UNIVERSITY PHYSICIAN GROUP: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY PHYSICIAN GROUP (EIN 38-3474766)
Tax period
2021-10-01 to 2022-09-30
Filed
2024-08-14
IRS object ID
202402279349303850
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-14T17:57:16-04:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382337970PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EDWARDS ELLIS & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12155 BUTTERFIELD DR STE 305AddressLine1Txt
CityTROYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP480843452ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383474766EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PHYSICIAN GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIVBusinessNameControlTxt
Phone8779783627PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 MACK AVENUEAddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48021ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK JUZYCH MDPersonNm
Person TitleDEPARTMENT CHAIRPersonTitleTxt
Phone8779783627PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY B ELLIS CPAPreparerPersonNm
PTINP00047161PTIN
Phone2486434545PhoneNum
Preparation2024-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerMARK JUZYCH MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 MACK AVENUEAddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48021ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$136,610,134GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WAYNEHEALTHCARES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED LICENSED PHYSICIANS HOLDING FACULTY APPOINTMENTS IN CLINICAL DEPARTMENTS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND THROUGH OTHER APPROPRIATELY LICENSED PHYSICIANS AND HEALTH PROFESSIONALS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee972TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$6,822,969PYContributionsGrantsAmt
CY Contributions Grants$5,746,445CYContributionsGrantsAmt
PY Program Service Revenue$136,380,743PYProgramServiceRevenueAmt
CY Program Service Revenue$125,254,333CYProgramServiceRevenueAmt
PY Investment Income-$608,677PYInvestmentIncomeAmt
CY Investment Income$65,000CYInvestmentIncomeAmt
PY Other Revenue$1,567,666PYOtherRevenueAmt
CY Other Revenue$5,544,356CYOtherRevenueAmt
PY Total Revenue$144,162,701PYTotalRevenueAmt
CY Total Revenue$136,610,134CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$99,118,459PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$99,040,483CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$42,087,579PYOtherExpensesAmt
CY Other Expenses$43,861,314CYOtherExpensesAmt
PY Total Expenses$141,206,038PYTotalExpensesAmt
CY Total Expenses$142,901,797CYTotalExpensesAmt
PY Revenues Less Expenses$2,956,663PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,291,663CYRevenuesLessExpensesAmt
Total Assets BOY$80,036,022TotalAssetsBOYAmt
Total Assets EOY$64,326,562TotalAssetsEOYAmt
Total Liabilities BOY$54,285,548TotalLiabilitiesBOYAmt
Total Liabilities EOY$48,723,838TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,750,474NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,602,724NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED LICENSED PHYSICIANS HOLDING FACULTY APPOINTMENTS IN CLINICAL DEPARTMENTS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND THROUGH OTHER APPROPRIATELY LICENSED PHYSICIANS AND HEALTH PROFESSIONALS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$116,863,475ExpenseAmt
Revenue$103,095,092RevenueAmt
DescPROVIDE MEDICAL SERVICES AND EDUCATIONAL OPPORTUNITIES FOR NUMEROUS DEPARTMENTS AT LOCAL AREA HOSPITALS AND FOR WAYNE STATE UNIVERSITY FACULTY, FELLOWS AND RESIDENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,180,439ExpenseAmt
Revenue$22,159,241RevenueAmt
DescESTABLISH AND CONDUCT REGULATORY COMPLIANCE PROGRAMS COVERING ALL DEPARTMENTS OG THE CORPORATION APPLICABLE TO HEALTH CARE SERVICES FURNISHED TO TEACHING PATIENTS AND TO OTHERS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$118,043,914TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document75IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee972EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFFERY P KOHLITZPersonNm
Phone8779783627PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 MACK AVEAddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
HO-SHENG LIN
DEPARTMENT C48.00Yes (X)Yes (X)$829,398$0$9,700
CHARLES SHANLEY MD
PRESIDENT48.00$688,991$0$17,400Yes (X)
MARK JUZYCH MD
DEPARTMENT C48.00$628,714$0$0Yes (X)
DIANA GOODE
CFO48.00$437,444$0$17,234Yes (X)
SAYF FATHY ESQ
VP, CHIEF AD$398,216$0$15,692Yes (X)
WAEL SAKR MD
BOARD TREASU48.00Yes (X)Yes (X)$352,364$0$13,151
DAVID ROSENBERG MD
DEPARTMENT C48.00Yes (X)$339,430$0$10,240
SAFWAN BADR MD
SECRETARY48.00Yes (X)Yes (X)$290,221$0$8,614
DONALD WEAVER MD
DEPARTMENT C48.00Yes (X)$257,156$0$7,996
MARK SCHWEITZER MD
BOARD CHAIR48.00Yes (X)Yes (X)$250,852$0$12,525
MAYSAA BASHA MD
DEPARTMENT C48.00Yes (X)Yes (X)$176,552$0$6,036
JUN LI MD
DEPARTMENT C48.00Yes (X)Yes (X)$144,810$0$4,305
LIZABETH ARDISANA
COMMUNITY ME1.00Yes (X)$0$0$0
MICHAEL GEHEB
COMMUNITY ME1.00Yes (X)$0$0$0
LUAY HADDAD
PHYSICIANYes (X)Yes (X)$0$0$0
JEFFERY P KOHLITZ
VICE PRESIDEYes (X)Yes (X)$0$0$0
XIHUI LIN
PHYSICIANYes (X)Yes (X)$0$0$0
CHAUR-DONG HSU MD
DEPARTMENT CYes (X)$0$0$0
