2011-05-13T10:06:51-05:00 2010-06-30 Thompson Dunavant PLC 5100 Poplar Avenue Thirtieth Floor Memphis TN 38137 990 2009-07-01 621162462 UT Medical Group Inc UTME 9018668015 1407 Union Avenue No 700 Memphis TN 381043641 Steven H Burkett 9018668015 2011-05-12 1 Mark E Grochau CPA 9016855575 2009 2016-02-24 21:20:13Z STEVEN H BURKETT 1407 UNION AVESUITE 700 MEMPHIS TN 381043641 135797711 0 X WWW.UTMEDICALGROUP.COM X 1983 TN Delivery of health care by the faculty physicians of the University of Tennessee Health Science Center College of Medicine. 13 3 1281 0 533 0 0 121965402 133742622 1633316 2032988 50647 533 123649365 135776143 0 0 81852729 90277048 0 0 41431626 44419613 123284355 134696661 365010 1079482 65885575 66729155 35711059 35475157 30174516 31253998 The mission of UT Medical Group, Inc. is to deliver high quality health and medical services through: - Leading edge clinical practice in an academic setting, - Excellence in service and satisfaction, and - Availability, accessibility, and convenience for the patientin support of the College of Medicine of The University of Tennessee Health Science Center. 0 0 112803075 133742622 UT Medical Group, Inc. (the Group) is a nonprofit educational, research and charitable organization incorporated in the state of Tennessee whose activities encompass the delivery of health care by the faculty of the College of Medicine of the University of Tennessee Health Science Center (UTHSC). The Group operates under an affiliation agreement with UTHSC and provides comprehensive, high quality, multi-specialty health care to all patients while fulfilling the academic, teaching and research responsibilities of the professional employees (faculty physicians).The Group is composed of twenty clinical departments and certain ancillary and administrative departments. The clinical departments include Adult Cardiovascular Institute, Anesthesiology, Emergency Medicine, Family Medicine, Interventional Radiology, Medicine, Neonatology, Neurology, Obstetrics and Gynecology, Ophthalmology, Otolaryngology, Pediatrics, Pediatric Cardiovascular Institute, Pediatric Radiology, Plastic Surgery, Psychiatry, Radiology, Surgery, Solid Organ Transplant Institute, and Urology.The range of services provided by the clinical departments includes primary care, specialty consultations, subspecialty procedures and diagnostic evaluations, surgical procedures (including a transplant program) and emergency care. Health care services are delivered in numerous hospital and clinic settings, including inpatient and outpatient care at The Regional Medical Center at Memphis (The MED), Le Bonheur Children's Hospital, Memphis VA Medical Center, Methodist University Hospital, St. Jude Children's Research Hospital, St. Francis Hospital, Baptist Memorial Hospitals, and other local community hospitals. The Group's faculty physicians provide health care services to patients of the Centers of Excellence at The MED. The Centers of Excellence include the following: trauma center, burn center, wound care center, high risk obstetrics center, newborn center, adult special care, and sickle cell center.During the year ended June 30, 2010, the Group had over 600,000 patient encounters in inpatient, outpatient, and clinical settings. The Transplant Institute surgeons performed 234 transplants during the year, including transplants of 118 livers, 108 kidneys, and 8 other types. Group physicians had 29,000 trauma patient encounters at The MED's level one trauma center. Group physicians were involved in the deliveries of over 4,300 babies and covered over 19,000 sick baby days at the Newborn Center. Le Bonheur has developed a number of very specialized pediatric patient care programs for which Group physicians