2021-05-13T08:11:39-05:00 2020-06-30 410746749 CLIFTONLARSONALLEN LLP ONE SEAGATE SUITE 2650 TOLEDO OH 43604 990 2019-07-01 201304472 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC UNIV 4193837100 4510 DORR STREET TOLEDO OH 43615 HAITHAM M ELSAMALOTY CFO 4193837100 2021-05-10 1 WILLIAM M SCOTT P01537115 4192443711 2021-05-10 2019 2022-09-23 18:48:47Z LANCE DWORKIN MD 4510 DORR STREET TOLEDO OH 43615 119633388 0 X N/A X 2004 OH TO IMPROVE THE HUMAN CONDITION THROUGH EXCELLENCE IN PATIENT CARE AND MEDICAL DISCOVERY. 25 1 663 5 0 0 5442 14095 106400223 101066273 -48114 308257 8325712 13596625 114683263 114985250 8602487 21127346 0 0 89581018 92929479 0 0 0 14419066 17130018 112602571 131186843 2080692 -16201593 73719816 61206063 21650490 25173231 52069326 36032832 TO IMPROVE THE HUMAN CONDITION THROUGH EXCELLENCE IN PATIENT CARE AND MEDICAL DISCOVERY 0 0 124889121 21127346 101066273 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.CAPTIVE INSURANCE- WRITING OR FUNDING MEDICAL MALPRACTICE INSURANCE AND REINSURANCE FOR UNIVERSITY OF TOLEDO AND UNIVERSITY OF TOLEDO PHYSICIANS. 124889121 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 41 0 663 1 0 0 0 0 0 0 0 0 0 0 0 0 X 25 1 0 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 0 1 1 1 1 1 OH X MINDY WARD 4193837138 4510 DORR STREET TOLEDO OH 43615 X COOPER CHRISTOPHER MD CHAIRMAN, UTP, UTMAC 20.00 20.00 X X 251879 470379 118513 BRICKMAN KRISTOPHER MD CPE, UTP 20.00 20.00 X X 471592 176794 82167 DWORKIN LANCE MD PRESIDENT, UTP 20.00 20.00 X X 250000 416847 85148 ELSAMALOTY HAITHAM MD DIRECTOR, UTP 20.00 20.00 X 512744 216860 96682 HEJEEBU SRINI DO SECRETARY, UTP 20.00 20.00 X X 293599 88475 79349 PYLES BRYAN T TREASURER, UTMAC 20.00 20.00 X X 0 254734 58759 HENDERSON PATRICIA L SECRETARY, UTMAC 1.00 X X 0 0 0 BRUNICARDI FRANCIS MD DIRECTOR, UTP 20.00 20.00 X 360000 416848 104051 CASABIANCA ANDREW MD DIRECTOR, UTP 20.00 20.00 X 333078 219506 88213 CHEN CHANGHU MD DIRECTOR, UTP 20.00 20.00 X 533463 197607 85818 EBRAHEIM NABIL MD DIRECTOR, UTP 20.00 20.00 X 1238500 242248 99174 MRAK ROBERT MD DIRECTOR, UTP 20.00 20.00 X 105000 145359 38705 MUKUNDAN DEEPA MD DIRECTOR, UTP 20.00 20.00 X 75000 131251 30905 SINDHWANI PUNEET MD DIRECTOR, UTP 20.00 20.00 X 425194 203340 93484 VAN HOOK JAMES MD DIRECTOR, UTP 20.00 20.00 X 330500 305010 103948 SINGH TANVIR MD DIRECTOR, UTP 20.00 20.00 X 447724 136708 83944 SPEER LINDA MD TREASURER, UTP 20.00 20.00 X X 147933 194342 62605 TIETJEN GRETCHEN MD DIRECTOR, UTP 20.00 20.00 X 209931 167338 70192 SKIE MARTIN MD DIRECTOR, UTP 20.00 20.00 X 531228 108305 80031 SCHROEDER JASON MD DIRECTOR, UTP 20.00 20.00 X 609197 54732 72092 BOOTH ROBERT MD DIRECTOR, UTP 20.00 20.00 X 162806 123065 47819 GRIDER STEPHEN MD DIRECTOR, UTP 20.00 20.00 X 270066 155207 85178 MOLONEY BRYAN MD DIRECTOR, UTP 20.00 20.00 X 369069 152844 79392 KHOURI SAMER MD DIRECTOR, UTP 20.00 20.00 X 