UNIVERSITY PHYSICIAN GROUP: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY PHYSICIAN GROUP (EIN 38-3474766)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-15
- IRS object ID
- 201912279349302286
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-15T16:46:32-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383474766 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY PHYSICIAN GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIV | BusinessNameControlTxt |
| Phone | 2485815930 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1560 E MAPLE NO 400 | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA GOODE | PersonNm |
| Person Title | CFO/VP OF FINANCE | PersonTitleTxt |
| Phone | 2485815930 | PhoneNum |
| Signature | 2019-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | REBEKUH ELEY | PreparerPersonNm |
| PTIN | P01247672 | PTIN |
| Phone | 3126343400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 66.98.98.131 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-15 | IPDt |
| IP Tm | 15:57:14 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2A28FA2E2A09A40AF4F0A751499BE74D16D20E85 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JACK SOBEL MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1560 E MAPLE NO 400 | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $160,275,518 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WSUPGDOCS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO 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 Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1282 | TotalEmployeeCnt |
| Total Volunteers | 67 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $162,412 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $38,325 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $178,468,715 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $147,892,298 | CYProgramServiceRevenueAmt |
| PY Investment Income | $131,500 | PYInvestmentIncomeAmt |
| CY Investment Income | $92,670 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,864,263 | PYOtherRevenueAmt |
| CY Other Revenue | $12,252,225 | CYOtherRevenueAmt |
| PY Total Revenue | $193,464,478 | PYTotalRevenueAmt |
| CY Total Revenue | $160,275,518 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $126,719,610 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $111,924,637 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $66,472,561 | PYOtherExpensesAmt |
| CY Other Expenses | $56,716,515 | CYOtherExpensesAmt |
| PY Total Expenses | $193,192,171 | PYTotalExpensesAmt |
| CY Total Expenses | $168,641,152 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $272,307 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,365,634 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $132,564,251 | TotalAssetsBOYAmt |
| Total Assets EOY | $67,695,283 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $92,132,642 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,364,484 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,431,609 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,330,799 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE OTO 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $105,239,653 | ExpenseAmt |
| Revenue | $108,661,421 | RevenueAmt |
| Desc | PROVIDE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $41,048,401 | ExpenseAmt |
| Revenue | $51,483,102 | RevenueAmt |
| Desc | COORDINATE PROFESSIONAL AND ADMINISTRATIVE SERVICES PROVIDED TO HOSPITALS AND OTHER HEALTH CARE INSTITUTIONS AND PATIENTS; SPONSOR & CONDUCT ACTIVITIES SUPPORTING THE ACADEMIC PROGRAMS OF THE SCHOOL OF MEDICINE (UNDER-GRADUATE AND GRADUATE TEACHING PROGRAMS, RECRUITING HIGH QUALITY FACULTY MEMBERS, AND PROVIDING PUBLIC ACCESS TO ADVANCED HEALTH CARE SERVICES.) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,520,311 | ExpenseAmt |
| Desc | ESTABLISH AND CONDUCT REGULATORY COMPLIANCE PROGRAMS COVERING ALL DEPARTMENTS OF THE CORPORATION APPLICABLE TO HEALTH CARE SERVICES FURNISHED TO TEACHING PATIENTS AND TO OTHERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $147,808,365 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 178 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1282 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA GOODE | PersonNm |
