UNIVERSITY PHYSICIAN GROUP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY PHYSICIAN GROUP (EIN 38-3474766)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-07-02
IRS object ID
201311839349300141
Schema version
2011v1.5
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)
Timestamp2013-07-02T15:01:12-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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 Signed2013-07-02DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY ELLISName
Phone2486434545Phone
Date Prepared2013-07-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts194575481GrossReceipts
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 Members5NbrIndependentVotingMembers
Total Nbr Employees1594TotalNbrEmployees
Total Nbr Volunteers61TotalNbrVolunteers
Total Gross UBI442764TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year186304749ProgramServiceRevenuePriorYear
Program Service Revenue CY190870187ProgramServiceRevenueCY
Investment Income Prior Year30857InvestmentIncomePriorYear
Investment Income Current Year-130886InvestmentIncomeCurrentYear
Other Revenue Prior Year3105230OtherRevenuePriorYear
Other Revenue Current Year2996384OtherRevenueCurrentYear
Total Revenue Prior Year189440836TotalRevenuePriorYear
Total Revenue Current Year193735685TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year111217655SalariesEtcPriorYear
Salaries Etc Current Year117373496SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year71568406OtherExpensePriorYear
Other Expenses Current Year73211541OtherExpensesCurrentYear
Total Expenses Prior Year182786061TotalExpensesPriorYear
Total Expenses Current Year190585037TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6654775RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3150648RevenuesLessExpensesCY
Total Assets BOY84881272TotalAssetsBOY
Total Assets EOY82170487TotalAssetsEOY
Total Liabilities BOY41839478TotalLiabilitiesBOY
Total Liabilities EOY36113737TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY43041794NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY46056750NetAssetsOrFundBalancesEOY
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
Expense112950306Expense
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)
Expense30757004Expense
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)
Expense178430Expense
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 Expense143885740TotalProgramServiceExpense
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 StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 With1096284NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1594NumberOfEmployees
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
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 Members5NumberIndependentVotingMembers
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 (49 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MARK JURZYCH MD MHSA
BOARD MEMBER40.00X734501046906
MURALI GUTHIKONDA MD
VICE PRES/BO40.00X672067067676X
ANDRE KONSKI MD MBA MA
BOARD MEMBER40.00X500398052676
GEORGE YOO MD FACS
BOARD MEMBER40.00X476920051242
LAWRENCE G MORAWA MD
BOARD MEMBER40.00X476631064681
ROBERT A FRANK MD
CEO/CMO40.00X425304025225X
THEODORE JONES MD
BOARD MEMBER40.00X406057026308
ELIZABETH PUSCHECK MD MS
BOARD MEMBER40.00X375679025868
WAEL SAKR MD
BOARD MEMBER40.00X235000045783
VALERIE M PARISI MD MPH MBA
CHAIRPERSON/40.00X200000030830X
ROBERT MATHOG MD
BOARD MEMBER40.00X194472038817
DAVID ROSENBERG MD
BOARD MEMBER40.00X179340036616
DONALD WEAVER MD
BOARD MEMBER40.00X178662047222
OMAR KHAN MD
BOARD MEMBER40.00X17118909308
MICHAEL CHER MD
BOARD MEMBER40.00X166068018994
JOHN FLACK MD MPH
SECRETARY/BO40.00X164025016189X
DOUGLAS BACON
BOARD MEMBER1.00X15500009365
ROBERT LISAK MD
BOARD MEMBER40.00X14639608930
JOHN BOLTRI MD
BOARD MEMBER40.00X13461609595
LAWRENCE HORN MD
BOARD MEMBER40.00X10646008164
MANUEL TANCER MD
BOARD MEMBER40.00X6978405339
WILBUR SMITH MD
BOARD MEMBER40.00X3085002404
LINDA HAZLETT PHD
BOARD MEMBER1.00X3000002295
DARIUS MEHREGAN MD
BOARD MEMBER40.00X2600005109
JAY MEYTHALER MD JD
BOARD MEMBER40.00X1700003001
H MICHAEL MARSH MBBS
BOARD MEMBER1.00X30000230
SUZANNE WHITE MD
BOARD MEMBER1.00X000
GEROLD BEPLER MD PHD
BOARD MEMBER40.00X000
MICHAEL GEHEB MD
BOARD MEMBER1.00X000
JOHN JH SCHWARZ MD
BOARD MEMBER1.00X000
BHARATI MITRA PHD
BOARD MEMBER1.00X000
LIZABETH ARDISANA
BOARD MEMBER1.00X000
DOTTIE DEREMO
BOARD MEMBER1.00X000
EDWARD THOMAS
BOARD MEMBER1.00X000
MICHAEL D BISHOP
BOARD MEMBER1.00X000
GILDA JACOBS
BOARD MEMBER1.00X000
DANIEL DEGROW
BOARD MEMBER1.00X000
BRIAN O'NEIL MD
BOARD MEMBER1.00X000
SCOTT THORNTON
BOARD MEMBER1.00X000
KENNETH P LEE CPA
EXC DIRECTOR40.00266725052666X
DIANE STILLER
CFO/COO40.00239231047394X
BRUCE WASHINGTON
PHYSICIAN40.00986711056452X
ASHEESH TEWARI
PHYSICIAN40.00787565069334X
ANDREW XAVIER
PHYSICIAN40.00692493066871X
JORDAN MAIER
PHYSICIAN40.00664323054445X
PATRICK MURPHY
PHYSICIAN40.00608386065582X
GARY ABRAMS MD
VICE PRESIDE1.0072033020833X
JIAN-PING JIN MD PHD
BOARD MEMBER1.003500002678X
KENDRA SCHWARTZ MD MSPH
BOARD MEMBER1.003089702526X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10658783TotalReportableCompFromOrg
Total Other Compensation1097554TotalOtherCompensation
Number Individuals GT100 K267NumberIndividualsGT100K
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-1DETROITMI48202MEDICAL38275571
UNIVERSITY PEDIATRICIANS
4201 ST ANTOINE 6FDETROITMI48201ADMIN/CLINICAL24809052
MEDICAL CENTER EMERGENCY SERV
39300 W 12 MILE STE 100FARMINGTONMI48331MEDICAL/TEACHIN10950307
ANESTHESIA SERVICES PC
PO BOX 1009JACKSONMI49204PHYSICIAN7913738
DR L REYNOLDS ASSOC
24500 NORTHWESTERN STE 100SOUTHFIELDMI48075MEDICAID-HMO5772218
FieldValueIRS element (for citing)
Number Of Contractors GT100 K34NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUES127281868127281868
ADMIN & CLINICAL SVCS SUPPORT6300580163005801
MANAGEMENT, HR, & IT SERVICES442764561000442764
RENTAL INCOME139754139754
FieldValueIRS element (for citing)
Total Program Service Revenue190870187TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8035TotalRevenueColumn
Exclusion$8,035ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities700098Securities
Other777Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities830571Securities
Other9225Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-130473Securities
Other-8448Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-138921TotalRevenueColumn
Related Or Exempt Function Income-139698RelatedOrExemptFunctionIncome
Exclusion$777ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Total Revenue Column2996384TotalRevenueColumn
Related Or Exempt Function Income2996384RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2996384TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column193735685TotalRevenueColumn
Related Or Exempt Function Income193284109RelatedOrExemptFunctionIncome
Unrelated Business Revenue442764UnrelatedBusinessRevenue
Exclusion$8,812ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total99526230Total
Program Services73743000ProgramServices
Management And General25783230ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6508590Total
Program Services4449788ProgramServices
Management And General2058802ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5224480Total
Program Services4070049ProgramServices
Management And General1154431ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6114196Total
Program Services4204750ProgramServices
Management And General1909446ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1090947Total
Program Services334543ProgramServices
Management And General756404ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total233990Total
Management And General233990ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8222556Total
Program Services4005125ProgramServices
Management And General4217431ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total444857Total
Program Services206487ProgramServices
Management And General238370ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total67564Total
Program Services39676ProgramServices
Management And General27888ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5890354Total
Program Services4264805ProgramServices
Management And General1625549ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total867961Total
Program Services563217ProgramServices
Management And General304744ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total135426Total
Program Services89582ProgramServices
Management And General45844ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1808124Total
Program Services748229ProgramServices
Management And General1059895ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4228620Total
Program Services3584815ProgramServices
Management And General643805ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SALARY REIMBURSEMENTS2234670921416378930331
FUND FOR MEDICAL RESEARCH14029532126259801403552
PRACTICE EXPENSE58111755203057608118
EQUIPMENT RENTAL & MTCE20010793447821656297

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6032647Total
Program Services3991477ProgramServices
Management And General2041170ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total190585037Total
Program Services143885740ProgramServices
Management And General46699297ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21299696BOY
EOY10315678EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1156645BOY
EOY578207EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY36506802BOY
EOY45119589EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1786525BOY
EOY479443EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18668825LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12796600LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4374453BOY
EOY5872225EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY662869BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY19094282BOY
EOY19705345EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY100000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY84881272BOY
EOY82170487EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30119478BOY
EOY21668053EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11720000BOY
EOY14445684EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY41839478BOY
EOY36113737EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY43041794BOY
EOY46056750EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43041794BOY
EOY46056750EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY84881272BOY
EOY82170487EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3150648ReconcilationRevenueExpenses
Reconcilation Other Changes-135692ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59300CurrentTaxYearMinus4Years
Total59300Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years207079800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years200092029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years207699869CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year188962531CurrentTaxYearMinus1Year
Current Tax Year193423807CurrentTaxYear
Total997258036Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years207139100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years200092029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years207699869CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year188962531CurrentTaxYearMinus1Year
Current Tax Year193423807CurrentTaxYear
Total997317336Total
FieldValueIRS element (for citing)
Public Support Total509997317336PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years427533CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58715CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65104CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30350CurrentTaxYearMinus1Year
Current Tax Year8035CurrentTaxYear
Total589737Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years427533CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58715CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65104CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year30350CurrentTaxYearMinus1Year
Current Tax Year8035CurrentTaxYear
Total589737Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years207566633CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years200150744CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years207764973CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year188992881CurrentTaxYearMinus1Year
Current Tax Year193431842CurrentTaxYear
Total997907073Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99940PublicSupportPercentage509
Prior Year Support Percentage0.99890PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
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
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2333955OtherCostOrOtherBasis
Depreciation1579376Depreciation
Book Value754579BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16334870OtherCostOrOtherBasis
Depreciation11217224Depreciation
Book Value5117646BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5872225TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
UNIVERSITY PHYSICIAN SVCS10752442C
OHS/UPG VENTURES8687590C
DMC PHO LLC215313C
OAKLAND PHYSICIAN SURGERY CENTER50000C
FieldValueIRS element (for citing)
Total Of Book Value Securities19705345TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
A/P - FMRE$11,561,108
LINE OF CREDIT$2,126,816
CAPITAL LEASE OBLIGATIONS$738,861
MALPRACTICE CLAIMS PAYABLE$18,899
FieldValueIRS element (for citing)
Total Of Amounts14445684TotalOfAmounts
Total Revenue193735685TotalRevenue
Total Expenses190585037TotalExpenses
Excess Or Deficit For Year3150648ExcessOrDeficitForYear
Net Unrealized GL On Investments-135692NetUnrealizedGLOnInvestments
Total Adjustments-135692TotalAdjustments
Excess Or Deficit Per FS3014956ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt193599993TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-135692NetUnrealizedGainsInvestments
Revenue Not Rptd F990-135692RevenueNotRptdF990
Revenue Subtotal193735685RevenueSubtotal
Total Revenue Per Form990193735685TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt190585037TotExpensesEtcAuditedFinclStmt
Expenses Subtotal190585037ExpensesSubtotal
Total Expenses Per Form990190585037TotalExpensesPerForm990