320729 109820 80246 KAW DINKAR MD DIRECTOR, UTP 20.00 20.00 X 305856 81052 66954 ELLIS MICHAEL MD MANAGER, UTMAC 20.00 20.00 X 126640 227656 51773 MCCULLUMSMITH CHERYL MD SECRETARY, UTP 20.00 20.00 X X 165000 268225 81480 NAZZAL MUNIER MD VICE PRESIDENT, UTP 20.00 20.00 X X 376009 186281 89034 AKPUNONU BASIL MD DIRECTOR, UTP 20.00 20.00 X 327229 194429 84557 KOLTZ BROOKE MD DIRECTOR, UTP 20.00 20.00 X 80000 18409 14577 HINCH BRYAN MD DIRECTOR, UTP 20.00 20.00 X 262208 121476 79226 DOMINIAK NICOLE MD DIRECTOR, UTP 20.00 20.00 X 185500 41864 41307 LENHARD AMANDA MD DIRECTOR, UTP 20.00 20.00 X 332674 76924 75463 MAHMOOD ASIF MD DIRECTOR, UTP 20.00 20.00 X 638841 33886 62171 CHAUDHURI PRABIR MD DIRECTOR, UTP 20.00 20.00 X 229034 149577 70526 ALI IMRAN MD DIRECTOR, UTP 20.00 20.00 X 302282 278200 103938 SWAINE RICHARD MANAGER, UTMAC 1.00 40.00 X 0 186240 36638 JUSTICE KAMELA CFO 40.00 X 245522 0 40402 ZAIDI SAYED FAZAL ABBAS MD PHYSICIAN 20.00 20.00 X 705350 75201 75188 JUMAA MOUHAMMAD MD PHYSICIAN 20.00 20.00 X 671308 75201 75188 ELGAFY HOSSEIN MD PHYSICIAN 20.00 20.00 X 600625 76790 75444 BURGESS RICHARD MD PHYSICIAN 20.00 20.00 X 593123 30199 68593 GEHLING DANIEL PHYSICIAN 20.00 20.00 X 745980 38114 63503 WROBLEWSKI MARY BETH MD DIRECTOR, UTP 20.00 20.00 X 46798 120113 40360 BARBEE DANIEL MANAGER, UTMAC 0.00 40.00 X 0 334465 119810 FARRELL MD STEVEN J DIRECTOR, UTP 20.00 20.00 X 198783 122661 58296 SKEEL ROLAND T MD DIRECTOR, UTP 20.00 20.00 X 155500 92665 51178 SODEMAN THOMAS C MD DIRECTOR, UTP 20.00 20.00 X 148176 153084 66596 TALMAGE LANCE MD DIRECTOR, UTP 20.00 20.00 X 18288 119772 31439 15709958 7790103 3450056 253 1 1 0 SELLERS DORSEY & ASSOCIATES LLC 1635 MARKET ST SUITE 301 PHILADELPHIA PA 19103 CONSULTING SERVICES 583170 MOSS ADAMS LLP 999 THIRD AVE SUITE 2800 SEATTLE WA 98104 CONSULTING SERVICES 233554 TRG HEALTHCARE LLC 1835 MARKET ST SUITE 555 PHILADELPHIA PA 19103 CONSULTING SERVICES 221705 EASTMAN & SMITH LTD ONE SEAGATE 24TH FLOOR TOLEDO OH 43699 LEGAL SERVICES 209618 CLIFTONLARSONALLEN LLP 220 S 6TH ST SUITE 300 MINNEAPOLIS MN 55402 AUDIT AND FINANCIAL SERVICES 158381 6 14095 14095 PATIENT SERVICE 621110 97533788 97533788 UTMAC INSURANCE PREMIUMS 621110 2552888 2552888 UTMAC INVESTMENT INCOME 621110 979597 979597 101066273 263395 263395 4693000 4648138 44862 44862 44862 UPL REVENUE 999999 8349513 8349513 PERFORMANCE INCENTIVE PAYMENTS 999999 2106951 2106951 MISCELLANEOUS REVENUE 999999 1955616 1955616 1184545 1184545 13596625 114985250 101066273 0 13904882 21127346 21127346 13088997 13088997 67786970 63806320 3980650 7916548 7551219 365329 2154379 877988 1276391 1982585 1705023 277562 219217 219217 170578 170578 8559607 8559607 35795 35795 684397 663865 20532 200280 200280 1578962 1405276 173686 623539 623539 343 343 223101 223101 1457819 1457819 UTMAC EXPENSES 2089992 2089992 PHARMACEUTICALS 457711 457711 PROFESSIONAL DUES AND L 421532 