UNIVERSITY PHYSICIAN GROUP: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- UNIVERSITY PHYSICIAN GROUP (EIN 38-3474766)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-11-11
- IRS object ID
- 202123159349300707
- Schema version
- 2019v5.0
- 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) |
|---|---|---|
| Return | 2021-11-11T06:13:31-06:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382337970 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARDS ELLIS & ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2155 BUTTERFIELD DR STE 305 | AddressLine1Txt |
| City | TROY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 480843452 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383474766 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY PHYSICIAN GROUP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIV | BusinessNameControlTxt |
| Phone | 8779783627 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MACK AVE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA GOODE | PersonNm |
| Person Title | VICE PRESIDENT OF FI | PersonTitleTxt |
| Phone | 8779783627 | PhoneNum |
| Signature | 2020-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEFFREY B ELLIS CPA | PreparerPersonNm |
| PTIN | P00047161 | PTIN |
| Phone | 2486434545 | PhoneNum |
| Preparation | 2021-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | CHARLES SHANLEY MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MACK AVE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $124,132,275 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WAYNEHEALTHCARES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 919 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $1,694,535 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $125,008,395 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $115,777,839 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$2,107,889 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,682 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,195,866 | PYOtherRevenueAmt |
| CY Other Revenue | $6,659,901 | CYOtherRevenueAmt |
| PY Total Revenue | $133,096,372 | PYTotalRevenueAmt |
| CY Total Revenue | $124,129,593 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $89,072,183 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $85,879,975 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,019,756 | PYOtherExpensesAmt |
| CY Other Expenses | $36,581,392 | CYOtherExpensesAmt |
| PY Total Expenses | $133,091,939 | PYTotalExpensesAmt |
| CY Total Expenses | $122,461,367 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,433 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,668,226 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $73,798,286 | TotalAssetsBOYAmt |
| Total Assets EOY | $92,676,238 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $52,463,054 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $69,882,427 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,335,232 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,793,811 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $99,733,549 | ExpenseAmt |
| Revenue | $98,384,768 | RevenueAmt |
| Desc | PROVIDE MEDICAL SERVICES AND EDUCATIONAL OPPORTUNITIES FOR NUMEROUS DEPARTMENTS AT LOCAL AREA HOSPITALS AND FOR WAYNE STATE UNIVERSITY FACULTY, FELLOWS AND RESIDENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,446,880 | ExpenseAmt |
| Revenue | $14,449,092 | RevenueAmt |
| Desc | ESTABLISH AND CONDUCT REGULATORY COMPLIANCE PROGRAMS COVERING ALL DEPARTMENTS OG THE CORPORATION APPLICABLE TO HEALTH CARE SERVICES FURNISHED TO TEACHING PATIENTS AND TO OTHERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $101,180,429 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 118 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 919 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA GOODE | PersonNm |
| Phone | 8779783627 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MACK AVE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| JACK SOBEL MD | ||||||||
| CHAIRPERSON | 40.00 | Yes (X) | Yes (X) | $371,628 | $0 | $1,425 | ||
| LIZABETH ARDISANA | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL GEHEB | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WAEL SAKR MD | ||||||||
| TREASURER | 40.00 | Yes (X) | Yes (X) | $350,000 | $0 | $12,120 | ||
| MARK JUZYCH MD | ||||||||
| SECRETARY | 40.00 | Yes (X) | Yes (X) | $582,185 | $0 | $1,620 | ||
| SAFWAN BADR MD | ||||||||
| DEPARTMENT C | 40.00 | Yes (X) | Yes (X) | $283,866 | $0 | $4,336 | ||
| CHARLES SHANLEY MD | ||||||||
| PRESIDENT | 40.00 | Yes (X) | Yes (X) | $325,774 | $0 | $1,400 | ||
