2024-05-10T12:46:52-05:00 2023-06-30 350921680 CROWE LLP 401 E LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 333014230 990 2022-07-01 204687937 ACADEMIC PARTNERS INSURANCE COMPANY ACAD 8028645599 463 MOUNTAIN VIEW DRIVE 301 COLCHESTER VT 05446 ANNIKA PREISS DIRECTOR AND SECRETARY 8028645599 2024-05-10 1 ANNIKA PREISS 999009999 0 BRITTNEY KOCAJ P01320603 9542028600 2024-05-10 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL COOKSON 463 MOUNTAIN VIEW DRIVE 301 COLCHESTER VT 05446 27477705 0 X N/A X 2006 VT THE ORGANIZATION SUPPORTS THE UNIVERSITY OF OKLAHOMA & AFFILIATED ENTITIES. 9 0 0 0 0 0 0 0 17158184 14455624 349636 820401 836 0 17508656 15276025 0 0 0 0 0 0 0 0 0 13350653 20765629 13350653 20765629 4158003 -5489604 67974959 74548187 49628666 60701263 18346293 13846924 X THE COMPANY IS ORGANIZED AND OPERATED FOR THE EXCLUSIVE PURPOSE OF SUPPORTING THE UNIVERSITY OF OKLAHOMA'S & ITS' AFFILIATED ENTITIES' ACADEMIC, EDUCATIONAL,RESEARCH, CLINICAL CARE, AND INDIGENT CARE MISSIONS. ACCORDINGLY, ITS' SERVICES ARE LIMITED TO PROVIDING PROFESSIONAL, GENERAL, AND OTHER INSURANCE COVERAGE AND RELATED SERVICES TO THE UNIVERSITY AND ITS' AFFILIATES. 0 0 19853869 14455624 ACADEMIC PARTNERS INSURANCE COMPANY PROVIDES COVERAGE TO MEDICAL PROFESSIONALS AND RELATED HOSPITAL ENTITIES OF THE UNIVERSITY OF OKLAHOMA, A TAX-EXEMPT ORGANIZATION. THE INSURANCE COVERAGES PROVIDED ASSIST THE UNIVERSITY AND HOSPITAL SYSTEM IN STABILIZING THEIR INSURANCE COSTS. THE UNIVERSITY OF OKLAHOMA IS OKLAHOMA'S PREMIER HIGHER EDUCATION INSTITUTION, AND WITH ITS RELATED HOSPITAL PARTNER, SERVES THE EDUCATIONAL AND HEALTH CARE NEEDS OF THE STATE ANDSURROUNDING REGIONS. ACADEMIC PARTNERS INSURANCE COMPANY PROVIDES COVERAGE RELATED TO LIABILITY OF FACULTY PHYSICIANS, RESIDENT PHYSICIANS, MID-LEVELS AND STUDENTS, AS WELL AS A LARGE ACADEMIC HOSPITAL SYSTEM. COSTS ASSOCIATED WITH PROVIDING INSURANCE COVERAGES ARE IN FURTHERANCE OF THE ORGANIZATION'S TAX-EXEMPT PURPOSE OF SUPPORTING THE UNIVERSITY OF OKLAHOMA. 19853869 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 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 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 0 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X AILEEN SANTOS 8028642742 463 MOUNTAIN VIEW DRIVE COLCHESTER VT 05446 IAN FDUNN DIRECTOR 1.00 40.00 X 0 261109 23541 MICHAEL SCOOKSON PRESIDENT 1.00 40.00 X X 0 387074 99975 JAMES MWATSON DIRECTOR 1.00 40.00 X 0 0 0 JOHN PZUBIALDE DIRECTOR 1.00 40.00 X 0 539938 130845 KARL RHANSEN CHAIRMAN 1.00 40.00 X X 0 267298 91823 ONDRIA CGLEASON DIRECTOR 1.00 40.00 X 0 430304 92829 KERI SCONNER DIRECTOR 1.00 40.00 X 0 119753 10725 JOAN MHUSSEY SECRETARY 1.00 X X 0 0 0 RICHARD PLOFGREN DIRECTOR 1.00 X 0 0 0 DALE BRATZLERMD DIRECTOR AS OF 2/9/23 1.00 40.00 X 0 326130 30832 AMY MIDDLEMAN MD DIRECTOR THROUGH 1/31/23 1.00 40.00 X 0 81624 60750 0 2413230 541320 0 0 1 0 MARSH MANAGEMENT SERVICES INC 463 MOUNTAIN VIEW DRIVE SUITE 301 COLCHESTER VT 05446 MANAGEMENT 174526 1 PREMIUMS EARNED 524298 14455624 14455624 14455624 1180720 1180720 11841361 12201680 -360319 -360319 -360319 15276025 14455624 0 820401 X 175811 131858 43953 114825 114825 39267 39267 150765 150765 2518044 2002264 515780 20911 20911 29821 29821 LOSSES AND EXPENSES 17646790 17646790 PREMIUM TAXES 69395 52046 17349 20765629 19853869 911760 0 960974 1469574 24137 5425387 29615 66364 47124894 50508279 5287708 5733474 14547631 11345109 67974959 74548187 303193 343469 49325473 60357794 49628666 60701263 X 0 0 0 0 18346293 13846924 18346293 13846924 67974959 74548187 X -5489604 725735 264500 X 0 1 X 1 0 X X 2 BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA 731377584 2 1 0 0 OU MEDICINE INC 821883948 3 0 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 12G - SUPPORTED ORGANIZATION IN RETURN FOR PREMIUMS PAID FOR INSURANCE COVERAGE, THE ORGANIZATION ADMINISTERS AND PAYS LIABILITY CLAIMS ON BEHALF OF OU MEDICINE. TOTAL NET EARNED PREMIUMS OF ACADEMIC PARTNERS INSURANCE COMPANY FOR THE YEAR ENDED JUNE 30, 2023, WERE $14,455,624 AND TOTAL INCURRED LOSES AND LOSS ADJUSTMENT EXPENSES FOR SUCH YEAR WERE $17,646,791. PART IV, SECTION C, LINE 1 - MAJORITY DIRECTOR DETAIL CONTROL OF APIC, AS WELL AS ITS SUPPORTED ORGANIZATIONS - THE UNIVERSITY OF OKLAHOMA AND OU MEDICINE, INC., IS ULTIMATELY VESTED IN THE STATE OF OKLAHOMA. 0 ALTERNATIVE INVESTMENT FUND 5733474 F 5733474 ACCRUED INTEREST 177919 REINSURANCE RECOVARABLE ON UNPAID LOSSES 10167190 LOSS ESCROW FUNDS 1000000 11345109 OUTSTANDING LOSS RESERVES(CLAIM SPECIFIC) 13079048 INCURRED BUT NOT REPORTED LOSS RESERVES 47295544 PREMIUM TAXES PAYABLE -16798 60357794 X 16115494 725735 264499 990234 15125260 150765 150765 15276025 20614863 0 20614863 150766 150766 20765629 PART X, LINE 2: THE COMPANY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740 "INCOME TAXES", WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THE FINANCIAL STATEMENTS. THE COMPANY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE COMPANY HAS NO UNRECOGNIZED TAX BENEFITS AS OF AND FOR THE YEARS ENDED JUNE 30, 2023 AND 2022. THE COMPANY DOES NOT BELIEVE IT IS REASONABLY POSSIBLE THAT ITS UNRECOGNIZED TAX BENEFITS WOULD MATERIALLY CHANGE IN THE NEXT TWELVE MONTHS. IN THE EVENT THE COMPANY IS EVER SUBJECT TO FEDERAL INCOME TAXES, ITS POLICY WOULD BE TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAXES AS A COMPONENT OF GENERAL AND ADMINISTRATIVE EXPENSES. AS OF JUNE 30, 2023 AND 2022, THE COMPANY DID NOT RECORD ANY INTEREST OR PENALTIES ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS. ALL TAX YEARS FROM FISCAL YEAR 2018 AND FORWARD ARE OPEN AND SUBJECT TO EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET REALIZED GAINS ON SECURITIES HELD FOR SALE 0 0 0 0 0 0 0 0 0 JOHN PZUBIALDE DIRECTOR 0 539938 0 0 0 0 0 122883 0 7962 0 670783 0 0 ONDRIA CGLEASON DIRECTOR 0 430304 0 0 0 0 0 82846 0 9983 0 523133 0 0 MICHAEL SCOOKSON PRESIDENT 0 387074 0 0 0 0 0 87049 0 12926 0 487049 0 0 KARL RHANSEN CHAIRMAN 0 267298 0 0 0 0 0 84948 0 6875 0 359121 0 0 DALE BRATZLERMD DIRECTOR AS OF 2/9/23 0 326130 0 0 0 0 0 27450 0 3382 0 356962 0 0 IAN FDUNN DIRECTOR 0 261109 0 0 0 0 0 23503 0 38 0 284650 0 0 PART I, LINE 3 THE RELATED ORGANIZATIONS, THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER AND OU MEDICINE INC., DETERMINE COMPENSATION USING A COMPENSATION COMMITTEE, COMPENSATION SURVEYS AND THE APPROVAL OF THE COMPENSATION COMMITTEE.THE RELATED ORGANIZATIONS, THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER AND OU MEDICINE INC., DETERMINE COMPENSATION USING A COMPENSATION COMMITTEE, COMPENSATION SURVEYS AND THE APPROVAL OF THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTS WITH MARSH CAPTIVE SERVICES TO RECEIVE SPECIALIZED INSURANCE AND MANAGEMENT SERVICES. JOAN HUSSEY WHO SERVES AS SECRETARY AND DIRECTOR OF THE ORGANIZATION, IS A SENIOR VICE PRESIDENT AT MARSH CAPTIVE SERVICES. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BY-LAWS WERE AMENDED TO MAKE OU MEDICINE, INC. NOW THE SOLE MEMBER OF ACADEMIC PARTNERS INSURANCE COMPANY (APIC). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS OU MEDICINE, INC. D/B/A OU HEALTH, AN OKLAHOMA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A CERTAIN BOARD MEMBERS HOLD THEIR POSITION AS DIRECTORS OF THE ORGANIZATION BY VIRTUE OF THEIR POSITION AT THE OU HEALTH AND/OR OU HEALTH PARTNERS. FURTHER, OU HEALTH RESERVES THE RIGHT OF ELECTION OR APPOINTMENT OF ANY DIRECTORS OF THE CORPORATION (I) OTHER THAN THOSE WHO SERVE EX OFFICIO, AS DESIGNATED IN ARTICLE III, SECTION 2, AND (II) SUBJECT TO THE PROCEDURES SET FORTH IN ARTICLE III, SECTION 3 OF THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B ACCORDING THE TO ORGANIZATION'S BYLAWS, THE SOLE MEMBER HAS THE FOLLOWING RIGHTS: -THE AMENDMENT, RESTATEMENT OR REPEAL OF THE ARTICLES OF INCORPORATION OF THE ORGANIZATION AND THE BYLAWS; -THE ELECTION OR APPOINTMENT OF ANY DIRECTORS OF THE ORGANIZATION (I) OTHER THAN THOSE WHO SERVE EX OFFICIO, AS DESIGNATED IN ARTICLE III, SECTION 2, AND (II) SUBJECT TO THE PROCEDURES SET FORTH IN ARTICLE III, SECTION 3; -THE MERGER, CONSOLIDATION OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; -THE DISSOLUTION, LIQUIDATION, OR TERMINATION OF THE BUSINESS OF THE ORGANIZATION; -A MATERIAL CHANGE IN THE PURPOSES FOR WHICH THE ORGANIZATION WAS FORMED; AND -THE FILING OF A VOLUNTARY PETITION UNDER ANY LAW HAVING FOR ITS PURPOSE THE ADJUDICATION OF THE ORGANIZATION AS BANKRUPT OR INSOLVENT OR THE TAKING OF ANY ACTION WITH RESPECT TO THE REORGANIZATION OR LIQUIDATION OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES COPY OF FORM 990 TO ALL DIRECTORS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C AT EACH ANNUAL MEETING, CONFLICT OF INTEREST FORMS ARE COLLECTED FROM EACH OFFICER AND DIRECTOR OF THE ORGANIZATION AND REVIEWED FOR POTENTIAL CONFLICTS. DIRECTORS ARE REMINDED THAT IF THERE ARE CHANGES DURING THE YEAR, THEY ARE RESPONSIBLE TO COMMUNICATE THESE CHANGES TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G ACTUARIAL: PROGRAM SERVICE EXPENSES 60,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,000. CONTRACT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 478,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 478,280. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 37,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,500. UNIVERSITY OF OKLAHOMA: PROGRAM SERVICE EXPENSES 1,857,264. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,857,264. PATIENT SAFETY OF OKLAHOMA REIMBURSEMER: PROGRAM SERVICE EXPENSES 85,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,000. FORM 990, PART XI, LINE 9: RECLASSIFICATION FOR REALIZED GAINS 264,500. BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA POBOX 26901 OKLAHOMA CITY OK 73190 731377584 EDUCATION OK 501(C)(1) N/A 0 UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER 1200 CHILDRENS AVENUE OKLAHOMA CITY OK 73104 732563627 EDUCATION OK 501(C)(3) LINE 12A, I N/A 0 OU MEDICINE INC 920 STANTON L YOUNG BLVD SUITE 2320 OKLAHOMA CITY OK 73104 821883948 MEDICINE OK 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0