UNIVERSITY PHYSICIAN GROUP: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY PHYSICIAN GROUP (EIN 38-3474766)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-05-06
IRS object ID
201431269349301253
Schema version
2012v2.3
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

FieldValueIRS element (for citing)
Timestamp2014-05-06T12:27:49-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EDWARDS ELLIS STANLEY & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12155 BUTTERFIELD DR STE 305AAddressLine1
CityTROYCity
StateMIState
ZIP Code480843450ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383474766EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PHYSICIAN GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone2485815668Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11420 STEPHENSON HWYAddressLine1
CityTROYCity
StateMIState
ZIP Code48083ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNETH P LEEName
TitleEXECUTIVE DIRECTORTitle
Phone2485815668Phone
Date Signed2014-05-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY ELLISName
Phone2486434545Phone
Date Prepared2014-05-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonVALERIE M PARISI MD MPH MBANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11420 STEPENSON HWYAddressLine1
CityTROYCity
StateMIState
ZIP Code48083ZIPCode
FieldValueIRS element (for citing)
Gross Receipts195645536GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WSUPGDOCS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1719TotalNbrEmployees
Total Nbr Volunteers61TotalNbrVolunteers
Total Gross UBI463514TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year190870187ProgramServiceRevenuePriorYear
Program Service Revenue CY193476889ProgramServiceRevenueCY
Investment Income Prior Year-130886InvestmentIncomePriorYear
Investment Income Current Year8670InvestmentIncomeCurrentYear
Other Revenue Prior Year2996384OtherRevenuePriorYear
Other Revenue Current Year1919315OtherRevenueCurrentYear
Total Revenue Prior Year193735685TotalRevenuePriorYear
Total Revenue Current Year195404874TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year117373496SalariesEtcPriorYear
Salaries Etc Current Year130320987SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year73211541OtherExpensePriorYear
Other Expenses Current Year61595759OtherExpensesCurrentYear
Total Expenses Prior Year190585037TotalExpensesPriorYear
Total Expenses Current Year191916746TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3150648RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3488128RevenuesLessExpensesCY
Total Assets BOY82170487TotalAssetsBOY
Total Assets EOY80309162TotalAssetsEOY
Total Liabilities BOY36113737TotalLiabilitiesBOY
Total Liabilities EOY31389679TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY46056750NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY48919483NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense111217913Expense
DescriptionPROVIDE MEDICAL SERVICES AND EDUCATIONAL OPPORTUNTIES FOR NUMEROUS DEPARTMENTS AT LOCAL AREA HOSPITALS AND FOR WAYNE STATE UNIVERSITY FACULTY, FELLOWS AND RESIDENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense30391638Expense
DescriptionCOORDINATE 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).Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense141550Expense
DescriptionESTABLISH AND CONDUCT REGULATORY COMPLIANCE PROGRAMS COVERING ALL DEPARTMENTS OF THE CORPORATION APPLICABLE TO HEALTH CARE SERVICES FURNISHED TO TEACHING PATIENTS AND TO OTHERS.Description
FieldValueIRS element (for citing)
Total Program Service Expense141751101TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096304NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1719NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDIANE STILLERNamePerson
Telephone Number3135770442TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11420 STEPHENSON HWYAddressLine1
CityTROYCity
StateMIState
ZIP Code48083ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (46 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MURALI GUTHIKONDA MD
BOARD MEMBER40.00X716876069507
MARK JURZYCH MD MHSA
BOARD MEMBER40.00X609406042430
ROBERT A FRANK MD
CEO/CMO40.00X542589061449X
ANDRE KONSKI MD MBA MA
BOARD MEMBER40.00X527000053995
GEORGE YOO MD FACS
BOARD MEMBER40.00X522545052876
LAWRENCE G MORAWA MD
BOARD MEMBER40.00X496988066168
VALERIE M PARISI MD MPH MBA
CHAIRPERSON/40.00X396923048558X
WAEL SAKR MD
BOARD MEM/VI40.00X389883060960X
DOUGLAS BACON
BOARD MEMBER1.00X345500029660
ELIZABETH PUSCHECK MD MS
BOARD MEMBER40.00X315357024683
JOHN BOLTRI MD
BOARD MEMBER40.00X274500027543
JOHN FLACK MD MPH
SECRETARY/BO40.00X260166024823X
OMAR KHAN MD
BOARD MEMBER40.00X245000010602
DAVID ROSENBERG MD
BOARD MEMBER40.00X228274045641
ROBERT MATHOG MD
BOARD MEMBER40.00X228182044585
DONALD WEAVER MD
BOARD MEMBER40.00X211559055408
MICHAEL CHER MD
BOARD MEMBER40.00X145864016653
LAWRENCE HORN MD
BOARD MEMBER40.00X12874907273
WILBUR SMITH MD
BOARD MEMBER40.00X11690008616
JAY MEYTHALER MD JD
BOARD MEMBER40.00X5130008527
DARIUS MEHREGAN MD
BOARD MEMBER40.00X4268008080
MICHAEL GEHEB MD
BOARD MEMBER1.00X000
JOHN JH SCHWARZ MD
BOARD MEMBER1.00X000
LIZABETH ARDISANA
BOARD MEMBER1.00X000
DOTTIE DEREMO
BOARD MEMBER1.00X000
EDWARD THOMAS
BOARD MEMBER1.00X000
BRIAN O'NEIL MD
BOARD MEMBER1.00X000
SCOTT THORNTON
BOARD MEMBER1.00X000
BONNIE SLOAN PHD
BOARD MEMBER1.00X000
BLAKE ELLIS
BOARD MEMBER1.00X000
GREGORY SCHWARTZ JR
BOARD MEMBER1.00X000
MICHAEL LACUSTA
BOARD MEMBER1.00X000
KENNETH P LEE CPA
EXC DIRECTOR40.00270603051477X
DIANE STILLER
CFO/COO40.00233198046733X
ASHEESH TEWARI
PHYSICIAN40.00892370072033X
BRUCE WASHINGTON
PHYSICIAN40.00718914052761X
JORDAN MAIER
PHYSICIAN40.00626425054845X
ANDREW XAVIER
PHYSICIAN40.00622701068127X
PATRICK MURPHY
PHYSICIAN40.00534803065804X
THEODORE JONES MD
BOARD MEMBER40.00415914026885X
ROBERT LISAK MD
BOARD MEMBER40.0014639608943X
GARY ABRAMS MD
VICE PRESIDE1.0076534022275X
MANUEL TANCER MD
BOARD MEMBER1.006978404963X
KENDRA SCHWARTZ MD MSPH
BOARD MEMBER1.004029502821X
H MICHAEL MARSH MBBS
BOARD MEMBER1.004000003045X
JIAN-PING JIN MD PHD
BOARD MEMBER1.001925001473X
FieldValueIRS element (for citing)
Total Reportable Comp From Org11503428TotalReportableCompFromOrg
Total Other Compensation1250222TotalOtherCompensation
Number Individuals GT100 K328NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD MED ADMIN CFP-1DETROITMI48202MEDICAL14842475
UNIVERSITY PEDIATRICIANS
4201 ST ANTOINE 6FDETROITMI48201ADMIN/CLINICAL10115431
MEDICAL CENTER EMERGENCY SERV
39300 W 12 MILE STE 100FARMINGTONMI48331MEDICAL/TEACHIN4409234
ST JOHN EMERGENCY PHYSICIANS PC
17717 MASONIC BLVDFRASERMI48026PHYSICIAN SVC3268282
ANESTHESIA SERVICES PC
PO BOX 1009JACKSONMI49204PHYSICIAN SVC2977335
FieldValueIRS element (for citing)
Number Of Contractors GT100 K36NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUES127247637127247637
ADMIN & CLINICAL SVCS SUPPORT6559810165598101
MANAGEMENT, HR, & IT SERVICES463514561000463514
RENTAL INCOME167637167637
FieldValueIRS element (for citing)
Total Program Service Revenue193476889TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9182TotalRevenueColumn
Exclusion$9,182ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities240150Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities240000Securities
Other662Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities150Securities
Other-662Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-512TotalRevenueColumn
Related Or Exempt Function Income-512RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Total Revenue Column1919315TotalRevenueColumn
Related Or Exempt Function Income1919315RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1919315TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column195404874TotalRevenueColumn
Related Or Exempt Function Income194932178RelatedOrExemptFunctionIncome
Unrelated Business Revenue463514UnrelatedBusinessRevenue
Exclusion$9,182ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total110840957Total
Program Services83580223ProgramServices
Management And General27260734ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6623981Total
Program Services4596844ProgramServices
Management And General2027137ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6036042Total
Program Services4339371ProgramServices
Management And General1696671ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6820007Total
Program Services4642081ProgramServices
Management And General2177926ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total730666Total
Program Services227396ProgramServices
Management And General503270ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total119139Total
Management And General119139ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8014567Total
Program Services4319793ProgramServices
Management And General3694774ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total374024Total
Program Services112562ProgramServices
Management And General261462ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total61627Total
Program Services50459ProgramServices
Management And General11168ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6595822Total
Program Services5013684ProgramServices
Management And General1582138ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total858388Total
