UCM MEDICAL GROUP INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- UCM MEDICAL GROUP INC (EIN 47-4221241)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-10
- IRS object ID
- 202331309349301663
- Schema version
- 2021v4.2
- 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 | 2023-05-10T15:33:59+00:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 EAST RANDOLPH STREET SUITE 5500 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606016436 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474221241 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UCM Care Network Medical Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UCMC | BusinessNameControlTxt |
| Phone | 8778295500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5841 S Maryland Avenue STE G-103 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60637 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS JACKIEWICZ | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 8778295500 | PhoneNum |
| Signature | 2023-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PHILLIP | PersonFirstNm |
| Person Last | KAUFMAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ZELJKO POPOVIC | PreparerPersonNm |
| PTIN | P01795951 | PTIN |
| Phone | 3126651000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMAS JACKIEWICZ | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5841 S Maryland Avenue | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60637 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,389,211 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.uchicagomedicine.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2015 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO ADVANCE THE SHARED MISSION OF UCM CARE NETWORK MEDICAL GROUP, INC. AND THE UNIVERSITY OF CHICAGO MEDICAL CENTER BY PROMOTING COMMUNITY HEALTH THROUGH THE EMPLOYMENT AND ENGAGEMENT OF PHYSICIANS AND OTHER PROFESSIONALS WITH THE OBJECTIVE OF PROVIDING HIGH QUALITY, COST EFFICIENT, AND EFFECTIVE CARE TO THE UNIVERSITY OF CHICAGO MEDICAL CENTER AND THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 376 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $196,970 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,443,459 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,852,341 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$30,717 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,130,064 | PYOtherRevenueAmt |
| CY Other Revenue | $536,870 | CYOtherRevenueAmt |
| PY Total Revenue | $13,739,776 | PYTotalRevenueAmt |
| CY Total Revenue | $25,389,211 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,786,936 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,807,915 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,361,824 | PYOtherExpensesAmt |
| CY Other Expenses | $21,159,353 | CYOtherExpensesAmt |
| PY Total Expenses | $25,148,760 | PYTotalExpensesAmt |
| CY Total Expenses | $37,967,268 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$11,408,984 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,578,057 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,395,870 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,379,139 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,055,236 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $68,616,562 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,659,366 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$25,237,423 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ADVANCE THE SHARED MISSION OF UCM CARE NETWORK MEDICAL GROUP, INC. AND THE UNIVERSITY OF CHICAGO MEDICAL CENTER BY PROMOTING COMMUNITY HEALTH THROUGH THE EMPLOYMENT AND ENGAGEMENT OF PHYSICIANS AND OTHER PROFESSIONALS WITH THE OBJECTIVE OF PROVIDING HIGH QUALITY, COST EFFICIENT, AND EFFECTIVE CARE TO THE UNIVERSITY OF CHICAGO MEDICAL CENTER AND THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,768,506 | ExpenseAmt |
| Revenue | $4,260,865 | RevenueAmt |
| Desc | PRIMARY CARE: Primary care practices provide expert care for preventive health and routine checkups. Care Network Medical Group has a world-renowned networK of physician specialists who can help with any medical issues that arise. A primary care physician (PCP) is a patient's main health care provider and is involved in short and long-term medical care. Every type of primary care physician is on staff, including Family Medicine Physicians, Geriatricians, Gynecologists, Internists, and Pediatricians. Many clinics also employ nurse practitioners. As a result, patients can receive the primary care services needed across a patient's lifetime. PCPs work side by side with any specialists to treat a disease or condition. Together, PCPs and specialists effectively co-manage patient health and ensure that patients receive comprehensive, coordinated care. Services provided include Annual wellness exams and preventive screenings for men, women and children, Immunizations and developmental screenings for children, Onsite outpatient procedures and diagnostics, School and sports physicals, Care for urgent medical issues, such as upper respiratory infections, urinary tract infections, sprains and bronchitis, and Care for common chronic conditions, such as diabetes, allergies, high blood pressure, asthma, arthritis, anxiety and depression. Many clinics also have onsite lab testing (e.g., blood sugar readings, urine analysis) so testing can be done at the same time patients visit physicians. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,096,997 | ExpenseAmt |
| Revenue | $3,800,374 | RevenueAmt |