421532 407145 203573 203572 131186843 124889121 6297722 0 5046426 4738441 19765828 25580183 15852419 16199064 0 4912955 67617 69212 328654 874305 2406681 1462589 911956 944092 31746916 7887811 0 0 73719816 61206063 12631576 16082422 479497 604326 8539417 8486483 21650490 25173231 X 52069326 36032832 52069326 36032832 73719816 61206063 -16201593 165099 0 X 0 1 X 1 0 X X 1 UNIVERSITY OF TOLEDO 346401483 2 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X SCHEDULE A, PAGE 5, LINE 1C THE ORGANIZATION SERVES AS THE 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. SCHEDULE A, PAGE 5, SECTION D LINE 3 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY, INC. (UTP) HAS ONLY ONE CLASS OF MEMBER, AND ONLY ONE MEMBER, THE UNIVERSITY OF TOLEDO. THE SOLE MEMBER, UNIVERSITY OF TOLEDO HAS A SIGNIFICANT VOICE IN THE ACTIVITIES AND OPERATIONS OF UTP. ACT ON ITS BEHALF AS THE SOLE MEMBER OF THE ORGANIZATION. THE SOLE MEMBER OF UTP HAS THE POWER TO 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 SOLE MEMBER: (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 CHANGES 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. SCHEDULE A, PAGE 4, SECTION A, LINE 2 THE ORGANIZATION IS OPERATING FOR THE BENEFIT OF THE UNIVERSITY OF TOLEDO - A PUBLIC UNIVERSITY WHICH IS SUPPORTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 47699 2432 45267 2358982 1460157 898825 944092 LOSSES AND LOSS ADJUSTMENT EXPENSES - UTMAC 8479385 LOSSES AND CLAIMS HANDLING FEES PAYABLE - UTMAC 7098 8486483 91811470 165099 1320952 1486051 90325419 24659831 24659831 114985250 107969505 0 107969505 23217338 23217338 131186843 PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON UTMAC 1,442,490. LOSS ON DAVIS DENTAL -121,538. PART XI, LINE 4B - OTHER ADJUSTMENTS: UTMAC INCOME 3,532,485. DONATIONS TO UTF 2,015. DISTRIBUTIONS TO UT/UTMAC 19,600,000. UT MISSION SUPPORT 1,525,331. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATIONS TO UTF 2,015. DISTRIBUTIONS TO UT/UTMAC 19,600,000. UT MISSION SUPPORT 1,525,331. UTMAC EXPENSES 2,089,992. 1 UNIVERSITY OF TOLEDO 2801 W BANCROFT ST TOLEDO OH 43614 346401483 SECTION 115 21125331 N/A N/A SUPPORT FOR THE UNIVERSITY OF TOLEDO PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS IN THE UNITED STATES BY ONLY DONATING TO THE RELATED ORGANIZATIONS LISTED UNDER SCHEDULE R. X 0 1 X X X 0 0 0 1 0 0 0 1 0 COOPER CHRISTOPHER MD CHAIRMAN, UTP, UTMAC 251879 470379 0 0 0 0 37782 57585 0 23146 289661 551110 0 0 BRICKMAN KRISTOPHER MD CPE, UTP 400500 176794 71092 0 0 0 42000 16849 0 23318 513592 216961 0 0 DWORKIN LANCE MD PRESIDENT, UTP 250000 416847 0 0 0 0 37500 38885 423 8340 287923 464072 0 0 ELSAMALOTY HAITHAM MD DIRECTOR, UTP 31538 216860 481206 0 0 0 42000 20667 1301 32714 556045 270241 0 0 HEJEEBU SRINI DO SECRETARY, UTP 36966 88475 256633 0 0 0 42000 12387 2188 22774 337787 123636 0 0 PYLES BRYAN T TREASURER, UTMAC 0 254734 0 0 0 0 0 