UNIVERSITY PHYSICIAN GROUP: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
UNIVERSITY PHYSICIAN GROUP (EIN 38-3474766)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201122279349302007
Schema version
2009v1.7
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)
Timestamp2011-08-15T09:47:35-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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 Signed2011-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY ELLISName
Phone2486434545Phone
Date Prepared2011-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts208903609GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Body31NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees1410TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI1055443TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year200092029ProgramServiceRevenuePriorYear
Program Service Revenue CY208577758ProgramServiceRevenueCY
Investment Income Prior Year-39421InvestmentIncomePriorYear
Investment Income Current Year78547InvestmentIncomeCurrentYear
Other Revenue Prior Year4053870OtherRevenuePriorYear
Other Revenue Current Year177554OtherRevenueCurrentYear
Total Revenue Prior Year204106478TotalRevenuePriorYear
Total Revenue Current Year208833859TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99704300SalariesEtcPriorYear
Salaries Etc Current Year99120008SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year105164100OtherExpensePriorYear
Other Expenses Current Year104820170OtherExpensesCurrentYear
Total Expenses Prior Year204868400TotalExpensesPriorYear
Total Expenses Current Year203940178TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-761922RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4893681RevenuesLessExpensesCY
Total Assets BOY87574471TotalAssetsBOY
Total Assets EOY76971091TotalAssetsEOY
Total Liabilities BOY54900308TotalLiabilitiesBOY
Total Liabilities EOY39947881TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32674163NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37023210NetAssetsOrFundBalancesEOY
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
Expense146668027Expense
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)
Expense18409781Expense
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)
Expense356618Expense
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 Expense165434426TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096243NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1410NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members31NbrVotingGoverningBodyMembers
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 PersonDON WALLACENamePerson
Telephone Number3135771179TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1550 E CANFIELDAddressLine1
Address Line2RM 324AddressLine2
CityDETROITCity
StateMIState
ZIP Code48201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MURALI GUTHIKONDA MD
BOARD MEMBER40.00X63166721162289835
ANDRE KONSKI MD
BOARD MEMBER40.00X50994624904237787
GEROLD BEPLER MD PHD
BOARD MEMBER40.00X072643714791
VALERIE M PARISI MD MPH MBA
CEO/PRESIDEN40.00X21666841021558772X
GEORGE YOO MD FACS
BOARD MEMBER40.00X46000115700645938
WAEL SAKR MD
BOARD MEMBER40.00X37000022413857198
LAWRENCE G MORAWA MD
BOARD MEMBER40.00X4766318572072483
THEODORE JONES MD
BOARD MEMBER40.00X39722112742141320
ROBERT MATHOG MD
BOARD MEMBER40.00X21919720391664356
DONALD WEAVER MD
BOARD MEMBER40.00X15252826049871171
MICHAEL CHER MD
BOARD MEMBER40.00X14592225393848835
GARY ABRAMS MD
VICE PRES40.00X15963322309271504X
ROBERT LISAK MD
BOARD MEMBER40.00X14639623477234774
MANUEL TANCER MD
BOARD MEMBER40.00X6978425329937416
KENDRA SCHWARTZ MD MSPH
BOARD MEMBER40.00X4807726967935771
JOHN FLACK MD MPH
BOARD MEMBER40.00X4807726967935771
JAY MEYTHALER MD JD
BOARD MEMBER40.00X030173937882
LAWRENCE HORN MD
BOARD MEMBER40.00X6057722563738386
JIAN-PING JIN MD PHD
BOARD MEMBER1.00X02341000
SUZANNE WHITE MD
BOARD MEMBER1.00X022119933675
WILBUR SMITH MD
BOARD MEMBER1.00X300018085419222
H MICHAEL MARSH MBBS
BOARD MEMBER1.00X300017721828783
DARIUS MEHREGAN MD
BOARD MEMBER40.00X254005416611511
MICHAEL GEHEB MD
BOARD MEMBER1.00X0116670
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
KENNETH P LEE CPA
EXC DIRECTOR40.0012800020747751628X
DIANE STILLER
CFO/COO40.00207500040071X
BRUCE WASHINGTON
PHYSICIAN40.001007468041278X
PATRICK MURPHY
PHYSICIAN40.009172378846475452X
JAMES PUKLIN
PHYSICIAN40.0059523711787684725X
ASHEESH TEWARI
PHYSICIAN40.005954896420271734X
JORDAN MAIER
PHYSICIAN40.005626607633652186X
ROBERT R FRANK MD
FORMER OFFIC40.0010000038622045956X
ROBERT M MENTZER
FORMER OFFIC1.00036382035852X
MARYJEAN SCHENK MD MPH MS
FORMER OFFIC40.009500026416841403X
PAUL MONTGOMERY
FORMER BOARD1.00024322235678X
KENNETH PALMER
FORMER BOARD1.00023479535757X
DONALD W WALLACE
FORMER OFFIC40.00204007036484X
LARRY KLAIN
FORMER OFFIC1.001600010758616129X
CARYN VOLPE
FORMER OFFIC40.00115569016957X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8687892TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7721220TotalReportableCompFrmRltdOrgs
Total Other Compensation1668471TotalOtherCompensation
Number Individuals GT100 K208NumberIndividualsGT100K
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
UNIVERSITY PEDIATRICIANS
4201 ST ANTOINE 6FDETROITMI48201PATIENT/ADMIN24030810
MEDICAL CENTER EMERGENCY SERV
39300 W 12 MILE STE 100FARMINGTONMI48331PATIENT/ADMIN6050085
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD MED ADMIN CFP-1DETROITMI48202MEDICAL5320634
DR L REYNOLDS ASSOC
24500 NORTHWESTERN STE 100SOUTHFIELDMI48075PATIENT/ADMIN4998062
ANESTHESIA SERVICES PC
PO BOX 1009JACKSONMI49204PATIENT/ADMIN4798353
FieldValueIRS element (for citing)
Number Of Contractors GT100 K30NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUES134588579134588579
ADMIN & CLINICAL SVCS SUPPORT7282969272829692
MANAGEMENT, HR, & IT SERVICES10554435610001055443
RENTAL INCOME104044104044
FieldValueIRS element (for citing)
Total Program Service Revenue208577758TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column65104TotalRevenueColumn
Exclusion$65,104ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other83193Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other69750Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other13443Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13443TotalRevenueColumn
Related Or Exempt Function Income12503RelatedOrExemptFunctionIncome
Exclusion$940ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Total Revenue Column177554TotalRevenueColumn
Related Or Exempt Function Income177554RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue177554TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column208833859TotalRevenueColumn
Related Or Exempt Function Income207712372RelatedOrExemptFunctionIncome
Unrelated Business Revenue1055443UnrelatedBusinessRevenue
Exclusion$66,044ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total83157120Total
Program Services62398654ProgramServices
Management And General20758466ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5270457Total
Program Services3701219ProgramServices
Management And General1569238ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5199801Total
Program Services3377925ProgramServices
Management And General1821876ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5492630Total
Program Services3770889ProgramServices
Management And General1721741ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1298260Total
Program Services327141ProgramServices
Management And General971119ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total319153Total
Management And General319153ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total31966987Total
Program Services27029051ProgramServices
Management And General4937936ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total319911Total
Program Services229468ProgramServices
Management And General90443ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total48561Total
Program Services25652ProgramServices
Management And General22909ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5858826Total
Program Services3776041ProgramServices
Management And General2082785ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total505783Total
Program Services395909ProgramServices
Management And General109874ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total181824Total
Program Services142571ProgramServices
Management And General39253ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1373425Total
Program Services785481ProgramServices
Management And General587944ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1935304Total
Program Services3688417ProgramServices
Management And General-1753113ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SALARY REIMBURSEMENTS2357186722953670618197
BAD DEBT EXPENSE1388316613883166
FUND FOR MEDICAL RESEARCH11297825101680421129783
PRACTICE EXPENSE54246774850284574393
EQUIPMENT RENTAL & MTCE14384974139521024545

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5396104Total
Program Services3516894ProgramServices
Management And General1879210ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total203940178Total
Program Services165434426ProgramServices
Management And General38505752ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10096838BOY
EOY1775917EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15238614BOY
EOY14804132EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY39237460BOY
EOY35839889EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY665159BOY
EOY1509877EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13649951LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9841028LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3814813BOY
EOY3808923EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY611555BOY
EOY682321EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY17910032BOY
EOY18550032EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY87574471BOY
EOY76971091EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30045102BOY
EOY22134590EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY23352276BOY
EOY16643528EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1502930BOY
EOY1169763EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY54900308BOY
EOY39947881EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY32674163BOY
EOY37023210EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32674163BOY
EOY37023210EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY87574471BOY
EOY76971091EOY
FieldValueIRS element (for citing)
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 Years41102282CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years345381CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years59300CurrentTaxYearMinus2Years
Total41506963Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17030001CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172354227CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years207079800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year200092029CurrentTaxYearMinus1Year
Current Tax Year207699869CurrentTaxYear
Total804255926Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58132283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172699608CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years207139100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year200092029CurrentTaxYearMinus1Year
Current Tax Year207699869CurrentTaxYear
Total845762889Total
FieldValueIRS element (for citing)
Public Support Total509845762889PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years607752CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years480176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years427533CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58715CurrentTaxYearMinus1Year
Current Tax Year65104CurrentTaxYear
Total1639280Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years607752CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years480176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years427533CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58715CurrentTaxYearMinus1Year
Current Tax Year65104CurrentTaxYear
Total1639280Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years58740035CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years173179784CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years207566633CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year200150744CurrentTaxYearMinus1Year
Current Tax Year207764973CurrentTaxYear
Total847402169Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99810PublicSupportPercentage509
Prior Year Support Percentage0.99760PriorYearSupportPercentage
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$18,168DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB18168TotalLobbyingExpendituresIIB
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 Basis1948645OtherCostOrOtherBasis
Depreciation1172035Depreciation
Book Value776610BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11701306OtherCostOrOtherBasis
Depreciation8668993Depreciation
Book Value3032313BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3808923TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
UNIVERSITY PHYSICIAN SVCS10752442C
OHS/UPG VENTURES7797590C
FieldValueIRS element (for citing)
Total Of Book Value Securities18550032TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATIONS$806,217
MALPRACTICE CLAIMS PAYABLE$223,546
LINE OF CREDIT$140,000
FieldValueIRS element (for citing)
Total Of Amounts1169763TotalOfAmounts
Total Revenue208833859TotalRevenue
Total Expenses203940178TotalExpenses
Excess Or Deficit For Year4893681ExcessOrDeficitForYear
Net Unrealized GL On Investments-544634NetUnrealizedGLOnInvestments
Total Adjustments-544634TotalAdjustments
Excess Or Deficit Per FS4349047ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt208289225TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-544634NetUnrealizedGainsInvestments
Revenue Not Rptd F990-544634RevenueNotRptdF990
Revenue Subtotal208833859RevenueSubtotal
Total Revenue Per Form990208833859TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt203940178TotExpensesEtcAuditedFinclStmt
Expenses Subtotal203940178ExpensesSubtotal
Total Expenses Per Form990203940178TotalExpensesPerForm990

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 (37 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrg
MURALI GUTHIKONDA MD
56000021162271667612502116210886335694005239119
ANDRE KONSKI MD
477163249042327832490483712046510783285992
GEROLD BEPLER MD PHD
426437122602531741228300000
VALERIE M PARISI MD MPH MBA
20000041021516668189032506180014008236371449284
GEORGE YOO MD FACS
73814153196386187459385059391570063810
WAEL SAKR MD
310000224138600004593811260415938235398
LAWRENCE G MORAWA MD
47663185720612509871024653886895966
THEODORE JONES MD
39005712742171641531312442154412021414078151884
ROBERT MATHOG MD
108552203916110645328242039211140252021235448
DONALD WEAVER MD
152528260498336722450028812711186488297709
MICHAEL CHER MD
10083525273545087729624500482165571537002949951203
GARY ABRAMS MD
159633223092350602230997213163195665258564
ROBERT LISAK MD
1463962347722347711297146396269546
MANUEL TANCER MD
69784253299248411257569784290715
KENDRA SCHWARTZ MD MSPH
480772670052358812183480773054502674
JOHN FLACK MD MPH
480772670052358812183480773054502674
JAY MEYTHALER MD JD
3017392450013382339621
LAWRENCE HORN MD
4057722563720000225641582260577264023
JIAN-PING JIN MD PHD
234100234100
SUZANNE WHITE MD
2211992212011555254874
WILBUR SMITH MD
30001808541808511373000200076
H MICHAEL MARSH MBBS
300017721817722110613000206001
KENNETH P LEE CPA
1280002074771280020748155492531156349230756
DIANE STILLER
20000075002075019321247571
BRUCE WASHINGTON
100746830625106531048746
PATRICK MURPHY
917237884646125088465356978487102666
JAMES PUKLIN
595237117876612501178898710700657474140364
ASHEESH TEWARI
595489642026125051221088427465782773598
JORDAN MAIER
1857447633637691645937517573260911482068
ROBERT R FRANK MD
100000386220100002450011456110000422176
ROBERT M MENTZER
3638202450011352399672
MARYJEAN SCHENK MD MPH MS
95000264168248581654595000305571
PAUL MONTGOMERY
2432222432211356278900
KENNETH PALMER
2347952348012277270552
DONALD W WALLACE
20000740002040116083240491
LARRY KLAIN
12000107586107585371160001237154000
CARYN VOLPE
115569115575400132526

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 FOR WAYNE STATE UNIVERSITY AND UNIVERSITY PHYSICIAN GROUP. 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 A PART OF INCENTIVE-BASE COMPENSATION.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANESTHESIA SERVICES PC
COMMON BOARD4798353HMO FEES EXPENSEfalse
ANESTHESIA SERVICES PC
COMMON BOARD114666FEES/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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE 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.
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS: ALMOST ALL OF THE DIRECTORS AND OFFICERS OF UNIVERSITY PHYSICIAN GROUP ALSO SERVE AS OFFICERS, DIRECTORS, AND/OR KEY EMPLOYEES OF THE FUND FOR MEDICAL RESEARCH & EDUCATION AND/OR WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
WAYNE STATE UNIV SCHOOL OF MEDICINE
5700 CASS AVENUE STE 4900DETROITMI48202386028429UNIVERSITYMI5012N/A
FUND FOR MEDICAL RESEARCH & EDUCAT
550 E CANFIELD RM 324DETROITMI48201382319524MEDICALMI50111CN/A

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 Income154463ShareOfTotalIncome
Share Of EOY Assets3266709ShareOfEOYAssets
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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