2011-05-16T14:14:50-05:00 2010-06-30 WILLIAM VAUGHAN COMPANY 145 CHESTERFIELD LANE MAUMEE OH 435373836 990 2009-07-01 201304472 University of Toledo Physicians Clinical FACULTY INC UNIV 4193837100 3355 Glendale Avenue 3rd Floor TOLEDO OH 43614 Tammy Scarborough 4193837100 2011-05-16 1 JACK C HAGMEYER 4198911040 2009 2016-02-24 21:20:13Z Tammy Scarborough 3355 Glendale Avenue 3rd Floor TOLEDO OH 43614 73395504 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 24 413 0 0 0 0 68259920 69689800 786 -26789 637189 3616609 68897895 73279620 65000 0 0 47173269 47667825 0 0 22543945 22040962 69782214 69708787 -884319 3570833 14677679 19839078 11229780 12820346 3447899 7018732 PROMOTE, ENHANCE, SUPPLEMENT AND ASSIST IN THE PERFORMANCE OF THE MEDICAL AND HEALTH EDUCATION PROGRAMS AND SERVICES OF THE UNIVERSITY OF TOLEDO. 0 0 66396647 73306409 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. 66396647 1 0 0 0 0 0 0 0 0 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 1 1 0 0 0 1 48 0 413 1 0 0 0 0 0 0 0 0 0 24 24 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 Robert L Booth Jr MD 40.00 X 147631 111138 70892 Kristopher Brickman MD 40.00 X 239658 158071 54105 Andrew B Casabianca MD 40.00 X 244730 135988 77651 Nabil Ebraheim MD 40.00 X 2182913 218653 82944 Steven J Farrell MD 40.00 X 201715 109449 59273 Joan Griffith MD 40.00 X 83077 131875 26391 Jeffrey R Hammersley MD 40.00 X 196764 112655 62250 Terrence J Horrigan MD 40.00 X 147279 215552 66995 Alan P Marco MD 40.00 X 194204 188324 55640 Robert Mrak MD 40.00 X 218077 180886 96866 Munier MS Nazzal MD 40.00 X 370328 125484 96332 Steven H Selman MD 40.00 X 362366 205731 87377 Joseph I Shapiro MD 40.00 X 171390 229399 76762 Martin Skie MD 40.00 X 578233 97986 67198 Marijo Tamburrino MD 40.00 X 15577 198472 22184 Gretchen E Tietjen MD 40.00 X 37034 191949 42627 Gerald B Zelenock MD 40.00 X 252404 206868 77698 Sanford R Kimmel MD 40.00 X 53068 137666 49717 Christopher K Lynn MD 40.00 X 57851 115249 21813 Lawrence W Elmer MD 40.00 X X 59751 102515 22723 Haitham M Elsamaloty MD 40.00 X X 437837 72683 81767 Linda M French MD 40.00 X X 103846 178912 35533 Jeffrey P Gold MD 40.00 X X 172488 582636 72929 Lee S Woldenberg MD 40.00 X X 449809 150169 78020 Gerard L Otten 40.00 X 115541 106308 53413 Ashok Biyani MD 40.00 X 1058312 107799 95079 Abdul Azim Mustapha MD 40.00 X 529150 73099 46409 Joseph Atallah MD 40.00 X 456818 119465 82611 Azedine Medhkour MD 40.00 X 468891 104993 70098 Jacob Zeiss MD 40.00 X 404979 93282 53688 Hossein Elgafy MD 40.00 X 433586 61501 45249 Robert J Coombs MD 40.00 X 405128 85586 52638 Christopher J Cooper MD 40.00 X 207692 239697 73728 Jihad T Abbas MD 40.00 X 370295 75469 76145 Iman E Mohamed MD 40.00 X 310357 129826 94512 Amish Patel DO 40.00 X 430019 63584 43166 Basil E Akpunonu MD 40.00 X 244936 182001 74816 Jason Levine MD 40.00 X 362912 61501 50489 Mark W Burket MD 40.00 X 260119 149945 96907 Daniel J Kosinski MD 40.00 X 332308 77236 47898 Kelly Manahan MD 40.00 X 358182 46056 4606 David Sohn MD 40.00 X 349021 52690 54859 John Geisler MD 40.00 X 356089 45408 6429 Lorie D Gottwald MD 40.00 X 263738 132141 82335 Thomas C Sodeman MD 40.00 X 229703 164008 83365 Marlene C