2017-05-15T15:02:50-05:00 2016-06-30 475153865 ROSEN SAPPERSTEIN & FRIEDLANDER LLC 300 RED BROOK BLVD SUITE 200 OWINGS MILLS MD 21117 990 2015-07-01 522122145 UNIVERSITY OF MARYLAND ORTHOPAEDIC ASSOCIATES PA UNIV 4103286040 110 S PACA STREET NO 300 BALTIMORE MD 21201 ANDREW N POLLAK MD PRESIDENT/CHAIRMAN 4103286040 2017-03-30 1 JACQUELINE M REARDON CPA P00242411 4105810800 2015 2021-01-29 14:40:06Z ANDREW N POLLAK MD 110 S PACA STREET SUITE 300 BALTIMORE MD 21201 16571728 0 X WWW.FPI.UMARYLAND.EDU X 1998 MD UNDER THE MEDICAL SERVICE PLAN OF THE UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE, MEDICAL SERVICES ARE RENDERED BY THE MEMBERS OF THE FACULTY ON BEHALF OF THE SCHOOL OF MEDICINE IN CONNECTION WITH THEIR DUTIES TO PROVIDE CLINICAL INSTRUCTION FOR MEDICAL STUDENTS AND OTHER TRAINEES AND TO DELIVER HEALTHCARE TO THE GENERAL PUBLIC WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES. 1 0 29 0 0 0 0 0 14696349 16569368 2351 2360 0 0 14698700 16571728 0 0 0 0 13245184 14168445 0 0 0 9639774 6827983 22884958 20996428 -8186258 -4424700 9107482 11485473 47069722 53872413 -37962240 -42386940 X UNDER THE MEDICAL SERVICE PLAN OF THE UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE, MEDICAL SERVICES ARE RENDERED BY THE MEMBERS OF THE FACULTY ON BEHALF OF THE SCHOOL OF MEDICINE IN CONNECTION WITH THEIR DUTIES TO PROVIDE CLINICAL INSTRUCTION FOR MEDICAL STUDENTS AND OTHER TRAINEES AND TO DELIVER HEALTHCARE TO THE GENERAL PUBLIC WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES. 0 0 15389312 16569368 UNDER THE MEDICAL SERVICE PLAN OF THE UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE, MEDICAL SERVICES ARE RENDERED BY THE MEMBERS OF THE FACULTY ON BEHALF OF THE SCHOOL OF MEDICINE IN CONNECTION WITH THEIR DUTIES TO PROVIDE CLINICAL INSTRUCTION FOR MEDICAL STUDENTS AND OTHER TRAINEES AND TO DELIVER HEALTHCARE TO THE GENERAL PUBLIC WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SERVICES. 15389312 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 0 1 0 0 0 1 13 0 1 29 1 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X MICHELE WINGATE CFOBDO 6672141128 250 W PRATT STREET SUITE 901 BALTIMORE MD 21201 ANDREW N POLLAK MD PRESIDENT 10.00 1.00 X X 544815 0 24029 DANIEL E GELB MD VICE PRESIDENT 32.00 X 428148 0 23638 JOHN E KENZORA MD TREASURER 36.00 X 55317 0 8176 LAWRENCE K THOMPSON MD SECRETARY 40.00 X 51566 0 6207 IVY GOODWIN CPA CHIEF FINANCIAL OFFICER 40.00 X 0 157073 35065 STEVEN C LUDWIG MD PHYSICIAN 34.00 X 839356 0 26637 WALTER A EGLSEDER MD PHYSICIAN 36.00 X 395557 0 24675 JASON W NASCONE MD PHYSICIAN 36.00 X 358362 0 25360 MARCUS F SCIADINI MD PHYSICIAN 36.00 X 392991 0 26145 3066112 157073 199932 6 0 1 0 0 PATIENT SERVICE REVENUE 621110 16569368 16569368 16569368 2360 2360 16571728 16569368 0 2360 1223366 1223366 10437353 7306147 3131206 710337 497236 213101 1325297 927708 397589 472092 330464 141628 24358 17051 7307 143664 143664 819420 573594 245826 7428 5200 2228 232263 232263 450766 315536 135230 619447 433613 185834 1019775 1019775 147480 103236 44244 105480 105480 DEPARTMENTAL DEVELOPMEN 920343 920343 MALPRACTICE INSURANCE 820458 820458 GENERAL AND ADMINISTRAT 531567 350000 181567 MEDICAL SUPPLIES 469913 469913 515621 75672 439949 20996428 15389312 5607116 0 6339327 5640426 107737 108168 1119954 1276948 415541 419233 2356779 556297 391198 1800482 733725 2240216 9107482 11485473 2525011 2042543 44544711 51829870 47069722 53872413 X -37962240 -42386940 -37962240 -42386940 9107482 11485473 -4424700 0 X X 0 1 X 1 0 X 9456082 10620662 10727488 14696349 16569368 62069949 9456082 10620662 10727488 14696349 