provide health care services. Examples of these programs include cardiovascular surgery, neurology/epilepsy services, and expanded neonatal intensive care. Group faculty physicians covered 11,500 patient days in the Neonatal Intensive Care Unit, 5,200 in the Intensive Care Unit, and 1,390 in the Cardiovascular Intensive Care Unit. The Group's cardiovascular surgeons performed approximately 390 surgeries during the year. The Group's neurologists performed over 2,500 neurological procedures.The medical services provided by the Group are available to the community as a whole without regard to ability to pay. Medicare, Medicaid, and TennCare patients are accepted. The Group has an agreement with The MED, which is the public safety net hospital of Shelby County, Tennessee, that provides for the delivery of professional services to indigent patients, both inpatient and outpatient. In addition to patients from Shelby County, the faculty physicians and other professional employees of the Group provide health care services to out-of-state residents and residents of foreign countries who have limited incomes. During the year over 55 percent of the Group's services were provided to patients with TennCare, Medicaid or no insurance coverage. Another 19 percent were provided to Medicare patients. The professional employees of the group are dedicated to the medical training and education of health professionals in conjunction with the UTHSC College of Medicine. Although educational activities are funded primarily through the UTHSC College of Medicine, the Group makes significant contributions to this effort with both personnel and financial resources. During the year faculty physicians were involved in the education of primarily the third and fourth year medical students (300 of the 600 medical students), 250 primary care interns and residents, and 300 non-primary care residents and fellows.Also in conjunction with the UTHSC College of Medicine, the professional employees of the Group engage in programs of medical research and education that promote the long-term health and welfare of patients and the general public. The research programs focus on prevention and treatment of illnesses as well as effects of drugs and medications on a variety of diseases and medical conditions.While serving as the primary faculty group practice of the UTHSC College of Medicine, the long-term commitment of the Group is to continue to provide medical services to any and all patients and to promote good health through research and education. 112803075 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 130 0 1 1281 1 0 0 0 0 0 0 0 0 0 13 3 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 0 0 1 1 X X Mary Federline 9018668015 1407 UNION AVENUE SUITE 720 Memphis TN 381043641 Robert B Canada MD 28.00 X 143588 140422 24826 Timothy C Fabian MD 22.00 X 161895 370349 58097 James Christian Fleming MD 30.00 X 193221 161873 35306 Edith Kelly-Green 2.00 X 5000 0 0 David Maness DO 8.00 X 37806 250000 44913 Herman Morris Jr 1.00 X 5000 0 0 F Elizabeth Pritchard MD 24.00 X 160862 197068 32454 Ronald D Reddin 2.00 X 5000 0 0 Guy Reed III MD 8.00 X 178177 300000 37218 Steve J Schwab MD 8.00 X X 101546 368940 34968 James Lacey Smith MD 18.00 X X 116965 192296 29574 Dennis Stokes MD 30.00 X 204264 39692 23424 John Zanella Jr MD 23.00 X 299444 168389 40820 Steven H Burkett 40.00 X 365273 0 15908 Richard O Baer 40.00 X 157907 0 13042 Raza Dilawari MD 32.00 X 285238 250000 45611 Brenda H Jeter 40.00 X 214386 0 12137 Jill A Truitt 40.00 X 209264 0 7568 James D Eason MD 30.00 X 576195 32835 25223 Salil Joshi MD 36.00 X 506532 0 14437 Christopher Knott-Craig MD 32.00 X 730766 30000 18318 Santhosh Koshy MD 32.00 X 493592 50000 26050 G