2011-08-15T09:47:35-05:00 2010-09-30 EDWARDS ELLIS STANLEY & CO PC 2155 BUTTERFIELD DR STE 305A TROY MI 480843450 990 2009-10-01 383474766 UNIVERSITY PHYSICIAN GROUP UNIV 3135771194 550 E CANFIELD ROOM/SUITE 324 DETROIT MI 48201 KENNETH P LEE 3135771194 2011-08-15 true JEFFREY ELLIS 2486434545 2011-08-15 2009 2016-02-24 21:20:13Z VALERIE M PARISI MD MPH MBA 550 E CANFIELD RM 324 DETROIT MI 48201 208903609 false X X 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. 31 5 1410 125 1055443 0 200092029 208577758 -39421 78547 4053870 177554 204106478 208833859 0 0 99704300 99120008 0 0 105164100 104820170 204868400 203940178 -761922 4893681 87574471 76971091 54900308 39947881 32674163 37023210 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. false false 146668027 PROVIDE MEDICAL SERVICES AND EDUCATIONAL OPPORTUNTIES FOR NUMEROUS DEPARTMENTS AT LOCAL AREA HOSPITALS AND FOR WAYNE STATE UNIVERSITY FACULTY, FELLOWS AND RESIDENTS. 18409781 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). 356618 ESTABLISH AND CONDUCT REGULATORY COMPLIANCE PROGRAMS COVERING ALL DEPARTMENTS OF THE CORPORATION APPLICABLE TO HEALTH CARE SERVICES FURNISHED TO TEACHING PATIENTS AND TO OTHERS. 165434426 true false false true false false false false false true true false false false false false false false false false false false false true false false false false false false false true false false false false false true true false false true 243 0 true 1410 true true true false false false false false false false false false false false false false 31 5 true false false false false false false true true false false false true true true true true true true true true MI X X DON WALLACE 3135771179 550 E CANFIELD RM 324 DETROIT MI 48201 MURALI GUTHIKONDA MD 40.00 X 631667 211622 89835 ANDRE KONSKI MD 40.00 X 509946 249042 37787 GEROLD BEPLER MD PHD 40.00 X 0 726437 14791 VALERIE M PARISI MD MPH MBA 40.00 X X 216668 410215 58772 GEORGE YOO MD FACS 40.00 X 460001 157006 45938 WAEL SAKR MD 40.00 X 370000 224138 57198 LAWRENCE G MORAWA MD 40.00 X 476631 85720 72483 THEODORE JONES MD 40.00 X 397221 127421 41320 ROBERT MATHOG MD 40.00 X 219197 203916 64356 DONALD WEAVER MD 40.00 X 152528 260498 71171 MICHAEL CHER MD 40.00 X 145922 253938 48835 GARY ABRAMS MD 40.00 X X 159633 223092 71504 ROBERT LISAK MD 40.00 X 146396 234772 34774 MANUEL TANCER MD 40.00 X 69784 253299 37416 KENDRA SCHWARTZ MD MSPH 40.00 X 48077 269679 35771 JOHN FLACK MD MPH 40.00 X 48077 269679 35771 JAY MEYTHALER MD JD 40.00 X 0 301739 37882 LAWRENCE HORN MD 40.00 X 60577 225637 38386 JIAN-PING JIN MD PHD 1.00 X 0 234100 0 SUZANNE WHITE MD 1.00 X 0 221199 33675 WILBUR SMITH MD 1.00 X 3000 180854 19222 H MICHAEL MARSH MBBS 1.00 X 3000 177218 28783 DARIUS MEHREGAN MD 40.00 X 25400 54166 11511 MICHAEL GEHEB MD 1.00 X 0 11667 0 JOHN JH SCHWARZ MD 1.00 X 0 0 0 CURTIS A HERTEL SR 1.00 X 0 0 0 ELIZABETH CALLAHAN-MORRIS ESQ 1.00 X 0 0 0 ANDREA C MERRITT 1.00 X 0 0 0 KENNETH P LEE CPA 40.00 X 128000 207477 51628 DIANE STILLER 40.00 X 207500 0 40071 BRUCE WASHINGTON 40.00 X 1007468 0 41278 PATRICK MURPHY 40.00 X 917237 88464 75452 JAMES PUKLIN 40.00 X 595237 117876 84725 ASHEESH TEWARI 40.00 X 595489 64202 71734 JORDAN MAIER 40.00 X 562660 76336 52186 ROBERT R FRANK MD 40.00 X 100000 386220 45956 ROBERT M MENTZER 1.00 X 0 363820 35852 MARYJEAN SCHENK MD MPH MS 40.00 X 