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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-15T09:47:35-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARDS ELLIS STANLEY & CO PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2155 BUTTERFIELD DR STE 305A | AddressLine1 |
| City | TROY | City |
| State | MI | State |
| ZIP Code | 480843450 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383474766 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY PHYSICIAN GROUP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIV | NameControl |
| Phone | 3135771194 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 E CANFIELD | AddressLine1 |
| Address Line2 | ROOM/SUITE 324 | AddressLine2 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48201 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENNETH P LEE | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 3135771194 | Phone |
| Date Signed | 2011-08-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY ELLIS | Name |
| Phone | 2486434545 | Phone |
| Date Prepared | 2011-08-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | VALERIE M PARISI MD MPH MBA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 E CANFIELD RM 324 | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 208903609 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Activity Or Mission Description | TO 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 Body | 31 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1410 | TotalNbrEmployees |
| Total Nbr Volunteers | 125 | TotalNbrVolunteers |
| Total Gross UBI | 1055443 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 200092029 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 208577758 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -39421 | InvestmentIncomePriorYear |
| Investment Income Current Year | 78547 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4053870 | OtherRevenuePriorYear |
| Other Revenue Current Year | 177554 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 204106478 | TotalRevenuePriorYear |
| Total Revenue Current Year | 208833859 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 99704300 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 99120008 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 105164100 | OtherExpensePriorYear |
| Other Expenses Current Year | 104820170 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 204868400 | TotalExpensesPriorYear |
| Total Expenses Current Year | 203940178 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -761922 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4893681 | RevenuesLessExpensesCY |
| Total Assets BOY | 87574471 | TotalAssetsBOY |
| Total Assets EOY | 76971091 | TotalAssetsEOY |
| Total Liabilities BOY | 54900308 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 39947881 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 32674163 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 37023210 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 146668027 | Expense |
| Description | PROVIDE MEDICAL SERVICES AND EDUCATIONAL OPPORTUNTIES FOR NUMEROUS DEPARTMENTS AT LOCAL AREA HOSPITALS AND FOR WAYNE STATE UNIVERSITY FACULTY, FELLOWS AND RESIDENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 18409781 | Expense |
| Description | COORDINATE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 356618 | Expense |
| Description | ESTABLISH AND CONDUCT REGULATORY COMPLIANCE PROGRAMS COVERING ALL DEPARTMENTS OF THE CORPORATION APPLICABLE TO HEALTH CARE SERVICES FURNISHED TO TEACHING PATIENTS AND TO OTHERS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 165434426 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 243 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1410 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Nbr Voting Governing Body Members | 31 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DON WALLACE | NamePerson |
| Telephone Number | 3135771179 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 E CANFIELD | AddressLine1 |
| Address Line2 | RM 324 | AddressLine2 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48201 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (43 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| MURALI GUTHIKONDA MD | ||||||||
| BOARD MEMBER | 40.00 | X | 631667 | 211622 | 89835 | |||
| ANDRE KONSKI MD | ||||||||
| BOARD MEMBER | 40.00 | X | 509946 | 249042 | 37787 | |||
| GEROLD BEPLER MD PHD | ||||||||
| BOARD MEMBER | 40.00 | X | 0 | 726437 | 14791 | |||
| VALERIE M PARISI MD MPH MBA | ||||||||
| CEO/PRESIDEN | 40.00 | X | 216668 | 410215 | 58772 | X | ||
| GEORGE YOO MD FACS | ||||||||
| BOARD MEMBER | 40.00 | X | 460001 | 157006 | 45938 | |||
| WAEL SAKR MD | ||||||||
| BOARD MEMBER | 40.00 | X | 370000 | 224138 | 57198 | |||
| LAWRENCE G MORAWA MD | ||||||||