Phillip Schoettle Jr MD 34.00 X 675563 26734 23327 Ramasubbareddy Dhanireddy MD 28.00 X 385751 121462 33457 Robert W Wake MD 14.00 X 137201 229639 30044 Umar Boston MD 32.00 X 483441 10000 20994 Meng Vang MD 36.00 X 469526 38279 24689 James S Williams MD 33.00 X 469826 38279 24588 7773229 3016257 696993 24 1 1 0 NETRIX LLC 2801 LAKESIDE DRIVE 3RD FLOOR BANNOCBUM IL 60015 CONSULTING & INFO TECH 1581910 CINCINNATI CHILDREN'S HOSPITAL MEDICAL C 3333 BURNET AVENUE CINCINNATI OH 345229303 Medical Services 679623 MICROSOFT LICENSING GP 6100 NEIL ROAD SUITE 210 RENO NV 89511 SOFTWARE LICENSING 564671 MID-SOUTH IMAGING & THERAPEUTIC 6305 HUMPHREYS BLVDSTE 205 MEMPHIS TN 38120 MEDICAL SERVICES 547900 VIRTUAL RADIOLOGIC PROFESSIONALS 11995 SINGLETREE LANE SUITE 500 MINNEAPOLIS MN 55343 Medical Services 360229 5 Program Service 621110 133742622 133742622 133742622 54199 54199 2000357 21568 1978789 1978789 1978789 INVESTMENT IN MID-SOUT 900000 533 533 533 135776143 133742622 533 2032988 2862829 1676924 1185905 77975255 68598748 9376507 903106 681804 221302 4311313 3170739 1140574 4224545 3480954 743591 623171 623171 99850 99850 6537428 5544079 993349 610113 392205 217908 5189270 4099951 1089319 3853820 2172324 1681496 264875 219138 45737 653136 644192 8944 3205801 1755236 1450565 6594790 6454059 140731 BAD DEBT EXPENSE 6933012 6933012 repairs & maintenance 4354804 1627406 2727398 UT COM EDUC FND SUPPORT 2235749 2235749 professional dev 714721 627180 87541 taxes & licenses 709153 620118 89035 1839920 1869257 -29337 134696661 112803075 21893586 0 312151 32163 16617445 17346588 14328386 13730093 175282 194598 6136407 6569750 63815220 37311512 25783599 26503708 2532305 2352255 65885575 66729155 17583866 18970099 608225 230004 13565000 13565000 1249133 698219 2704835 2011835 35711059 35475157 X 30174516 31253998 30174516 31253998 65885575 66729155 X 0 1 1 X 0 X 3362185 3362185 25421550 9653080 15768470 34699581 27658432 7041149 331904 331904 26503708 Other Long Term Liabilities 2011835 2011835 X 0 0 0 0 0 0 0 0 0 Robert B Canada MD 143588 139922 0 0 0 500 4294 14978 5554 0 153436 155400 0 0 Timothy C Fabian MD 161895 367449 0 0 0 2900 4744 39670 2465 11218 169104 421237 0 0 James Christian Fleming MD 187865 160673 5356 0 0 1200 5571 16738 1779 11218 200571 189829 0 0 David Maness DO 37806 250000 0 0 0 0 991 32449 255 11218 39052 293667 0 0 F Elizabeth Pritchard MD 151295 195268 9567 0 0 1800 4786 20610 2538 4520 168186 222198 0 0 Guy Reed III MD 178177 300000 0 0 0 0 5268 25932 1498 4520 184943 330452 0 0 Steve J Schwab MD 101546 368640 0 0 0 300 3000 26482 966 4520 105512 399942 0 0 James Lacey Smith MD 110251 190596 6714 0 0 1700 3425 25037 1112 0 121502 217333 0 0 Dennis Stokes MD 204264 39692 0 0 0 0 6009 4519 1678 11218 211951 55429 0 0 John Zanella Jr MD 299444 165389 0 0 0 3000 7050 17455 5104 11211 311598 197055 0 0 Steven H Burkett 348473 0 13800 0 3000 0 7050 0 8858 0 381181 0 0 0 Richard O Baer 156407 0 0 0 1500 0 4629 0 8413 0 170949 0 0 0 Raza Dilawari MD 285238 250000 0 0 0 0 7050 25000 2343 11218 294631 286218 0 0 Brenda H Jeter 197903 0 14583 0 1900 0 6313 0 5824 0 226523 0 0 0 Jill A Truitt 194682 0 14582 0 0 0 6237 0 1331 0 216832 0 0 0 James D Eason MD 542195 32535 34000 0 0 300 7050 4825 2130 11218 585375 48878 0 0 Salil Joshi MD 426532 0 80000 0 0 0 7050 0 7387 0 520969 0 0 0 Christopher Knott-Craig MD 730766 30000 0 0 0 0 7050 4456 2292 4520 740108 38976 0 0 Santhosh Koshy MD 493592 50000 0 0 0 0 7050 5550 2232 11218 502874 66768 0 0 G Phillip Schoettle Jr MD 675563 26734 0 0 0 0 7050 2673 2386 11218 684999 40625 0 0 Ramasubbareddy Dhanireddy MD 331451 121062 54300 0 0 400 7050 12843 2346 11218 395147 145523 0 0 Robert W Wake MD 137065 227739 136 0 0 1900 4081 24742 1221 0 142503 