2023-01-16T09:35:42-05:00 2021-09-30 382337970 EDWARDS ELLIS & ASSOCIATES PC 2155 BUTTERFIELD DR STE 305 TROY MI 480843452 990 2020-10-01 383474766 UNIVERSITY PHYSICIAN GROUP UNIV 8779783627 400 MACK AVE DETROIT MI 48021 JEFFERY P KOHLITZ VICE PRESIDENT OF FI 8779783627 2023-01-06 true JEFFERY P KOHLITZ 999009999 JEFFREY B ELLIS CPA P00047161 2486434545 2023-01-16 2020 2023-03-07 01:45:13Z X CHARLES SHANLEY MD 400 MACK AVE DETROIT MI 48201 144771378 false X WWW.WAYNEHEALTHCARES.ORG X 1999 MI TO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED LICENSED PHYSICIANS HOLDING FACULTY APPOINTMENTS IN CLINICAL DEPARTMENTS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND THROUGH OTHER APPROPRIATELY LICENSED PHYSICIANS AND HEALTH PROFESSIONALS. 14 6 909 6 0 1694535 6822969 115777839 136380743 -2682 -608677 6659901 1567666 124129593 144162701 0 0 85879975 99118459 0 0 36581392 42087579 122461367 141206038 1668226 2956663 92676238 80036022 69882427 54285548 22793811 25750474 X TO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED LICENSED PHYSICIANS HOLDING FACULTY APPOINTMENTS IN CLINICAL DEPARTMENTS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND THROUGH OTHER APPROPRIATELY LICENSED PHYSICIANS AND HEALTH PROFESSIONALS. false false 115057876 108597761 PROVIDE MEDICAL SERVICES AND EDUCATIONAL OPPORTUNITIES FOR NUMEROUS DEPARTMENTS AT LOCAL AREA HOSPITALS AND FOR WAYNE STATE UNIVERSITY FACULTY, FELLOWS AND RESIDENTS. 1661935 23602526 ESTABLISH AND CONDUCT REGULATORY COMPLIANCE PROGRAMS COVERING ALL DEPARTMENTS OG THE CORPORATION APPLICABLE TO HEALTH CARE SERVICES FURNISHED TO TEACHING PATIENTS AND TO OTHERS. 116719811 true false false false false false false false false false true false false true true false false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 13 0 909 true false false false false false false false false false false false false X 14 6 false false false false false false false true true false false false true true true true true true true false MI X JEFFERY P KOHLITZ 8779783627 400 MACK AVE DETROIT MI 48201 JACK SOBEL MD FORMER CHAIR 48.00 X 287230 0 0 LIZABETH ARDISANA BOARD MEMBER 1.00 X 0 0 0 MICHAEL GEHEB BOARD MEMBER 1.00 X 0 0 0 WAEL SAKR MD TREASURER 48.00 X X 342763 0 7884 MARK JUZYCH MD DEPARTMENT C 48.00 X X 539298 0 0 SAFWAN BADR MD SECRETARY 48.00 X X 282975 0 4947 CHARLES SHANLEY MD PRESIDENT 48.00 X X 402022 0 0 KAREN TURNER FORMER COO X 216968 0 1294 JEFFERY P KOHLITZ VICE PRESIDE 48.00 X X 316364 0 0 SCOTT THORNTON BOARD MEMBER 1.00 X 0 0 0 DAVID ROSENBERG MD DEPARTMENT C 48.00 X 339393 0 0 DONALD WEAVER MD DEPARTMENT C 48.00 X 239208 0 0 CHAUR-DONG HSU MD DEPARTMENT C 48.00 X 266708 0 15497 JUN LI MD DEPARTMENT C 48.00 X 240670 0 2494 JOHN WEBBER PHYSICIAN 48.00 X 758347 0 0 LUAY HADDAD PHYSICIAN 48.00 X 1176525 0 0 MARK SCHWEITZER MD BOARD CHAIR 48.00 X X 170040 0 0 HO-SHENG LIN PHYSICIAN 48.00 X 621054 0 0 GABRIEL SOSNE PHYSICIAN 48.00 X 582896 0 0 XIHUI LIN PHYSICIAN 48.00 X 719607 0 0 PETER DEWS MD BOARD MEMBER 1.00 X 0 0 0 ROBERT FOLBERG MD BOARD MEMBER 1.00 X 0 0 0 MICHAEL MCKENNA MD BOARD MEMBER 1.00 X 0 0 0 7502068 32116 271 true true false WORLD WIDE HEALTH & SAFETY TESTING 5575 CONNORS SUITE 201 DETROIT MI 48213 LABORATORY SERV 886184 TOPBLOC 800 W HURON ST CHICAGO IL 60614 CONSULTING