95000 264168 41403 PAUL MONTGOMERY 1.00 X 0 243222 35678 KENNETH PALMER 1.00 X 0 234795 35757 DONALD W WALLACE 40.00 X 204007 0 36484 LARRY KLAIN 1.00 X 16000 107586 16129 CARYN VOLPE 40.00 X 115569 0 16957 8687892 7721220 1668471 208 true true false 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 30 PATIENT REVENUES 134588579 134588579 ADMIN & CLINICAL SVCS SUPPORT 72829692 72829692 MANAGEMENT, HR, & IT SERVICES 561000 1055443 1055443 RENTAL INCOME 104044 104044 208577758 65104 65104 83193 69750 13443 13443 12503 940 MISCELLANEOUS INCOME 177554 177554 177554 208833859 207712372 1055443 66044 83157120 62398654 20758466 5270457 3701219 1569238 5199801 3377925 1821876 5492630 3770889 1721741 1298260 327141 971119 319153 319153 31966987 27029051 4937936 319911 229468 90443 48561 25652 22909 5858826 3776041 2082785 505783 395909 109874 181824 142571 39253 1373425 785481 587944 1935304 3688417 -1753113 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 5396104 3516894 1879210 203940178 165434426 38505752 0 10096838 1775917 15238614 14804132 39237460 35839889 665159 1509877 13649951 9841028 3814813 3808923 611555 682321 17910032 18550032 87574471 76971091 30045102 22134590 23352276 16643528 1502930 1169763 54900308 39947881 X 32674163 37023210 32674163 37023210 87574471 76971091 X false true true X false X 41102282 345381 59300 41506963 17030001 172354227 207079800 200092029 207699869 804255926 58132283 172699608 207139100 200092029 207699869 845762889 845762889 607752 480176 427533 58715 65104 1639280 607752 480176 427533 58715 65104 1639280 58740035 173179784 207566633 200150744 207764973 847402169 0.99810 0.99760 0.00000 X false false false false false true false false false false true 18168 false false 18168 false false false false false false false false false false false false false false false 1948645 1172035 776610 11701306 8668993 3032313 3808923 UNIVERSITY PHYSICIAN SVCS 10752442 C OHS/UPG VENTURES 7797590 C 18550032 CAPITAL LEASE OBLIGATIONS 806217 MALPRACTICE CLAIMS PAYABLE 223546 LINE OF CREDIT 140000 1169763 208833859 203940178 4893681 -544634 -544634 4349047 208289225 -544634 -544634 208833859 208833859 203940178 203940178 203940178 X false true X false false false true false true false false false 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 300000 12260 2531 741228 VALERIE M PARISI MD MPH MBA 200000 410215 16668 18903 25061 800 14008 236371 449284 GEORGE YOO MD FACS 73814 153196 386187 3810 45938 505939 157006 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 1203 7296 24500 482 16557 153700 294995 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 2674 23588 12183 48077 305450 JOHN FLACK MD MPH 48077 267005 2674 23588 12183 48077 305450 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 4000 10758 5371 16000 123715 CARYN VOLPE 115569 11557 5400 132526 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. ANESTHESIA SERVICES PC COMMON BOARD 4798353 HMO FEES EXPENSE false ANESTHESIA SERVICES PC COMMON BOARD 114666 FEES/DUES REVENUE false 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. 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 UNIVERSITY PHYSICIAN SERVICES 550 E CANFIELD RM 324 DETROIT MI 48201 383386347 MEDICAL MI N/A C CORP 154463 3266709 1.00000 false false false false false false false false false false false false true true true true false false