35663 0 23096 0 313493 0 0 BRUNICARDI FRANCIS MD DIRECTOR, UTP 360000 416848 0 0 0 0 42000 26469 0 35582 402000 478899 0 0 CASABIANCA ANDREW MD DIRECTOR, UTP 272645 219506 60433 0 0 0 42000 30731 0 15482 375078 265719 0 0 CHEN CHANGHU MD DIRECTOR, UTP 470000 197607 63463 0 0 0 42000 18832 0 24986 575463 241425 0 0 EBRAHEIM NABIL MD DIRECTOR, UTP 0 242248 1238500 0 0 0 42000 33915 0 23259 1280500 299422 0 0 MRAK ROBERT MD DIRECTOR, UTP 105000 145359 0 0 0 0 15750 15239 0 7716 120750 168314 0 0 MUKUNDAN DEEPA MD DIRECTOR, UTP 75000 131251 0 0 0 0 11250 18270 635 750 86885 150271 0 0 SINDHWANI PUNEET MD DIRECTOR, UTP 390500 203340 34694 0 0 0 42000 28468 0 23016 467194 254824 0 0 VAN HOOK JAMES MD DIRECTOR, UTP 330500 305010 0 0 0 0 42000 38781 0 23167 372500 366958 0 0 SINGH TANVIR MD DIRECTOR, UTP 50500 136708 397224 0 0 0 42000 19034 0 22910 489724 178652 0 0 SPEER LINDA MD TREASURER, UTP 147933 194342 0 0 0 0 22190 27208 0 13207 170123 234757 0 0 TIETJEN GRETCHEN MD DIRECTOR, UTP 153855 167338 56076 0 0 0 31361 23427 0 15404 241292 206169 0 0 SKIE MARTIN MD DIRECTOR, UTP 500 108305 530728 0 0 0 42000 15163 0 22868 573228 146336 0 0 SCHROEDER JASON MD DIRECTOR, UTP 575126 54732 34071 0 0 0 42000 7558 0 22534 651197 84824 0 0 BOOTH ROBERT MD DIRECTOR, UTP 162806 123065 0 0 0 0 24421 17124 0 6274 187227 146463 0 0 GRIDER STEPHEN MD DIRECTOR, UTP 212427 155207 57639 0 0 0 40510 21729 0 22939 310576 199875 0 0 MOLONEY BRYAN MD DIRECTOR, UTP 369069 152844 0 0 0 0 42000 21398 0 15994 411069 190236 0 0 KHOURI SAMER MD DIRECTOR, UTP 320729 109820 0 0 0 0 42000 15375 0 22871 362729 148066 0 0 KAW DINKAR MD DIRECTOR, UTP 50500 81052 255356 0 0 0 42000 11242 0 13712 347856 106006 0 0 ELLIS MICHAEL MD MANAGER, UTMAC 126640 227656 0 0 0 0 18996 31872 0 905 145636 260433 0 0 MCCULLUMSMITH CHERYL MD SECRETARY, UTP 150000 268225 15000 0 0 0 24750 36642 0 20088 189750 324955 0 0 NAZZAL MUNIER MD VICE PRESIDENT, UTP 500 186281 375509 0 0 0 42000 26079 0 20955 418009 233315 0 0 AKPUNONU BASIL MD DIRECTOR, UTP 309503 194429 17726 0 0 0 42000 27115 0 15442 369229 236986 0 0 HINCH BRYAN MD DIRECTOR, UTP 140500 121476 121708 0 0 0 39331 17007 0 22888 301539 161371 0 0 DOMINIAK NICOLE MD DIRECTOR, UTP 185500 41864 0 0 0 0 27825 5861 0 7621 213325 55346 0 0 LENHARD AMANDA MD DIRECTOR, UTP 320500 76924 12174 0 0 0 42000 10769 0 22694 374674 110387 0 0 MAHMOOD ASIF MD DIRECTOR, UTP 255500 33886 383341 0 0 0 42000 4639 0 15532 680841 54057 0 0 CHAUDHURI PRABIR MD DIRECTOR, UTP 229034 149577 0 0 0 0 34355 20941 0 15230 263389 185748 0 0 ALI IMRAN MD DIRECTOR, UTP 265500 278200 36782 0 0 0 42000 38843 0 23095 344282 340138 0 0 SWAINE RICHARD MANAGER, UTMAC 0 186240 0 0 0 0 0 26074 0 10564 0 222878 0 0 JUSTICE KAMELA CFO 198022 0 47500 0 0 0 36436 0 3966 0 285924 0 0 0 ZAIDI SAYED FAZAL ABBAS MD PHYSICIAN 466808 75201 238542 0 0 0 42000 10528 0 22660 747350 108389 0 0 JUMAA MOUHAMMAD