| KAREN TURNER | ||||||||
| COO | 40.00 | Yes (X) | Yes (X) | $568,595 | $0 | $26,744 | ||
| DIANA GOODE | ||||||||
| VICE PRESIDE | 40.00 | Yes (X) | Yes (X) | $294,139 | $0 | $850 | ||
| SCOTT THORNTON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID ROSENBERG MD | ||||||||
| DEPARTMENT C | 40.00 | Yes (X) | $338,628 | $0 | $1,620 | |||
| DONALD WEAVER MD | ||||||||
| DEPARTMENT C | 40.00 | Yes (X) | $213,589 | $0 | $1,345 | |||
| CHAUR-DONG HSU MD | ||||||||
| DEPARTMENT C | 40.00 | Yes (X) | $585,387 | $0 | $37,699 | |||
| JUN LI MD | ||||||||
| DEPARTMENT C | 40.00 | Yes (X) | $292,981 | $0 | $16,040 | |||
| JOHN WEBBER | ||||||||
| PHYSICIAN | 40.00 | $685,201 | $0 | $22,749 | Yes (X) | |||
| LUAY HADDAD | ||||||||
| PHYSICIAN | 40.00 | $1,046,045 | $0 | $16,813 | Yes (X) | |||
| MARK SCHWEITZER MD | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MAHA FREIJ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLA WALKER-MILLER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD BROWN DO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SANDEEP MITTAL MD | ||||||||
| FORER DEPT C | 40.00 | $69,512 | $0 | $3,750 | Yes (X) | |||
| HO-SHENG LIN | ||||||||
| PHYSICIAN | 40.00 | $555,413 | $0 | $1,828 | Yes (X) | |||
| GABRIEL SOSNE | ||||||||
| PHYSICIAN | 40.00 | $537,469 | $0 | $1,504 | Yes (X) | |||
| GEORGE YOO | ||||||||
| PHYSICIAN | 40.00 | $513,890 | $0 | $8,828 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,614,302 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $160,671 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 213 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THE CODING NETWORK LLC | |||||
| 324 SOUTH PALM DRIVE | BEVERLY HILLS | CA | 90212 | BILLING MGMT | $1,331,806 |
| ALIX PARTNERS LLP | |||||
| PO BOX 5838 | CAROL STREAM | IL | 60197 | PROF. SERVICES | $984,474 |
| ENTECH MEICAL STAFFING | |||||
| PO BOX 776419 | CHICAGO | IL | 60677 | TEMP. SERVICES | $816,100 |
| TECHNICAL YOUTH | |||||
| PO BOX 55767 | INDIANAPOLIS | IN | 46205 | TEMP. SERVICES | $742,071 |
| MARK H SHAPIRO PC | |||||
| 25925 TELEGRAPH RD SUITE 203 | SOUTHFIELD | MI | 48033 | LEGAL SERVICES | $658,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 22 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,694,535 | AllOtherContributionsAmt |
| Total Contributions | $1,694,535 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUES | 900099 | $98,384,768 | $98,384,768 |
| ADMIN & CLINICAL SVCS | 900099 | $14,449,092 | $14,449,092 |
| OTHER REVENUE | 900099 | $2,943,979 | $2,943,979 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $115,777,839 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,682 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,682 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,682 | TotalRevenueColumnAmt |
| Exclusion | -$2,682 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON OPERATING INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,659,901 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,659,901 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,659,901 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124,129,593 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $122,437,740 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$2,682 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,843,448 | TotalAmt |
| Program Services | $66,228,496 | ProgramServicesAmt |
| Management And General | $12,614,952 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,132,888 | TotalAmt |
| Program Services | $951,626 | ProgramServicesAmt |
| Management And General | $181,262 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,462,360 | TotalAmt |
| Program Services | $2,908,382 | ProgramServicesAmt |
| Management And General | $553,978 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,441,279 | TotalAmt |
| Program Services | $2,050,674 | ProgramServicesAmt |
| Management And General | $390,605 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,132 | TotalAmt |
| Program Services | $13,706 | ProgramServicesAmt |
| Management And General | $3,426 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,657 | TotalAmt |
| Program Services | $131,726 | ProgramServicesAmt |
| Management And General | $32,931 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,322,013 | TotalAmt |
| Program Services | $19,457,613 | ProgramServicesAmt |
| Management And General | $4,864,400 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,268 | TotalAmt |
| Program Services | $45,268 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,897 | TotalAmt |
