UNIVERSITY PHYSICIAN GROUP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY PHYSICIAN GROUP (EIN 38-3474766)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201212269349300221
Schema version
2010v3.7
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)
Timestamp2012-08-13T08:28:07-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383474766EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNIVERSITY PHYSICIAN GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUNIVNameControl
Phone3135771194Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1550 E CANFIELDAddressLine1
Address Line2ROOM/SUITE 324AddressLine2
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNETH P LEEName
TitleEXECUTIVE DIRECTORTitle
Phone3135771194Phone
Date Signed2012-08-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY ELLISName
Phone2486434545Phone
Date Prepared2012-08-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Line1550 E CANFIELD RM 324AddressLine1
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts189440836GrossReceipts
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 Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees1484TotalNbrEmployees
Total Nbr Volunteers48TotalNbrVolunteers
Total Gross UBI447448TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year208577758ProgramServiceRevenuePriorYear
Program Service Revenue CY186304749ProgramServiceRevenueCY
Investment Income Prior Year78547InvestmentIncomePriorYear
Investment Income Current Year30857InvestmentIncomeCurrentYear
Other Revenue Prior Year177554OtherRevenuePriorYear
Other Revenue Current Year3105230OtherRevenueCurrentYear
Total Revenue Prior Year208833859TotalRevenuePriorYear
Total Revenue Current Year189440836TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99120008SalariesEtcPriorYear
Salaries Etc Current Year111217655SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year104820170OtherExpensePriorYear
Other Expenses Current Year71568406OtherExpensesCurrentYear
Total Expenses Prior Year203940178TotalExpensesPriorYear
Total Expenses Current Year182786061TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4893681RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6654775RevenuesLessExpensesCY
Total Assets BOY76971091TotalAssetsBOY
Total Assets EOY84881272TotalAssetsEOY
Total Liabilities BOY39947881TotalLiabilitiesBOY
Total Liabilities EOY41839478TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37023210NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY43041794NetAssetsOrFundBalancesEOY
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
Expense104106235Expense
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)
Expense34591697Expense
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)
Expense369975Expense
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 Expense139067907TotalProgramServiceExpense
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096273NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1484NumberOfEmployees
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 Members25NbrVotingGoverningBodyMembers
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 Line1550 E CANFIELDAddressLine1
Address Line2RM 324AddressLine2
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MURALI GUTHIKONDA MD
BOARD MEMBER40.00X678400066583
ANDRE KONSKI MD
BOARD MEMBER40.00X509546051782
GEORGE YOO MD FACS
BOARD MEMBER40.00X489084050463
LAWRENCE G MORAWA MD
BOARD MEMBER40.00X476631063520
THEODORE JONES MD
BOARD MEMBER40.00X400417025776
WAEL SAKR MD
BOARD MEMBER40.00X316000048252
MARK JURZYCH MD MHSA
BOARD MEMBER40.00X2513851105022092
JOHN FLACK MD MPH
BOARD MEMBER40.00X249300011325
VALERIE M PARISI MD MPH MBA
CHAIRPERSON/40.00X200000030621X
ROBERT MATHOG MD
BOARD MEMBER40.00X199800039489
MICHAEL CHER MD
BOARD MEMBER40.00X170453018120
DONALD WEAVER MD
BOARD MEMBER40.00X152662041201
ROBERT LISAK MD
BOARD MEMBER40.00X14639608744
GARY ABRAMS MD
VICE PRESIDE40.00X134940037426X
KENDRA SCHWARTZ MD MSPH
BOARD MEMBER40.00X10923108208
ROBERT A FRANK MD
CEO/CMO40.00X9996908997X
LAWRENCE HORN MD
BOARD MEMBER40.00X7549406194
MANUEL TANCER MD
BOARD MEMBER40.00X6978405894
JIAN-PING JIN MD PHD
BOARD MEMBER1.00X0350002678
DARIUS MEHREGAN MD
BOARD MEMBER40.00X2600005446
JAY MEYTHALER MD JD
BOARD MEMBER40.00X1634602478
H MICHAEL MARSH MBBS
BOARD MEMBER1.00X30000230
WILBUR SMITH MD
BOARD MEMBER40.00X30000230
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
CURTIS A HERTEL SR
BOARD MEMBER1.00X000
ELIZABETH CALLAHAN-MORRIS ESQ
BOARD MEMBER1.00X000
ANDREA C MERRITT
BOARD MEMBER1.00X000
LINDA HAZLETT PHD
BOARD MEMBER1.00X000
EDWARD THOMAS
BOARD MEMBER1.00X000
MICHAEL D BISHOP
BOARD MEMBER1.00X000
GILDA JACOBS
BOARD MEMBER1.00X000
DANIEL DEGROW
BOARD MEMBER1.00X000
KENNETH P LEE CPA
EXC DIRECTOR40.00269393054581X
DIANE STILLER
CFO/COO40.00207500043691X
BRUCE WASHINGTON
PHYSICIAN40.00992537055986X
PATRICK MURPHY
PHYSICIAN40.00752044066526X
JORDAN MAIER
PHYSICIAN40.00697381053970X
ASHEESH TEWARI
PHYSICIAN40.00600188065429X
ANDREW XAVIER
PHYSICIAN40.00537880063423X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8834761TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs46050TotalReportableCompFrmRltdOrgs
Total Other Compensation959355TotalOtherCompensation
Number Individuals GT100 K244NumberIndividualsGT100K
Formers ListedfalseFormersListed
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
