Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 0 | 0 | 0 | 0 | 0 | 0 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | 255,574,635 | 280,574,692 | 315,435,774 | 346,384,752 | 317,683,299 | 1,515,653,152 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 255,574,635 | 280,574,692 | 315,435,774 | 346,384,752 | 317,683,299 | 1,515,653,152 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 1,515,653,152 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 255,574,635 | 280,574,692 | 315,435,774 | 346,384,752 | 317,683,299 | 1,515,653,152 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 17,860 | 10,918 | 9,905 | 2,278 | 15,308 | 56,269 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 17,860 | 10,918 | 9,905 | 2,278 | 15,308 | 56,269 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 0 | |||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 255,592,495 | 280,585,610 | 315,445,679 | 346,387,030 | 317,698,607 | 1,515,709,421 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | CONTINUED FROM PART I, LINE 1 - FACULTY TO HELP IN THEIR PATIENT CARE, TEACHING AND RESEARCH MISSIONS. |
| FORM 990, PART III, LINE 3 | EFFECTIVE 1/1/16, EMPLOYEES OF KANSAS UNIVERSITY PHYSICIANS, INC. (KUPI) BECAME EMPLOYEES OF THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (UKHA), A RELATED ORGANIZATION. THE CLINIC SUPPORT SERVICES FORMERLY PERFORMED BY THOSE EMPLOYEES AS A PART OF KUPI ARE NOW PERFORMED BY UKHA. THE BILLING SUPPORT SERVICES ARE STILL PROVIDED BY KUPI USING EMPLOYEES OF UKHA. |
| FORM 990, PART VI, SECTION A, LINE 4 | 1. KANSAS UNVERSITY PHYSICIANS, INC. (KUPI) CHANGED ITS CORPORATE MEMBER TO THE UNVERSITY OF KANSAS PHYSICIANS. 2. KUPI CHANGED THE MANNER AND SELECTION OF ITS BOARD OF DIRECTORS TO PROVIDE THAT THE BOARD OF TRUSTEES OF THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (UKHA) SHALL BE EX-OFFICIO MEMBERS OF THE KUPI BOARD OF DIRECTORS. 3. KUPI CHANGED THE MANNER AND SELECTION OF ITS OFFICERS. 4. KUPI CHANGED IT DISSOLUTION CLAUSE TO PROVIDE THAT UPON DISSOLUTION ITS ASSETS WILL BE DISTRIBUTED TO (A) ONE OR MORE NOT-FOR-PROFIT ORGANIZATIONS WHOSE PURPOSES ARE SUBSTANTIALLY SIMILAR TO THOSE FOR WHICH KUPI IS ORGANIZED AND WHICH AT THE TIME OF SUCH DISTRIBUTION ARE DESCRIBED IN SECTION 501(C)(3) OF THE CODE AND EXEMPT FROM TAX UNDER SECTION 501(A) OF THE CODE, OR (B) THE STATE OF KANSAS, A POLITICAL SUBDIVISION OF THE STATE OF KANSAS, OR AN INSTRUMENTALITY OF EITHER THE STATE OF KANSAS OR A POLITICAL SUBDIVISION THEREOF, WHOSE INCOME IS EXCLUDED FROM GROSS INCOME UNDER SECTION 115 OF THE CODE AND THAT IS A GOVERNMENTAL UNIT PURSUANT TO SECTIONS 170(C)(1) AND 170(B)(1)(A)(V) OF THE CODE TO WHICH CONTRIBUTIONS ARE DEDUCTIBLE AS CHARITABLE CONTRIBUTIONS UNDER SECTIONS 170(A), 2055, AND 2522 OF THE CODE, TO BE USED IN A MANNER SUBSTANTIALLY SIMILAR TO THE PURPOSES FOR WHICH KUPI IS FORMED. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER ("MEMBER") OF THE KANSAS UNIVERSITY PHYSICIANS, INC. (KUPI) IS THE UNIVERSITY OF KANSAS PHYSICIANS, A KANSAS NOT-FOR-PROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL TRUSTEES OF THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY (UKHA) ARE EX-OFFICIO DIRECTORS OF THE KANSAS UNIVERSITY PHYSICIANS, INC. (KUPI), IN THAT THEY SHALL AUTOMATICALLY BECOME DIRECTORS OF KUPI AS OF THE DATE THEY BECOME TRUSTEES OF THE UKHA. THE TERM OF ANY DIRECTOR SHALL EXPIRE IMMEDIATELY UPON TERMINATION OF THEIR MEMBERSHIP ON THE UKHA BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE UNIVERSITY OF KANSAS HOSPITAL AUTHORITY HAS THE POWER TO CAUSE KUPI TO PAY CERTAIN LIABILITIES AND OBLIGATIONS OF CERTAIN CHARITABLE FOUNDATIONS AFFILIATED WITH THE UNIVERSITY OF KANSAS SCHOOL OF MEDICINE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE DIRECTOR OF ACCOUNTING. IT IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND CORRECTIONS OR CLARIFICATIONS ARE MADE. IT IS THEN REVIEWED BY LEGAL COUNSEL, EXECUTIVE DIRECTOR OF UKP, AND THE HEALTH SYSTEM FINANCIAL CONTROLLER, AND FURTHER CORRECTIONS OR CLARIFICATIONS ARE MADE BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR IS REQUIRED TO COMPLETE A CERTIFICATION OF AGREEMENT WITH THE POLICY AND DISCLOSURE OF ANY KNOWN CONFLICTS OF INTEREST UPON HIS OR HER ELECTION OR RE-ELECTION TO THE BOARD AND ANNUALLY THEREAFTER. EACH OFFICER AND KEY EMPLOYEE WILL BE REQUIRED TO COMPLETE SUCH A CERTIFICATION UPON HIS OR HER EMPLOYMENT AND ON AN ANNUAL BASIS THEREAFTER. ALL CERTIFICATIONS ARE REVIEWED BY THE BOARD AS APPROPRIATE. IN THE EVENT THERE IS A CONFLICT OF INTEREST, THE DISCLOSING INDIVIDUAL SHALL NEITHER VOTE NOR ENDEAVOR TO INFLUENCE CORPORATE ACTION IN ANY SUCH MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | FOR THE FIRST SIX MONTHS OF THE YEAR, THE BOARD HAS DESIGNATED THE FINANCE COMMITTEE (MINUS THE CORPORATION'S PRESIDENT AND CEO) TO SERVE AS THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWS NATIONAL AND REGIONAL SURVEY DATA FOR THE MULTIDISCIPLINARY PHYSICIAN PRACTICE MARKET WHICH IS PUBLISHED BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION AND BY OTHER SOURCES. THE COMMITTEE USES THIS COMPARABILITY DATA TO DETERMINE APPROPRIATE BENCHMARKS FOR COMPENSATION AND BENEFITS AND TO ASSURE THAT TOTAL COMPENSATION AND BENEFITS PAID BY THE CORPORATION TO THIS INDIVIDUAL DOES NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED. FOR THE SECOND SIX MONTHS OF THE YEAR, THERE WAS NO COMPENSATION PAID BY THE ORGANIZATION TO ANY OFFICER OR DIRECTOR. THE ORGANIZATION HAD NO EMPLOYEES AFTER THE CLINICAL INTEGRATION EFFECTIVE JANUARY 1, 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST, BUT NOT THE FINANCIAL STATEMENTS. |
| FORM 990, PART VII & SCHEDULE J, PART II | THE ORGANIZATION HAS CHOSEN NOT TO REPORT RELATED ORGANIZATION COMPENSATION PRIOR TO THE CLINICAL INTEGRATION ON JANUARY 1, 2016. |
| FORM 990, PART XI, LINE 9 | CONTRIBUTED RESERVES $ 35,420,155 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LEASED EMPLOYEES TOTAL FEES:94344578 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:8277592 |
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