UNIVERSITY PEDIATRICIANS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY PEDIATRICIANS (EIN 38-3336414)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201431359349308203
Schema version
2012v2.1
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)
Timestamp2014-05-15T15:32:42-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381910111EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1UHY ADVISORS MI INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line127725 STANSBURY SUITE 210AddressLine1
CityFARMINGTON HILLSCity
StateMIState
ZIP Code48334ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383336414EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PEDIATRICIANSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone3137455870Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13901 BEAUBIEN BLVDAddressLine1
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR STEVEN LIPSHULTZName
TitlePRESIDENTTitle
Phone3137455870Phone
Date Signed2014-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL SANTICCHIAName
PTINP00046899PTIN
Phone2483550280Phone
Date Prepared2014-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR STEVEN LIPSHULTZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13901 BEAUBIEN BLVDAddressLine1
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts62786720GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE PEDIATRIC MEDICAL AND SURGICAL SERVICES TO PATIENTS IN NEED REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees397TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year492644ContributionsGrantsPriorYear
Contributions Grants Current Year223980ContributionsGrantsCurrentYear
Program Service Revenue Prior Year64116579ProgramServiceRevenuePriorYear
Program Service Revenue CY57474477ProgramServiceRevenueCY
Investment Income Prior Year3621InvestmentIncomePriorYear
Investment Income Current Year26187InvestmentIncomeCurrentYear
Other Revenue Prior Year4231930OtherRevenuePriorYear
Other Revenue Current Year5062076OtherRevenueCurrentYear
Total Revenue Prior Year68844774TotalRevenuePriorYear
Total Revenue Current Year62786720TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY48550GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year44719845SalariesEtcPriorYear
Salaries Etc Current Year46594625SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17655124OtherExpensePriorYear
Other Expenses Current Year19717857OtherExpensesCurrentYear
Total Expenses Prior Year62374969TotalExpensesPriorYear
Total Expenses Current Year66361032TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6469805RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3574312RevenuesLessExpensesCY
Total Assets BOY33262596TotalAssetsBOY
Total Assets EOY30533640TotalAssetsEOY
Total Liabilities BOY7198309TotalLiabilitiesBOY
Total Liabilities EOY7894665TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26064287NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22638975NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ACT EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES OF PROVIDING MEDICAL AND SURGICAL SERVICES TO THE SICK AND INJURED WHO ARRIVE FOR DIAGNOSIS, TREATMENT AND CARE, WITHOUT REGARD TO RACE, COLOR, CREED, SEX, AGE OR ABILITY TO PAY, AND PARTICULARLY TO PROVIDE SUCH SERVICES FOR PERSONS WHO SEEK SERVICES AT THE CHILDREN'S HOSPITAL OF MICHIGAN, OTHER DETROIT MEDICAL CENTER HOSPITALS, AND OTHER NONPROFIT HEALTH CARE INSTITUTIONS AFFILIATED WITH WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE. TO PROVIDE ACADEMIC AND CLINICAL TEACHING SERVICES TO STUDENTS AT THE SCHOOL AND TO GRADUATES OF MEDICAL SCHOOLS WHO ARE IN POST GRADUATE TRAINING PROGRAMS. TO ASSIST THE SCHOOL IN MEETING THEIR PRIMARY GOALS OF IMPROVED EDUCATION, RESEARCH AND RELATED PATIENT CARE, BY SUPPORTING, FINANCIALLY OR OTHERWISE, PROGRAMS INCLUDING EDUCATION, RESEARCH, SCHOLARSHIPS, AND ACQUISITION OF EQUIPMENT AND MATERIALS. TO CONDUCT SCIENTIFIC INVESTIGATIONS AND DISSEMINATE KNOWLEDGE TO PUBLIC AND PROFESSIONALS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense56328394Expense
Revenue50106428Revenue
DescriptionPROVIDED PEDIATRIC HEALTH CARE SERVICES TO PATIENTS IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5563122Expense
Grants48550Grants
Revenue7368049Revenue
DescriptionPROVIDED COMPREHENSIVE DIAGNOSTIC, PREVENTATIVE AND TREATMENT SERVICES TO PERSONS WITHIN ITS SERVICE REGION WITH HEMOPHILIA AND RELATED BLEEDING DISORDERS.Description
FieldValueIRS element (for citing)
Total Program Service Expense61891516TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees397NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RDM ASSOCIATESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2486207100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17457 ME CAD BLVDAddressLine1
CityCLARKSTONCity
StateMIState
ZIP Code48348ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
BONITA STANTON END 102012
PRESIDENT & BOARD MEMBER40.00XX185000925
ASHOK SARNAIK START 112012
PRESIDENT & BOARD MEMBER25.00XX3063441928916202115.00
SEETHA SHANKARAN
BOARD MEMBER/CHIEF7.00X614652905557449533.00
TEJ MATTOO