| Phone | 2485815930 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1560 E MAPLE STE 400 | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JACK SOBEL MD | |||||||||
| CHAIRPERSON | 48.00 | 1.00 | Yes (X) | Yes (X) | $343,708 | $0 | $1,362 | ||
| LIZABETH ARDISANA | |||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WAEL SAKR MD | |||||||||
| TREASURER | 48.00 | 1.00 | Yes (X) | Yes (X) | $350,003 | $0 | $3,880 | ||
| MARK JUZYCH MD | |||||||||
| SECRETARY | 48.00 | 1.00 | Yes (X) | Yes (X) | $540,890 | $0 | $1,504 | ||
| DAVID ROSENBERG MD | |||||||||
| BOARD MEMBER | 48.00 | 1.00 | Yes (X) | $339,199 | $0 | $3,633 | |||
| SANDEEP MITTAL MD | |||||||||
| BOARD MEMBER | 48.00 | 1.00 | Yes (X) | $754,963 | $0 | $7,334 | |||
| DONALD WEAVER MD | |||||||||
| BOARD MEMBER | 48.00 | 1.00 | Yes (X) | $182,167 | $0 | $1,287 | |||
| LAWRENCE HORN MD | |||||||||
| BOARD MEMBER (UNTIL 7/18) | 48.00 | 1.00 | Yes (X) | $42,054 | $0 | $0 | |||
| GEROLD BEPLER MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MAHA FREIJ | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT THORNTON | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL GEHEB | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLA WALKER-MILLER | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD BROWN | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SAFWAN BADR MD | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LISA KEANE | |||||||||
| PRESIDENT (UNTIL 2/18) | 48.00 | 0.00 | Yes (X) | $489,890 | $0 | $13,829 | |||
| CHARLES SHANLEY MD | |||||||||
| PRESIDENT (AS OF 3/18) | 48.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFERY KOHLITZ | |||||||||
| VP OF FINANCE/CFO (UNTIL 8/18) | 48.00 | 0.00 | Yes (X) | $194,581 | $0 | $18,928 | |||
| DIANA GOODE | |||||||||
| CFO/VP OF FINANCE (AS OF 8/18) | 48.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KAREN TURNER | |||||||||
| COO (AS OF 4/18) | 48.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SAYF FATHY | |||||||||
| GENERAL COUNSEL | 48.00 | 0.00 | $178,230 | $0 | $16,933 | Yes (X) | |||
| LUAY HADDAD | |||||||||
| PHYSICIAN | 48.00 | 0.00 | $1,123,980 | $0 | $27,192 | Yes (X) | |||
| JOHN WEBBER | |||||||||
| PHYSICIAN | 48.00 | 0.00 | $674,868 | $0 | $21,577 | Yes (X) | |||
| ANU PATEL | |||||||||
| PHYSICIAN | 48.00 | 0.00 | $611,729 | $0 | $36,180 | Yes (X) | |||
| JOFFER HAKIM | |||||||||
| PHYSICIAN | 48.00 | 0.00 | $586,822 | $0 | $47,586 | Yes (X) | |||
| MURALI GUTHIKONDA | |||||||||
| PHYSICIAN | 48.00 | 0.00 | $563,581 | $0 | $1,412 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,976,665 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $202,637 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 288 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CULBERT HEALTHCARE SOLUTIONS INC | |||||
| 800 W CUMMINGS PARK | WOBURN | MA | 01801 | PROFESSIONAL STAFFING | $1,692,437 |
| HEALTH CARE ADMINISTRATIVE | |||||
| PO BOX 1511 | MEDIA | PA | 19063 | CONTRACTED PATIENT BILLING SERVICES | $1,234,178 |
| HENRY FORD | |||||
| 1 FORD PLACE 5E | DETROIT | MI | 48202 | CONTRACTED ANESTHESIOLOGIST | $478,029 |
| DATAFILE TECHNOLOGIES LLC | |||||
| PO BOX 419130 | KANSAS CITY | MO | 64141 | CLINICAL E-FILING SERVICES | $406,428 |
| ANESTHESIA BUSINESS CONSULTANTS | |||||
| 4489 CRANBROOK TRAIL | ORCHARD LAKE | MI | 48323 | MEDICAL SERVICES | $374,958 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $38,325 | AllOtherContributionsAmt |
| Total Contributions | $38,325 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUES | 900099 | $109,399,099 | $109,399,099 |
| ADMIN & CLINICAL SVCS | 900099 | $23,672,795 | $23,672,795 |
| TEACHING SERVICES | 900099 | $13,720,743 | $13,720,743 |
| RENTAL INCOME | 900099 | $1,099,661 | $1,099,661 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $147,892,298 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,168 | TotalRevenueColumnAmt |
| Exclusion | $17,168 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $75,502 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $75,502 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,502 | TotalRevenueColumnAmt |
| Exclusion | $75,502 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,252,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,252,225 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,252,225 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,275,518 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $160,144,523 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $92,670 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,136,716 | TotalAmt |