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 (28 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
MARK JURZYCH MD MHSA
659501750002866818238781407
MURALI GUTHIKONDA MD
621400506675000017676739743
ANDRE KONSKI MD MBA MA
437500628983750015176553074
GEORGE YOO MD FACS
4769203750013742528162
LAWRENCE G MORAWA MD
4766315000014681541312
ROBERT A FRANK MD
375304500001115414071450529
THEODORE JONES MD
4060571250013808432365
ELIZABETH PUSCHECK MD MS
302071736081250013368401547
WAEL SAKR MD
2350003525010533280783
VALERIE M PARISI MD MPH MBA
2000002000010830230830
ROBERT MATHOG MD
75000119472291719646233289
DAVID ROSENBERG MD
179340269019715215956
DONALD WEAVER MD
14866230000375009722225884
OMAR KHAN MD
1711899308180497
MICHAEL CHER MD
9450371565830310691185062
JOHN FLACK MD MPH
164025602310166180214
DOUGLAS BACON
1550009365164365
ROBERT LISAK MD
1463968930155326
KENNETH P LEE CPA
2667252667325993319391
DIANE STILLER
219231200002392323471286625
BRUCE WASHINGTON
98671125000314521043163
ASHEESH TEWARI
7875655000019334856899
ANDREW XAVIER
665410270835000016871759364
JORDAN MAIER
1278875364363750016945718768
PATRICK MURPHY
6083865000015582673968
GARY ABRAMS MD
7203315127570692866
JIAN-PING JIN MD PHD
35000267837678
KENDRA SCHWARTZ MD MSPH
30897252633423

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 BOARD7913738HMO FEES EXPENSEfalse
ANESTHESIA SERVICES PC
COMMON BOARD49783FEES/DUES REVENUEfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 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.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5UNREALIZED LOSS ON PUBLICLY-TRADED SECURITIES

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 Income3012806TotalIncome
EOY Assets2790948EOYAssets

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
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
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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