2013-05-15T14:26:31-05:00 2012-06-30 381910111 UHY ADVISORS MI INC 27725 STANSBURY SUITE 210 FARMINGTON HILLS MI 48334 990 2011-07-01 383336414 UNIVERSITY PEDIATRICIANS UNIV 3139668332 3901 BEAUBIEN BLVD DETROIT MI 48201 ASHOK SARNAIK 3139668332 2013-05-14 1 HEATHER RASCHKE P00052763 2483550280 2013-05-14 2011 2016-02-24 21:20:13Z ASHOK SARNAIK 3901 BEAUBIEN BLVD DETROIT MI 48201 68844774 0 X N/A X 1997 MI TO PROVIDE PEDIATRIC MEDICAL AND SURGICAL SERVICES TO PATIENTS IN NEED REGARDLESS OF ABILITY TO PAY. 6 0 393 0 0 0 0 492644 31955562 64116579 7942 3621 3993329 4231930 35956833 68844774 0 0 0 0 21379282 44719845 0 0 0 8808019 17655124 30187301 62374969 5769532 6469805 26633964 33262596 7039482 7198309 19594482 26064287 X TO 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. 0 0 52526130 59293712 PROVIDED PEDIATRIC HEALTH CARE SERVICES TO PATIENTS IN THE COMMUNITY REGARDLESS OF ABILITY TO PAY. 3851011 4822867 PROVIDED COMPREHENSIVE DIAGNOSTIC, PREVENTATIVE AND TREATMENT SERVICES TO PERSONS WITHIN ITS SERVICE REGION WITH HEMOPHILIA AND RELATED BLEEDING DISORDERS. 56377141 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 14 0 393 1 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X RDM ASSOCIATES 2486207100 7457 ME CAD BLVD CLARKSTON MI 48348 BONITA STANTON 40.00 X X 114783 0 925 SEETHA SHANKARAN 40.00 X 64600 290555 74495 TEJ MATTOO 40.00 X 104413 176068 48407 RICHARD HUMES 40.00 X 167942 158479 48329 BASIM ASMAR 40.00 X 61172 154170 40910 SRINIVASAN SURESH 40.00 X X 274479 18083 33555 PATRICK SHUMAKER 40.00 X 134171 0 21072 HON KAI LEE 40.00 X 275902 0 30288 HARRY CHUGANI 40.00 X 265243 240732 70385 HELENE TIGCHELAAR 40.00 X 260055 0 30012 CURT STANKOVIC 40.00 X 237275 0 27123 ASHOK SARNAIK 40.00 X 256225 192891 62654 2216260 1230978 488155 65 0 1 0 FUND FOR MEDICAL RESEARCH 550 E CANFIELD ROOM 324 DETROIT MI 48201 CONTRACTUAL FEES 3045151 HEALTHCARE ADMINISTRATIVE PARTNERS PO BOX 1511 MEDIA PA 19063 MEDICAL BILLING SERVICES 2177074 UNIVERSITY PHYSICIAN GROUP 550 E CANFIELD ROOM 324 DETROIT MI 48201 CONTRACTUAL FEES 658933 RAINBOW MEDICAL TRANSCRIPTION 47364 OLD ORCHARD MACOMB MI 48044 TRANSCRIPTION SERVICES 409813 RDM ASSOCIATES 7457 ME CAD BLVD SUITE 200 CLARKSTON MI 48348 ACCOUNTING & CONSULTING SERVICES 386588 9 492644 492644 NET PATIENT REVENUE 621110 25765879 25765879 PROFESSIONAL SERVICE C 621110 16385633 16385633 ACADEMIC MEDICAL CENTE 621110 15106051 15106051 HEMOPHILIA PROGRAM 621110 4822867 4822867 OTHER REVENUE 621110 1286234 1286234 749915 749915 64116579 3621 3621 CONTRACTUAL REIMBURSEM 621110 4231930 4231930 4231930 68844774 68348509 0 3621 992153 89769 902384 43727692 39829668 3898024 4343220 4343220 4179711 4179711 67336 67336 194092 194092 169181 169181 361076 361076 1723 1723 12574 12574 1284240 1211783 72457 HEMOPHILIA SUPPLIES 3851011 3851011 BAD DEBTS 1962202 1962202 EDUCATION 296315 296315 DUES AND SUBSCRIPTIONS 279261 236633 42628 653182 75551 577631 62374969 56377141 5997828 0 6501892 6820723 19722894 25686230 178861 336146 211173 353577 575928 510008 19144 65920 26633964 33262596 7039482 7155798 42511 7039482 7198309 X 19594482 24924226 1140061 19594482 26064287 26633964 33262596 6469805 0 X 0 0 0 X 89058 61268 61711 218710 430747 41001863 45984226 47076019 56151139 63712277 253925524 41090921 46045494 47137730 56151139 63930987 254356271 0 0 0 254356271 125673 109996 14266 8943 3621 262499 125673 109996 14266 8943 3621 262499 628000 1238755 1413240 5036589 4910166 13226750 41844594 47394245 48565236 61196671 68844774 267845520 0.94960 0.96220 0.00100 0.00200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19645 7032 12613 43100 5387 37713 513183 497589 15594 65920 X X X 0 0 0 0 0 0 0 0 0 SEETHA SHANKARAN 64600 290555 0 0 0 0 0 0 3019 71476 67619 362031 0 0 TEJ MATTOO 104413 176068 0 0 0 0 0 0 5094 43313 109507 219381 0 0 RICHARD HUMES 167942 158479 0 0 0 0 0 0 8392 39937 176334 198416 0 0 BASIM ASMAR 61172 154170 0 0 0 0 0 0 2984 37926 64156 192096 0 0 SRINIVASAN SURESH 274479 18083 0 0 0 0 0 0 29107 4448 303586 22531 0 0 PATRICK SHUMAKER 134171 0 0 0 0 0 0 0 21072 0 155243 0 0 0 HON KAI LEE 275902 0 0 0 0 0 0 0 30288 0 306190 0 0 0 HARRY CHUGANI 265243 240732 0 0 0 0 0 0 9721 60664 274964 301396 0 0 HELENE TIGCHELAAR 260055 0 0 0 0 0 0 0 30012 0 290067 0 0 0 CURT STANKOVIC 237275 0 0 0 0 0 0 0 27123 0 264398 0 0 0 ASHOK SARNAIK 256225 192891 0 0 0 0 0 0 15203 47451 271428 240342 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO SUBMITTAL. FORM 990, PART VI, SECTION B, LINE 12C IT 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 15 COMPENSATION 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 19 UPON REQUEST THE 990 WILL BE MADE AVAILABLE TO INTERESTED PERSONS. CHILDERNS HOSPITAL OF MICHIGAN AUTISM CENTER 3901 BEAUBEIN DETROIT MI 48201 452787917 TREATMENT AND RESEARCH FOR AUTISM MI 381152 280183 UNIVERSITY PEDIATRICIANS WAYNE STATE UNIVERSITY WOODWARD AVE DETROIT MI 48201 690353877 MEDICAL SCHOOL MI 501(C)(3) 501(A)(1) NO 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 WAYNE STATE UNIVERSITY L 17406463 WAYNE STATE UNIVERSITY K 11504702