2014-05-06T12:27:49-05:00 2013-09-30 EDWARDS ELLIS STANLEY & CO PC 2155 BUTTERFIELD DR STE 305A TROY MI 480843450 990 2012-10-01 383474766 UNIVERSITY PHYSICIAN GROUP UNIV 2485815668 1420 STEPHENSON HWY TROY MI 48083 KENNETH P LEE 2485815668 2014-05-05 true JEFFREY ELLIS 2486434545 2014-05-06 2012 2015-11-30 17:44:51Z VALERIE M PARISI MD MPH MBA 1420 STEPENSON HWY TROY MI 48083 195645536 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. 26 8 1719 61 463514 0 190870187 193476889 -130886 8670 2996384 1919315 193735685 195404874 0 0 117373496 130320987 0 0 73211541 61595759 190585037 191916746 3150648 3488128 82170487 80309162 36113737 31389679 46056750 48919483 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. false false 111217913 PROVIDE MEDICAL SERVICES AND EDUCATIONAL OPPORTUNTIES FOR NUMEROUS DEPARTMENTS AT LOCAL AREA HOSPITALS AND FOR WAYNE STATE UNIVERSITY FACULTY, FELLOWS AND RESIDENTS. 30391638 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). 141550 ESTABLISH AND CONDUCT REGULATORY COMPLIANCE PROGRAMS COVERING ALL DEPARTMENTS OF THE CORPORATION APPLICABLE TO HEALTH CARE SERVICES FURNISHED TO TEACHING PATIENTS AND TO OTHERS. 141751101 true false false true false false false false false false true true false false true false false true false false false false false false false false false false false true false false false false false false false true false false false false true true true false false false true 304 0 true 1719 true true true false false false false false false false false false false false false false false X 26 8 true false false false false false false true true false false false true true true true true true true true true MI X X DIANE STILLER 3135770442 1420 STEPHENSON HWY TROY MI 48083 MURALI GUTHIKONDA MD 40.00 X 716876 0 69507 MARK JURZYCH MD MHSA 40.00 X 609406 0 42430 ROBERT A FRANK MD 40.00 X X 542589 0 61449 ANDRE KONSKI MD MBA MA 40.00 X 527000 0 53995 GEORGE YOO MD FACS 40.00 X 522545 0 52876 LAWRENCE G MORAWA MD 40.00 X 496988 0 66168 VALERIE M PARISI MD MPH MBA 40.00 X X 396923 0 48558 WAEL SAKR MD 40.00 X X 389883 0 60960 DOUGLAS BACON 1.00 X 345500 0 29660 ELIZABETH PUSCHECK MD MS 40.00 X 315357 0 24683 JOHN BOLTRI MD 40.00 X 274500 0 27543 JOHN FLACK MD MPH 40.00 X X 260166 0 24823 OMAR KHAN MD 40.00 X 245000 0 10602 DAVID ROSENBERG MD 40.00 X 228274 0 45641 ROBERT MATHOG MD 40.00 X 228182 0 44585 DONALD WEAVER MD 40.00 X 211559 0 55408 MICHAEL CHER MD 40.00 X 145864 0 16653 LAWRENCE HORN MD 40.00 X 128749 0 7273 WILBUR SMITH MD 40.00 X 116900 0 8616 JAY MEYTHALER MD JD 40.00 X 51300 0 8527 DARIUS MEHREGAN MD 40.00 X 42680 0 8080 MICHAEL GEHEB MD 1.00 X 0 0 0 JOHN JH SCHWARZ MD 1.00 X 0 0 0 LIZABETH ARDISANA 1.00 X 0 0 0 DOTTIE DEREMO 1.00 X 0 0 0 EDWARD THOMAS 1.00 X 0 0 0 BRIAN O'NEIL MD 1.00 X 0 0 0 SCOTT THORNTON 1.00 X 0 0 0 BONNIE SLOAN PHD 1.00 X 0 0 0 BLAKE ELLIS 1.00 