MICHAEL MCKENNA MD
COMMUNITY ME1.00Yes (X)$0$0$0
PETER DEWS MD
COMMUNITY ME1.00Yes (X)$0$0$0
ROBERT FOLBERG MD
COMMUNITY ME1.00Yes (X)Yes (X)$0$0$0
GABRIEL SOSNE
PHYSICIANYes (X)Yes (X)$0$0$0
SCOTT THORNTON
COMMUNITY ME1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,794,148TotalReportableCompFromOrgAmt
Total Other Compensation$122,893TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RAPID BIOSENSE LLC
46701 COMMERCE CENTER DRPLYMOUTHMI48170LABORATORY SERV$455,038
ROBERT T MORRIS MD PLC
1025 DEVONSHIREGROSSE POINTE PARKMI48230CONTRACT PHYSIC$365,342
LEIDOS HEALTH LLC DBA ETTAIN GROUP
PO BOX 60070CHARLOTTENC282600070CONSULTING SERV$201,380
SCANSTAT TECHNOLOGIES LLC
PO BOX 791522BALTIMOREMD212791522MEDICAL RECORDS$144,793
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,746,445AllOtherContributionsAmt
Total Contributions$5,746,445TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLINICAL SERVICES900099$56,608,967$56,608,967
NET PATIENT SERVICES REVENUE900099$40,812,665$40,812,665
INSTITUTIONAL SUPPORT REVENUE900099$8,740,306$8,740,306
NON CLINICAL CONTRACTS REVENU900099$7,588,594$7,588,594
MEDICAL ADMIN900099$5,830,341$5,830,341

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,673,460TotalRevenueColumnAmt
Related Or Exempt Func Income$5,673,460RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$125,254,333TotalProgramServiceRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$65,000SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$65,000SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,000TotalRevenueColumnAmt
Related Or Exempt Func Income$65,000RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER NON OPERATING INCOME900099$2,653,796$2,653,796
NON OPERATING INCOME900099$2,577,905$2,577,905
EXPENSE REIMBURSEMENT900099$312,655$312,655
FieldValueIRS element (for citing)
Other Revenue Total$5,544,356OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,610,134TotalRevenueColumnAmt
Related Or Exempt Func Income$130,863,689RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,577,845TotalAmt
Program Services$81,125,390ProgramServicesAmt
Management And General$15,452,455ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,462,638TotalAmt
Program Services$2,068,616ProgramServicesAmt
Management And General$394,022ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,227,403TotalAmt
Program Services$24,981,923ProgramServicesAmt
Management And General$6,245,480ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,545,608TotalAmt
Program Services$1,236,486ProgramServicesAmt
Management And General$309,122ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,384,652TotalAmt
Program Services$4,307,722ProgramServicesAmt
Management And General$1,076,930ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$298,931TotalAmt
Management And General$298,931ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$941,872TotalAmt
Program Services$753,498ProgramServicesAmt
Management And General$188,374ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,345,778TotalAmt
Program Services$3,476,623ProgramServicesAmt
Management And General$869,155ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescNON OPERATING EXPENSEDesc
Total$117,070TotalAmt
Program Services$93,656ProgramServicesAmt
Management And General$23,414ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$142,901,797TotalAmt
Program Services$118,043,914ProgramServicesAmt
Management And General$24,857,883ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,940,540BOYAmt
EOY$17,201,904EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,967,360BOYAmt
EOY$32,839,260EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$911,071BOYAmt
EOY$798,737EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$29,301,575LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,370,205LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,813,791BOYAmt
EOY$6,931,370EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,403,260BOYAmt
EOY$6,555,291EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$80,036,022BOYAmt
EOY$64,326,562EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,372,024BOYAmt
EOY$20,192,080EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$141,582BOYAmt
EOY-$6,455EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$12,123,938BOYAmt
EOY$12,245,868EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,648,004BOYAmt
EOY$16,292,345EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,285,548BOYAmt
EOY$48,723,838EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,750,474BOYAmt
EOY$15,602,724EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,750,474BOYAmt
EOY$15,602,724EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$80,036,022BOYAmt
EOY$64,326,562EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$6,291,663ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$3,856,087PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,825CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$1,694,535CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,822,969CurrentTaxYearMinus1YearAmt
Current Tax Year$5,746,445CurrentTaxYearAmt
Total$14,301,774TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160,145,023CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$135,204,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,437,740CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$137,948,409CurrentTaxYearMinus1YearAmt
