2016-08-15T16:35:39-05:00 2015-09-30 382337970 EDWARDS ELLIS STANLEY & CO PC 2155 BUTTERFIELD DR STE 305A TROY MI 480843450 990 2014-10-01 383474766 UNIVERSITY PHYSICIAN GROUP UNIV 2485815668 1560 E MAPLE STE 400 TROY MI 48083 JACK SOBEL MD VICE CHAIRMAN 2485815668 2016-08-15 true JEFFREY ELLIS P00047161 2486434545 2016-08-15 2014 2016-09-27 15:27:22Z JACK SOBEL MD 1560 E MAPLE STE 400 TROY MI 48083 197747890 false X WWW.WSUPGDOCS.ORG X 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. 28 8 1674 61 0 0 186619070 195839027 26879956 98679 3029709 1707359 216528735 197645065 0 0 138975598 141348794 0 0 58209725 66600329 197185323 207949123 19343412 -10304058 88335125 68418727 24702468 17876197 63632657 50542530 X TO FURNISH MEDICAL CARE AND RELATED 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326587 OMAR KHAN MD CEO 391111 43750 36469 14261 485591 DIANE STILLER CFO/COO 224620 10000 25808 23149 283577 JACK SOBEL MD BOARD MEMBER 321432 34998 14220 370650 BASIM DUBAYBO MD BOARD MEMBER 265111 29162 12247 306520 MARK JURZYCH MD MHSA BOARD MEMBER 745418 27500 29150 19691 821759 DAVID ROSENBERG MD BOARD MEMBER 326584 113750 34763 14740 489837 MICHAEL CHER MD BOARD MEMBER 46720 107059 16916 10421 181116 ROBERT A FRANK MD CEO/CMO 559633 10180 569813 VALERIE M PARISI MD MPH MBA CHAIRPERS.-PRESIDENT 113333 3667 3748 120748 H MICHAEL MARSH MBBS BOARD MEMBER 3000 200400 10296 213696 DARIUS MEHREGAN MD BOARD MEMBER 26234 16500 4701 3355 50790 TSVETI MARKOVA MD BOARD MEMBER 200000 90000 31900 15318 337218 KENDRA SCHWARTZ MD MSPH BOARD MEMBER 80000 6120 86120 ROBERT LISAK MD BOARD MEMBER 146396 16104 9728 172228 ELIZABETH PUSCHECK MD MS BOARD MEMBER 250950 87000 32395 14044 384389 MURALI GUTHIKONDA MD BOARD MEMBER 630950 6750 29150 17667 684517 LAWRENCE G MORAWA MD BOARD MEMBER 457949 29150 14823 501922 HO-SHENG LIN MD BOARD MEMBER 45833 201350 27190 11111 285484 LAWRENCE HORN MD BOARD MEMBER 69167 46203 8565 123935 JAY MEYTHALER MD JD BOARD MEMBER 17000 27500 4895 3404 52799 WILBUR SMITH MD BOARD MEMBER 114400 8896 123296 DONALD WEAVER MD BOARD MEMBER 162055 102250 29073 12016 305394 JIAN-PING JIN MD PHD BOARD MEMBER 26250 2008 28258 TERRY ELLIS MD BOARD MEMBER 200167 18306 16507 234980 JOHN FLACK MD MPH SECRETARY/BOARD MEMB 169034 18594 10461 198089 GARY ABRAMS MD VICE PRESIDENT 29233 3216 3184 35633 ANDREW XAVIER PHYSICIAN 575000 30000 29150 17167 651317 ASHEESH TEWARI PHYSICIAN 925914 26500 21817 974231 JOHN WEBBER PHYSICIAN 500109 87167 31067 16920 635263 JOFFER HAKIM PHYSICIAN 588050 19169 29150 29369 665738 LUAY HADDAD PHYSICIAN 357883 482550 29150 34570 904153 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. ANESTHESIA SERVICES PC COMMON BOARD 3071613 HMO FEES EXPENSE false 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. UNIVERSITY ANESTHESIA SERVICES LLC 1560 E MAPLE STE 400 TROY MI 48083 455505859 ANESTHESIA MI 10567177 1568728 UPG FUND FOR MEDICAL RESEARCH & EDUCAT 1560 E MAPLE STE 400 TROY MI 48083 382319524 MEDICAL MI 501C3 11C N/A false UNIVERSITY PHYSICIAN SERVICES 1560 E MAPLE STE 400 TROY MI 48083 383386347 MEDICAL MI N/A false false false false false false false false false false false false false false true true false true false false