MD PHYSICIAN 466808 75201 204500 0 0 0 42000 10528 0 22660 713308 108389 0 0 ELGAFY HOSSEIN MD PHYSICIAN 500 76790 600125 0 0 0 42000 10751 0 22693 642625 110234 0 0 BURGESS RICHARD MD PHYSICIAN 530000 30199 63123 0 0 0 42000 4228 0 22365 635123 56792 0 0 GEHLING DANIEL PHYSICIAN 0 38114 745980 0 0 0 42000 5336 0 16167 787980 59617 0 0 WROBLEWSKI MARY BETH MD DIRECTOR, UTP 40500 120113 6298 0 0 0 7020 16711 0 16629 53818 153453 0 0 BARBEE DANIEL MANAGER, UTMAC 0 334465 0 0 0 0 0 96826 0 22984 0 454275 0 0 FARRELL MD STEVEN J DIRECTOR, UTP 500 122661 198283 0 0 0 29817 17068 0 11411 228600 151140 0 0 SKEEL ROLAND T MD DIRECTOR, UTP 155500 92665 0 0 0 0 23325 12973 0 14880 178825 120518 0 0 SODEMAN THOMAS C MD DIRECTOR, UTP 147208 153084 968 0 0 0 22226 21432 0 22938 170402 197454 0 0 TALMAGE LANCE MD DIRECTOR, UTP 18288 119772 0 0 0 0 2743 13731 0 14965 21031 148468 0 0 PART I, LINE 1A CHRISTOPHER COOPER - $7,341 PART I, LINE 1B UTP DOES NOT HAVE A POLICY REGARDING THE PAYMENT OR REIMBURSEMENT OF THE EXPENSES DESCRIBED ON LINE 1A. PAYMENT OR REIMBURSEMENT IS BASED UPON THE BUSINESS PURPOSE OF SUCH REQUEST AND APPROVED BY APPROPRIATE INDIVIDUAL(S) WITHIN UTP. PART I, LINE 5 MANY PHYSICIANS ON STAFF DO RECEIVE COMPENSATION COMPUTED ON SERVICES RENDERED/COLLECTIONS RECEIVED. FOR THIS COMPENSATION, ESTABLISHED FORMULAS AND COMPUTATIONS ARE UTILIZED TO DETERMINE THE COMPENSATION. PART I, LINE 7 MANY PHYSICIANS ON STAFF DO RECEIVE NON-FIXED PAYMENTS BASED ON ACHIEVING VARIOUS MEASURABLES AND GOALS WITHIN THEIR PRACTICE. FORM 990, PART VI, SECTION A, LINE 3 UTMAC, LLC DELEGATES AUTHORITY TO STRATEGIC RISK SOLUTIONS WHICH SERVES AS THE CAPTIVE MANAGER. STRATEGIC RISK SOLUTIONS RECEIVED $53,000 AS COMPENSATION FOR CAPTIVE MANAGEMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 6 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY, INC. (UTP) HAS ONLY ONE CLASS OF MEMBER, AND ONLY ONE MEMBER, THE UNIVERSITY OF TOLEDO, EXERCISING ALL MEMBER RIGHTS. THE REPRESENTATIVES OF THE UNIVERSITY OF TOLEDO ACT ON ITS BEHALF AS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONLY ONE CLASS OF MEMBERS, AND ONLY ONE MEMBER, THE UNIVERSITY OF TOLEDO, EXERCISING ALL MEMBER RIGHTS. THE REPRESENTATIVES OF THE UNIVERSITY OF TOLEDO ACT ON ITS BEHALF AS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION HAS ONE MEMBER, THE UNIVERSITY OF TOLEDO, WHICH EXERCISES ALL MEMBER RIGHTS THROUGH THE ACTIONS OF ITS AUTHORIZED REPRESENTATIVES. THE SOLE MEMBER HAS THE POWER TO 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 SOLE MEMBER: (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 CHANGES 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 11B THE ORGANIZATION'S FORM 990 IS PREPARED BY AN OUTSIDE PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE A DRAFT RETURN IS AVAILABLE, IT IS PROVIDED TO MANAGEMENT FOR THEIR REVIEW. ANY CHANGES NOTED BY MANAGEMENT ARE INCORPORATED INTO THE RETURN BEFORE THE DOCUMENT IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C UTP DOES HAVE A CONFLICT OF INTEREST POLICY THAT IT FOLLOWS WHEN ADDRESSING POTENTIAL CONFLICTS. ALL OFFICERS, DIRECTORS, OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTERESTS WHICH MAY ARISE. SHOULD AN INDIVIDUAL HAVE A CONFLICT OF INTEREST, THE INDIVIDUAL IDENTIFIED WITH THE CONFLICT MAY NOT VOTE ON SUCH ISSUE BEFORE GOVERNANCE. UNIVERSITY OF TOLEDO PHYSICIANS, LLC. AND UTP PATHOLOGY SERVICES, LLC FOLLOWS THE SAME CONFLICT OF INTEREST POLICY THAT WAS ADOPTED BY UTP LLC. UNIVERSITY OF TOLEDO MEDICAL ASSURANCE COMPANY, LLC HAS A SIMILAR CONFLICT OF INTEREST POLICY THAT IS FOLLOWED BY ALL UTMAC MANAGERS. THE POLICY REQUIRES SIMILAR DISCLOSURES AS NOTED ABOVE. FORM 990, PART VI, SECTION B, LINE 15 WHEN DETERMINING COMPENSATION FOR THE PRESIDENT/CEO OF THE VARIOUS ENTITIES, GOVERNANCE UTILIZES COMPARABILITY DATA. COMPENSATION LEVELS ARE REVIEWED BY CHAIRMAN AND COMPENSATION COMMITTEE OF THE BOARD. THIS PROCESS IS THE UTILIZED FOR ALL OFFICERS AND EMPLOYEES PLUS APPLIES TO ALL ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FROM 990, PART VII - BOARD OF DIRECTOR LISTING FOR THE PURPOSE OF THE PART VII REPORTING, THE TRUSTEES OF UNIVERSITY OF TOLEDO PHSICIANS CLINICAL FACULTY, INC. (UTP) SERVE AS GOVERNANCE FOR UNIVERSITY OF TOLEDO PHSICIANS, LLC AND UTP PATHOLOGY SERVICES, LLC. THE SOLE MEMBER OF EACH OF THE LLCS IS UTP. UNIVERSITY OF TOLEDO MEDICAL ASSURANCE COMPANY, LLC (UTMAC) GOVERNANCE IS DESIGNATED IN PART VII OF THE FORM 990. UTP IS ALSO THE SOLE MEMBER OF UTMAC. PART VI LINE 13 - WRITTEN WHISTLEBLOWER POLICY NEITHER UTP NOR UTMAC HAS YET ADOPTED A WRITTEN WHISTLEBLOWER POLICY. UNIVERSITY OF TOLEDO PHYSICIANS LLC 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 341127097 DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER OH 109175522 42906555 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 0 0 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC UNIVERSITY OF TOLEDO MEDICAL ASSURANCE COMPANY LLC 159 BANK ST 4TH FLOOR BURLINGTON VT 05401 DISREGARDED ENTITY FORMED TO CARRY OUT PURPOSES OF MEMBER VT 3532485 18299508 100 UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC TOLEDO AREA MEDICAL FOUNDATION 3355 GLENDALE AVE 3RD FLOOR TOLEDO OH 43614 341308939 FINANCIAL SUPPORT TO UNIV. OF TOLEDO PHYSICIANS CLINICAL FACULTY OH 501(C) LINE 12C, III-FI N/A 0 UNIVERSITY OF TOLEDO 2801 W BANCROFT MS 319 TOLEDO OH 43606 346401483 A PUBLIC INSTITUTION OF HIGHER EDUCATION OH SECTION 115 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 0 0 0.05000 NORTHWEST OHIO ACO LLC 4235 SECOR ROAD TOLEDO OH 43614 455444018 ACCOUNTABLE CARE ORGANIZATION OH N/A RELATED 0 0 0.40000 UNIVERSITY OF TOLEDO DENTISTS INC 4510 DORR ST TOLEDO OH 43615 341274989 DENTAL SERVICES OH N/A C 961543 460304 1.00000 0 0 0 1 0 0 1 0 0 0 0 1 1 1 1 1 1 1 0 0