| Desc | OB/GYN: Experts at the University of Chicago Medicine provide a full spectrum of general and specialized obstetric and gynecologic care. From preventive well woman exams and prenatal care to minimally invasive surgery and high-risk pregnancy care, our team offers the latest advancements in reproductive health for women and girls. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,370,357 | ExpenseAmt |
| Revenue | $3,958,503 | RevenueAmt |
| Desc | GASTROENTEROLOGY: The Digestive Diseases Center at the University of Chicago Medicine is a collaborative, multidisciplinary network of physicians, researchers and allied health professionals who share a legacy of innovation and a common purpose: to improve the lives of patients who suffer from digestive diseases. The GI Specialty teams treat conditions such as celiac disease, colon & rectal surgery, esophageal diseases, gastrointestinal cancer, inflammatory bowel disease, interventional endoscopy, liver disease and transplant, obesity & weight management, pancreatic disease, and pediatric gastroenterology. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,230,292 | ExpenseAmt |
| Revenue | $13,094,883 | RevenueAmt |
| Desc | Other care network medical group specialties include Diabetes, Oncology, Rheumatology, Vascular, Multispecialty, Endocrinology, Dermatology, Cardiology, Radiology Oncology, Nephrology, Psychiatry, ENT, Neurology, pain management, and orthopedics. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $12,230,292 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $13,094,883 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $34,466,152 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 376 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | Yes (true) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JUSTIN KATS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7737021998 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 HARVESTER DRIVE SUITE 300 | AddressLine1Txt |
| City | BURR RIDGE | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60527 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| AYTEK OTO MD | ||||||||||
| BOARD CHAIR AND DIRECTOR (EFF. 6/29/22) | 1.0 | 40.0 | Yes (X) | Yes (X) | $0 | $993,151 | $45,644 | |||
| JOHN A FLYNN MD | ||||||||||
| BOARD CHAIR AND DIRECTOR (THRU 6/29/22) | 1.0 | 43.0 | Yes (X) | Yes (X) | $0 | $793,961 | $56,645 | |||
| LESLIE (LES) R STERN | ||||||||||
| PRESIDENT, CARE NETWORK | 1.0 | 44.0 | Yes (X) | Yes (X) | $0 | $648,936 | $95,035 | |||
| AMIT JOSHI MD | ||||||||||
| DIRECTOR | 40.0 | 0 | Yes (X) | $485,755 | $0 | $42,342 | ||||
| ARDAMAN SHERGILL MD | ||||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $258,395 | $20,678 | ||||
| DAVID CHAN MD | ||||||||||
| DIRECTOR (THRU 6/29/22) | 1.0 | 40.0 | Yes (X) | $0 | $535,732 | $18,538 | ||||
| DEBRA STULBERG MD | ||||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $314,643 | $58,698 | ||||
| KARA DAVIS MD | ||||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $220,905 | $37,350 | ||||
| KAVEH RAHMANI DO | ||||||||||
| DIRECTOR | 1.0 | 41.0 | Yes (X) | $0 | $422,091 | $18,221 | ||||
| KENNETH NUNES MD | ||||||||||
| VP AND CHIEF AMBULATORY OFFICER | 1.0 | 40.0 | Yes (X) | $0 | $598,388 | $85,173 | ||||
| KIMBERLY KRUCZEK DO | ||||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $571,167 | $12,641 | ||||
| MITCH POSNER MD | ||||||||||
| DIRECTOR (EFF. 6/29/22) | 1.0 | 40.0 | Yes (X) | $0 | $281,111 | $56,077 | ||||
| NAOUM ISSA MD | ||||||||||
| DIRECTOR (EFF. 6/29/22) | 1.0 | 40.0 | Yes (X) | $0 | $346,332 | $53,651 | ||||
| SACHIN SHAH MD | ||||||||||
| DIRECTOR (EFF. 6/29/22) | 1.0 | 40.0 | Yes (X) | $0 | $441,712 | $46,047 | ||||
| ANN MCCOLGAN | ||||||||||
| TREASURER | 1.0 | 45.0 | Yes (X) | $0 | $488,668 | $81,343 | ||||
| IVAN SAMSTEIN | ||||||||||
| CHIEF FINANCIAL OFFICER | 1.0 | 48.0 | Yes (X) | $0 | $854,927 | $125,085 | ||||
| MELVA LAVIZZO | ||||||||||
| SECRETARY (EFF. 6/29/22) | 1.0 | 40.0 | Yes (X) | $0 | $74,668 | $17,473 | ||||
| ELIZABETH PEART | ||||||||||
| VP NETWORK DEVELOPMENT | 40.0 | 0.0 | $394,568 | $0 | $65,041 | Yes (X) | ||||
| DANIEL YOHAY MD | ||||||||||
| PHYSICIAN | 40.0 | 1.0 | $386,392 | $0 | $23,839 | Yes (X) | ||||
| FARAH HASAN MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $402,921 | $0 | $11,537 | Yes (X) | ||||
| MARIA SOSENKO MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $382,153 | $0 | $32,437 | Yes (X) | ||||
| MURTUZA RAMPURWALA MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $772,113 | $0 | $51,723 | Yes (X) | ||||
| NASREEN ANSARI MD | ||||||||||
| PHYSICIAN | 40.0 | 0 | $461,585 | $0 | $50,614 | Yes (X) | ||||
| RICHARD W SILVERIA | ||||||||||
| FORMER CHIEF FINANCIAL OFFICER (THRU 4/22/21) | 0.0 | 0.0 | $0 | $1,906,873 | $21,121 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,285,489 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,751,659 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,126,954 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621110 | $24,289,722 | $24,289,722 |
| CAPITATION REVENUE | 900099 | $554,526 | $554,526 |
| OTHER OPERATING | 900099 | $8,093 | $8,093 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,852,341 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $274,586 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $274,586 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,586 | TotalRevenueColumnAmt |