UNIVERSITY PEDIATRICIANS
4201 ST ANTOINE 6FDETROITMI48201PATIENT/ADMIN17521023
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD MED ADMIN CFP-1DETROITMI48202MEDICAL15389528
MEDICAL CENTER EMERGENCY SERV
39300 W 12 MILE STE 100FARMINGTONMI48331PATIENT/ADMIN7824313
ANESTHESIA SERVICES PC
PO BOX 1009JACKSONMI49204PATIENT/ADMIN4768186
DR L REYNOLDS ASSOC
24500 NORTHWESTERN STE 100SOUTHFIELDMI48075PATIENT/ADMIN4332520
FieldValueIRS element (for citing)
Number Of Contractors GT100 K31NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUES117099395117099395
ADMIN & CLINICAL SVCS SUPPORT6866936768669367
MANAGEMENT, HR, & IT SERVICES447448561000447448
RENTAL INCOME8853988539
FieldValueIRS element (for citing)
Total Program Service Revenue186304749TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30350TotalRevenueColumn
Exclusion$30,350ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other507Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other507Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column507TotalRevenueColumn
Exclusion$507ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Total Revenue Column3105230TotalRevenueColumn
Related Or Exempt Function Income3105230RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3105230TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column189440836TotalRevenueColumn
Related Or Exempt Function Income188962531RelatedOrExemptFunctionIncome
Unrelated Business Revenue447448UnrelatedBusinessRevenue
Exclusion$30,857ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total94778195Total
Program Services69687678ProgramServices
Management And General25090517ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5541024Total
Program Services3781184ProgramServices
Management And General1759840ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5068780Total
Program Services3899152ProgramServices
Management And General1169628ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5829656Total
Program Services3985045ProgramServices
Management And General1844611ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1691031Total
Program Services405627ProgramServices
Management And General1285404ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total400306Total
Management And General400306ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13178014Total
Program Services9151558ProgramServices
Management And General4026456ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total471019Total
Program Services204277ProgramServices
Management And General266742ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total71151Total
Program Services55145ProgramServices
Management And General16006ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6124242Total
Program Services4046827ProgramServices
Management And General2077415ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total691541Total
Program Services496077ProgramServices
Management And General195464ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total348153Total
Program Services296568ProgramServices
Management And General51585ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1445954Total
Program Services812101ProgramServices
Management And General633853ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3456333Total
Program Services3622064ProgramServices
Management And General-165731ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SALARY REIMBURSEMENTS2168934621333578355768
FUND FOR MEDICAL RESEARCH90096628091136918526
PRACTICE EXPENSE54471734845617601556
EQUIPMENT RENTAL & MTCE18580104123001445710
SUPPLIES1251023804779446244

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4435448Total
Program Services3137194ProgramServices
Management And General1298254ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total182786061Total
Program Services139067907ProgramServices
Management And General43718154ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1775917BOY
EOY21299696EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14804132BOY
EOY1156645EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY35839889BOY
EOY36506802EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1509877BOY
EOY1786525EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15658430LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11283977LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3808923BOY
EOY4374453EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY682321BOY
EOY662869EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY18550032BOY
EOY19094282EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY76971091BOY
EOY84881272EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31663881BOY
EOY30119478EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8284000BOY
EOY11720000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39947881BOY
EOY41839478EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37023210BOY
EOY43041794EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37023210BOY
EOY43041794EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76971091BOY
EOY84881272EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6654775ReconcilationRevenueExpenses
Reconcilation Other Changes-636191ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years345381CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59300CurrentTaxYearMinus3Years
