 0 0 0 SYED ASHRUF MD 50.00 X 0 0 0 ALEXIS BOSCAK MD X 0 0 0 CHRISTINA CAMPASSI MD 50.00 X 0 0 0 LINA CHEN MD 50.00 X 0 0 0 WENGEN CHEN MD 50.00 X 0 0 0 MEREDITH WATTS MD 50.00 X 0 0 0 BERTRAND JANNE D'OTHEE MD 50.00 X 0 0 0 SETH KLIGERMAN MD 50.00 X 0 0 0 THERESA KOUO MD 50.00 X 0 0 0 ALEXANDER MARK MD 16.00 X X 257320 0 0 1912183 0 0 9 0 1 0 Medical Management Professionals 5959 Challowford Road Chattanooga TN 37421 Billing Services 1746146 University Physicians Inc 250 WEST PRATT STREET Baltimore MD 21201 Professional Services 509191 ANDREW S RODGERS MD 12059 GATEWAY DRIVE POTOMAC MD 20854 PHYSICIAN SERVICES 300000 University of Maryland MEDICAL SYSTEM 22 South Greene St S11 Baltimore MD 21201 Professional Services 268306 UNIVERSITY OF MD ORTHOPAEDIC ASSOCIATES 22 South Greene St S11 Baltimore MD 21201 MEDICAL SERVICES 105348 5 Program Service Revenu 621110 33956594 33956594 33956594 49731 49731 income from joint vent 621110 -60255 -60255 -60255 33946070 33946070 0 0 1912183 1912183 7208476 5045933 2162543 453557 317490 136067 444925 311447 133478 292460 204722 87738 4198 2939 1259 32963 32963 447440 313208 134232 2422304 2422304 500004 350003 150001 375385 262769 112616 45250 45250 2339982 2339982 141679 99175 42504 24215 24215 bad debts 7867884 7867884 general and administrat 7307077 7280004 27073 collection fees 1836894 1836894 malpractice insurance 1198880 1198880 medical supplies 104101 104101 99442 69609 29833 35059299 19812445 15246854 0 795006 63232 4972505 3715550 707285 354985 14137 79215 745752 557174 300317 188578 152937 166025 1435762 1576822 7582943 6939413 3095137 2357799 846912 558068 1606058 3074592 5548107 5990459 X 2034836 948954 2034836 948954 7582943 6939413 X 0 1 1 X 0 X 26030879 26850266 23256489 33825101 33956594 143919329 26030879 26850266 23256489 33825101 33956594 143919329 0 0 0 143919329 14044 117770 97260 77409 49731 356214 14044 117770 97260 77409 49731 356214 157527 -60255 97272 98622 233568 332190 26143545 27201604 23353749 34060037 33946070 144705005 0.99460 0.99370 0.00250 0.00240 X 745752 557174 188578 188578 DUE FROM VA 602603 DUE FROM RELATED PARTIES 5859 OTHER RECEIVABLES 968360 1576822 MEDICAL SCHOOL ENRICHMENT FUND 400308 due to related parties 2555526 medical services plan trust 118758 3074592 33946070 35059299 -1113229 27343 4 27347 -1085882 33973413 0 33973413 -27343 -27343 33946070 35059299 0 35059299 0 35059299 Part X: Description of Uncertain Tax Positions Under FIN 48: Management has analyzed the Association's tax position taken on all required federal and state tax return filings for all open tax years (current and prior three years) and has concluded that as of June 30, 2010, no provision for income tax would be required. Part XI, Line 8 - Other Adjustments: Issuance of Common Stock: 4. Part XII, Line 4b - Other Adjustments: INCOME FROM JOINT VENTURE: -27343. X X X 0 0 0 1 0 1 0 1 0 STUART MIRVIS MD 201494 0 0 0 0 0 0 0 0 0 201494 0 0 0 ALLAN WEKSBERG MD 209856 0 0 0 0 0 0 0 0 0 209856 0 0 0 GREGG ZOARSKI MD 261997 0 0 0 0 0 0 0 0 0 261997 0 0 0 lisa miller md 213491 0 0 0 0 0 0 0 0 0 213491 0 0 0 abraham obuchowski md 224009 0 0 0 0 0 0 0 0 0 224009 0 0 0 k shanmuganathan md 229439 0 0 0 0 0 0 0 0 0 229439 0 0 0 ALEXANDER MARK MD 257320 0 0 0 0 0 0 0 0 0 257320 0 0 0 Part I, Line 5 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. Part I, Line 6 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. Part I, Line 7 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. Form 990, Part VI, Section A, line 6 THE ENTITY IS A MARYLAND CORPORATION WHOSE STOCKHOLDERS ARE PHYSICIANS AND MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Section A, line 7a during the current fiscal year, there have been no changes in the manner in which the governing body is elected. Form 990, Part VI, Section B, line 11 THE ENTITY RECEIVES A COPY OF THE 990 AND a representative of THE GOVERNING BODY APPROVES IT BEFORE SIGNING THE ELECTRONIC FILING AUTHORIZATION. Form 990, Part VI, Section B, line 12c 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 provides. 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. Form 990, Part VI, Section B, line 15 Compensation for each PA President and officer is reviewed annually by the Dean of the School of Medicine, who is also the President of UPI. The compensation discussion includes a review of both base and variable compensation components compared to relevant benchmarks. These two components reflect the Total Approved Salary (TAS). AAMC Report on Medical School Faculty Salaries 2007-2008 issued by the American Association of Medical Colleges provides compensation guidelines in the 25 percentile, 50th percentile and 75th percentile as benchmarks. The Dean generally sets the total compensation target in the range of the 75th percentile. Once the TAS is approved by the Dean, it is then sent to the UMB campus President for final approval. The variable or bonus component of compensation for clinical activities is managed through a school-wide performance based incentive compensation (PBIC) plan. Bonus payments are also approved by the President of UMB before distribution. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Form 990, Part VII Contact Addresses for Officers, Directors, Etc REUBEN MEZRICH, M.D. - 22 SOUTH GREENE STREET, BALTIMORE, MD 21201. STUART MIRVIS, M.D. - 22 SOUTH GREENE STREET, BALTIMORE, MD 21201. CHARLES WHITE, M.D. - 22 SOUTH GREENE STREET, BALTIMORE, MD 21201. ALLAN WEKSBERG, M.D. - 22 SOUTH GREENE STREET, BALTIMORE, MD 21201. FORM 990, PART XI, LINE 2C: The process for selecting the auditors has not changed from the preceding year. UNIVERSITY PHYSICIANS INC 250 W PRATT STREET SUITE 901 BALTIMORE MD 21201 521299563 COORDINATION AND IMPLEMENTATION OF A MEDICAL SERVICE PLAN MD 501(c)(3) Line 9 0 1 0 0 1 0 0 0 1 0 0 0 1 1 1 0 0 0 UNIVERSITY PHYSICIANS INC O 4715000