| Exclusion | $274,586 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PSA REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $262,284 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $262,284 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $262,284 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,389,211 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,114,625 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $274,586 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,866,198 | TotalAmt |
| Program Services | $1,429,115 | ProgramServicesAmt |
| Management And General | $437,083 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,672,290 | TotalAmt |
| Program Services | $11,933,470 | ProgramServicesAmt |
| Management And General | $738,820 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,947 | TotalAmt |
| Program Services | $464,448 | ProgramServicesAmt |
| Management And General | $4,499 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,320 | TotalAmt |
| Program Services | $629,137 | ProgramServicesAmt |
| Management And General | $170,183 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,001,160 | TotalAmt |
| Program Services | $924,215 | ProgramServicesAmt |
| Management And General | $76,945 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,442,270 | TotalAmt |
| Program Services | $8,157,739 | ProgramServicesAmt |
| Management And General | $284,531 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,310 | TotalAmt |
| Program Services | $334,597 | ProgramServicesAmt |
| Management And General | $40,713 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,430 | TotalAmt |
| Program Services | $4,164 | ProgramServicesAmt |
| Management And General | $5,266 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,012,041 | TotalAmt |
| Program Services | $4,110,637 | ProgramServicesAmt |
| Management And General | $901,404 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,866 | TotalAmt |
| Program Services | $96,665 | ProgramServicesAmt |
| Management And General | $18,201 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,863 | TotalAmt |
| Program Services | $46,863 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,415,924 | TotalAmt |
| Program Services | $1,980,296 | ProgramServicesAmt |
| Management And General | $435,628 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,549,681 | TotalAmt |
| Program Services | $1,388,504 | ProgramServicesAmt |
| Management And General | $161,177 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS AND MEDICAL SUPPLIES | $1,851,126 | $1,851,126 | |
| EQUIPMENT RENT/MAINT | $189,988 | $162,321 | $27,667 |
| PARKING | $45,100 | $33,830 | $11,270 |
| MEMBERSHIP DUES | $27,281 | $27,281 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,079,473 | TotalAmt |
| Program Services | $891,744 | ProgramServicesAmt |
| Management And General | $187,729 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,967,268 | TotalAmt |
| Program Services | $34,466,152 | ProgramServicesAmt |
| Management And General | $3,501,116 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $954,888 | BOYAmt |
| EOY | $2,288,845 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,116 | BOYAmt |
| EOY | $34,331 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $24,712,274 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,319,790 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,337,380 | BOYAmt |
| EOY | $18,392,484 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,049,486 | BOYAmt |
| EOY | $22,663,479 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,395,870 | BOYAmt |
| EOY | $43,379,139 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,131,487 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,055,236 | BOYAmt |
| EOY | $66,485,075 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,055,236 | BOYAmt |
| EOY | $68,616,562 | EOYAmt |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,659,366 | BOYAmt |
| EOY | -$25,237,423 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,659,366 | BOYAmt |
| EOY | -$25,237,423 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,395,870 | BOYAmt |
| EOY | $43,379,139 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$12,578,057 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | $86,688 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $196,970 | CurrentTaxYearMinus1YearAmt |
| Total | $283,658 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $5,932,452 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,573,523 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,114,625 | CurrentTaxYearAmt |
| Total | $44,620,600 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,019,140 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,770,493 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,114,625 | CurrentTaxYearAmt |
| Total | $44,904,258 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,965,776 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,392 | CurrentTaxYearAmt |
| Total | $4,974,168 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,965,776 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,392 | CurrentTaxYearAmt |
| Total | $4,974,168 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $39,930,090 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $274,586 | CurrentTaxYearAmt |
| Total | $274,586 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $274,586 | CurrentTaxYearAmt |
| Total | $274,586 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,019,140 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,770,493 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,389,211 | CurrentTaxYearAmt |
| Total | $45,178,844 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,101,469 | OtherCostOrOtherBasisAmt |