| Program Services | $88,284,217 | ProgramServicesAmt |
| Management And General | $5,852,499 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,391,652 | TotalAmt |
| Program Services | $1,913,322 | ProgramServicesAmt |
| Management And General | $478,330 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,123,038 | TotalAmt |
| Program Services | $8,098,430 | ProgramServicesAmt |
| Management And General | $2,024,608 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,273,231 | TotalAmt |
| Program Services | $4,218,585 | ProgramServicesAmt |
| Management And General | $1,054,646 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,227 | TotalAmt |
| Management And General | $317,227 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,526 | TotalAmt |
| Management And General | $358,526 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,466,253 | TotalAmt |
| Program Services | $15,249,623 | ProgramServicesAmt |
| Management And General | $216,630 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,202 | TotalAmt |
| Management And General | $180,202 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,880,804 | TotalAmt |
| Program Services | $506,660 | ProgramServicesAmt |
| Management And General | $1,374,144 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,090,757 | TotalAmt |
| Program Services | $9,573,574 | ProgramServicesAmt |
| Management And General | $2,517,183 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,565 | TotalAmt |
| Program Services | $54,358 | ProgramServicesAmt |
| Management And General | $177,207 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,683 | TotalAmt |
| Program Services | $491,683 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,259 | TotalAmt |
| Management And General | $2,259 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,288 | TotalAmt |
| Program Services | $1,364,288 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,024,487 | TotalAmt |
| Program Services | $539,630 | ProgramServicesAmt |
| Management And General | $5,484,857 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PRACTICE EXPENSE | $11,572,043 | $11,572,043 | |
| FUND FOR MEDICAL RESEAR | $5,941,952 | $5,941,952 | |
| LICENSES, DUES, AND SUB | $794,469 | $794,469 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,641,152 | TotalAmt |
| Program Services | $147,808,365 | ProgramServicesAmt |
| Management And General | $20,832,787 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,216,103 | BOYAmt |
| EOY | $21,480,337 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,613,461 | BOYAmt |
| EOY | $28,631,272 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,035,694 | BOYAmt |
| EOY | $1,015,267 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,646,199 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,616,853 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,299,124 | BOYAmt |
| EOY | $2,029,346 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,333,057 | BOYAmt |
| EOY | $4,137,349 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,066,812 | BOYAmt |
| EOY | $10,401,712 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,564,251 | BOYAmt |
| EOY | $67,695,283 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,160,779 | BOYAmt |
| EOY | $34,363,845 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,791,748 | BOYAmt |
| EOY | $11,951,150 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,115 | BOYAmt |
| EOY | $49,489 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,132,642 | BOYAmt |
| EOY | $46,364,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,431,609 | BOYAmt |
| EOY | $21,330,799 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,431,609 | BOYAmt |
| EOY | $21,330,799 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,564,251 | BOYAmt |
| EOY | $67,695,283 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$8,365,634 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$10,735,176 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $37,825 | CurrentTaxYearAmt |
