UNIVERSITY PHYSICIAN GROUP: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY PHYSICIAN GROUP (EIN 38-3474766)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-15
- IRS object ID
- 201612289349306241
- Schema version
- 2014v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T16:35:39-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382337970 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARDS ELLIS STANLEY & CO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2155 BUTTERFIELD DR STE 305A | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 480843450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | 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 | 2485815668 | 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACK SOBEL MD | PersonNm |
| Person Title | VICE CHAIRMAN | PersonTitleTxt |
| Phone | 2485815668 | PhoneNum |
| Signature | 2016-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY ELLIS | PreparerPersonNm |
| PTIN | P00047161 | PTIN |
| Phone | 2486434545 | PhoneNum |
| Preparation | 2016-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | 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 STE 400 | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48083 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $197,747,890 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WSUPGDOCS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | TO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED PHYSICIANS HOLDING FACULTY APPOINMENTS 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 | 28 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1674 | TotalEmployeeCnt |
| Total Volunteers | 61 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $186,619,070 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $195,839,027 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,879,956 | PYInvestmentIncomeAmt |
| CY Investment Income | $98,679 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,029,709 | PYOtherRevenueAmt |
| CY Other Revenue | $1,707,359 | CYOtherRevenueAmt |
| PY Total Revenue | $216,528,735 | PYTotalRevenueAmt |
| CY Total Revenue | $197,645,065 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $138,975,598 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $141,348,794 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $58,209,725 | PYOtherExpensesAmt |
| CY Other Expenses | $66,600,329 | CYOtherExpensesAmt |
| PY Total Expenses | $197,185,323 | PYTotalExpensesAmt |
| CY Total Expenses | $207,949,123 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,343,412 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,304,058 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $88,335,125 | TotalAssetsBOYAmt |
| Total Assets EOY | $68,418,727 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,702,468 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,876,197 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $63,632,657 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $50,542,530 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED PHYSICIANS HOLDING FACULTY APPOINMENTS 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 | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $114,817,488 | ExpenseAmt |
| Desc | PROVIDE MEDICAL SERVICES AND EDUCATIONAL OPPORTUNTIES 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 | $25,930,884 | ExpenseAmt |
| Desc | COORDINATE PROFESSIONAL AND ADMINISTRATIVE SERVICES PROVIDED TO HOSPITALS AND OTHER HEALTH CARE INSTITUTIONS AND PATIENTS; SPONSOR & CONDUCT ACTIVITIES SUPPORTING THE ACEDEMIC 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 | $131,981 | 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 | $140,880,353 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 251 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1674 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 28 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN HORVAT | PersonNm |
| Phone | 2485815668 | 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 (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL BUSUITO | ||||||||
| CHAIRPERS.-P | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WAEL SAKR MD | ||||||||
| BOARD MEM/VI | 40.00 | Yes (X) | Yes (X) | $472,430 | $0 | $45,035 | ||
| KENNETH P LEE CPA | ||||||||
| EXC DIRECTOR | 40.00 | Yes (X) | $272,326 | $0 | $54,261 | |||
| OMAR KHAN MD | ||||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $434,861 | $0 | $50,730 | ||
| DIANE STILLER | ||||||||
| CFO/COO | 40.00 | Yes (X) | $234,620 | $0 | $48,957 | |||
| JACK SOBEL MD | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $321,432 | $0 | $49,218 | |||
| BASIM DUBAYBO MD | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $265,111 | $0 | $41,409 | |||
| MARK JURZYCH MD MHSA | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $772,918 | $0 | $48,841 | |||
| DAVID ROSENBERG MD | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $440,334 | $0 | $49,503 | |||
| MICHAEL CHER MD | ||||||||
| BOARD MEMBER | 40.00 | Yes (X) | $153,779 | $0 | $27,337 | |||
| RICHARD BROWN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MAHA FREIJ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LIZABETH ARDISANA | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT C KENNEDY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT THORNTON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BLAKE ELLIS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLA WALKER-MILLER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT A FRANK MD | ||||||||
| CEO/CMO | 40.00 | $559,633 | $0 | $10,180 | Yes (X) | |||
| VALERIE M PARISI MD MPH MBA | ||||||||
| CHAIRPERS.-P | 40.00 | $113,333 | $0 | $7,415 | Yes (X) | |||
| H MICHAEL MARSH MBBS | ||||||||
| BOARD MEMBER | 10.00 | $203,400 | $0 | $10,296 | Yes (X) | |||
| DARIUS MEHREGAN MD | ||||||||
| BOARD MEMBER | 40.00 | $42,734 | $0 | $8,056 | Yes (X) | |||
| TSVETI MARKOVA MD | ||||||||
| BOARD MEMBER | 40.00 | $290,000 | $0 | $47,218 | Yes (X) | |||
| KENDRA SCHWARTZ MD MSPH | ||||||||
| BOARD MEMBER | 10.00 | $80,000 | $0 | $6,120 | Yes (X) | |||
| ROBERT LISAK MD | ||||||||
| BOARD MEMBER | 40.00 | $146,396 | $0 | $25,832 | Yes (X) | |||
| ELIZABETH PUSCHECK MD MS | ||||||||
| BOARD MEMBER | 40.00 | $337,950 | $0 | $46,439 | Yes (X) | |||
| MURALI GUTHIKONDA MD | ||||||||
| BOARD MEMBER | 40.00 | $637,700 | $0 | $46,817 | Yes (X) | |||
| LAWRENCE G MORAWA MD | ||||||||
| BOARD MEMBER | 40.00 | $457,949 | $0 | $43,973 | Yes (X) | |||
| HO-SHENG LIN MD | ||||||||
| BOARD MEMBER | 40.00 | $247,183 | $0 | $38,301 | Yes (X) | |||
| LAWRENCE HORN MD | ||||||||
| BOARD MEMBER | 40.00 | $115,370 | $0 | $8,565 | Yes (X) | |||
| JAY MEYTHALER MD JD | ||||||||
| BOARD MEMBER | 40.00 | $44,500 | $0 | $8,299 | Yes (X) | |||
| WILBUR SMITH MD | ||||||||
| BOARD MEMBER | 40.00 | $114,400 | $0 | $8,896 | Yes (X) | |||
| DONALD WEAVER MD | ||||||||
| BOARD MEMBER | 40.00 | $264,305 | $0 | $41,089 | Yes (X) | |||
| JIAN-PING JIN MD PHD | ||||||||
| BOARD MEMBER | 10.00 | $26,250 | $0 | $2,008 | Yes (X) | |||
| TERRY ELLIS MD | ||||||||
| BOARD MEMBER | 10.00 | $200,167 | $0 | $34,813 | Yes (X) | |||
| JOHN FLACK MD MPH | ||||||||
| SECRETARY/BO | 20.00 | $169,034 | $0 | $29,055 | Yes (X) | |||
| GARY ABRAMS MD | ||||||||
| VICE PRESIDE | 40.00 | $29,233 | $0 | $6,400 | Yes (X) | |||
| ANDREW XAVIER | ||||||||
| PHYSICIAN | $605,000 | $0 | $46,317 | Yes (X) | ||||
| ASHEESH TEWARI | ||||||||
| PHYSICIAN | $925,914 | $0 | $48,317 | Yes (X) | ||||
| JOHN WEBBER | ||||||||
| PHYSICIAN | $587,276 | $0 | $47,987 | Yes (X) | ||||
| JOFFER HAKIM | ||||||||
| PHYSICIAN | $607,219 | $0 | $58,519 | Yes (X) | ||||
| LUAY HADDAD | ||||||||
| PHYSICIAN | $840,433 | $0 | $63,720 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $11,013,190 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $1,109,923 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 346 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HENRY FORD HEALTH SYSTEM | |||||
| 2799 W GRAND BLVD MED ADMIN CFP-1 | DETROIT | MI | 48202 | MEDICAL | $11,105,622 |
| UNIVERSITY PEDIATRICIANS | |||||
| 4201 ST ANTOINE 6F | DETROIT | MI | 48201 | ADMIN/CLINICAL | $7,687,385 |
| ST JOHN EMERGENCY PHYSICIANS PC | |||||
| 17717 MASONIC BLVD | FRASER | MI | 48026 | PHYSICIAN SVC | $4,919,699 |
| MEDICAL CENTER EMERGENCY SERV | |||||
| 39300 W 12 MILE STE 100 | FARMINGTON | MI | 48331 | MEDICAL/TEACHIN | $4,263,907 |
| DOC-WSUPG TROY MOB LLC | |||||
| 309 N WATER ST STE 500 | MILWAIKEE | WI | 53202 | RENT | $3,177,422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 36 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT REVENUES | $134,271,137 | $134,271,137 |
| ADMIN & CLINICAL SVCS SUPPORT | $60,936,977 | $60,936,977 |
| RENTAL INCOME | $630,913 | $630,913 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $195,839,027 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,583 | TotalRevenueColumnAmt |
| Exclusion | $117,583 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $83,921 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $102,825 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$18,904 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,904 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$18,904 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Total Revenue Column | $1,707,359 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,707,359 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,707,359 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $197,645,065 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $197,527,482 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $117,583 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,613,640 | TotalAmt |
| Program Services | $87,765,691 | ProgramServicesAmt |
| Management And General | $31,847,949 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,613,974 | TotalAmt |
| Program Services | $5,089,003 | ProgramServicesAmt |
| Management And General | $2,524,971 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,141,422 | TotalAmt |
| Program Services | $4,545,187 | ProgramServicesAmt |
| Management And General | $2,596,235 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,979,758 | TotalAmt |
| Program Services | $4,667,876 | ProgramServicesAmt |
| Management And General | $2,311,882 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,862,996 | TotalAmt |
| Program Services | $267,565 | ProgramServicesAmt |
| Management And General | $1,595,431 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,724 | TotalAmt |
| Management And General | $29,724 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,818,560 | TotalAmt |
| Program Services | $4,504,148 | ProgramServicesAmt |
| Management And General | $5,314,412 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,556 | TotalAmt |
| Program Services | $57,530 | ProgramServicesAmt |
| Management And General | $407,026 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,642 | TotalAmt |
| Program Services | $12,243 | ProgramServicesAmt |
| Management And General | $7,399 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,263,922 | TotalAmt |
| Program Services | $6,077,204 | ProgramServicesAmt |
| Management And General | $5,186,718 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,070 | TotalAmt |
| Program Services | $461,137 | ProgramServicesAmt |
| Management And General | $220,933 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,235 | TotalAmt |
| Program Services | $719 | ProgramServicesAmt |
| Management And General | $136,516 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,469,617 | TotalAmt |
| Program Services | $779,102 | ProgramServicesAmt |
| Management And General | $2,690,515 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,369,815 | TotalAmt |
| Program Services | $218,103 | ProgramServicesAmt |
| Management And General | $4,151,712 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FUND FOR MEDICAL RESEARCH | $13,180,490 | $11,861,257 | $1,319,233 |
| PRACTICE EXPENSE | $10,315,915 | $9,230,422 | $1,085,493 |
| EQUIPMENT RENTAL & MTCE | $3,439,047 | $551,999 | $2,887,048 |
| PROFESSIONAL DEVELOPMENT | $1,223,819 | $1,051,549 | $172,270 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,322,921 | TotalAmt |
| Program Services | $3,739,618 | ProgramServicesAmt |
| Management And General | $2,583,303 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,949,123 | TotalAmt |
| Program Services | $140,880,353 | ProgramServicesAmt |
| Management And General | $67,068,770 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,598,380 | BOYAmt |
| EOY | $3,301,647 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,868,381 | BOYAmt |
| EOY | $42,365,487 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,392,341 | BOYAmt |
| EOY | $1,655,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $27,190,340 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,874,895 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,963,203 | BOYAmt |
| EOY | $7,315,445 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,258,507 | BOYAmt |
| EOY | $13,332,307 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,313 | BOYAmt |
| EOY | $448,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,335,125 | BOYAmt |
| EOY | $68,418,727 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,244,154 | BOYAmt |
| EOY | $14,258,189 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,805,118 | BOYAmt |
| EOY | $3,315,649 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $653,196 | BOYAmt |
| EOY | $302,359 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,702,468 | BOYAmt |
| EOY | $17,876,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,632,657 | BOYAmt |
| EOY | $50,542,530 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,632,657 | BOYAmt |
| EOY | $50,542,530 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,335,125 | BOYAmt |
| EOY | $68,418,727 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$10,304,058 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,786,069 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $188,962,531 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,423,807 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $194,932,690 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,185,088 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $197,546,386 | CurrentTaxYearAmt |
| Total | $964,050,502 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $188,962,531 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,423,807 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $194,932,690 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,185,088 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $197,546,386 | CurrentTaxYearAmt |
| Total | $964,050,502 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $964,050,502 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,035 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,182 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,896 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,583 | CurrentTaxYearAmt |
| Total | $173,046 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,035 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,182 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,896 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,583 | CurrentTaxYearAmt |
| Total | $173,046 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $188,992,881 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,431,842 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $194,941,872 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,192,984 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $197,663,969 | CurrentTaxYearAmt |
| Total | $964,223,548 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $25,500 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $25,500 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,634,306 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,350,827 | DepreciationAmt |
| Book Value | $1,283,479 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,556,034 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,524,068 | DepreciationAmt |
| Book Value | $6,031,966 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,315,445 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| UNIVERSITY PHYSICIAN SVCS | $10,735,175 | C |
| OHS/UPG VENTURES | $1,797,624 | C |
| OAKLAND PHYSICIAN SURGERY CENTER | $780,008 | C |
| OAKWOOD ACO | $19,500 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $13,332,307 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATIONS | Desc |
| Amt | $302,359 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $302,359 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| WAEL SAKR MD | |||||
| BOARD MEM/VICE CHAIR | $385,430 | $87,000 | $29,643 | $15,392 | $517,465 |
| KENNETH P LEE CPA | |||||
| EXC DIRECTOR/TREASUR | $272,326 | $28,600 | $25,661 | $326,587 | |
| OMAR KHAN MD | |||||
| CEO | $391,111 | $43,750 | $36,469 | $14,261 | $485,591 |
| DIANE STILLER | |||||
| CFO/COO | $224,620 | $10,000 | $25,808 | $23,149 | $283,577 |
| JACK SOBEL MD | |||||
| BOARD MEMBER | $321,432 | $34,998 | $14,220 | $370,650 | |
| BASIM DUBAYBO MD | |||||
| BOARD MEMBER | $265,111 | $29,162 | $12,247 | $306,520 | |
| MARK JURZYCH MD MHSA | |||||
| BOARD MEMBER | $745,418 | $27,500 | $29,150 | $19,691 | $821,759 |
| DAVID ROSENBERG MD | |||||
| BOARD MEMBER | $326,584 | $113,750 | $34,763 | $14,740 | $489,837 |
| MICHAEL CHER MD | |||||
| BOARD MEMBER | $46,720 | $107,059 | $16,916 | $10,421 | $181,116 |
| ROBERT A FRANK MD | |||||
| CEO/CMO | $559,633 | $10,180 | $569,813 | ||
| VALERIE M PARISI MD MPH MBA | |||||
| CHAIRPERS.-PRESIDENT | $113,333 | $3,667 | $3,748 | $120,748 | |
| H MICHAEL MARSH MBBS | |||||
| BOARD MEMBER | $3,000 | $200,400 | $10,296 | $213,696 | |
| DARIUS MEHREGAN MD | |||||
| BOARD MEMBER | $26,234 | $16,500 | $4,701 | $3,355 | $50,790 |
| TSVETI MARKOVA MD | |||||
| BOARD MEMBER | $200,000 | $90,000 | $31,900 | $15,318 | $337,218 |
| KENDRA SCHWARTZ MD MSPH | |||||
| BOARD MEMBER | $80,000 | $6,120 | $86,120 | ||
| ROBERT LISAK MD | |||||
| BOARD MEMBER | $146,396 | $16,104 | $9,728 | $172,228 | |
| ELIZABETH PUSCHECK MD MS | |||||
| BOARD MEMBER | $250,950 | $87,000 | $32,395 | $14,044 | $384,389 |
| MURALI GUTHIKONDA MD | |||||
| BOARD MEMBER | $630,950 | $6,750 | $29,150 | $17,667 | $684,517 |
| LAWRENCE G MORAWA MD | |||||
| BOARD MEMBER | $457,949 | $29,150 | $14,823 | $501,922 | |
| HO-SHENG LIN MD | |||||
| BOARD MEMBER | $45,833 | $201,350 | $27,190 | $11,111 | $285,484 |
| LAWRENCE HORN MD | |||||
| BOARD MEMBER | $69,167 | $46,203 | $8,565 | $123,935 | |
| JAY MEYTHALER MD JD | |||||
| BOARD MEMBER | $17,000 | $27,500 | $4,895 | $3,404 | $52,799 |
| WILBUR SMITH MD | |||||
| BOARD MEMBER | $114,400 | $8,896 | $123,296 | ||
| DONALD WEAVER MD | |||||
| BOARD MEMBER | $162,055 | $102,250 | $29,073 | $12,016 | $305,394 |
| JIAN-PING JIN MD PHD | |||||
| BOARD MEMBER | $26,250 | $2,008 | $28,258 | ||
| TERRY ELLIS MD | |||||
| BOARD MEMBER | $200,167 | $18,306 | $16,507 | $234,980 | |
| JOHN FLACK MD MPH | |||||
| SECRETARY/BOARD MEMB | $169,034 | $18,594 | $10,461 | $198,089 | |
| GARY ABRAMS MD | |||||
| VICE PRESIDENT | $29,233 | $3,216 | $3,184 | $35,633 | |
| ANDREW XAVIER | |||||
| PHYSICIAN | $575,000 | $30,000 | $29,150 | $17,167 | $651,317 |
| ASHEESH TEWARI | |||||
| PHYSICIAN | $925,914 | $26,500 | $21,817 | $974,231 | |
| JOHN WEBBER | |||||
| PHYSICIAN | $500,109 | $87,167 | $31,067 | $16,920 | $635,263 |
| JOFFER HAKIM | |||||
| PHYSICIAN | $588,050 | $19,169 | $29,150 | $29,369 | $665,738 |
| LUAY HADDAD | |||||
| PHYSICIAN | $357,883 | $482,550 | $29,150 | $34,570 | $904,153 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | DUES TO A HEALTH/SOCIAL CLUB WERE PAID FOR TWO DEPARTMENT CHAIRS WHO ARE ALSO BOARD MEMBERS OR FORMER BOARD MEMBERS TO ASSIST IN RECRUITMENT OF FACULTY AND STAFF. THE BENEFITS WERE NOT TREATED AS TAXABLE COMPENSATION. |
| SCHEDULE J, PAGE 1, PART I, LINE 1B | THE ORGANIZATION'S REIMBURSEMENT POLICY DOES NOT HAVE A PROVISION FOR CLUB DUES. THE DEPARTMENT CHAIRS DETERMINED THAT THE BENEFITS WOULD BE PROVIDED, AND THE DECISION WAS BASED ON THE BENEFIT PROVIDED TO THE ORGANIZATION. THESE BENEFITS APPLY TO BOARD MEMBERS WAEL SAKR, M.D. AND DAVID ROSENBERG, M.D. |
| SCHEDULE J, PAGE 1, PART I, LINE 5A | THE ORGANIZATION MAKES PAYMENTS TO SOME PHYSICIANS (WHO ARE ALSO BOARD MEMBERS) FOR DIRECT COMPENSATION THAT ARE BASED ON REVENUES AS PART OF INCENTIVE-BASED COMPENSATION. |
| SCHEDULE J, PAGE 1, PART I, LINE 6A | THE ORGANIZATION MAKES PAYMENTS TO SOME PHYSICIANS (WHO ARE ALSO BOARD MEMBERS) FOR DIRECT COMPENSATION THAT ARE BASED ON EARNINGS AS PART OF INCENTIVE-BASED COMPENSATION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANESTHESIA SERVICES PC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | COMMON BOARD | RelationshipDescriptionTxt |
| Transaction | $3,071,613 | TransactionAmt |
| Transaction | HMO FEES EXPENSE | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED PHYSICIANS HOLDING FACULTY APPOINMENTS IN CLINICAL DEPARTMENTS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND THROUGH OTHER APPROPRIATELY LICENSED PHYSICIANS AND HEALTH PROFESSIONALS. |
| FORM 990, PART VI | LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS: ALMOST ALL OF THE DIRECTORS AND OFFICERS OF UNIVERSITY PHYSICIAN GROUP ALSO SERVE AS OFFICERS AND/OR DIRECTORS OF THE FUND FOR MEDICAL RESEARCH AND EDUCATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION'S CFO/COO REVIEWS A DRAFT OF THE 990 AND REVIEWS THE FINAL COPY OF THE RETURN BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL DISCLOSURES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE POSITIONS ARE HIRED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTERS APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE POSITIONS ARE HIRED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTERS APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
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 | $10,567,177 | TotalIncomeAmt |
| End Of Year Assets | $1,568,728 | 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 & EDUCAT | 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 | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 11C | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY PHYSICIAN SERVICES | 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 | 383386347 | EIN |
| Primary Activities | MEDICAL | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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