| Book Value | $1,101,469 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,437,578 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,170,103 | DepreciationAmt |
| Book Value | $13,267,475 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,173,227 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,149,687 | DepreciationAmt |
| Book Value | $4,023,540 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,392,484 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLE | $44,266,704 |
| LEASE PAYABLE | $22,218,371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $66,485,075 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | UCM CARE NETWORK MEDICAL GROUP, INC. APPLIES ASC TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 740 PRESCRIBES A MORE LIKELY THAN NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC TOPIC 740, TAX POSITIONS ARE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. AS OF JUNE 30, 2022 AND 2021, UCM CARE NETWORK MEDICAL GROUP INC. DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN A FLYNN MD | ||||||||||||||
| BOARD CHAIR AND DIRECTOR (THRU 6/29/22) | $0 | $633,075 | $0 | $118,392 | $0 | $42,494 | $0 | $23,200 | $0 | $33,445 | $0 | $850,606 | $0 | $0 |
| AYTEK OTO MD | ||||||||||||||
| BOARD CHAIR AND DIRECTOR (EFF. 6/29/22) | $0 | $717,443 | $0 | $275,708 | $0 | $0 | $0 | $23,200 | $0 | $22,444 | $0 | $1,038,795 | $0 | $0 |
| LESLIE (LES) R STERN | ||||||||||||||
| PRESIDENT, CARE NETWORK | $0 | $428,835 | $0 | $124,860 | $0 | $95,241 | $0 | $55,512 | $0 | $39,523 | $0 | $743,971 | $0 | $0 |
| DAVID CHAN MD | ||||||||||||||
| DIRECTOR (THRU 6/29/22) | $0 | $405,035 | $0 | $130,697 | $0 | $0 | $0 | $6,750 | $0 | $11,787 | $0 | $554,270 | $0 | $0 |
| KARA DAVIS MD | ||||||||||||||
| DIRECTOR | $0 | $184,800 | $0 | $36,105 | $0 | $0 | $0 | $6,851 | $0 | $30,499 | $0 | $258,256 | $0 | $0 |
| NAOUM ISSA MD | ||||||||||||||
| DIRECTOR (EFF. 6/29/22) | $0 | $216,928 | $0 | $41,125 | $0 | $88,279 | $0 | $21,455 | $0 | $32,197 | $0 | $399,983 | $0 | $0 |
| AMIT JOSHI MD | ||||||||||||||
| DIRECTOR | $376,356 | $0 | $89,444 | $0 | $19,955 | $0 | $2,574 | $0 | $39,768 | $0 | $528,097 | $0 | $0 | $0 |
| KIMBERLY KRUCZEK DO | ||||||||||||||
| DIRECTOR | $0 | $496,677 | $0 | $74,490 | $0 | $0 | $0 | $2,920 | $0 | $9,721 | $0 | $583,809 | $0 | $0 |
| KENNETH NUNES MD | ||||||||||||||
| VP AND CHIEF AMBULATORY OFFICER | $0 | $475,573 | $0 | $113,265 | $0 | $9,549 | $0 | $65,631 | $0 | $19,542 | $0 | $683,561 | $0 | $0 |
| MITCH POSNER MD | ||||||||||||||
| DIRECTOR (EFF. 6/29/22) | $0 | $276,133 | $0 | $4,978 | $0 | $0 | $0 | $23,049 | $0 | $33,028 | $0 | $337,188 | $0 | $0 |
| KAVEH RAHMANI DO | ||||||||||||||
| DIRECTOR | $0 | $391,110 | $0 | $11,481 | $0 | $19,500 | $0 | $6,212 | $0 | $12,009 | $0 | $440,312 | $0 | $0 |
| SACHIN SHAH MD | ||||||||||||||
| DIRECTOR (EFF. 6/29/22) | $0 | $399,712 | $0 | $42,000 | $0 | $0 | $0 | $23,200 | $0 | $22,847 | $0 | $487,758 | $0 | $0 |
| ARDAMAN SHERGILL MD | ||||||||||||||
| DIRECTOR | $0 | $241,200 | $0 | $17,195 | $0 | $0 | $0 | $20,672 | $0 | $6 | $0 | $279,073 | $0 | $0 |
| DEBRA STULBERG MD | ||||||||||||||
| DIRECTOR | $0 | $289,643 | $0 | $25,000 | $0 | $0 | $0 | $23,200 | $0 | $35,498 | $0 | $373,341 | $0 | $0 |
| RICHARD W SILVERIA | ||||||||||||||
| FORMER CHIEF FINANCIAL OFFICER (THRU 4/22/21) | $0 | $250,773 | $0 | $435,412 | $0 | $1,220,688 | $0 | $0 | $0 | $21,121 | $0 | $1,927,994 | $0 | $514,033 |
| ANN MCCOLGAN | ||||||||||||||
| TREASURER | $0 | $279,136 | $0 | $76,499 | $0 | $133,033 | $0 | $40,057 | $0 | $41,286 | $0 | $570,011 | $0 | $26,910 |
| IVAN SAMSTEIN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $692,648 | $0 | $125,203 | $0 | $37,077 | $0 | $81,600 | $0 | $43,485 | $0 | $980,012 | $0 | $0 |
| ELIZABETH PEART | ||||||||||||||
| VP NETWORK DEVELOPMENT | $284,059 | $0 | $72,077 | $0 | $38,432 | $0 | $11,637 | $16,183 | $37,221 | $0 | $443,426 | $16,183 | $0 | $0 |
| NASREEN ANSARI MD | ||||||||||||||
| PHYSICIAN | $264,454 | $0 | $161,603 | $0 | $35,527 | $0 | $13,067 | $0 | $37,547 | $0 | $512,199 | $0 | $0 | $0 |
| FARAH HASAN MD | ||||||||||||||
| PHYSICIAN | $353,490 | $0 | $15,443 | $0 | $33,988 | $0 | $8,787 | $0 | $2,750 | $0 | $414,458 | $0 | $0 | $0 |
| MURTUZA RAMPURWALA MD | ||||||||||||||
| PHYSICIAN | $344,299 | $0 | $403,069 | $0 | $24,746 | $0 | $9,456 | $0 | $42,268 | $0 | $823,836 | $0 | $0 | $0 |
| MARIA SOSENKO MD | ||||||||||||||
| PHYSICIAN | $344,383 | $0 | $0 | $0 | $37,770 | $0 | $9,635 | $0 | $22,803 | $0 | $414,590 | $0 | $0 | $0 |
| DANIEL YOHAY MD | ||||||||||||||
| PHYSICIAN | $330,327 | $0 | $11,947 | $0 | $44,118 | $0 | $10,202 | $0 | $13,637 | $0 | $410,232 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | COMPENSATION OF THE PRESIDENT OF UCM CARE NETWORK MEDICAL GROUP, INC. IS REVIEWED AND RECOMMENDED FOR APPROVAL BY THE COMPENSATION COMMITTEE OF UCMC. THE COMMITTEE'S DETERMINATION PROCESS UTILIZES A COMBINATION OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDIES/SURVEYS, WHICH IS THEN REVIEWED AND APPROVED BY THE UCMC COMPENSATION COMMITTEE. THE UCMC COMPENSATION COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS IN A MANNER DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW. THIS IS A RIGOROUS REVIEW AND APPROVAL PROCESS DESIGNED FOR TAX-EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, AND IS DESIGNED TO RESULT IN COMPETITIVE AND REASONABLE COMPENSATION. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | IN CALENDAR YEAR 2021, RICHARD SILVERIA RECEIVED SEVERANCE PAYMENTS FOLLOWING HIS TERMINATION OF EMPLOYMENT ($1,080,964). SOME OF THESE AMOUNTS WERE PREVIOUSLY REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AS SET FORTH IN COLUMN (F) OF PART II. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | CERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH UCMC MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTURE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN IN JANUARY 2022 FOR CALENDAR YEAR 2021: ANN MCCOLGAN ELIZABETH PEART KENNETH NUNES LESLIE STERN IVAN SAMSTEIN THE FOLLOWING INDIVIDUALS BECAME VESTED IN, AND WERE TAXED ON, AMOUNTS PREVIOUSLY CREDITED UNDER THE PLAN TO THE INDIVIDUAL FOR SERVICES PROVIDED TO THE ORGANIZATION IN PRIOR YEARS (INCLUDED IN 2021 W-2S): ANN MCCOLGAN - $26,910 RICHARD SILVERIA RECEIVED A DISTRIBUTION FROM A SUPPLEMENTAL RETIREMENT PLAN FOLLOWING THEIR TERMINATION OF EMPLOYMENT, IN ACCORDANCE WITH THE GOVERNING PLAN DOCUMENT ($514,033 TO RICHARD SILVERIA). THESE DISTRIBUTIONS WERE REPORTED AS TAXABLE INCOME AND ARE INCLUDED IN THE COMPENSATION DISCLOSED IN SCHEDULE J IN THE REPORTED YEAR. |
| Schedule J, Part I, Line 7 Non-fixed payments | SEVEN PERSONS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED NON-RECURRING PAYMENTS DURING CALENDAR YEAR 2021. THESE NON-FIXED PAYMENTS ARE RELATED TO ADDITIONAL DUTIES PERFORMED OR PERFORMANCE BONUSES. DURING CALENDAR YEAR 2021, AS A RESULT OF A CHANGE IN UCM CARE NETWORK POLICY, DIRECTORS, EXECUTIVE DIRECTORS, AND VICE PRESIDENTS RECEIVED A ONE TIME PAYMENT OF THEIR ACCRUED PAID TIME OFF. THESE AMOUNTS ARE INCLUDED IN OTHER COMPENSATION. SUBSEQUENT TO THIS PAYOUT, THE AFFECTED EMPLOYEES NO LONGER ACRUE PAID TIME OFF. |
| Schedule J, Part I, Line 1a DISCRETIONARY SPENDING ACCOUNT | DISCRETIONARY SPENDING ACCOUNTS ARE AVAILABLE TO UCMC-EMPLOYED EXECUTIVES ONLY, SERVING UCM CARE NETWORK. THOSE WHO MADE USE OF THE DISCRETIONARY SPENDING ACCOUNT RECEIVED BETWEEN $0 AND $10,000 DURING THE YEAR. THESE BENEFITS ARE ALL CONSIDERED TAXABLE COMPENSATION INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). CARE NETWORK-EMPLOYED EXECUTIVES ARE INELIGIBLE. |
| Schedule J, Part II | TAXABLE INCOME REPORTED IN COLUMN (B) MAY INCLUDE PAYMENTS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN MOST CASES, THESE PAYMENTS WERE EARNED OVER MANY YEARS OF EMPLOYMENT AND THE AMOUNTS HAD PREVIOUSLY BEEN SUBJECT TO VESTING RULES. SERP PAYMENT AMOUNTS EARNED IN PRIOR YEARS WERE PREVIOUSLY REPORTED ON THE FORM 990 AS DEFERRED COMPENSATION AND ARE REPORTED IN THIS 2021 FORM 990 ON SCHEDULE J, PART II, COLUMN (F). THE INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD CONDUCTS ITS REVIEW AND APPROVAL OF ALL EXECUTIVE COMPENSATION, INCLUDING THESE SERP AMOUNTS, IN A MANNER THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW. THIS IS A RIGOROUS REVIEW PROCESS DESIGNED FOR TAX-EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, AND IT MEANS THAT THE BOARD COMPENSATION COMMITTEE DOES NOT HAVE ANY CONFLICTS OF INTEREST, AND RELIES ON MARKET DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT TO SUPPORT ALL EXECUTIVE PAY AS MARKET COMPETITIVE AND REASONABLE. FOR THE INDIVIDUALS LISTED ON SCHEDULE J, PART II THAT ARE IDENTIFIED AS FORMER OFFICERS OR KEY EMPLOYEES, THIS COMPENSATION LISTED IS EITHER THE FAIR MARKET VALUE COMPENSATION PAID TO THEM FOR SERVICES THEY PERFORMED AS ACTIVE EMPLOYEES OF CARE NETWORK OR A RELATED ORGANIZATION (AND WAS NOT PAID TO THEM DUETO THEIR FORMERLY HAVING BEEN LISTED AS OFFICERS OR KEY EMPLOYEES), OR AS COMPENSATION FOR A COMBINATION OF SERVICES AND SEVERANCE: RICHARD SILVERIA. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 12,230,292 including grants of $)(Revenue $ 13,094,883) Other care network medical group specialties include Diabetes, Oncology, Rheumatology, Vascular, Multispecialty, Endocrinology, Dermatology, Cardiology, Radiology Oncology, Nephrology, Psychiatry, ENT, Neurology, pain management, and orthopedics. |
| Form 990, Part IV, Line 1 Organization described in section 501(c)(3) | UCM Care Network Medical Group, Inc. was formed on May 21, 2015 as an Illinois Not-For Profit Corporation. It has at all times operated exclusively for charitable, scientific or educational purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986. The primary purpose of the corporation is to support the furtherance of the charitable purposes of the University of Chicago Medical Center. UCM Care Network Medical Group, Inc. was granted exemption from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3) effective October 29, 2019. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE MEMBER OF UCM CARE NETWORK MEDICAL GROUP, INC. IS THE UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, LLC, A DISREGARDED ENTITY FOR TAX PURPOSES. THE SOLE MEMBER OF THE UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, LLC IS UNIVERSITY OF CHICAGO MEDICAL CENTER, A NOT FOR-PROFIT ENTITY. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The University of Chicago Medicine Care Network, LLC is the sole member of the Corporation. As such, the University of Chicago Medicine Care Network, LLC appoints the members of the Corporation's Board of Directors, and the governance of the Corporation is subject in all respects to the reserved powers of University of Chicago Medicine Care Network, LLC, as set forth in the Corporation's By-Laws. THE BOARD SHALL BE APPOINTED BY THE MEMBER AND CONSIST OF INDIVIDUALS WHO MEET SUCH CRITERIA FOR APPOINTMENT TO THE BOARD AS MAY BE ESTABLISHED FROM TIME TO TIME BY THE MEMBER. A DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE, BY THE MEMBER ACTING IN THE BEST INTERESTS OF THE CORPORATION AS DETERMINED BY THE MEMBER AT ITS SOLE DISCRETION. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | THE GOVERNANCE AND OPERATIONS OF UCM CARE NETWORK MEDICAL GROUP, INC. SHALL BE SUBJECT IN ALL RESPECTS TO THE MEMBER'S RIGHT TO EXERCISE ITS RESERVED POWERS. THE RESERVED POWERS SHALL INCLUDE THE RIGHT TO (A) ADOPT, APPROVE AMENDMENTS TO, OR AMEND ANY STATEMENT OF PHILOSOPHY, MISSION, MISSION INTEGRATION, OR VALUES OR ANY NAME, LOGO, OR MARK; (B) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE ARTICLES OF INCORPORATION; (C) ADOPT, APPROVE AMENDMENTS TO, OR AMEND THE BYLAWS; (d) Appoint the Directors, and remove the Directors, with or without cause; (e) Appoint the officers, and remove the officers, with or without cause; (f) Approve the recommendation of the Board of Directors to appoint or remove the Board of Directors, any one or more Directors of the Corporation, and the Chairperson or President of the Corporation; (g) approve the purchase, sale, alienation, exchange, lease or encumbrance of any real property, which property has a value in excess of limits set from time to time by the Member; (h) Approve the operating and capital budgets, and any deviations from such budgets in an amount or percentage specified by the Member from time to time; (i) Approve the strategic plan and annual goals; (j) Approve the sale of substantially all of the assets; (k) Approve the merger or dissolution; (l) Approve the financial policies and procedures and approve any deviations from such policies and procedure; (m) Outside of the budgeting process of the Corporation, approve or amend changes to a substantial part or all of the price list or chargemaster of the Corporation for patient services; (n) Adopt and amend employee and independent contractor template agreements and compensation ranges, plans, policies and methodologies (including the awarding of any incentive compensation) and benefits; (o) Initiate and/or approve any change in the Corporation's tax status proposed by the Board of directors and approve any changes in mission or activities that may impact the Corporation's tax status; and (p) Approve the incurrence or the guarantee of any indebtedness in any form, including all leases (operating and capitalized leases) as defined under generally accepted accounting principles, by the Corporation over limits established from time to time by Member. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | AT ITS REGULARLY SCHEDULED MEETING, THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES WAS PROVIDED A DRAFT COPY OF PORTIONS OF THE FORM 990. AT ITS REGULARLY SCHEDULED MEETING, THE AUDIT COMMITTEE WAS PROVIDED A DRAFT COPY OF THE ENTIRE FORM. IN ADDITION, UCMC PROVIDED A COPY OF THE FORM 990 TO ALL UCMC BOARD MEMBERS BEFORE THE FORM 990 WAS FILED THROUGH A SECURE WEBSITE, TO WHICH ALL BOARD MEMBERS HAVE ACCESS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | UCM CARE NETWORK MEDICAL GROUP, INC. HAS A ROBUST CONFLICTS OF INTEREST POLICY FOR EMPLOYEES, OFFICERS, AND DIRECTORS. THE POLICY CONTAINS CERTAIN PROHIBITIONS AS WELL AS DISCLOSURE REQUIREMENTS, AND ENCOURAGES QUESTIONS DIRECTED TO THE COMPLIANCE OFFICE AND LEGAL AFFAIRS. DURING THIS TAX YEAR, UCM CARE NETWORK MEDICAL GROUP, INC. CONTINUED ITS PRACTICE OF SURVEYING DIRECTORS, OFFICERS, MANAGERIAL EMPLOYEES, AND INFLUENTIAL MEDICAL STAFF MEMBERS, SEEKING DISCLOSURES OF VARIOUS RELATIONSHIPS, INCLUDING RELATIONSHIPS DISCLOSED IN THIS FORM 990. IN ADDITION, CERTAIN CHAIRS OF COMMITTEES, SUCH AS THE PHARMACY AND THERAPEUTICS COMMITTEE OF THE MEDICAL STAFF, AT MONTHLY MEETINGS ASK FOR ORAL DISCLOSURES OF POTENTIAL CONFLICTS. UPON REQUEST, THE COMPLIANCE OFFICER AND THE OFFICE OF LEGAL AFFAIRS PROVIDE EDUCATIONAL SESSIONS. UCMC NOTES THAT RESEARCHER CONFLICTS ARE MANAGED BY THE UNIVERSITY OF CHICAGO. THE CONFLICT OF INTEREST POLICY SPECIFICALLY REQUIRES DISCLOSURE, AND ABSTENTION OR RECUSAL AS NECESSARY, WHENEVER A TRUSTEE OR RELATED PARTY HAS A POTENTIAL CONFLICT OF INTEREST. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | UNIVERSITY OF CHICAGO MEDICAL CENTER (UCMC) IS RESPONSIBLE FOR DETERMINING AND ADMINISTERING COMPENSATION FOR ALL OFFICERS OF EACH RESPECTIVE ENTITY WITHIN THE UNIVERSITY OF CHICAGO MEDICAL CENTER, CORPORATE STRUCTURE. BELOW IS THE PROCESS USED TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL AND SENIOR EXECUTIVES. THE UCMC COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES (THE COMMITTEE) IS RESPONSIBLE FOR THE OVERSIGHT OF UCM CARE NETWORK MEDICAL GROUP'S EXECUTIVE COMPENSATION DECISION-MAKING PROCESS. ITS REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS (UNDER INTERMEDIATE SANCTIONS REGULATIONS) WITH RESPECT TO THE TOTAL COMPENSATION AND BENEFITS PROVIDED. THE COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES WHO ARE "DISINTERESTED" WITHIN THE MEANING OF INTERMEDIATE SANCTIONS REGULATIONS. IT REVIEWS AND APPROVES COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO UCM CARE NETWORK MEDICAL GROUP INC.'S PRESIDENT AND KEY EXECUTIVES BY FOLLOWING ITS WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND WRITTEN COMPENSATION REVIEW PROCESS, WHICH INCLUDES SEEKING COUNSEL FROM OUTSIDE PROFESSIONAL ADVISORS AND RELYING IN ADVANCE ON APPROPRIATE COMPARABILITY DATA (FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS) PROVIDED BY AN INDEPENDENT THIRD PARTY CONSULTANT. THE COMMITTEE REVIEWS AND APPROVES ALL NEW COMPENSATION RANGES, AS WELL AS CURRENT PACKAGES FOR NEWLY HIRED EXECUTIVES, AS NEEDED, BUT AT LEAST ANNUALLY. IT PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | AN INDEPENDENT COMPENSATION CONSULTANT REVIEWS THE REASONABLENESS OF PROPOSED TOTAL DIRECT COMPENSATION FOR EACH BY PERFORMING A MARKET COMPARISON FOR EACH EXECUTIVE. THE MARKET COMPARISON INVOLVES COLLECTING SURVEY DATA FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILAR HEALTH CARE ORGANIZATIONS. PERFORMANCE GOALS ARE NORMALLY ESTABLISHED BASED ON THE BUDGET/BUSINESS PLAN APPROVED BY THE BOARD FOR THE FISCAL YEAR. THE OUTSIDE CONSULTANT OPINES WHETHER OR NOT PERFORMANCE GOALS HAVE BEEN REACHED BEFORE A FISCAL YEAR END PAYMENTS ARE PRESENTED TO THE COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL. |