| Program Services | $233,517 | ProgramServicesAmt |
| Management And General | $58,380 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,671 | TotalAmt |
| Program Services | $521,337 | ProgramServicesAmt |
| Management And General | $130,334 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,267,667 | TotalAmt |
| Program Services | $5,014,134 | ProgramServicesAmt |
| Management And General | $1,253,533 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,879 | TotalAmt |
| Program Services | $181,503 | ProgramServicesAmt |
| Management And General | $45,376 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,149 | TotalAmt |
| Management And General | $291,149 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,943 | TotalAmt |
| Program Services | $351,154 | ProgramServicesAmt |
| Management And General | $87,789 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,807,600 | TotalAmt |
| Program Services | $3,046,080 | ProgramServicesAmt |
| Management And General | $761,520 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NON OPERATING EXPENSE | $31,516 | $25,213 | $6,303 |
| CONTRIBUTIONS | $25,000 | $20,000 | $5,000 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,461,367 | TotalAmt |
| Program Services | $101,180,429 | ProgramServicesAmt |
| Management And General | $21,280,938 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,554,450 | BOYAmt |
| EOY | $30,209,794 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,912,693 | BOYAmt |
| EOY | $41,936,146 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,092,722 | BOYAmt |
| EOY | $1,317,076 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $24,653,381 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,329,440 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,132,399 | BOYAmt |
| EOY | $4,323,941 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,647 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,896,375 | BOYAmt |
| EOY | $14,889,281 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,798,286 | BOYAmt |
| EOY | $92,676,238 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,598,252 | BOYAmt |
| EOY | $46,699,517 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $100,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,544,683 | BOYAmt |
| EOY | $12,830,808 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,119 | BOYAmt |
| EOY | $10,252,102 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,463,054 | BOYAmt |
| EOY | $69,882,427 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,335,232 | BOYAmt |
| EOY | $22,793,811 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,335,232 | BOYAmt |
| EOY | $22,793,811 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,798,286 | BOYAmt |
| EOY | $92,676,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,668,226 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$209,647 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $37,825 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $1,694,535 | CurrentTaxYearAmt |
| Total | $1,732,360 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $218,624,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,332,978 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $160,145,023 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $135,204,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $122,437,740 | CurrentTaxYearAmt |
| Total | $829,744,090 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $218,624,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,332,978 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $160,182,848 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $135,204,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124,132,275 | CurrentTaxYearAmt |
| Total | $831,476,450 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $831,476,450 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,583 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $131,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,168 | CurrentTaxYearMinus2YearsAmt |
| Total | $276,251 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,583 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $131,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,168 | CurrentTaxYearMinus2YearsAmt |
| Total | $276,251 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $218,751,671 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,464,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $160,200,016 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $135,204,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $124,132,275 | CurrentTaxYearAmt |