SERV 582755 HEALTH MARKET SOLUTIONS LLC 1932 VINSETTA BLVD ROYAL OAK MI 48073 CONSULTING SERV 397589 ROBERT T MORRIS MD PLLC 1025 DEVONSHIRE GROSS POINTE PARK MI 48230 CONTRACT PHYSIC 341232 RSM US LLP ONE S WACKER DRIVE SUITE 800 CHICAGO IL 60606 AUDIT SERVICE 146685 7 6822969 6822969 PATIENT REVENUES 900099 108597761 108597761 ADMIN & CLINICAL SVCS 900099 23524577 23524577 OTHER REVENUE 900099 4258405 4258405 136380743 608677 -608677 -608677 -608677 NON OPERATING INCOME 900099 1567666 1567666 1567666 144162701 137948409 -608677 X 86702545 72830138 13872407 2700841 2268706 432135 4370532 3671247 699285 5344541 4489414 855127 73337 58670 14667 139760 111808 27952 28723017 22978414 5744603 156823 156823 210128 168103 42025 1379773 1103818 275955 5769175 4615340 1153835 93411 74729 18682 83263 66610 16653 301402 301402 650893 520714 130179 4398083 3518466 879617 CONTRIBUTIONS 108500 86800 21700 NON OPERATING EXPENSE 14 11 3 141206038 116719811 24486227 0 30209794 22940540 41936146 36967360 1317076 911071 26794124 20980333 4323941 5813791 14889281 13403260 92676238 80036022 46699517 29372024 100000 141582 12830808 12123938 10252102 12648004 69882427 54285548 X 22793811 25750474 22793811 25750474 92676238 80036022 2956663 X false true X true false X 37825 1694535 6822969 8555329 193332978 160145023 135204261 122437740 137948409 749068411 193332978 160182848 135204261 124132275 144771378 757623740 757623740 131500 17168 148668 131500 17168 148668 193464478 160200016 135204261 124132275 144771378 757772408 0.99980 0.99970 0.00000 0.00000 X 5086258 2019125 3067133 19744465 18961208 783257 1963401 1963401 5813791 INSURANCE RECOVERIES 13403260 13403260 CAPITAL LEASE OBLIGATION 12648004 12648004 X X X X false false false true false false true true false JACK SOBEL MD FORMER CHAIRPERSON 287230 287230 WAEL SAKR MD TREASURER 342763 7884 350647 MARK JUZYCH MD DEPARTMENT CHAIR 539298 539298 SAFWAN BADR MD SECRETARY 282975 4947 287922 CHARLES SHANLEY MD PRESIDENT 402022 402022 KAREN TURNER FORMER COO 216968 1294 218262 JEFFERY P KOHLITZ VICE PRESIDENT OF FI 291193 25171 316364 DAVID ROSENBERG MD DEPARTMENT CHAIR 339393 339393 DONALD WEAVER MD DEPARTMENT CHAIR 179208 60000 239208 CHAUR-DONG HSU MD DEPARTMENT CHAIR 261303 5405 1745 13752 282205 JUN LI MD DEPARTMENT CHAIR 193170 47500 2494 243164 JOHN WEBBER PHYSICIAN 758347 758347 LUAY HADDAD PHYSICIAN 1176525 1176525 MARK SCHWEITZER MD BOARD CHAIR 170040 170040 HO-SHENG LIN PHYSICIAN 621054 621054 GABRIEL SOSNE PHYSICIAN 582896 582896 XIHUI LIN PHYSICIAN 719607 719607 SCHEDULE J, PAGE 1, PART I, LINE 5A THE ORGANIZATION MAKES PAMENT TO SOME PHYSICIANS (WHO ARE ALSO BOARD MEMBERS) FOR DIRECT COMPENSATION THAT ARE BASED ON REVENUES AS PART OF INCENTIVE BASED COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 6B MEMBERS OF THE MANAGEMENT EXECUTIVE TEAM WERE PAID BONUSES BASED ON ORGANIZATION RESULTS. SCHEDULE J, PAGE 1, PART I, LINE 7 MARK JUZYCH, LUAY HADAD, JOHN WEBBER, GABRIEL SOSNE - DEPARTMENT COMPENSATION PROGRAM (VARIABLE COMPENSATION) FORM 990, PAGE 1, ITEM B UPON COMPLETION OF AUDITED FINANCIALS FOLLOWING REVENUE AND EXPENSE ACCOUNTS CHANGED. AUDITED ORIGINALLY FILED DIFFERENCE REVENUE: INSTITUTUIONAL SUPPORT (10,556,465) (10,634,414) 77,949 EXPENSE: PURCHASED SVCS 14,687,384 14,500,834 