| BOARD MEMBER | 40.00 | X | 476631 | 85720 | 72483 | |||
| THEODORE JONES MD | ||||||||
| BOARD MEMBER | 40.00 | X | 397221 | 127421 | 41320 | |||
| ROBERT MATHOG MD | ||||||||
| BOARD MEMBER | 40.00 | X | 219197 | 203916 | 64356 | |||
| DONALD WEAVER MD | ||||||||
| BOARD MEMBER | 40.00 | X | 152528 | 260498 | 71171 | |||
| MICHAEL CHER MD | ||||||||
| BOARD MEMBER | 40.00 | X | 145922 | 253938 | 48835 | |||
| GARY ABRAMS MD | ||||||||
| VICE PRES | 40.00 | X | 159633 | 223092 | 71504 | X | ||
| ROBERT LISAK MD | ||||||||
| BOARD MEMBER | 40.00 | X | 146396 | 234772 | 34774 | |||
| MANUEL TANCER MD | ||||||||
| BOARD MEMBER | 40.00 | X | 69784 | 253299 | 37416 | |||
| KENDRA SCHWARTZ MD MSPH | ||||||||
| BOARD MEMBER | 40.00 | X | 48077 | 269679 | 35771 | |||
| JOHN FLACK MD MPH | ||||||||
| BOARD MEMBER | 40.00 | X | 48077 | 269679 | 35771 | |||
| JAY MEYTHALER MD JD | ||||||||
| BOARD MEMBER | 40.00 | X | 0 | 301739 | 37882 | |||
| LAWRENCE HORN MD | ||||||||
| BOARD MEMBER | 40.00 | X | 60577 | 225637 | 38386 | |||
| JIAN-PING JIN MD PHD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 234100 | 0 | |||
| SUZANNE WHITE MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 221199 | 33675 | |||
| WILBUR SMITH MD | ||||||||
| BOARD MEMBER | 1.00 | X | 3000 | 180854 | 19222 | |||
| H MICHAEL MARSH MBBS | ||||||||
| BOARD MEMBER | 1.00 | X | 3000 | 177218 | 28783 | |||
| DARIUS MEHREGAN MD | ||||||||
| BOARD MEMBER | 40.00 | X | 25400 | 54166 | 11511 | |||
| MICHAEL GEHEB MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 11667 | 0 | |||
| JOHN JH SCHWARZ MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CURTIS A HERTEL SR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ELIZABETH CALLAHAN-MORRIS ESQ | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ANDREA C MERRITT | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| KENNETH P LEE CPA | ||||||||
| EXC DIRECTOR | 40.00 | 128000 | 207477 | 51628 | X | |||
| DIANE STILLER | ||||||||
| CFO/COO | 40.00 | 207500 | 0 | 40071 | X | |||
| BRUCE WASHINGTON | ||||||||
| PHYSICIAN | 40.00 | 1007468 | 0 | 41278 | X | |||
| PATRICK MURPHY | ||||||||
| PHYSICIAN | 40.00 | 917237 | 88464 | 75452 | X | |||
| JAMES PUKLIN | ||||||||
| PHYSICIAN | 40.00 | 595237 | 117876 | 84725 | X | |||
| ASHEESH TEWARI | ||||||||
| PHYSICIAN | 40.00 | 595489 | 64202 | 71734 | X | |||
| JORDAN MAIER | ||||||||
| PHYSICIAN | 40.00 | 562660 | 76336 | 52186 | X | |||
| ROBERT R FRANK MD | ||||||||
| FORMER OFFIC | 40.00 | 100000 | 386220 | 45956 | X | |||
| ROBERT M MENTZER | ||||||||
| FORMER OFFIC | 1.00 | 0 | 363820 | 35852 | X | |||
| MARYJEAN SCHENK MD MPH MS | ||||||||
| FORMER OFFIC | 40.00 | 95000 | 264168 | 41403 | X | |||
| PAUL MONTGOMERY | ||||||||
| FORMER BOARD | 1.00 | 0 | 243222 | 35678 | X | |||
| KENNETH PALMER | ||||||||
| FORMER BOARD | 1.00 | 0 | 234795 | 35757 | X | |||
| DONALD W WALLACE | ||||||||
| FORMER OFFIC | 40.00 | 204007 | 0 | 36484 | X | |||
| LARRY KLAIN | ||||||||
| FORMER OFFIC | 1.00 | 16000 | 107586 | 16129 | X | |||
| CARYN VOLPE | ||||||||
| FORMER OFFIC | 40.00 | 115569 | 0 | 16957 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8687892 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7721220 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1668471 | TotalOtherCompensation |
| Number Individuals GT100 K | 208 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIVERSITY PEDIATRICIANS | |||||
| 4201 ST ANTOINE 6F | DETROIT | MI | 48201 | PATIENT/ADMIN | 24030810 |
| MEDICAL CENTER EMERGENCY SERV | |||||
| 39300 W 12 MILE STE 100 | FARMINGTON | MI | 48331 | PATIENT/ADMIN | 6050085 |
| HENRY FORD HEALTH SYSTEM | |||||
| 2799 W GRAND BLVD MED ADMIN CFP-1 | DETROIT | MI | 48202 | MEDICAL | 5320634 |
| DR L REYNOLDS ASSOC | |||||
| 24500 NORTHWESTERN STE 100 | SOUTHFIELD | MI | 48075 | PATIENT/ADMIN | 4998062 |
| ANESTHESIA SERVICES PC | |||||
| PO BOX 1009 | JACKSON | MI | 49204 | PATIENT/ADMIN | 4798353 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 30 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Business CodeBusinessCode | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUES | 134588579 | 134588579 | ||
| ADMIN & CLINICAL SVCS SUPPORT | 72829692 | 72829692 | ||
| MANAGEMENT, HR, & IT SERVICES | 1055443 | 561000 | 1055443 | |
| RENTAL INCOME | 104044 | 104044 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 208577758 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 65104 | TotalRevenueColumn |
| Exclusion | $65,104 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 83193 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 69750 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 13443 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13443 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12503 | RelatedOrExemptFunctionIncome |
| Exclusion | $940 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Total Revenue Column | 177554 | TotalRevenueColumn |
| Related Or Exempt Function Income | 177554 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 177554 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 208833859 | TotalRevenueColumn |
| Related Or Exempt Function Income | 207712372 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1055443 | UnrelatedBusinessRevenue |
| Exclusion | $66,044 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83157120 | Total |
| Program Services | 62398654 | ProgramServices |
| Management And General | 20758466 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5270457 | Total |
| Program Services | 3701219 | ProgramServices |
| Management And General | 1569238 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5199801 | Total |
| Program Services | 3377925 | ProgramServices |
| Management And General | 1821876 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5492630 | Total |
| Program Services | 3770889 | ProgramServices |
| Management And General | 1721741 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1298260 | Total |
| Program Services | 327141 | ProgramServices |
| Management And General | 971119 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319153 | Total |
| Management And General | 319153 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31966987 | Total |
| Program Services | 27029051 | ProgramServices |
| Management And General | 4937936 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319911 | Total |
| Program Services | 229468 | ProgramServices |
| Management And General | 90443 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48561 | Total |
| Program Services | 25652 | ProgramServices |
| Management And General | 22909 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5858826 | Total |
| Program Services | 3776041 | ProgramServices |
| Management And General | 2082785 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 505783 | Total |
| Program Services | 395909 | ProgramServices |
| Management And General | 109874 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181824 | Total |
| Program Services | 142571 | ProgramServices |
| Management And General | 39253 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1373425 | Total |
| Program Services | 785481 | ProgramServices |
| Management And General | 587944 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1935304 | Total |
| Program Services | 3688417 | ProgramServices |
| Management And General | -1753113 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SALARY REIMBURSEMENTS | 23571867 | 22953670 | 618197 |
| BAD DEBT EXPENSE | 13883166 | 13883166 | |
| FUND FOR MEDICAL RESEARCH | 11297825 | 10168042 | 1129783 |
| PRACTICE EXPENSE | 5424677 | 4850284 | 574393 |
| EQUIPMENT RENTAL & MTCE | 1438497 | 413952 | 1024545 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5396104 | Total |
| Program Services | 3516894 | ProgramServices |
| Management And General | 1879210 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203940178 | Total |
| Program Services | 165434426 | ProgramServices |
| Management And General | 38505752 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10096838 | BOY |
| EOY | 1775917 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15238614 | BOY |
| EOY | 14804132 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39237460 | BOY |
| EOY | 35839889 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 665159 | BOY |
| EOY | 1509877 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13649951 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9841028 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3814813 | BOY |
| EOY | 3808923 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 611555 | BOY |
| EOY | 682321 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17910032 | BOY |
| EOY | 18550032 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87574471 | BOY |
| EOY | 76971091 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30045102 | BOY |
| EOY | 22134590 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23352276 | BOY |
| EOY | 16643528 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1502930 | BOY |
| EOY | 1169763 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54900308 | BOY |
| EOY | 39947881 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32674163 | BOY |
| EOY | 37023210 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32674163 | BOY |
| EOY | 37023210 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87574471 | BOY |
| EOY | 76971091 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 41102282 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 345381 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 59300 | CurrentTaxYearMinus2Years |
| Total | 41506963 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17030001 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 172354227 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 207079800 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 200092029 | CurrentTaxYearMinus1Year |
| Current Tax Year | 207699869 | CurrentTaxYear |
| Total | 804255926 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 58132283 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 172699608 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 207139100 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 200092029 | CurrentTaxYearMinus1Year |
| Current Tax Year | 207699869 | CurrentTaxYear |
| Total | 845762889 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 845762889 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 607752 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 480176 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 427533 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 58715 | CurrentTaxYearMinus1Year |
| Current Tax Year | 65104 | CurrentTaxYear |
| Total | 1639280 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 607752 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 480176 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 427533 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 58715 | CurrentTaxYearMinus1Year |
| Current Tax Year | 65104 | CurrentTaxYear |
| Total | 1639280 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 58740035 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 173179784 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 207566633 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 200150744 | CurrentTaxYearMinus1Year |
| Current Tax Year | 207764973 | CurrentTaxYear |
| Total | 847402169 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99810 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99760 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed4955 Tax | false | Form4720Filed4955Tax |
| Correction Made | false | CorrectionMade |
| Form1120 Pol Filed | false | Form1120PolFiled |
| Form4720 Filed | false | Form4720Filed |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $18,168 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 18168 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
| Substantially All Dues Nondeduct | false | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | false | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | false | AgreeToCarryoverPriorYear |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1948645 | OtherCostOrOtherBasis |
| Depreciation | 1172035 | Depreciation |
| Book Value | 776610 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11701306 | OtherCostOrOtherBasis |
| Depreciation | 8668993 | Depreciation |
| Book Value | 3032313 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3808923 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| UNIVERSITY PHYSICIAN SVCS | 10752442 | C |
| OHS/UPG VENTURES | 7797590 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 18550032 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $806,217 |
| MALPRACTICE CLAIMS PAYABLE | $223,546 |
| LINE OF CREDIT | $140,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1169763 | TotalOfAmounts |
| Total Revenue | 208833859 | TotalRevenue |
| Total Expenses | 203940178 | TotalExpenses |
| Excess Or Deficit For Year | 4893681 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -544634 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -544634 | TotalAdjustments |
| Excess Or Deficit Per FS | 4349047 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 208289225 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -544634 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -544634 | RevenueNotRptdF990 |
| Revenue Subtotal | 208833859 | RevenueSubtotal |
| Total Revenue Per Form990 | 208833859 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 203940178 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 203940178 | ExpensesSubtotal |
| Total Expenses Per Form990 | 203940178 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (37 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MURALI GUTHIKONDA MD | |||||||||||
| 560000 | 211622 | 71667 | 61250 | 21162 | 1088 | 6335 | 694005 | 239119 | |||
| ANDRE KONSKI MD | |||||||||||
| 477163 | 249042 | 32783 | 24904 | 837 | 12046 | 510783 | 285992 | ||||
| GEROLD BEPLER MD PHD | |||||||||||
| 426437 | 12260 | 2531 | 741228 | 300000 | |||||||
| VALERIE M PARISI MD MPH MBA | |||||||||||
| 200000 | 410215 | 16668 | 18903 | 25061 | 800 | 14008 | 236371 | 449284 | |||
| GEORGE YOO MD FACS | |||||||||||
| 73814 | 153196 | 386187 | 45938 | 505939 | 157006 | 3810 | |||||
| WAEL SAKR MD | |||||||||||
| 310000 | 224138 | 60000 | 45938 | 11260 | 415938 | 235398 | |||||
| LAWRENCE G MORAWA MD | |||||||||||
| 476631 | 85720 | 61250 | 987 | 10246 | 538868 | 95966 | |||||
| THEODORE JONES MD | |||||||||||
| 390057 | 127421 | 7164 | 15313 | 12442 | 1544 | 12021 | 414078 | 151884 | |||
| ROBERT MATHOG MD | |||||||||||
| 108552 | 203916 | 110645 | 32824 | 20392 | 11140 | 252021 | 235448 | ||||
| DONALD WEAVER MD | |||||||||||
| 152528 | 260498 | 33672 | 24500 | 288 | 12711 | 186488 | 297709 | ||||
| MICHAEL CHER MD | |||||||||||
| 100835 | 252735 | 45087 | 7296 | 24500 | 482 | 16557 | 153700 | 294995 | 1203 | ||
| GARY ABRAMS MD | |||||||||||
| 159633 | 223092 | 35060 | 22309 | 972 | 13163 | 195665 | 258564 | ||||
| ROBERT LISAK MD | |||||||||||
| 146396 | 234772 | 23477 | 11297 | 146396 | 269546 | ||||||
| MANUEL TANCER MD | |||||||||||
| 69784 | 253299 | 24841 | 12575 | 69784 | 290715 | ||||||
| KENDRA SCHWARTZ MD MSPH | |||||||||||
| 48077 | 267005 | 23588 | 12183 | 48077 | 305450 | 2674 | |||||
| JOHN FLACK MD MPH | |||||||||||
| 48077 | 267005 | 23588 | 12183 | 48077 | 305450 | 2674 | |||||
| JAY MEYTHALER MD JD | |||||||||||
| 301739 | 24500 | 13382 | 339621 | ||||||||
| LAWRENCE HORN MD | |||||||||||
| 40577 | 225637 | 20000 | 22564 | 15822 | 60577 | 264023 | |||||
| JIAN-PING JIN MD PHD | |||||||||||
| 234100 | 234100 | ||||||||||
| SUZANNE WHITE MD | |||||||||||
| 221199 | 22120 | 11555 | 254874 | ||||||||
| WILBUR SMITH MD | |||||||||||
| 3000 | 180854 | 18085 | 1137 | 3000 | 200076 | ||||||
| H MICHAEL MARSH MBBS | |||||||||||
| 3000 | 177218 | 17722 | 11061 | 3000 | 206001 | ||||||
| KENNETH P LEE CPA | |||||||||||
| 128000 | 207477 | 12800 | 20748 | 15549 | 2531 | 156349 | 230756 | ||||
| DIANE STILLER | |||||||||||
| 200000 | 7500 | 20750 | 19321 | 247571 | |||||||
| BRUCE WASHINGTON | |||||||||||
| 1007468 | 30625 | 10653 | 1048746 | ||||||||
| PATRICK MURPHY | |||||||||||
| 917237 | 88464 | 61250 | 8846 | 5356 | 978487 | 102666 | |||||
| JAMES PUKLIN | |||||||||||
| 595237 | 117876 | 61250 | 11788 | 987 | 10700 | 657474 | 140364 | ||||
| ASHEESH TEWARI | |||||||||||
| 595489 | 64202 | 61250 | 5122 | 1088 | 4274 | 657827 | 73598 | ||||
| JORDAN MAIER | |||||||||||
| 185744 | 76336 | 376916 | 45937 | 517 | 5732 | 609114 | 82068 | ||||
| ROBERT R FRANK MD | |||||||||||
| 100000 | 386220 | 10000 | 24500 | 11456 | 110000 | 422176 | |||||
| ROBERT M MENTZER | |||||||||||
| 363820 | 24500 | 11352 | 399672 | ||||||||
| MARYJEAN SCHENK MD MPH MS | |||||||||||
| 95000 | 264168 | 24858 | 16545 | 95000 | 305571 | ||||||
| PAUL MONTGOMERY | |||||||||||
| 243222 | 24322 | 11356 | 278900 | ||||||||
| KENNETH PALMER | |||||||||||
| 234795 | 23480 | 12277 | 270552 | ||||||||
| DONALD W WALLACE | |||||||||||
| 200007 | 4000 | 20401 | 16083 | 240491 | |||||||
| LARRY KLAIN | |||||||||||
| 12000 | 107586 | 10758 | 5371 | 16000 | 123715 | 4000 | |||||
| CARYN VOLPE | |||||||||||
| 115569 | 11557 | 5400 | 132526 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FRINGE OR EXPENSE EXPLANATION | SCHEDULE J, PAGE 1, PART I, LINE 1A | DUES 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 EXPLANATION | SCHEDULE J, PAGE 1, PART I, LINE 1B | THE 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 ORGANIZATION | SCHEDULE J, PAGE 1, PART I, LINE 5A | THE 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 ORGANIZATION | SCHEDULE J, PAGE 1, PART I, LINE 6A | THE 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)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ANESTHESIA SERVICES PC | |||
| COMMON BOARD | 4798353 | HMO FEES EXPENSE | false |
| ANESTHESIA SERVICES PC | |||
| COMMON BOARD | 114666 | FEES/DUES REVENUE | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | TO 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 990 | FORM 990, PAGE 6, PART VI, LINE 11 | THE ORGANIZATION'S DIRECTOR OF FINANCE REVIEWS A DRAFT OF THE 990 AND REVIEWS THE FINAL COPY OF THE RETURN BEFORE FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL DISCLOSURES. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE 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 EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| ADDITIONAL INFORMATION | SCHEDULE O | FORM 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| WAYNE STATE UNIV SCHOOL OF MEDICINE | |||||||||
| 5700 CASS AVENUE STE 4900 | DETROIT | MI | 48202 | 386028429 | UNIVERSITY | MI | 501 | 2 | N/A |
| FUND FOR MEDICAL RESEARCH & EDUCAT | |||||||||
| 550 E CANFIELD RM 324 | DETROIT | MI | 48201 | 382319524 | MEDICAL | MI | 501 | 11C | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY PHYSICIAN SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 E CANFIELD RM 324 | AddressLine1 |
| City | DETROIT | City |
| State | MI | State |
| ZIP Code | 48201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383386347 | EIN |
| Primary Activity | MEDICAL | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 154463 | ShareOfTotalIncome |
| Share Of EOY Assets | 3266709 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Comments