254381 0 0 Umar Boston MD 483441 10000 0 0 0 0 7050 1302 12642 0 503133 11302 0 0 Meng Vang MD 389526 38279 80000 0 0 0 7050 3828 2593 11218 479169 53325 0 0 James S Williams MD 389826 38279 80000 0 0 0 7050 3828 2492 11218 479368 53325 0 0 Form 990, Part VI, Section A, line 6 ACCORDING TO ARTICLE II, SECTION 1 OF THE BYLAWS: THOSE PHYSICIANS WHO ARE DULY LICENSED TO PRACTICE MEDICINE IN THE STATE OF TENNESSEE AND THOSE CLINICAL PSYCHOLOGISTS WHO ARE DULY LICENSED IN THE STATE OF TN, WHO HAVE BEEN APPOINTED TO FACULTY OF THE UNIVERSITY OF TN, MEMPHIS COLLEGE OF MED, WHO ARE FULL TIME EMPLOYEES PURSUANT TO WRITTEN EMPLOYMENT AGREEMENTS WITH THE GROUP AND WHO HAVE OBTAINED AND MAINTAIN CREDENTIALED STATUS AS A PRACTITIONER OF THE GROUP IN ACCORDANCE WITH THE POLICIES OF THE BOARD OF DIR AND THE GROUP'S PROVIDER CREDENTIALING AND ENROLLMENT DEPARTMENT, SHALL BE MEMBERS OF THE GROUP. Form 990, Part VI, Section A, line 7a ACCORDING TO THE BYLAWS: THE MEMBERS OF THE GROUP ANNUALLY SHALL ELECT THE MEMBER DIRECTORS WHO WILL SERVE ON THE BOARD OF DIRECTORS AT AN ELECTION HELD IN ACCORDANCE WITH SECTION 3 OF ARTICLE III OF THE BYLAWS. Form 990, Part VI, Section A, line 7b ACCORDING TO THE BYLAWS: THE MEMBERS SHALL ALSO HAVE THE RIGHT TO APPROVE OR DISAPPROVE THE DECISION OF THE BOARD OF DIRECTORS TO MERGE, LIQUIDATE, DISSOLVE OR TERMINATE THE GROUP, BY A VOTE OF 2/3 OF THE MEMBERS PRESENT OR REPRESENTED AT SUCH MEETING. THE MEMBERS SHALL ALSO HAVE THE RIGHT TO VOTE UPON SUCH MATTERS AS MAY BE PRESENTED TO THEM FROM TIME TO TIME BY THE BOARD OF DIRECTORS OR UPON SUCH MATTERS AS MAY BE PRESENTED BY A MAJORITY OF THE MEMBERS PRESENT OR REPRESENTED AT ANY ANNUAL OR SPECIAL MEETING OF THE MEMBERS; PROVIDED, HOWEVER, THAT ANY SUCH MATTERS ARE NOT VESTED EXCLUSIVELY, DIRECTLY OR INDIRECTLY, WITH THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 11 UTMG'S BOARD OF DIRECTORS HAS DELEGATED THE 990 REVIEW PROCESS TO THE AUDIT COMMITTEE, WHICH IS A COMMITTEE OF THE BOARD. THIS COMMITTEE REVIEWs UTMG'S 990 & 990-T AND APPROVES THE RETURNS BEFORE THEY ARE SIGNED BY THE PRESIDENT AND CEO AND SUBMITTED TO THE IRS. Form 990, Part VI, Section B, line 12c Annually the officers and directors of UT Medical Group, Inc. (UTMG) receive UTMG's Conflict of Interest Policy and a form that they complete and sign acknowledging that they have read, understand, and agree to comply with the Conflict of Interest Policy. There have been no conflicts of interest reported since UTMG's inception; however, in the event a conflict of interest with any officer or director arises, the process for disclosing the actual or possible conflict, determining if one exists, and addressing the conflict is included in the Conflict of Interest Policy and would be followed. Form 990, Part VI, Section C, line 19 Forms 1023, 990, and 990-T are made available upon request. Paper copies of the specific documents are forwarded to the requesting individuals. Forms 990 and 990-T are also available on guidestar.org. The organization makes its governing documents and conflict of interest policy available upon request. Paper copies of the specific documents are forwarded to the requesting individuals. The organization makes its financial statements available to those entities with a business need. PART XI, LINE 2C NO CHANGE FROM PRIOR YEAR. UTHSC COLLEGE OF MEDICINE 910 MADISON MEMPHIS TN 38163 626001636 TN 170(C) INTERVENTIONAL ASSOCIATES OF MEMPHIS PC 1407 UNION AVENUE SUITE 700 MEMPHIS TN 381043641 201082435 TN 501 (C)(3) Line 3 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 UNIVERSITY OF TN I 88017 UNIVERSITY OF TN J 175772 UNIVERSITY OF TN O 4979366 UNIVERSITY OF TN P 774695 UNIVERSITY OF TN-COLLEGE OF MED EDUCATION FUND SUPPORT Q 2235749