Welch MD 40.00 X 319869 66440 84743 Mohammed Y Kanjwal MD 40.00 X 292767 80507 89308 James P Hofmann MD 40.00 X 246503 124805 66366 Peter Temesy-Armos MD 40.00 X 259615 108619 66075 Daniel Gaudin MD 40.00 X 311538 52690 42760 16356098 6762966 3123379 125 0 1 0 CBIZ MEDICAL MANAGEMENT 3455 MILL RUN DRIVE SUITE 450 Hilliard OH 43026 ANESTHESIA BILLING COMPANY 250683 Allscripts Healthcare LLC 11260 Chester Road Suite 310 Cincinnati OH 45246 Healthcare Software 162650 Physician Billing & Practice 5800 Monroe Street E4 Sylvania OH 435602206 billing system consultants 132383 3 PATIENT SERVICE 621110 69485098 69485098 Dialysis Center 621110 204702 204702 69689800 175 175 88920 115884 -26964 -26964 -26964 Refund of Employer FIC 900099 3111985 3111985 MISCELLANEOUS 900099 504624 504624 3616609 73279620 73306409 0 -26789 16515555 16515555 27316675 25155788 2160887 2472776 2276614 196162 513280 273838 239442 849539 692888 156651 1185847 1185847 96510 96510 773275 749984 23291 441623 353307 88316 861114 861114 991 991 72459 72459 2932800 2932800 PHarmaceuticals and Lab 8197677 8197677 Bad Debt Expense 4240031 4240031 MCO Clinical Cost and D 1785734 1785734 Miscellaneous 549872 199982 349890 Professional Dues and S 361467 361467 541562 541562 69708787 66396647 3312140 0 1978901 1280390 11279908 17238179 71870 75210 195230 96430 657888 263376 395614 394512 550156 548357 206000 206000 14677679 19839078 3103240 5132166 8126540 7688180 11229780 12820346 X 3447899 7018732 3447899 7018732 14677679 19839078 X 0 1 1 X 0 X X 0 0 0 UNIVERSITY OF TOLEDO 340967014 6 0 1 1 0 1 0 657888 263376 394512 394512 Accrued Expenses 6053240 Accrued Pension 1634940 7688180 Part X: Description of Uncertain Tax Positions Under FIN 48: Effective for the year ended June 30, 2010, the Organization adopted the provisions of FASB ASC 740, Income Taxes, related to accounting for uncertainty in income taxes for any unrelated business income. The Organization files tax returns in the U.S. federal jurisdiction. Tax returns for all years after 2005 are subject to future examinations by tax authorities. The implementation of FASB ASC 740 did not have any impact on the Organization's financial statements. X X X 0 0 0 0 0 0 0 0 0 Robert L Booth Jr MD 145060 111138 2571 0 0 0 34837 11114 0 24941 182468 147193 0 0 Kristopher Brickman MD 239658 158071 0 0 0 0 35949 15807 0 2349 275607 176227 0 0 Andrew B Casabianca MD 244730 135988 0 0 0 0 40332 13099 0 24220 285062 173307 0 0 Nabil Ebraheim MD 38115 218653 2144798 0 0 0 36750 21865 0 24329 2219663 264847 0 0 Steven J Farrell MD 0 109449 201715 0 0 0 30257 10945 0 18071 231972 138465 0 0 Joan Griffith MD 83077 131875 0 0 0 0 12462 13188 0 741 95539 145804 0 0 Jeffrey R Hammersley MD 49789 112655 146975 0 0 0 49005 11180 0 2065 245769 125900 0 0 Terrence J Horrigan MD 119423 215552 27856 0 0 0 22092 21555 0 23348 169371 260455 0 0 Alan P Marco MD 194204 188324 0 0 0 0 33451 18332 0 3857 227655 210513 0 0 Robert Mrak MD 218077 180886 0 0 0 0 54712 18089 0 24065 272789 223040 0 0 Munier MS Nazzal MD 0 125484 370328 0 0 0 53136 12548 0 30648 423464 168680 0 0 Steven H Selman MD 343690 205731 18676 0 0 0 58750 20518 0 8109 421116 234358 0 0 Joseph I Shapiro MD 159962 229399 11428 0 0 0 47858 22555 1000 5349 220248 257303 0 0 Martin Skie MD 0 97986 578233 0 0 0 36750 9799 0 20649 614983 128434 0 0 Marijo Tamburrino MD 15577 198472 0 0 0 0 2337 19847 0 0 17914 218319 0 0 Gretchen E Tietjen MD 0 191949 37034 0 0 0 23374 19195 0 58 60408 211202 0 0 Gerald B Zelenock MD 252404 206868 0 0 0 0 54946 20687 0 2065 307350 229620 0 0 Sanford R Kimmel MD 52946 137666 122 0 0 0 8140 13767 1200 26610 62408 178043 0 0 Christopher K Lynn MD 26652 115249 31199 0 0 0 8678 11525 0 1610 66529 128384 0 0 Lawrence W Elmer MD -3000 102515 62751 0 0 0 9413 10252 3000 58 72164 112825 0 0 Haitham M Elsamaloty MD 19569 72683 418268 0 0 0 53250 7268 1200 20049 492287 100000 0 0 Linda M French MD 103846 178912 0 0 0 0 15577 17891 0 2065 119423 198868 0 0 Jeffrey P Gold MD 172488 582636 0 0 0 0 25873 24619 0 22437 198361 629692 0 0 Lee S Woldenberg MD 49923 150169 399886 0 0 0 36750 15017 2000 24253 488559 189439 0 0 Gerard L Otten 105541 106308 10000 0 0 0 17447 10631 2000 23335 134988 140274 0 0 Ashok Biyani MD 0 107799 1058312 0 0 0 58750 10780 0 25549 1117062 144128 0 0 Abdul Azim Mustapha MD 0 73099 529150 0 0 0 36750 7310 0 2349 565900 82758 0 0 Joseph Atallah MD 0 119465 456818 0 0 0 36750 11484 0 34377 493568 165326 0 0 Azedine Medhkour MD 468891 104993 0 0 0 0 36750 10499 0 22849 505641 138341 0 0 Jacob Zeiss MD 17769 93282 387210 0 0 0 36750 9328 3000 4610 444729 107220 0 0 Hossein Elgafy MD 0 61501 433586 0 0 0 36750 6150 0 2349 470336 70000 0 0 Robert J Coombs MD 20769 85586 384359 0 0 0 36750 8559 0 7329 441878 101474 0 0 Christopher J Cooper MD 207692 239697 0 0 0 0 47654 23783 0 2291 255346 265771 0 0 Jihad T Abbas MD 0 75469 370295 0 0 0 52000 7547 0 16598 422295 99614 0 0 Iman E Mohamed MD 79706 129826 230651 0 0 0 53250 12962 0 28300 363607 171088 0 0 Amish Patel DO 150824 63584 279195 0 0 0 36750 6358 0 58 466769 70000 0 0 Basil E Akpunonu MD 12813 182001 232123 0 0 0 54340 18127 0 2349 299276 202477 0 0 Jason Levine MD 353077 61501 9835 0 0 0 36750 6150 0 7589 399662 75240 0 0 Mark W Burket MD 259615 149945 504 0 0 0 58750 13808 0 24349 318869 188102 0 0 Daniel J Kosinski MD 332308 77236 0 0 0 0 36750 7599 0 3549 369058 88384 0 0 Kelly Manahan MD 358182 46056 0 0 0 0 0 4606 0 0 358182 50662 0 0 David Sohn MD 337500 52690 11521 0 0 0 47525 5269 0 2065 396546 60024 0 0 John Geisler MD 356089 45408 0 0 0 0 0 4541 0 1888 356089 51837 0 0 Lorie D Gottwald MD 55158 132141 208580 0 0 0 36750 13214 0 32371 300488 177726 0 0 Thomas C Sodeman MD 152398 164008 77305 0 0 0 34456 16214 0 32695 264159 212917 0 0 Marlene C Welch MD 319869 66440 0 0 0 0 36750 6644 6000 35349 362619 108433 0 0 Mohammed Y Kanjwal MD 292767 80507 0 0 0 0 36750 7966 0 44592 329517 133065 0 0 James P Hofmann MD 244003 124805 2500 0 0 0 51320 11981 0 3065 297823 139851 0 0 Peter Temesy-Armos MD 259615 108619 0 0 0 0 36750 10737 0 18588 296365 137944 0 0 Daniel Gaudin MD 311538 52690 0 0 0 0 36750 5269 0 741 348288 58700 0 0 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 XI, LINE 2C: THE PROCESS IN WHICH THE COMMITTEE RESPONSIBILE FOR OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. 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