| Form 990, Part VI, Line 19 Required documents available to the public | UCM CARE NETWORK MEDICAL GROUP, INC.'S BYLAWS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FOLLOWING DOCUMENTS WERE, AS OF THE TIME OF COMPLETING THIS QUESTION, ON UCMC'S WEBSITE: -UNIVERSITY OF CHICAGO MEDICINE UNAUDITED FINANCIAL INFORMATION -2022 AUDITED FINANCIAL STATEMENTS -2021 AUDITED FINANCIAL STATEMENTS -2020 AUDITED FINANCIAL STATEMENTS -2019 AUDITED FINANCIAL STATEMENTS -2018 AUDITED FINANCIAL STATEMENTS -2017 AUDITED FINANCIAL STATEMENTS -2016 AUDITED FINANCIAL STATEMENTS -2015 AUDITED FINANCIAL STATEMENTS -2014 AUDITED FINANCIAL STATEMENTS -2013 AUDITED FINANCIAL STATEMENTS |
| Form 990, Part IX, Line 11g Other Fees | PHYSICIAN SERVICES - Total Expense: 6339241, Program Service Expense: 6339241, Management and General Expenses: , Fundraising Expenses: ; BILLING SERVICES - Total Expense: 1550294, Program Service Expense: 1397731, Management and General Expenses: 152563, Fundraising Expenses: ; FEES FOR SERVICES - Total Expense: 490985, Program Service Expense: 374442, Management and General Expenses: 116543, Fundraising Expenses: ; LAUNDRY SERVICES - Total Expense: 61750, Program Service Expense: 46325, Management and General Expenses: 15425, Fundraising Expenses: ; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 entries)
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARCH DEVELOPMENT CORPORATION | ||||||||||||||||
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| ASIAN HEALTH COALITION | ||||||||||||||||
| 180 W WASHINGTON ST SUITE 1 | CHICAGO | IL | 60602 | 311607193 | HLTH ACCESS | IL | 501(c)(3) | 10 | UNIV CHICAGO | false | ||||||
| CHAPIN HALL CENTER FOR CHILDREN | ||||||||||||||||
| 1313 E 60TH STREET | CHICAGO | IL | 60637 | 362167012 | POL RES CTR | IL | 501(c)(3) | 7 | NA | false | ||||||
| CHICAGO HOME FOR THE INCURABLES | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 362169138 | SUPP RESEARCH | IL | 501(c)(3) | Type I | UNIV CHICAGO | false | ||||||
| CHICAGO TUMOR INSTITUTE | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 237136019 | SUPP RESEARCH | IL | 501(c)(3) | Type I | UNIV CHICAGO | false | ||||||
| COURT THEATRE FUND | ||||||||||||||||
| 5535 S ELLIS AVENUE | CHICAGO | IL | 60637 | 363203660 | SUPP THE ARTS | IL | 501(c)(3) | Type I | UNIV CHICAGO | false | ||||||
| FERMI RESEARCH ALLIANCE LLC | ||||||||||||||||
| PO BOX 500 | BATAVIA | IL | 60510 | 571239010 | MANAGE LAB | IL | 501(c)(3) | 7 | NA | false | ||||||
| HYMEN MILGROM SUPPORTING ORGANIZATION | ||||||||||||||||
| 33 N LASALLE ST STE 2131 | CHICAGO | IL | 60602 | 466789522 | SUPP EDU RES | VA | 501(c)(3) | Type III-O | NA | false | ||||||
| INGALLS DEVELOPMENT FOUNDATION | ||||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363189150 | SUPPORT | IL | 501(c)(3) | 7 | UCHHD | false | ||||||
| INGALLS HEALTH VENTURES | ||||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363239703 | AMBULATORY | IL | 501(c)(3) | Type I | UCHHD | false | ||||||
| INGALLS HOME CARE | ||||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363367939 | HEALTHCARE | IL | 501(c)(3) | 10 | IMH | false | ||||||
| LAKE PARK ASSOCIATES | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 366111317 | PROP HOLDG | IL | 501(c)(2) | UNIV CHICAGO | false | |||||||
| NATIONAL OPINION RESEARCH CENTER (NORC) | ||||||||||||||||
| 55 E MONROE AVENUE | CHICAGO | IL | 60603 | 362167808 | SO SCI SRVYS | IL | 501(c)(3) | 7 | NA | false | ||||||
| PRIMARY HEALTHCARE ASSOCIATES SC | ||||||||||||||||
| 71 W 156TH STREET | HARVEY | IL | 60426 | 364132865 | HEALTHCARE | IL | 501(c)(3) | 10 | UCHHD | false | ||||||
| THE INGALLS MEMORIAL HOSPITAL | ||||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 362170866 | HOSPITAL | IL | 501(c)(3) | 3 | UCHHD | false | ||||||
| THE JOHN CRERAR FOUNDATION | ||||||||||||||||
| 5730 S ELLIS AVENUE | CHICAGO | IL | 60637 | 363155157 | SUPP LIBRARY | IL | 501(c)(3) | Type III-O | UNIV CHICAGO | false | ||||||
| THE MARINE BIOLOGICAL LABORATORY | ||||||||||||||||
| 7 MBL STREET | WOODS HOLE | MA | 02543 | 042104690 | RES & EDU | MA | 501(c)(3) | 7 | UNIV CHICAGO | false | ||||||
| THE QUADRANGLE CLUB | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 361655190 | SOCIAL CLUB | IL | 501(c)(7) | UNIV CHICAGO | false | |||||||
| THE UNIV OF CHICAGO FDN IN THE HONG KONG LTD | ||||||||||||||||
| FUNDRAISING | UNIV CHICAGO | false | HK | |||||||||||||
| THE UNIVERSITY OF CHICAGO CLOISTERS CLUB | ||||||||||||||||
| 1212 E 59TH STREET | CHICAGO | IL | 60637 | SOCIAL CLUB | IL | UNIV CHICAGO | false | |||||||||
| UCHICAGO RESEARCH BANGLADESH LTD | ||||||||||||||||
| RESEARCH | UCH RS INTL | false | BG | |||||||||||||
| UCHICAGO RESEARCH INTERNATIONAL LIMITED | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 262741573 | RESEARCH | IL | 501(c)(3) | Type I | UNIV CHICAGO | false | ||||||
| UCM COMMUNITY HEALTH & HOSPITAL DIVISION | ||||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 363181170 | MANAGEMENT | IL | 501(c)(3) | Type I | UCMC | false | ||||||