| Total | $37,825 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $189,185,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $197,546,386 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $218,624,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $193,332,978 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $160,145,023 | CurrentTaxYearAmt |
| Total | $958,833,563 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $189,185,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $197,546,386 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $218,624,088 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $193,332,978 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $160,182,848 | CurrentTaxYearAmt |
| Total | $958,871,388 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $958,871,388 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,896 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $117,583 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $127,583 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $131,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,168 | CurrentTaxYearAmt |
| Total | $401,730 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,896 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $117,583 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $127,583 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $131,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,168 | CurrentTaxYearAmt |
| Total | $401,730 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $189,192,984 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $197,663,969 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $218,751,671 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $193,464,478 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $160,200,016 | CurrentTaxYearAmt |
| Total | $959,273,118 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99960 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00040 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,249,876 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,517,746 | DepreciationAmt |
| Book Value | $732,130 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,396,323 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,099,107 | DepreciationAmt |
| Book Value | $1,297,216 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,029,346 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| OHS/UPG VENTURES | $1,797,624 | C |
| OAKLAND PHYSICIAN SURGERY CENTER | $2,319,475 | C |
| OAKWOOD ACO | $20,250 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $4,137,349 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE RECOVERIES | Desc |
| Book Value | $10,401,712 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,401,712 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATIONS | Desc |
| Amt | $49,489 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $49,489 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JACK SOBEL MD | ||||||||||||||
| CHAIRPERSON | $340,000 | $0 | $0 | $0 | $3,708 | $0 | $0 | $0 | $1,362 | $0 | $345,070 | $0 | $0 | $0 |
| WAEL SAKR MD | ||||||||||||||
| TREASURER | $350,003 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,880 | $0 | $353,883 | $0 | $0 | $0 |
| MARK JUZYCH MD | ||||||||||||||
| SECRETARY | $539,858 | $0 | $0 | $0 | $1,032 | $0 | $0 | $0 | $1,504 | $0 | $542,394 | $0 | $0 | $0 |
| DAVID ROSENBERG MD | ||||||||||||||
| BOARD MEMBER | $339,199 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,633 | $0 | $342,832 | $0 | $0 | $0 |
| SANDEEP MITTAL MD | ||||||||||||||
| BOARD MEMBER | $754,633 | $0 | $0 | $0 | $330 | $0 | $5,830 | $0 | $1,504 | $0 | $762,297 | $0 | $0 | $0 |
| DONALD WEAVER MD | ||||||||||||||
| BOARD MEMBER | $179,881 | $0 | $0 | $0 | $2,286 | $0 | $0 | $0 | $1,287 | $0 | $183,454 | $0 | $0 | $0 |
| LISA KEANE | ||||||||||||||
| PRESIDENT (UNTIL 2/18) | $439,407 | $0 | $50,000 | $0 | $483 | $0 | $5,666 | $0 | $8,163 | $0 | $503,719 | $0 | $0 | $0 |
| JEFFERY KOHLITZ | ||||||||||||||
| VP OF FINANCE/CFO (UNTIL 8/18) | $184,618 | $0 | $8,775 | $0 | $1,188 | $0 | $9,770 | $0 | $9,158 | $0 | $213,509 | $0 | $0 | $0 |
| SAYF FATHY | ||||||||||||||
| GENERAL COUNSEL | $178,054 | $0 | $0 | $0 | $176 | $0 | $8,960 | $0 | $7,973 | $0 | $195,163 | $0 | $0 | $0 |
| LUAY HADDAD | ||||||||||||||
| PHYSICIAN | $1,123,463 | $0 | $0 | $0 | $517 | $0 | $0 | $0 | $27,192 | $0 | $1,151,172 | $0 | $0 | $0 |
| JOHN WEBBER | ||||||||||||||
| PHYSICIAN | $674,351 | $0 | $0 | $0 | $517 | $0 | $20,073 | $0 | $1,504 | $0 | $696,445 | $0 | $0 | $0 |