Program Services559603ProgramServices
Management And General298785ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total103525Total
Program Services8011ProgramServices
Management And General95514ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2460366Total
Program Services701446ProgramServices
Management And General1758920ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4704295Total
Program Services3917134ProgramServices
Management And General787161ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FUND FOR MEDICAL RESEARCH18928941170359301893011
PRACTICE EXPENSE60907965471226619570
EQUIPMENT RENTAL & MTCE29887414201772568564
SALARY REIMBURSEMENTS28626612428780433881

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6702201Total
Program Services4326381ProgramServices
Management And General2375820ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total191916746Total
Program Services141751101ProgramServices
Management And General50165645ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10315678BOY
EOY5999426EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY578207BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY45119589BOY
EOY45975975EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY479443BOY
EOY621023EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21703367LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14647892LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5872225BOY
EOY7055475EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY19705345BOY
EOY20383200EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY274063EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY82170487BOY
EOY80309162EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21668053BOY
EOY27497491EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY1929469EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14445684BOY
EOY1962719EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36113737BOY
EOY31389679EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46056750BOY
EOY48919483EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46056750BOY
EOY48919483EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82170487BOY
EOY80309162EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3488128ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-625395ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years200092029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years207699869CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188962531CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year193423807CurrentTaxYearMinus1Year
Current Tax Year194932690CurrentTaxYear
Total985110926Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years200092029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years207699869CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188962531CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year193423807CurrentTaxYearMinus1Year
Current Tax Year194932690CurrentTaxYear
Total985110926Total
FieldValueIRS element (for citing)
Public Support Total509985110926PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30350CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8035CurrentTaxYearMinus1Year
Current Tax Year9182CurrentTaxYear
Total171386Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30350CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8035CurrentTaxYearMinus1Year
Current Tax Year9182CurrentTaxYear
Total171386Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years200150744CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years207764973CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years188992881CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year193431842CurrentTaxYearMinus1Year
Current Tax Year194941872CurrentTaxYear
Total985282312Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99980PublicSupportPercentage509
Prior Year Support Percentage0.99940PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$25,500DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB25500TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2104618OtherCostOrOtherBasis
Depreciation1468609Depreciation
Book Value636009BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis19598749OtherCostOrOtherBasis
Depreciation13179283Depreciation
Book Value6419466BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7055475TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
UNIVERSITY PHYSICIAN SVCS10752442C
OHS/UPG VENTURES8896912C
OAKLAND PHYSICIAN SURGERY CENTER580008C
DMC PHO LLC136588C
OAKWOOD ACO17250C
FieldValueIRS element (for citing)
Total Of Book Value Securities20383200TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
A/P - FMRE$1,241,125
LINE OF CREDIT$600,000
CAPITAL LEASE OBLIGATIONS$121,594
MALPRACTICE CLAIMS PAYABLE
FieldValueIRS element (for citing)
Total Of Amounts1962719TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (31 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
MURALI GUTHIKONDA MD
BOARD MEMBER6080001088765100018507786383
MARK JURZYCH MD MHSA
BOARD MEMBER584549248572550016930651836
ROBERT A FRANK MD
CEOCMO4363391062504550015949604038
ANDRE KONSKI MD MBA MA
BOARD MEMBER452500745003825015745580995
GEORGE YOO MD FACS
BOARD MEMBER5225453825014626575421
LAWRENCE G MORAWA MD
BOARD MEMBER476631203575100015168563156
VALERIE M PARISI MD MPH MBA
CHAIRPERSONPRESIDEN2969231000003469213866445481
WAEL SAKR MD
BOARD MEMVICE CHAIR2350001548834798212978450843
DOUGLAS BACON
BOARD MEMBER310000355001655013110375160
ELIZABETH PUSCHECK MD MS
BOARD MEMBER285000303571143913244340040
JOHN BOLTRI MD
BOARD MEMBER1400001345001536712176302043
JOHN FLACK MD MPH
SECRETARYBOARD MEMB160911992551300811815284989
OMAR KHAN MD
BOARD MEMBER2250002000010602255602
DAVID ROSENBERG MD
BOARD MEMBER206535217393424111400273915
ROBERT MATHOG MD
BOARD MEMBER750001531823422710358272767
DONALD WEAVER MD
BOARD MEMBER148662628974442710981266967
MICHAEL CHER MD
BOARD MEMBER647268113872939360162517
KENNETH P LEE CPA
EXC DIRECTORTREASUR2706032538826089322080
DIANE STILLER
CFOCOO223198100002332023413279931
ASHEESH TEWARI
PHYSICIAN88448478865100021033964403
BRUCE WASHINGTON
PHYSICIAN7189142550027261771675
JORDAN MAIER
PHYSICIAN704095560163825016595681270
ANDREW XAVIER
PHYSICIAN563830588715100017127690828
PATRICK MURPHY
PHYSICIAN52691778865100014804600607
THEODORE JONES MD
BOARD MEMBER40605798571275014135442799
ROBERT LISAK MD
BOARD MEMBER1463968943155339
GARY ABRAMS MD
VICE PRESIDENT68761777316072620398809
MANUEL TANCER MD
BOARD MEMBER69784496374747
KENDRA SCHWARTZ MD MSPH
BOARD MEMBER310069289282143116
H MICHAEL MARSH MBBS
BOARD MEMBER390001000304543045
JIAN-PING JIN MD PHD
BOARD MEMBER19250147320723

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ADUES TO A HEALTH/SOCIAL CLUB WERE PAID FOR TWO DEPARTMENT CHAIRS WHO ARE ALSO BOARD MEMBERS TO ASSIST IN RECRUITMENT OF FACULTY AND STAFF. THE BENEFITS WERE NOT TREATED AS TAXABLE COMPENSATION.
WRITTEN REIMBURSEMENT POLICY EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1BTHE 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 GARY ABRAMS AND JOHN FLACK.
COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 5ATHE 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.
COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATIONSCHEDULE J, PAGE 1, PART I, LINE 6ATHE 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

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANESTHESIA SERVICES PC
COMMON BOARD2977335HMO FEES EXPENSEfalse
ANESTHESIA SERVICES PC
COMMON BOARD10507FEES/DUES REVENUEfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTO 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.
ADDITIONAL INFORMATIONFORM 990, PART VILINE 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE ORGANIZATION'S CFO/COO REVIEWS A DRAFT OF THE 990 AND REVIEWS THE FINAL COPY OF THE RETURN BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CANNUAL DISCLOSURES.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE POSITIONS ARE HIRED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTERS APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY ANESTHESIA SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11420 STEPHENSON HWYAddressLine1
CityTROYCity
StateMIState
ZIP Code48083ZIPCode
FieldValueIRS element (for citing)
EIN455505859EIN
Primary ActivitiesANESTHESIAPrimaryActivities
Legal Domicile StateMILegalDomicileState
Total Income10481048TotalIncome
EOY Assets1470008EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UPGBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1FUND FOR MEDICAL RESEARCH & EDUCATBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11420 STEPHENSON HWYAddressLine1
CityTROYCity
StateMIState
ZIP Code48083ZIPCode
FieldValueIRS element (for citing)
EIN382319524EIN
Primary ActivitiesMEDICALPrimaryActivities
Legal Domicile StateMILegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status11CPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PHYSICIAN SERVICESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11420 STEPHENSON HWYAddressLine1
CityTROYCity
StateMIState
ZIP Code48083ZIPCode
FieldValueIRS element (for citing)
EIN383386347EIN
Primary ActivityMEDICALPrimaryActivity
Legal Domicile StateMILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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