BOARD MEMBER/CHIEF15.00X1027081760684840725.00
RICHARD HUMES END 102012
BOARD MEMBER/CHIEF21.00X1670531584794832919.00
CHANDRA EDWIN START 112012
BOARD MEMBER/CHIEF40.00X248764019614
BASIM ASMAR
BOARD MEMBER/CHIEF11.00X607401541704091029.00
SRINIVASAN SURESH
SECRETARY40.00XX293217029915
PRASHANT MAHAJAN START 112012
BOARD MEMBER/CHIEF28.00X2613461080523963512.00
PATRICK SHUMAKER
CHIEF ADMINISTRATIVE OFFIC40.00X133278018427
HON KAI LEE
PHYSICIAN40.00234381031157X
HELENE TIGCHELAAR
PHYSICIAN40.00225905030882X
CURT STANKOVIC
PHYSICIAN40.00226226027932X
TONYA TOUCHSTONE
PHYSICIAN40.00211078016464X
DEMETRIS HARITOS
PHYSICIAN40.00191925028947X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2742930TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1080215TotalReportableCompFrmRltdOrgs
Total Other Compensation518060TotalOtherCompensation
Number Individuals GT100 K75NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHCARE ADMINISTRATIVE PARTNERS
PO BOX 1511MEDIAPA19063MEDICAL BILLING SERVICES2059674
FUND FOR MEDICAL RESEARCH
550 E CANFIELD ROOM 324DETROITMI48201CONTRACTUAL FEES2018811
RDM ASSOCIATES
7457 ME CAD BLVD SUITE 200CLARKSTONMI48348ACCOUNTING & CONSULTING SERVICES411399
RAINBOW MEDICAL TRANSCRIPTION
47364 OLD ORCHARDMACOMBMI48044TRANSCRIPTION SERVICES353236
UNIVERSITY PHYSICIAN GROUP
550 E CANFIELD ROOM 324DETROITMI48201CONTRACTUAL FEES348071
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
All Other Contributions223980AllOtherContributions
Total Contributions223980TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6211102490995624909956
PROFESSIONAL SERVICE CONTRACTS6211101292173912921739
ACADEMIC MEDICAL CENTER SERVICES6211101007705710077057
HEMOPHILIA PROGRAM62111073680497368049
OTHER REVENUE62111014791921479192

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column718484TotalRevenueColumn
Related Or Exempt Function Income718484RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue57474477TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column26187TotalRevenueColumn
Exclusion$26,187ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCONTRACTUAL REIMBURSEMENTSDescription
Business Code621110BusinessCode
Total Revenue Column5062076TotalRevenueColumn
Related Or Exempt Function Income5062076RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5062076TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column62786720TotalRevenueColumn
Related Or Exempt Function Income62536553RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$26,187ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total43550Total
Program Services43550ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1721071Total
Program Services304058ProgramServices
Management And General1417013ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total44873554Total
Program Services43132000ProgramServices
Management And General1741554ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3891897Total
Program Services3891897ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total283513Total
Program Services283513ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total474688Total
Program Services474688ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3796014Total
Program Services3796014ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total585Total
Management And General585ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total120505Total
Program Services120505ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total232449Total
Management And General232449ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total164163Total
Program Services164163ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total552318Total
Program Services552318ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14368Total
Management And General14368ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1510820Total
Program Services1431769ProgramServices
Management And General79051ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
HEMOPHILIA SUPPLIES55631225563122
BAD DEBTS16065491606549
DUES AND SUBSCRIPTIONS44712237619770925
EDUCATION255024255024

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total804720Total
Program Services146173ProgramServices
Management And General658547ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total66361032Total
Program Services61891516ProgramServices
Management And General4469516ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6820723BOY
EOY1002423EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY9990029EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25686230BOY
EOY18577852EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY336146BOY
EOY511792EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY353577BOY
EOY233566EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis593353LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec524375LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY65920BOY
EOY68978EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY149000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33262596BOY
EOY30533640EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7155798BOY
EOY7893228EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY42511BOY
EOY1437EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7198309BOY
EOY7894665EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24924226BOY
EOY20628088EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1140061BOY
EOY2010887EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26064287BOY
EOY22638975EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33262596BOY
EOY30533640EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-3574312ReconcilationRevenueExpenses
Reconcilation Prior Adjustment149000ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61268CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years61711CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year218710CurrentTaxYearMinus1Year
Current Tax Year223980CurrentTaxYear
Total565669Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years45984226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47076019CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56151139CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63712277CurrentTaxYearMinus1Year
Current Tax Year57050874CurrentTaxYear
Total269974535Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46045494CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47137730CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56151139CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63930987CurrentTaxYearMinus1Year
Current Tax Year57274854CurrentTaxYear
Total270540204Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509270540204PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years109996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14266CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8943CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3621CurrentTaxYearMinus1Year
Current Tax Year26187CurrentTaxYear
Total163013Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years109996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14266CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8943CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3621CurrentTaxYearMinus1Year
Current Tax Year26187CurrentTaxYear
Total163013Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1238755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1413240CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5036589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4910166CurrentTaxYearMinus1Year
Current Tax Year5485679CurrentTaxYear
Total18084429Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47394245CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48565236CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years61196671CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68844774CurrentTaxYearMinus1Year
Current Tax Year62786720CurrentTaxYear
Total288787646Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93680PublicSupportPercentage509
Prior Year Support Percentage0.94960PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00100PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis19645OtherCostOrOtherBasis
Depreciation7896Depreciation
Book Value11749BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis60525OtherCostOrOtherBasis
Depreciation14673Depreciation
Book Value45852BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis513183OtherCostOrOtherBasis
Depreciation501806Depreciation
Book Value11377BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings68978TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationASC GUIDANCE REGARDING ACCOUNTING FOR UNCERTAINITY IN INCOME TAXES CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD AN INCOME TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS AND APPLIES TO ALL INCOME TAX POSITIONS. EACH INCOME TAX POSITION IS ASSESSED USING A TWO STEP PROCESS. A DETERMINATION IS FIRST MADE AS TO WHETHER IT IS MORE LIKELY THAN THAN NOT THAT THE INCOME TAX POSITION WILL BE SUSTAINED, BASED UPON TECHNICAL MERITS, UPON EXAMINIATION BY THE TAXING AUTHORITIES. IF THE INCOME TAX POSITION IS EXPECTED TO MEET THE MORE LIKELY THAN NOT CRITERIA, THE BENEFIT RECORDED IN THE FINANCIAL STATEMENTS EQUALS THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ITS ULTIMATE SETTELMENT. AT JUNE 30, 2013 AND 2012, THERE WERE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ACCRUAL.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LONE STAR CHARPTER OF THE NATIONAL HEMOPHILIA FOUNDATION
6655 TRAVIS STREET SUITE 400HOUSTONTX77030760661966501(C)(3)22600PROVIDED COMPREHENSIVE DIAGNOSTIC, PREVENTATIVE AND TREATMENT SERVICES TO PERSONS WITHIN ITS SERVICE REGION WITH HEMOPHILIA AND RELATED BLEEDING DISORDERS.
HEMOPHILIA FOUNDATION OF OREGON
10940 SE BARENES ROAD 129PORTLANDOR97225930551733501(C)(3)6870PROVIDED COMPREHENSIVE DIAGNOSTIC, PREVENTATIVE AND TREATMENT SERVICES TO PERSONS WITHIN ITS SERVICE REGION WITH HEMOPHILIA AND RELATED BLEEDING DISORDERS.
HEMOPHILIA FOUNDATION OF MINNESOTA
2525 CHICAGO AVE SOUTH CSC 175MINNEAPOLISMN55404416032276501(C)(3)6000PROVIDED COMPREHENSIVE DIAGNOSTIC, PREVENTATIVE AND TREATMENT SERVICES TO PERSONS WITHIN ITS SERVICE REGION WITH HEMOPHILIA AND RELATED BLEEDING DISORDERS.
HEMOPHILIA FOUNDATION OF MICHIGAN
1921 W MICHIGAN AVEYPSILANTIMI48197381905673501(C)(3)8080PROVIDED COMPREHENSIVE DIAGNOSTIC, PREVENTATIVE AND TREATMENT SERVICES TO PERSONS WITHIN ITS SERVICE REGION WITH HEMOPHILIA AND RELATED BLEEDING DISORDERS.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantHEMOPHILIA GRANTTypeOfGrant
Number Of Recipients1NumberOfRecipients
Amount Of Cash Grant5000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE PEP ADMINISTRATION TEAM WORKS WITH THE LOCAL FIDUCIARY TO HELP THEM ADMINISTRATE THEIR FUNDS APPROPRIATELY ACCORDING TO WHAT HAS BEEN APPROVED ON THEIR BUDGET AND PROPOSAL SHEET. A POST PROGRAM REPORT WITH PARENT EVALUATIONS ARE REQUIRES WHEN THE PROGRAM IS OVER.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ASHOK SARNAIK START 112012
PRESIDENT & BOARD MEMBER306344192891000000145704745132091424034200
SEETHA SHANKARAN
BOARD MEMBER/CHIEF614652905550000003019714766448436203100
TEJ MATTOO
BOARD MEMBER/CHIEF10270817606800000050944331310780221938100
RICHARD HUMES END 102012
BOARD MEMBER/CHIEF16705315847900000083923993717544519841600
CHANDRA EDWIN START 112012
BOARD MEMBER/CHIEF2487640000000196140268378000
BASIM ASMAR
BOARD MEMBER/CHIEF607401541700000002984379266372419209600
SRINIVASAN SURESH
SECRETARY2932170000000299150323132000
PRASHANT MAHAJAN START 112012
BOARD MEMBER/CHIEF261346108052000000130542658127440013463300
PATRICK SHUMAKER
CHIEF ADMINISTRATIVE OFFIC1332780000000184270151705000
HON KAI LEE
PHYSICIAN2343810000000311570265538000
HELENE TIGCHELAAR
PHYSICIAN2259050000000308820256787000
CURT STANKOVIC
PHYSICIAN2262260000000279320254158000
TONYA TOUCHSTONE
PHYSICIAN2110780000000164640227542000
DEMETRIS HARITOS
PHYSICIAN1919250000000289470220872000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT, THE CHIEF ADMINISTRATIVE OFFICER, AND THE BOARD DESIGNATED FINANCIAL REVIEW DIVISION CHIEF.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE POLICY OF THE CORPORATION THAT ALL OFFICERS, DIRECTORS, COMMITTEE MEMBERS AND EMPLOYEES OF THE CORPORATION SHALL AVOID ANY CONFLICT BETWEEN THEIR OWN RESPECTIVE INDIVIDUAL INTEREST AND THE INTERESTS OF THE CORPORATION. A PERSON WHO HAS AN INTEREST IN A CONTRACT IS REQUIRED TO PRESENT TO THE BOARD OR COMMITTEE PROMPTLY, WITH FULL DISCLOSURE, THEIR INTEREST AND AWAIT THE DETERMINATION OF THE BOARD OR COMMITTEE. THE POLICY IS REVIEWED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS DETERMINED BY UTILIZING MULTIPLE RESOURSES INCLUDING PUBLISHED SURVEYS, SUCH AS THE ASSOCIATION OF ADMINISTRATORS IN ACADEMIC PEDIATRICS, MEDICAL GROUP MANAGEMENT ASSOCIATION, EXECUTIVE SEARCH FIRMS AND OTHER RESOURCES. IN GENERAL, COMPENSATION IS TARGETED AT THE 50TH PERCENTILE FOR THE MIDWEST REGION IN PUBLISHED SURVEYS. OTHER APPROPRIATE SURVEYS AND BENCHMARK DATA ARE USED FOR OTHER STAFF.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST THE 990 WILL BE MADE AVAILABLE TO INTERESTED PERSONS.
PART XII, LINE 2CTHERE WERE NO CHANGES TO OVERSIGHT AND SELECTION PROCESS DURING THE YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CHILDRENS HOSPITAL OF MICHIGAN AUTISM CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13901 BEAUBEINAddressLine1
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode
FieldValueIRS element (for citing)
EIN452787917EIN
Primary ActivitiesTREATMENT AND RESEARCH FOR AUTISMPrimaryActivities
Legal Domicile StateMILegalDomicileState
Total Income967647TotalIncome
EOY Assets540864EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PEDIATRICIANSBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1WAYNE STATE UNIVERSITYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1WOODWARD AVEAddressLine1
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode
FieldValueIRS element (for citing)
EIN690353877EIN
Primary ActivitiesMEDICAL SCHOOLPrimaryActivities
Legal Domicile StateMILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status501(A)(1)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NOBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
WAYNE STATE UNIVERSITY
M17550342
WAYNE STATE UNIVERSITY
L6247736

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