| ANU PATEL | ||||||||||||||
| PHYSICIAN | $611,580 | $0 | $0 | $0 | $149 | $0 | $7,435 | $0 | $28,745 | $0 | $647,909 | $0 | $0 | $0 |
| JOFFER HAKIM | ||||||||||||||
| PHYSICIAN | $586,374 | $0 | $0 | $0 | $448 | $0 | $17,832 | $0 | $29,754 | $0 | $634,408 | $0 | $0 | $0 |
| MURALI GUTHIKONDA | ||||||||||||||
| PHYSICIAN | $561,295 | $0 | $0 | $0 | $2,286 | $0 | $0 | $0 | $1,412 | $0 | $564,993 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE POSITIONS ARE HIRED 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. |
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2017: JACK SOBEL $17,500 ANU PATEL $18,000 |
| PART I, LINE 5 | THE ORGANIZATION MAKES PAYMENT TO SOME PHYSICIANS (WHO ARE ALSO BOARD MEMBERS) FOR DIRECT COMPENSATION THAT ARE BASED ON REVENUES AS PART OF INCENTIVE BASED COMPENSATION. |
| PART I, LINE 6 | MEMBERS OF THE MANAGEMENT EXECUTIVE TEAM WERE PAID BONUSES BASED ON ORGANIZATION RESULTS |
| PART I, LINE 7 | SAYF FATHY - MANAGEMENT INCENTIVE PROGRAM ($10,000) MARK JUZYCH, SANDEEP MITTAL, LUAY HADAD, JOHN WEBBER, ANU PATEL, MURALI GUTHIKONDA - DEPARTMENT COMPENSATION PROGRAM (VARIABLE COMPENSATION) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | OFFICERS HAVE BUSINESS RELATIONSHIPS WITHIN THEIR 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 UNIVERSITY PHYSICIAN GROUP AND/OR WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE. |
| FORM 990, PART VI, SECTION A, LINE 4 | IN APRIL, 2018, THE BYLAWS WERE REVISED TO INCLUDE THE ADDITION OF THE COO POSITION AS A CORPORATE OFFICER ROLE AND CORRESPONDING REVISIONS TO INCLUDE THE COO ON VARIOUS BOARD COMMITTEES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS A DRAFT OF THE 990 AND THEN REVIEWS THE FINAL COPY OF THE RETURN BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | VERBAL 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 OFFICE IN FISCAL 2018. |
| FORM 990, PART VI, SECTION B, LINE 15 | FORM 990, PART VI, LINE 15A HIRING PROCESS FOR TOP OFFICIALS: THE POSITIONS ARE HIRED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTERS/CONTRACTS APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD. FORM 990, PART VI, LINE 15B COMPENSATION PROCESS FOR CORPORATE OFFICERS: COMPENSATION 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, PART VI, SECTION C, LINE 19 | A 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 XI, LINE 9: | NET ASSET TRANSFER TO MAPLE SURGERY CENTER -1,541,281. OTHER RECONCILING ITEMS -9,193,895. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY ANESTHESIA SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1560 E MAPLE STE 400 | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455505859 | EIN |
| Primary Activities | ANESTHESIA | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Total Income | $6,156,595 | TotalIncomeAmt |
| End Of Year Assets | -$5,127 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPG | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUND FOR MEDICAL RESEARCH & EDUCATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1560 E MAPLE STE 400 | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382319524 | EIN |
| Primary Activities | MEDICAL | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPSC DBA MAPLE SURGERY CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1560 E MAPLE STE 400 | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454916090 | EIN |
| Primary Activities | MEDICAL | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $3,710,035 | ShareOfTotalIncomeAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.80410 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY PHYSICIANS SERVICES | |||||||||||
| 1560 E MAPLE STE 400 | TROY | MI | 48083 | 383386347 | MEDICAL | MI | UPG | C | Yes (1) | ||
| OHSUPG VENTURES | |||||||||||
| 1560 E MAPLE STE 400 | TROY | MI | 48083 | 205072681 | MEDICAL | MI | UPG | C | Yes (1) | -$143,364 | $2,576,148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPSC DBA MAPLE SURGERY CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $1,541,281 | InvolvedAmt |
| Method Of Amount Determination | CASH AMOUNT | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, COLUMN (A): | FormAndLineReferenceDesc |
| Explanation | OPSC DBA MAPLE SURGERY CENTER CEASED OPERATIONS ON 11/17/17. | ExplanationTxt |
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