| UCMC TITLE HOLDING CORPORATION | ||||||||||||||||
| 5841 S MARYLAND AVE MC 1086 | CHICAGO | IL | 60637 | 812126789 | TITLE HOLD | IL | 501(c)(3) | Type I | UCMC | false | ||||||
| UCMC TITLE HOLDING CORPORATION II NFP | ||||||||||||||||
| 5841 S MARYLAND AVE MC 1086 | CHICAGO | IL | 60637 | 821736040 | TITLE HOLD | IL | 501(c)(3) | Type I | UCMC | false | ||||||
| UNIV OF CHI BOOTH SCH OF BUS (SINGAPORE) | ||||||||||||||||
| EDUCATION | UNIV CHICAGO | false | SN | |||||||||||||
| UNIV OF CHI BOOTH SCH OF BUS (UK) | ||||||||||||||||
| EDUCATION | UNIV CHICAGO | false | UK | |||||||||||||
| UNIV OF CHICAGO CANCER RESEARCH FD | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 366056201 | SUPP RESEARCH | IL | 501(c)(3) | Type I | UNIV CHICAGO | false | ||||||
| UNIV OF CHICAGO CENTER IN PARIS (FRANCE) | ||||||||||||||||
| EDUCATION | UNIV CHICAGO | false | FR | |||||||||||||
| UNIV OF CHICAGO CHARTER SCHOOL CORP | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 364225812 | EDUCATION | IL | 501(c)(3) | 2 | UNIV CHICAGO | false | ||||||
| UNIV OF CHICAGO PROPERTY HOLDING CO | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 366108743 | PROP HOLDG | IL | 501(c)(2) | UNIV CHICAGO | false | |||||||
| UNIV OF CHICAGO RETIREE MEDICAL TRUST | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 363999692 | MEDICAL TRUST | IL | 501(c)(3) | Type I | UNIV CHICAGO | false | ||||||
| UNIV OF CHICAGO SELF INSURANCE TRUST | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 363020034 | MALPRAC TR | IL | 501(c)(3) | Type I | UNIV CHICAGO | false | ||||||
| UNIVERSITY OF CHICAGO | ||||||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | 362177139 | EDUCATION | IL | 501(c)(3) | 2 | NA | false | ||||||
| UNIVERSITY OF CHICAGO MEDICAL CENTER | ||||||||||||||||
| 5841 S MARYLAND AVE MC 1086 | CHICAGO | IL | 60637 | 363488183 | HOSPITAL | IL | 501(c)(3) | 3 | UNIV CHICAGO | false | ||||||
| UNIVERSITY OF CHICAGO TRUST (INDIA) | ||||||||||||||||
| FUNDRAISING | UNIV CHICAGO | false | IN | L-9 East Wing Raheja Towers MG R | BANGALORE | Karnataka | IN | 560001 | ||||||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| INGALLS SAME DAY SURGERY CTR | |||||||||||
| 6701 W 159TH ST | TINLEY PARK | IL | 60477 | 363368549 | SURGERY CENTER | IL | NA | N/A | false | false | |
| UCMC-SOLIS ON-CAMPUS MAMMOGRAPHY LLC | |||||||||||
| 15601 DALLAS PARKWAY SUITE 500 | ADDISON | TX | 75001 | 352641914 | MAMMOGRAPHY | DE | NA | N/A | false | false | |
| UCMC-SOLIS OFF-CAMPUS MAMMOGRAPHY SERVICES LLC | |||||||||||
| 15601 DALLAS PARKWAY | ADDISON | TX | 75001 | 384108853 | MAMMOGRAPHY | DE | NA | N/A | false | false | SUITE 300 |
| PABHS-UCM MSO JV LLC | |||||||||||
| 2845 N SHERIDAN RD | CHICAGO | IL | 60657 | 874074642 | RADIOLOGY ONCOLOGY | IL | NA | N/A | false | false | SUITE 6400 |
| PABHS-UCM RADONC JV | |||||||||||
| 2845 N SHERIDAN RD | CHICAGO | IL | 60657 | 874057862 | RADIOLOGY ONCOLOGY | IL | NA | N/A | false | false | SUITE 6400 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | EINEIN | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Address Line2USAddress/AddressLine2Txt | Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARITABLE LEAD TRUST (0) | ||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | CHAR LEAD TRUST | IL | NA | Trust | false | ||||
| CHARITABLE REMAINDER TRUSTS (75) | ||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | CHAR RMDR TRUST | IL | NA | Trust | false | ||||
| INGALLS CASUALTY INSURANCE LTD | ||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | LIAB INSURANCE | NA | C Corporation | false | 980485714 | CJ | |||
| INGALLS HEALTH COUNCIL | ||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | PURCHASING GROUP | IL | NA | C Corporation | false | 273226539 | |||
| INGALLS PROVIDER GROUP | ||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | INSURANCE SERVICE | IL | NA | C Corporation | false | 363485578 | |||
| MEDCENTRIX INC | ||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | BILLING & MGMT | IL | NA | C Corporation | false | 363374228 | |||
| PHOENIX OVERLAY FUND LTD | ||||||||||||
| 401 N MICHIGAN AVE | CHICAGO | IL | 60611 | INVESTMENT | NA | false | CJ | C/O INVST OFFICE | ||||
| POOLED INCOME FUND (1) | ||||||||||||
| 5801 S ELLIS AVENUE | CHICAGO | IL | 60637 | POOLED INCO FUND | IL | NA | C Corporation | false | ||||
| SC CURRICULUM INC | ||||||||||||
| 70 WEST MADISON ST | CHICAGO | IL | 60602 | SCNC CURRICULUM | IL | NA | C Corporation | false | ||||
| UCHICAGO (BEIJING) CONSULTING CO LTD | ||||||||||||
| CONSULTING | NA | false | CH | |||||||||
| UCHICAGO CENTER IN INDIA PRIVATE LIMITED | ||||||||||||
| CONSULTING | NA | C Corporation | false | IN | ||||||||
| TRULEN INSURANCE SPC LIMITED | ||||||||||||
| LIAB INSURANCE | UCHHD | false | 981571288 | CJ | ||||||||
| EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD | ||||||||||||
| LIAB INSURANCE | UCHHD | false | 981571310 | CJ | ||||||||
| HPL-GL SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD | ||||||||||||
| LIAB INSURANCE | UCHHD | false | 981571446 | CJ | ||||||||
| NON-EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC L | ||||||||||||
| LIAB INSURANCE | UCHHD | false | 981571387 | CJ | TD | |||||||
| UCHICAGO MEDICINE NORTHWEST INDIANA INC | ||||||||||||
| 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | HEALTHCARE | IN | UCMC | C Corporation | false | 922355855 | |||
| 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 | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | 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 |
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