Current Tax Year$130,798,689CurrentTaxYearAmt
Total$686,534,122TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160,182,848CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$135,204,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124,132,275CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$144,771,378CurrentTaxYearMinus1YearAmt
Current Tax Year$136,545,134CurrentTaxYearAmt
Total$700,835,896TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$700,835,896PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,168CurrentTaxYearMinus4YearsAmt
Total$17,168TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,168CurrentTaxYearMinus4YearsAmt
Total$17,168TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160,200,016CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$135,204,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124,132,275CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$144,771,378CurrentTaxYearMinus1YearAmt
Current Tax Year$136,545,134CurrentTaxYearAmt
Total$700,853,064TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5090.99980PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,478,318OtherCostOrOtherBasisAmt
Depreciation$1,546,948DepreciationAmt
Book Value$6,931,370BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,375,257OtherCostOrOtherBasisAmt
Depreciation$20,375,257DepreciationAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$448,000OtherCostOrOtherBasisAmt
Depreciation$448,000DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,931,370TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINSURANCE RECOVERIESDesc
Book Value$6,555,291BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,555,291TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATION$9,659,592
WSU RESTRUCTURING DEBT$6,632,753
FieldValueIRS element (for citing)
Total Liability$16,292,345TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
HO-SHENG LIN
DEPARTMENT CHAIR$829,398$9,700$16,577$839,098
CHARLES SHANLEY MD
PRESIDENT$573,841$17,400$7,845$706,391$115,150
MARK JUZYCH MD
DEPARTMENT CHAIR$628,714$628,714
DIANA GOODE
CFO$364,893$17,234$26,000$454,678$72,551
SAYF FATHY ESQ
VP, CHIEF ADMINISTRA$333,236$15,692$19,500$413,908$64,980
WAEL SAKR MD
BOARD TREASURER$352,364$13,151$26,000$365,515
DAVID ROSENBERG MD
DEPARTMENT CHAIR$339,430$10,240$10,240$349,670
SAFWAN BADR MD
SECRETARY$290,221$8,614$8,614$298,835
DONALD WEAVER MD
DEPARTMENT CHAIR$219,156$7,996$8,715$265,152$38,000
MARK SCHWEITZER MD
BOARD CHAIR$250,852$12,525$15,000$263,377
MAYSAA BASHA MD
DEPARTMENT CHAIR$166,534$6,036$6,653$182,588$10,018

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, ITEM BWE ARE AMENDING FORM 990 TO CORRECT TRIAL BALANCE DISCREPANCIES DISCOVERED POST-FILING. THIS ENSURES ACCURATE FINANCIAL REPORTING.
FORM 990 - ORGANIZATION'S MISSIONTO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED LICENSED PHYSICIANS HOLDING FACULTY APPOINTMENTS IN CLINICAL DEPARTMENTS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND THROUGH OTHER APPROPRIATELY LICENSED PHYSICIANS AND HEALTH PROFESSIONALS.
FORM 990, PART VISECTION A, LINE 2 OFFICERS HAVE BUSINESS RELATIONSHIPS WITHIN THIER RESPECTED MEDICAL FIELDS BUSINESS TRANSACTIONS INVOLVING INTEREST PERSONS. ALMOST ALL OF THE DIRECTORS AND OFFICERS OF THE ORGANIZATION ALSO SERVE AS OFFICERS, DIRECTORS, AND/OR KEY EMPLOYEES OF THE UNIVERSITY PHYSICIAN GROUP AND/OR WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE.
FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS A DRAFT OF THE 990 AND THEN REVIEWS THE FINAL COPY OG THE RETURN BEFORE FILLING.
FORM 990, PAGE 6, PART VI, LINE 12CVERBAL COMMUNICATION TOOK PLACE IN WHICH OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES WERE MADE AWARE OF THE POLICY AND GIVEN THE OPPORTUNITY TO EXPLAIN INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. UPG DID NOT HAVE A FORMALLY ASSIGNED CHIEF COMPLIANCE OFFICER IN FISCAL 2019.
FORM 990, PAGE 6, PART VI, LINE 15ATHE POSITIONS ARE HIRED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTER/CONTRACTS APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD.
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION IS DETERMINED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTER APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD.
FORM 990, PAGE 6, PART VI, LINE 19A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF TIME AS SET FORTH IN PUBLIC DISCLOSURE 6104(D).
FORM 990, PART IX, LINE 11GCLINICAL SERVICES 11,993,629 2,998,407 0 PURCHASED SERVICES OTHER 10,662,305 2,665,576 0 EQUIPMENT EXPENSE 335,764 83,941 0 BAD DEBT EXPENSE 1,990,225 497,556 0 TOTAL 24,981,923 6,245,480 0
FORM 990, PART XIPRIOR PERIOD AUDIT ADJUSTMENT RELATES TO RECLASSIFICATION OF NET ASSETS WITH RESTRICTIONS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FUND FOR MEDICAL RESEARCH &EDUCATIOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 MACK AVEAddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48201ZIPCd
FieldValueIRS element (for citing)
EIN382319524EIN
Primary ActivitiesMEDICALPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Exempt Code Section501 C3ExemptCodeSectionTxt
Public Charity Status12CPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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