X 0 0 0 GREGORY SCHWARTZ JR 1.00 X 0 0 0 MICHAEL LACUSTA 1.00 X 0 0 0 KENNETH P LEE CPA 40.00 X 270603 0 51477 DIANE STILLER 40.00 X 233198 0 46733 ASHEESH TEWARI 40.00 X 892370 0 72033 BRUCE WASHINGTON 40.00 X 718914 0 52761 JORDAN MAIER 40.00 X 626425 0 54845 ANDREW XAVIER 40.00 X 622701 0 68127 PATRICK MURPHY 40.00 X 534803 0 65804 THEODORE JONES MD 40.00 X 415914 0 26885 ROBERT LISAK MD 40.00 X 146396 0 8943 GARY ABRAMS MD 1.00 X 76534 0 22275 MANUEL TANCER MD 1.00 X 69784 0 4963 KENDRA SCHWARTZ MD MSPH 1.00 X 40295 0 2821 H MICHAEL MARSH MBBS 1.00 X 40000 0 3045 JIAN-PING JIN MD PHD 1.00 X 19250 0 1473 11503428 1250222 328 true true false HENRY FORD HEALTH SYSTEM 2799 W GRAND BLVD MED ADMIN CFP-1 DETROIT MI 48202 MEDICAL 14842475 UNIVERSITY PEDIATRICIANS 4201 ST ANTOINE 6F DETROIT MI 48201 ADMIN/CLINICAL 10115431 MEDICAL CENTER EMERGENCY SERV 39300 W 12 MILE STE 100 FARMINGTON MI 48331 MEDICAL/TEACHIN 4409234 ST JOHN EMERGENCY PHYSICIANS PC 17717 MASONIC BLVD FRASER MI 48026 PHYSICIAN SVC 3268282 ANESTHESIA SERVICES PC PO BOX 1009 JACKSON MI 49204 PHYSICIAN SVC 2977335 36 PATIENT REVENUES 127247637 127247637 ADMIN & CLINICAL SVCS SUPPORT 65598101 65598101 MANAGEMENT, HR, & IT SERVICES 561000 463514 463514 RENTAL INCOME 167637 167637 193476889 9182 9182 240150 240000 662 150 -662 -512 -512 MISCELLANEOUS INCOME 1919315 1919315 1919315 195404874 194932178 463514 9182 110840957 83580223 27260734 6623981 4596844 2027137 6036042 4339371 1696671 6820007 4642081 2177926 730666 227396 503270 119139 119139 8014567 4319793 3694774 374024 112562 261462 61627 50459 11168 6595822 5013684 1582138 858388 559603 298785 103525 8011 95514 2460366 701446 1758920 4704295 3917134 787161 FUND FOR MEDICAL RESEARCH 18928941 17035930 1893011 PRACTICE EXPENSE 6090796 5471226 619570 EQUIPMENT RENTAL & MTCE 2988741 420177 2568564 SALARY REIMBURSEMENTS 2862661 2428780 433881 6702201 4326381 2375820 191916746 141751101 50165645 0 10315678 5999426 578207 45119589 45975975 479443 621023 21703367 14647892 5872225 7055475 19705345 20383200 100000 274063 82170487 80309162 21668053 27497491 1929469 14445684 1962719 36113737 31389679 X 46056750 48919483 46056750 48919483 82170487 80309162 3488128 -625395 X false true X true false X 200092029 207699869 188962531 193423807 194932690 985110926 200092029 207699869 188962531 193423807 194932690 985110926 985110926 58715 65104 30350 8035 9182 171386 58715 65104 30350 8035 9182 171386 200150744 207764973 188992881 193431842 194941872 985282312 0.99980 0.99940 0.00000 X false true false false false false true 25500 false false 25500 false 2104618 1468609 636009 19598749 13179283 6419466 7055475 UNIVERSITY PHYSICIAN SVCS 10752442 C OHS/UPG VENTURES 8896912 C OAKLAND PHYSICIAN SURGERY CENTER 580008 C DMC PHO LLC 136588 C OAKWOOD ACO 17250 C 20383200 A/P - FMRE 1241125 LINE OF CREDIT 600000 CAPITAL LEASE OBLIGATIONS 121594 