16569368 62069949 0 0 0 62069949 4607 4310 3224 2351 2360 16852 4607 4310 3224 2351 2360 16852 9460689 10624972 10730712 14698700 16571728 62086801 0.99970 0.99960 0.00030 0.00040 X 1415771 143344 1272427 941008 412953 528055 1800482 OTHER SHORT TERM RECEIVABLES 2240216 2240216 OTHER LIABILITIES 576822 DUE TO RELATED PARTIES 48213572 MEDICAL SERVICES PLAN TRUST FUND 66575 DEPARTMENTAL DEVELOPMENT FUND PAYABLE 1599465 DUE TO RELATED PARTIES 60570 INCENTIVE PRACTICE INCOME PAYABLE 1088457 MEDICAL SCHOOL ENRICHMENT FUND 224409 51829870 X 24712043 313900 7826415 8140315 16571728 0 16571728 22432195 313900 1121867 1435767 20996428 0 20996428 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE ASSOCIATION'S TAX POSITION TAKEN ON FEDERAL AND STATE INCOME TAX RETURNS FOR ALL OPEN TAX YEARS (CURRENT AND PRIOR THREE YEARS) AND HAS CONCLUDED THAT AS OF JUNE 30, 2016, NO PROVISION FOR INCOME TAX WOULD BE REQUIRED IN THE ASSOCIATION'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUES REPORTED BY UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES (EIN: 52-2381867) 7,826,415. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES REPORTED BY UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES (EIN: 52-2381867) 1,121,867. X X X 0 0 0 1 0 1 0 1 0 ANDREW N POLLAK MD PRESIDENT 369590 0 175225 0 0 0 18971 0 5058 0 568844 0 0 0 DANIEL E GELB MD VICE PRESIDENT 428148 0 0 0 0 0 18580 0 5058 0 451786 0 0 0 IVY GOODWIN CPA CHIEF FINANCIAL OFFICER 0 146934 0 10139 0 0 0 10982 0 24083 0 192138 0 0 STEVEN C LUDWIG MD PHYSICIAN 628624 0 210732 0 0 0 21579 0 5058 0 865993 0 0 0 WALTER A EGLSEDER MD PHYSICIAN 343557 0 52000 0 0 0 19617 0 5058 0 420232 0 0 0 JASON W NASCONE MD PHYSICIAN 338362 0 20000 0 0 0 20302 0 5058 0 383722 0 0 0 MARCUS F SCIADINI MD PHYSICIAN 336991 0 56000 0 0 0 21087 0 5058 0 419136 0 0 0 PART I, LINE 1A THE ORGANIZATION FOLLOWED THE WRITTEN POLICY THAT WAS APPROVED BY THE GOVERNING BOARD. 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 WHICH 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 WHICH 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 WHICH 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 UNIVERSITY OF MARYLAND FACULTY PHYSICIANS, INC. (FPI) 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, FPI ALSO MAINTAINS A CORPORATE COMPLIANCE PLAN, WHICH DETAILS EXPECTATIONS AROUND CONFLICT OF INTEREST SITUATIONS AND BILLING RESPONSIBILITIES. FPI RELIES ON THE GOOD FAITH OF ITS EMPLOYEES IN THE EXERCISE OF THEIR RESPONSIBILITIES. ALL BUSINESS JUDGMENTS ON BEHALF OF FPI SHOULD BE MADE BY ITS EMPLOYEES ON THE BASIS OF SUCH TRUST AND IN FPI'S BEST INTERESTS. FPI 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 FPI. 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 FPI. 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 FPI. 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 2014-2015 ISSUED BY THE AMERICAN ASSOCIATION OF MEDICAL COLLEGES PROVIDES COMPENSATION GUIDELINES IN THE 25TH PERCENTILE, 50TH PERCENTILE AND 75TH PERCENTILE AS BENCHMARKS. 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 XI, LINE 2C: THE PROCESS FOR SELECTING THE AUDITORS HAS NOT CHANGED FROM THE PRECEDING YEAR. UNIVERSITY OF MARYLAND FACULTY 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 UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES PA 22 S GREENE STREET S11B BALTIMORE MD 21201 522381867 SHARED EMPLOYEES AND FACILITIES MD 501(C)(3) LINE 9 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 UNIVERSITY OF MARYLAND FACULTY PHYSICIANS INC P 11816250 UNIVERSITY OF MARYLAND ORTHOPAEDIC TRAUMA ASSOCIATES PA S 7181482