Total404681Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years172354227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years207079800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200092029CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year207699869CurrentTaxYearMinus1Year
Current Tax Year188962531CurrentTaxYear
Total976188456Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years172699608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years207139100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200092029CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year207699869CurrentTaxYearMinus1Year
Current Tax Year188962531CurrentTaxYear
Total976593137Total
FieldValueIRS element (for citing)
Public Support Total509976593137PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years480176CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years427533CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year65104CurrentTaxYearMinus1Year
Current Tax Year30350CurrentTaxYear
Total1061878Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years480176CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years427533CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58715CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year65104CurrentTaxYearMinus1Year
Current Tax Year30350CurrentTaxYear
Total1061878Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years173179784CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years207566633CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200150744CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year207764973CurrentTaxYearMinus1Year
Current Tax Year188992881CurrentTaxYear
Total977655015Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99890PublicSupportPercentage509
Prior Year Support Percentage0.99810PriorYearSupportPercentage
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$13,000DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB13000TotalLobbyingExpendituresIIB
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 Basis2311318OtherCostOrOtherBasis
Depreciation1388039Depreciation
Book Value923279BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13347112OtherCostOrOtherBasis
Depreciation9895938Depreciation
Book Value3451174BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4374453TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
UNIVERSITY PHYSICIAN SVCS10752442C
OHS/UPG VENTURES8341840C
FieldValueIRS element (for citing)
Total Of Book Value Securities19094282TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
A/P - FMRE$9,911,577
LINE OF CREDIT$840,000
CAPITAL LEASE OBLIGATIONS$744,877
MALPRACTICE CLAIMS PAYABLE$223,546
FieldValueIRS element (for citing)
Total Of Amounts11720000TotalOfAmounts
Total Revenue189440836TotalRevenue
Total Expenses182786061TotalExpenses
Excess Or Deficit For Year6654775ExcessOrDeficitForYear
Net Unrealized GL On Investments-636191NetUnrealizedGLOnInvestments
Total Adjustments-636191TotalAdjustments
Excess Or Deficit Per FS6018584ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt188804645TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-636191NetUnrealizedGainsInvestments
Revenue Not Rptd F990-636191RevenueNotRptdF990
Revenue Subtotal189440836RevenueSubtotal
Total Revenue Per Form990189440836TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt182786061TotExpensesEtcAuditedFinclStmt
Expenses Subtotal182786061ExpensesSubtotal
Total Expenses Per Form990182786061TotalExpensesPerForm990

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 (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
MURALI GUTHIKONDA MD
6784004900017583744983
ANDRE KONSKI MD
423110367501503256132886436
GEORGE YOO MD FACS
2421593675013713539547246925
LAWRENCE G MORAWA MD
4766314900014520540151
THEODORE JONES MD
4004171225013526426193
WAEL SAKR MD
236000367501150236425280000
MARK JURZYCH MD MHSA
25138510055111922726321105084511895
JOHN FLACK MD MPH
1743001132526062575000
VALERIE M PARISI MD MPH MBA
2000002000010621230621
ROBERT MATHOG MD
75000299709519239289124800
MICHAEL CHER MD
940998523959718857376354
DONALD WEAVER MD
1486623205991421938634000
ROBERT LISAK MD
1463968744155140
GARY ABRAMS MD
134940283379089172366
KENNETH P LEE CPA
2693932693927642323974
DIANE STILLER
20000020750229412511917500
BRUCE WASHINGTON
99253724500314861048523
PATRICK MURPHY
7520444900017526818570
JORDAN MAIER
5658463675017220751351131535
ASHEESH TEWARI
6001884900016429665617
ANDREW XAVIER
5378804900014423601303

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 BOARD4768186HMO FEES EXPENSEfalse
ANESTHESIA SERVICES PC
COMMON BOARD80874FEES/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 DIRECTOR OF FINANCE 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 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 Line1550 E CANFIELD RM 324AddressLine1
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode
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 Line1550 E CANFIELD RM 324AddressLine1
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode
FieldValueIRS element (for citing)
EIN383386347EIN
Primary ActivityMEDICALPrimaryActivity
Legal Domicile StateMILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CORPTypeOfEntity
Share Of Total Income77672ShareOfTotalIncome
Share Of EOY Assets3280099ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
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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