MALPRACTICE CLAIMS PAYABLE 1962719 X false true X false false false true false true false false false MURALI GUTHIKONDA MD 608000 108876 51000 18507 786383 MARK JURZYCH MD MHSA 584549 24857 25500 16930 651836 ROBERT A FRANK MD 436339 106250 45500 15949 604038 ANDRE KONSKI MD MBA MA 452500 74500 38250 15745 580995 GEORGE YOO MD FACS 522545 38250 14626 575421 LAWRENCE G MORAWA MD 476631 20357 51000 15168 563156 VALERIE M PARISI MD MPH MBA 296923 100000 34692 13866 445481 WAEL SAKR MD 235000 154883 47982 12978 450843 DOUGLAS BACON 310000 35500 16550 13110 375160 ELIZABETH PUSCHECK MD MS 285000 30357 11439 13244 340040 JOHN BOLTRI MD 140000 134500 15367 12176 302043 JOHN FLACK MD MPH 160911 99255 13008 11815 284989 OMAR KHAN MD 225000 20000 10602 255602 DAVID ROSENBERG MD 206535 21739 34241 11400 273915 ROBERT MATHOG MD 75000 153182 34227 10358 272767 DONALD WEAVER MD 148662 62897 44427 10981 266967 MICHAEL CHER MD 64726 81138 7293 9360 162517 KENNETH P LEE CPA 270603 25388 26089 322080 DIANE STILLER 223198 10000 23320 23413 279931 ASHEESH TEWARI 884484 7886 51000 21033 964403 BRUCE WASHINGTON 718914 25500 27261 771675 JORDAN MAIER 70409 556016 38250 16595 681270 ANDREW XAVIER 563830 58871 51000 17127 690828 PATRICK MURPHY 526917 7886 51000 14804 600607 THEODORE JONES MD 406057 9857 12750 14135 442799 ROBERT LISAK MD 146396 8943 155339 GARY ABRAMS MD 68761 7773 16072 6203 98809 MANUEL TANCER MD 69784 4963 74747 KENDRA SCHWARTZ MD MSPH 31006 9289 2821 43116 H MICHAEL MARSH MBBS 39000 1000 3045 43045 JIAN-PING JIN MD PHD 19250 1473 20723 FRINGE OR EXPENSE EXPLANATION 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 TO ASSIST IN RECRUITMENT OF FACULTY AND STAFF. THE BENEFITS WERE NOT TREATED AS TAXABLE COMPENSATION. WRITTEN REIMBURSEMENT POLICY EXPLANATION 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 GARY ABRAMS AND JOHN FLACK. COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION 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. COMPENSATION CONTINGENT UPON NET EARNINGS OF ORGANIZATION 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 2977335 HMO FEES EXPENSE false ANESTHESIA SERVICES PC COMMON BOARD 10507 FEES/DUES REVENUE false ORGANIZATION'S MISSION 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. ADDITIONAL INFORMATION 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ANNUAL DISCLOSURES. COMPENSATION PROCESS FOR TOP OFFICIAL 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. UNIVERSITY ANESTHESIA SERVICES LLC 1420 STEPHENSON HWY TROY MI 48083 455505859 ANESTHESIA MI 10481048 1470008 UPG FUND FOR MEDICAL RESEARCH & EDUCAT 1420 STEPHENSON HWY TROY MI 48083 382319524 MEDICAL MI 501C3 11C N/A false UNIVERSITY PHYSICIAN SERVICES 1420 STEPHENSON HWY TROY MI 48083 383386347 MEDICAL MI N/A false false false false false false false false false false false false false false true true true true false false