186,550 OCCUPANCY 5,769,175 5,329,975 439,200 -------------- ------------- ---------- TOTAL 9,900,094 9,196,395 703,699 -------------- ------------- ---------- FORM 990 - ORGANIZATION'S MISSION TO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED LICENSED PHYSICIANS HOLDING FACULTY APPOINTMENTS IN CLINICAL DEPARTMENTS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND THROUGH OTHER APPROPRIATELY LICENSED PHYSICIANS AND HEALTH PROFESSIONALS. FORM 990, PART VI SECTION A, LINE 2 OFFICERS HAVE BUSINESS RELATIONSHIPS WITHIN THIER RESPECTED MEDICAL FIELDS BUSINESS TRANSACTIONS INVOLVING INTEREST PERSONS. ALMOST ALL OF THE DIRECTORS AND OFFICERS OF THE ORGANIZATION ALSO SERVE AS OFFICERS, DIRECTORS, AND/OR KEY EMPLOYEES OF THE UNIVERSITY PHYSICIAN GROUP AND/OR WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE. FORM 990, PAGE 6, PART VI, LINE 11B THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS A DRAFT OF THE 990 AND THEN REVIEWS THE FINAL COPY OG THE RETURN BEFORE FILLING. FORM 990, PAGE 6, PART VI, LINE 12C VERBAL COMMUNICATION TOOK PLACE IN WHICH OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES WERE MADE AWARE OF THE POLICY AND GIVEN THE OPPORTUNITY TO EXPLAIN INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. UPG DID NOT HAVE A FORMALLY ASSIGNED CHIEF COMPLIANCE OFFICER IN FISCAL 2019. 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 LETTER/CONTRACTS APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION IS DETERMINED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTER APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD. FORM 990, PAGE 6, PART VI, LINE 19 A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF TIME AS SET FORTH IN PUBLIC DISCLOSURE 6104(D). FORM 990, PART IX, LINE 11G RETIREMENT ADMINISTRATION 128,905 32,226 0 ANSWERING SERVICE 84,783 21,196 0 WASTE REMOVAL 38,695 9,674 0 CLINICAL SERVICES 440,853 110,213 0 CONTRACTED PHYSICIANS 335,591 83,898 0 DME BILLABLE 161,007 40,252 0 DRUGS BILLABLE 6,722,473 1,680,618 0 LABORATORY SERVICE 1,279,236 319,809 0 LICENSES/PERMITS/INSPECTIONS 672 168 0 LINENS AND LAUNDRY 7,222 1,805 0 MEDICAL SUPPLIES 572,871 143,218 0 PATIENT EDUCATION 847 212 0 RECORD STORAGE 164,562 41,141 0 TRANSCRIPTION SERVICES 13,370 3,342 0 UNIFORMS AND SCRUBS 45,551 11,388 0 BILLING, CODING AND COLLECTIO 8,297,836 2,074,459 0 CONSULTING SERVICES 975,634 243,908 0 PAYROLL SERVICE 15,845 3,961 0 PURCHASED SERVICES OTHER 736,884 184,221 0 TEMPORARY STAFFING 374,684 93,671 0 CAFETERIA/MEAL TICKET 72 18 0 CELL PHONE AND PAGERS 21,013 5,253 0 DUES AND MEMBERSHIPS 368,763 92,191 0 LICENSES AND FEES 126,182 31,545 0 AUTOMOTIVE-CORP OWNED/LEASED 18,384 4,596 0 PROFESSIONAL DEVELOPMENT 90,921 22,730 0 RECRUITMENT 213,559 53,390 0 BANK FEES 79,891 19,973 0 BOOKS AND SUBSCRIPTIONS 23,515 5,879 0 BUSINESS AND EMPLOYEE RELATIO 39,070 9,767 0 EQUIPMENT RENTAL 197,764 49,441 0 EQUIPMENT REPAIRS AND MAINTEN 91,032 22,758 0 MAINTENANCE AGREEMENT 503,961 125,990 0 TELEPHONE AND INTERNET 445,423 111,356 0 EQUIPMENT EXPENSE 361,343 90,336 0 TOTAL 22,978,414 5,744,603 0 FUND FOR MEDICAL RESEARCH &EDUCATIO 400 MACK AVE DETROIT MI 48201 382319524 MEDICAL MI 501 C3 12C N/A false false false false false false false false false false false false false false false false false false false false