| Total | $831,752,701 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99970 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,152,362 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,613,961 | DepreciationAmt |
| Book Value | $3,538,401 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,293,785 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,715,479 | DepreciationAmt |
| Book Value | $578,306 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $207,234 | OtherCostOrOtherBasisAmt |
| Book Value | $207,234 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,323,941 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE RECOVERIES | Desc |
| Book Value | $14,889,281 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,889,281 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATION | Desc |
| Amt | $10,252,102 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,252,102 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|---|
| JACK SOBEL MD | ||||
| CHAIRPERSON | $371,628 | $1,425 | $373,053 | |
| WAEL SAKR MD | ||||
| TREASURER | $350,000 | $1,620 | $362,120 | $10,500 |
| MARK JUZYCH MD | ||||
| SECRETARY | $582,185 | $1,620 | $583,805 | |
| SAFWAN BADR MD | ||||
| DEPARTMENT CHAIR | $283,866 | $1,580 | $288,202 | $2,756 |
| CHARLES SHANLEY MD | ||||
| PRESIDENT | $325,774 | $1,400 | $327,174 | |
| KAREN TURNER | ||||
| COO | $568,595 | $13,737 | $595,339 | $13,007 |
| DIANA GOODE | ||||
| VICE PRESIDENT OF FI | $294,139 | $850 | $294,989 | |
| DAVID ROSENBERG MD | ||||
| DEPARTMENT CHAIR | $338,628 | $1,620 | $340,248 | |
| DONALD WEAVER MD | ||||
| DEPARTMENT CHAIR | $213,589 | $1,345 | $214,934 | |
| CHAUR-DONG HSU MD | ||||
| DEPARTMENT CHAIR | $585,387 | $16,683 | $623,086 | $21,016 |
| JUN LI MD | ||||
| DEPARTMENT CHAIR | $292,981 | $1,400 | $309,021 | $14,640 |
| JOHN WEBBER | ||||
| PHYSICIAN | $685,201 | $21,129 | $707,950 | $1,620 |
| LUAY HADDAD | ||||
| PHYSICIAN | $1,046,045 | $16,813 | $1,062,858 | |
| SANDEEP MITTAL MD | ||||
| FORER DEPT CHAIR | $69,512 | $270 | $73,262 | $3,480 |
| HO-SHENG LIN | ||||
| PHYSICIAN | $555,413 | $720 | $557,241 | $1,108 |
| GABRIEL SOSNE | ||||
| PHYSICIAN | $537,469 | $1,504 | $538,973 | |
| GEORGE YOO | ||||
| PHYSICIAN | $513,890 | $1,620 | $522,718 | $7,208 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM B | UPON COMPLETION OF AUDITED FINANCIALS FOLLOWING EXPENSE ACCOUNTS CHANGED. AUDITED ORIGINALLY FILLED DIFFERENCE OTHER EMPLOYEE BENIFITS 3,462,360 3,734,780 (272,420) INFORMATION TECHNOLOGY 651,671 551,671 100,000 INSURANCE 3,807,600 3,816,228 (8,628) DEPRECIATION 438,943 428,926 10,017 OTHER PURCHASED SERVICES OTHER 2,977,322 2,976,117 1,205 BUSINESS EMPLOYEE RELATION 253,007 252,977 30 ----------- ----------- ---------- TOTAL 11,590,903 11,760,699 (169,796) ----------- ----------- ---------- |
| 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 63,271 15,818 0 ANSWERING SERVICE 93,991 23,498 0 WASTE REMOVAL 34,323 8,581 0 CLINICAL SERVICES 564,402 141,100 0 CONTRACTED PHYSICIANS 277,126 69,281 0 DME BILLABLE 165,514 41,378 0 DRUGS BILLABLE 2,908,806 727,202 0 LABORATORY SERVICE 537,701 134,425 0 LICENSES/PERMITS/INSPECTIONS 1,548 387 0 LINENS AND LAUNDRY 8,510 2,128 0 MEDICAL SUPPLIES 663,257 165,814 0 PATIENT EDUCATION 159 40 0 RECORD STORAGE 207,797 51,949 0 TRANSCRIPTION SERVICES 16,854 4,214 0 UNIFORMS AND SCRUBS 8,889 2,222 0 BILLING, CODING AND COLLECTIO 6,711,963 1,677,991 0 CONSULTING SERVICES 857,018 214,255 0 PAYROLL SERVICE 57,266 14,316 0 PURCHASED SERVICES OTHER 2,381,858 595,464 0 TEMPORARY STAFFING 577,758 144,439 0 CAFETERIA/MEAL TICKET 188 47 0 CELL PHONE AND PAGERS 12,517 3,129 0 DUES AND MEMBERSHIPS 371,960 92,990 0 LICENSES AND FEES 100,532 25,133 0 OTHER EMPLOYEE RELATED EXP 118 29 0 PROFESSIONAL DEVELOPMENT 50,326 12,581 0 RECRUITMENT 141,719 35,430 0 BANK FEES 131,494 32,874 0 BOOKS AND SUBSCRIPTIONS 43,257 10,814 0 BUSINESS AND EMPLOYEE RELATIO 202,406 50,601 0 EQUIPMENT RENTAL 101,161 25,290 0 EQUIPMENT REPAIRS AND MAINTEN 50,962 12,740 0 MAINTENANCE AGREEMENT 1,224,836 306,209 0 TELEPHONE AND INTERNET 476,537 119,134 0 EQUIPMENT EXPENSE 411,589 102,897 0 TOTAL 19,457,613 4,864,400 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUND FOR MEDICAL RESEARCH &EDUCATIO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 MACK AVE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382319524 | EIN |
| Primary Activities | MEDICAL | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501 C3 | ExemptCodeSectionTxt |
| Public Charity Status | 12C | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |