Primary Healthcare Associates SC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- Primary Healthcare Associates SC (EIN 36-4132865)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-13
- IRS object ID
- 202431349349301638
- Schema version
- 2022v5.0
- 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 | 2024-05-13T14:42:16+00:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364132865 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Primary Healthcare Associates SC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRIM | BusinessNameControlTxt |
| Phone | 7083332300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 71 W 156th Street 500 | AddressLine1Txt |
| City | Harvey | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 604263558 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS JACKIEWICZ | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Signature | 2024-05-13 | SignatureDt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | 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 | 71 W 156th Street Suite 500 | AddressLine1Txt |
| City | Harvey | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 604263558 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,331,641 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://primaryhealth.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PRIMARY HEALTHCARE ASSOCIATES SC (PHA) WAS FORMED TO DIAGNOSE AND TREAT HUMAN AILMENTS AND INJURIES, WHETHER PHYSICAL OR MENTAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 1 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,185,197 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,677,338 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,084,099 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $477,436 | PYOtherRevenueAmt |
| CY Other Revenue | $1,247,542 | CYOtherRevenueAmt |
| PY Total Revenue | $26,339,971 | PYTotalRevenueAmt |
| CY Total Revenue | $24,331,641 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,235,050 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,446,642 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,454,685 | PYOtherExpensesAmt |
| CY Other Expenses | $18,234,756 | CYOtherExpensesAmt |
| PY Total Expenses | $45,689,735 | PYTotalExpensesAmt |
| CY Total Expenses | $49,681,398 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$19,349,764 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$25,349,757 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,158,471 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,736,060 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $78,972,116 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $103,899,462 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$73,813,645 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$99,163,402 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PRIMARY HEALTHCARE ASSOCIATES SC (PHA) WAS FORMED TO DIAGNOSE AND TREAT HUMAN AILMENTS AND INJURIES, WHETHER PHYSICAL OR MENTAL, WITHIN THE UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $17,132,595 | ExpenseAmt |
| Revenue | $7,614,466 | RevenueAmt |
| Desc | PRIMARY CARE PRIMARY HEALTH SPECIALIZES IN PROVIDING CARE TO PATIENTS OF ALL AGES WITH ALL SORTS OF CONDITIONS. OUR FAMILY PHYSICIANS ARE SUITED TO PROVIDING PREVENTIVE CARE AS WELL AS MANAGING CHRONIC AND COMPLEX CONDITIONS. THIS INCLUDES: TREAT A WIDE RANGE OF MEDICAL ISSUES, COORDINATE CARE WITH OTHER MEDICAL PROFESSIONALS AND SPECIALISTS, PROVIDE PRIMARY CARE OF THE WHOLE PATIENT, INCLUDING MENTAL AND EMOTIONAL NEEDS, STRIVE TO BUILD LONG-TERM RELATIONSHIPS WITH THEIR PATIENTS, PROVIDE INFORMATION AND TECHNIQUES TO HELP PATIENTS TAKE CONTROL OF THEIR HEALTH, FOCUS ON PREVENTING, AS WELL AS TREATING, ILLNESS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,232,293 | ExpenseAmt |
| Revenue | $4,525,375 | RevenueAmt |
| Desc | ANESTHESIOLOGY PHA PROVIDES VARIOUS FORMS OF SEDATIVE AND ANALGESIC ANESTHESIA FOR ALL TYPES OF ADULT AND PEDIATRIC SURGICAL PROCEDURES, INCLUDING CARDIAC, NEUROSURGICAL, OBSTETRICAL AND TRANSPLANTATION. THE DIFFERENT TYPES OF ANESTHESIA INCLUDE LOCAL ANESTHESIA TO TEMPORARILY STOP THE SENSE OF PAIN IN A PARTICULAR AREA OF THE BODY, REGIONAL ANESTHESIA TO NUMB ONLY THE PORTION OF THE BODY THAT WILL UNDERGO THE SURGERY, SPINAL ANESTHETIC FOR LOWER ABDOMINAL, PELVIC, RECTAL, OR LOWER EXTREMITY SURGERY, AND EPIDURAL ANESTHETIC FOR SURGERY OF THE LOWER LIMBS AND DURING LABOR AND CHILDBIRTH. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,889,882 | ExpenseAmt |
| Revenue | $1,826,174 | RevenueAmt |
| Desc | ONCOLOGY USING THE BEST MEDICAL INFORMATION AVAILABLE, PRIMARY HEALTH ONCOLOGISTS/HEMATOLOGISTS WORK CLOSELY WITH OTHER SPECIALISTS AND THE EXPERTS AT INGALLS CANCER CARE TO CREATE A PLAN OF CARE SPECIFICALLY DESIGNED FOR EACH INDIVIDUAL PATIENT THAT MAY INCLUDE: CHEMOTHERAPY, INCLUDING THE LATEST CANCER CLINICAL TRIALS, RADIATION THERAPY, CHEMOEMBOLIZATION, RADIOFREQUENCY ABLATION AND CRYOABLATION, SELECTIVE INTERNAL RADIATION THERAPY, CARE OF LONG-TERM CENTRAL CATHETERS, AND BIOLOGICAL RESPONSE MODIFIERS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,248,368 | ExpenseAmt |
| Revenue | $10,365,626 | RevenueAmt |
| Desc | PRIMARY HEALTHCARE ASSOCIATES SC (PHA) IS THE PREMIER MEDICAL GROUP IN THE SOUTH SUBURBS FOR YOUR FAMILY'S HEALTHCARE NEEDS. PRIMARY HEALTH IS A MULTI-SPECIALTY GROUP OF PHYSICIANS AFFILIATED WITH UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. THESE PHYSICIANS PRACTICE IN A VARIETY OF SPECIALTIES, INCLUDING: CARDIOLOGY, ENT CARE, ENDOCRINOLOGY, NEPHROLOGY, NEUROLOGY, INTERNAL MEDICINE, OBSTETRICS & GYNECOLOGY, AND ORTHOPEDICS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $15,248,368 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $10,365,626 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $47,503,138 | 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 | Yes (true) | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 | 1 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 | false | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | 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 | 7083332300 | 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 (8 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARK KOZLOFF MD | |||||||||
| PRESIDENT/VP/TREASURER/SECRETARY | 40.0 | 2.0 | Yes (X) | Yes (X) | $0 | $652,231 | $49,997 | ||
| IVAN SAMSTEIN | |||||||||
| CHIEF FINANCIAL OFFICER | 1.0 | 48.0 | Yes (X) | $0 | $1,193,414 | $211,348 | |||
| JAMES WALLACE MD | |||||||||
| PHYSICIAN | 40.0 | 1.0 | $0 | $744,041 | $15,250 | Yes (X) | |||
| KIMBERLY KRUCZEK DO | |||||||||
| PHYSICIAN | 40.0 | 1.0 | $0 | $501,345 | $26,189 | Yes (X) | |||
| PHILLIP NIGRO MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $0 | $884,229 | $60,238 | Yes (X) | |||
| RICHARD HARRIS MD | |||||||||
| PHYSICIAN | 40.0 | 1.0 | $0 | $490,469 | $49,833 | Yes (X) | |||
| SRINIVASU KUSUMA MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $0 | $1,082,326 | $15,384 | Yes (X) | |||
| RICHARD W SILVERIA | |||||||||
| FORMER CHIEF FINANCIAL OFFICER (THRU 4/22/21) | 0.0 | 0.0 | $0 | $251,969 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,800,024 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $428,240 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| UNIVERSITY OF CHICAGO | ||||||
| 950 E 61ST ST | Chicago | IL | 606372644 | PHYSICIAN SERVICES | $1,576,607 | |
| WEATHERBY LOCUMS INC | ||||||
| PO Box 972633 | Dallas | TX | 753972633 | LOCUM TENENS STAFFING | $1,238,459 | |
| NEUROLOGY SPECIALISTS SC | ||||||
| 1921 Manning Rd | Darien | IL | 60561 | NEUROLOGY | $403,850 | |
| MARTIN G LUKEN III MD SC | ||||||
| 3400 N LAKE SHORE DR | Chicago | IL | 60657 | NUEUROSURGERY | $400,000 | |
| MIDWEST NEUROLOGY ASSOCIATES PC | ||||||
| 1100 JOLIET ST | DYER | IN | 46311 | NUEROLOGY | $262,500 | STE 201 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 624100 | $22,318,584 | $22,318,584 |
| CAPITATION REVENUE | 900099 | $358,516 | $358,516 |
| ICN/ACO BONUS | 900099 | $319,235 | $319,235 |
| HOSPICE REVENUE | 621610 | $73,502 | $73,502 |
| ONCOLOGY CARE MODEL | 900099 | $9,130 | $9,130 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,132 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,132 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,084,099 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
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 | 624100 | BusinessCd |
| Total Revenue Column | $1,247,542 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,247,542 | 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 | $1,247,542 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,331,641 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,331,641 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | 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 | $698,155 | TotalAmt |
| Program Services | $698,155 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,862,610 | TotalAmt |
| Program Services | $25,665,782 | ProgramServicesAmt |
| Management And General | $196,828 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,071,841 | TotalAmt |
| Program Services | $1,063,771 | ProgramServicesAmt |
| Management And General | $8,070 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,957,670 | TotalAmt |
| Program Services | $1,936,997 | ProgramServicesAmt |
| Management And General | $20,673 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,856,366 | TotalAmt |
| Program Services | $1,842,588 | ProgramServicesAmt |
| Management And General | $13,778 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,979,101 | TotalAmt |
| Program Services | $4,978,214 | ProgramServicesAmt |
| Management And General | $887 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,841 | TotalAmt |
| Program Services | $197,136 | ProgramServicesAmt |
| Management And General | $119,705 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,588 | TotalAmt |
| Program Services | $37,588 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,945,237 | TotalAmt |
| Program Services | $2,919,097 | ProgramServicesAmt |
| Management And General | $26,140 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,984 | TotalAmt |
| Program Services | $134,769 | ProgramServicesAmt |
| Management And General | $1,215 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,870 | TotalAmt |
| Program Services | $107,870 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,749 | TotalAmt |
| Program Services | $463,749 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,398,534 | TotalAmt |
| Program Services | $5,398,534 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Management Fee | $1,731,421 | $1,731,421 | |
| Medical Supplies | $1,689,758 | $1,689,758 | |
| Affiliate chargebacks | $320,031 | $59,543 | $260,488 |
| Equipment rental | $94,931 | $94,931 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,711 | TotalAmt |
| Program Services | $13,711 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,681,398 | TotalAmt |
| Program Services | $47,503,138 | ProgramServicesAmt |
| Management And General | $2,178,260 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,355,710 | BOYAmt |
| EOY | $1,428,650 | 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 | $119,118 | BOYAmt |
| EOY | $59,769 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,732,198 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,833,551 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,362,396 | BOYAmt |
| EOY | $2,898,647 | 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 |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,247 | BOYAmt |
| EOY | $348,994 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,158,471 | BOYAmt |
| EOY | $4,736,060 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,230,155 | BOYAmt |
| EOY | $2,384,617 | 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 | $76,741,961 | BOYAmt |
| EOY | $101,514,845 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,972,116 | BOYAmt |
| EOY | $103,899,462 | 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 | -$73,813,645 | BOYAmt |
| EOY | -$99,163,402 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$73,813,645 | BOYAmt |
| EOY | -$99,163,402 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,158,471 | BOYAmt |
| EOY | $4,736,060 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$25,349,757 | 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 | $1,092,744 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,185,197 | CurrentTaxYearMinus1YearAmt |
| Total | $2,277,941 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,121,906 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,111,339 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,150,440 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,154,773 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,331,641 | CurrentTaxYearAmt |
| Total | $111,870,099 | 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 | $20,121,906 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,111,339 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,243,184 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,339,970 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,331,641 | CurrentTaxYearAmt |
| Total | $114,148,040 | 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 | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | 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 | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $114,148,040 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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 | $0 | CurrentTaxYearAmt |
| Total | $0 | 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 | $20,121,906 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,111,339 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,243,184 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,339,970 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,331,641 | CurrentTaxYearAmt |
| Total | $114,148,040 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1 | PublicSupportCY509Pct |
| Public Support PY509 | 1.0 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,732,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,833,551 | DepreciationAmt |
| Book Value | $2,898,647 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,898,647 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | |
| DUE FROM AFFILIATES | $348,994 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $348,994 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | |
| SETTLEMENTS | |
| OTHER LIABILITIES | |
| DUE TO AFFILIATES | $100,603,398 |
| SETTLEMENTS | $911,447 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $101,514,845 | 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 | THE SYSTEM APPLIES THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 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 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, 2023 AND 2022, PRIMARY HEALTHCARE ASSOCIATES, SC DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. PRIMARY HEALTHCARE ASSOCIATES, SC IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK KOZLOFF MD | ||||||||||||||
| PRESIDENT/VP/TREASURER/SECRETARY | $0 | $400,417 | $0 | $229,317 | $0 | $22,497 | $0 | $15,250 | $0 | $34,747 | $0 | $702,228 | $0 | $0 |
| RICHARD W SILVERIA | ||||||||||||||
| FORMER CHIEF FINANCIAL OFFICER (THRU 4/22/21) | $0 | $0 | $0 | $0 | $0 | $251,969 | $0 | $0 | $0 | $0 | $0 | $251,969 | $0 | $0 |
| IVAN SAMSTEIN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $873,834 | $0 | $287,750 | $0 | $31,830 | $0 | $176,154 | $0 | $35,194 | $0 | $1,404,763 | $0 | $0 |
| RICHARD HARRIS MD | ||||||||||||||
| PHYSICIAN | $0 | $474,211 | $0 | $15,160 | $0 | $1,098 | $0 | $15,250 | $0 | $34,583 | $0 | $540,301 | $0 | $0 |
| KIMBERLY KRUCZEK DO | ||||||||||||||
| PHYSICIAN | $0 | $451,330 | $0 | $49,757 | $0 | $258 | $0 | $15,250 | $0 | $10,939 | $0 | $527,535 | $0 | $0 |
| SRINIVASU KUSUMA MD | ||||||||||||||
| PHYSICIAN | $0 | $705,551 | $0 | $355,841 | $0 | $20,934 | $0 | $15,250 | $0 | $134 | $0 | $1,097,710 | $0 | $0 |
| PHILLIP NIGRO MD | ||||||||||||||
| PHYSICIAN | $0 | $586,467 | $0 | $261,028 | $0 | $36,734 | $0 | $15,250 | $0 | $44,988 | $0 | $944,467 | $0 | $0 |
| JAMES WALLACE MD | ||||||||||||||
| PHYSICIAN | $0 | $673,918 | $0 | $51,768 | $0 | $18,355 | $0 | $15,250 | $0 | $0 | $0 | $759,291 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4a Severance or change-of-control payment | IN CALENDAR YEAR 2022, RICHARD SILVERIA RECEIVED SEVERANCE PAYMENTS FOLLOWING HIS TERMINATION OF EMPLOYMENT ($251,969). |
| 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 2023 FOR CALENDAR YEAR 2022: IVAN SAMSTEIN NO INDIVIDUALS LISTED IN SCHEDULE J, PART II BECAME VESTED IN, NOR WERE TAXED ON, AMOUNTS PREVIOUSLY CREDITED UNDER THE PLAN TO THE INDIVIDUAL FOR SERVICES PROVIDED TO THE ORGANIZATION IN PRIOR YEARS. FURTHERMORE, NO INDIVIDUALS LISTED IN THIS SCHEDULE J, PART II RECEIVED A DISTRIBUTION FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. |
| Schedule J, Part I, Line 7 Non-fixed payments | MOST BONUSES ARE PRODUCTIVITY BASED WITH A SET TARGET AND DOLLARS PAID OVER THAT TARGET, SIGNING BONUS, OR RETENTION BONUS. |
| 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 2022 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, THE COMPENSATION LISTED IS EITHER THE FAIR MARKET VALUE COMPENSATION PAID TO THEM FOR SERVICES THEY PERFORMED AS ACTIVE EMPLOYEES OF UCMC OR A RELATED ORGANIZATION (AND WAS NOT PAID TO THEM DUE TO 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 (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 15,248,368 including grants of $)(Revenue $ 10,365,626) PRIMARY HEALTHCARE ASSOCIATES SC (PHA) IS THE PREMIER MEDICAL GROUP IN THE SOUTH SUBURBS FOR YOUR FAMILY'S HEALTHCARE NEEDS. PRIMARY HEALTH IS A MULTI-SPECIALTY GROUP OF PHYSICIANS AFFILIATED WITH UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. THESE PHYSICIANS PRACTICE IN A VARIETY OF SPECIALTIES, INCLUDING: CARDIOLOGY, ENT CARE, ENDOCRINOLOGY, NEPHROLOGY, NEUROLOGY, INTERNAL MEDICINE, OBSTETRICS & GYNECOLOGY, AND ORTHOPEDICS. |
| Form 990, Part V, Line 2a EMPLOYEES REPORTED ON FORM W-3 | PRIMARY HEALTHCARE ASSOCIATES, SC DID NOT HAVE A FEDERAL EMPLOYMENT TAX RETURN FILING REQUIREMENT DURING CALENDAR YEAR 2022. EFFECTIVE 1/1/2022, ALL EMPLOYEES OF PRIMARY HEALTHCARE ASSOCIATES, SC WERE TRANSFERRED TO AND BECAME EMPLOYEES OF CARE NETWORK MEDICAL GROUP, INC., A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. |
| Form 990, Part VI, Line 15a 15B | THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BASED ON THEIR EMPLOYMENT CONTRACTS AS PHYSICIANS OF THE ORGANIZATION. |
| Form 990, Part VI, Line 3 Delegation of management duties | AS OF 7/1/2022 THE DAILY OPERATIONS OF PRIMARY HEALTHCARE ASSOCIATES ARE MANAGED BY UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, LLC, A DISREGARDED ENTITY FOR TAX PURPOSES WHOSE SOLE MEMBER IS THE UNIVERSITY OF CHICAGO MEDICAL CENTER (UCMC). UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, LLC IS THE SOLE MEMBER OF CARE NETWORK MEDICAL GROUP, INC., WHICH THROUGH A SHAREHOLDER CONTROL AGREEMENT, HAS THE RIGHT TO APPROVE OR DIRECT SIGNIFICANT DECISIONS OF PRIMARY HEALTHCARE ASSOCIATES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ORGANIZATION IS AN AFFILIATED TAX-EXEMPT PROFESSIONAL CORPORATION CONTROLLED BY UCM CARE NETWORK MEDICAL GROUP, INC. (CNMG), THROUGH A SHAREHOLDER CONTROL AGREEMENT WITH THE PHYSICIAN SHAREHOLDER. UNDER THE SHAREHOLDER CONTROL AGREEMENT, CNMG HAS THE EXCLUSIVE RIGHT TO APPROVE OR DIRECT SIGNIFICANT DECISIONS OF THE ORGANIZATION'S SHAREHOLDER. THE PHYSICIAN SHAREHOLDER HAS NO ECONOMIC RIGHTS TO ANY PROFITS OR DISTRIBUTIONS OF THE ORGANIZATION AND IS REQUIRED TO VOTE ON DECISIONS OF THE ORGANIZATION IN THE MANNER DIRECTED BY CNMG. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | PLEASE SEE THE NARRATIVE FOR PART VI, LINE 6. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | PLEASE SEE THE NARRATIVE FOR PART VI, LINE 6. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | PRIMARY HEALTHCARE ASSOCIATES SC HAS NO COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY; THEREFORE, THIS QUESTION IS NOT APPLICABLE BUT HAS BEEN ANSWERED NO IN ACCORDANCE WITH THE IRS FORM 990 INSTRUCTIONS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS PREPARED INTERNALLY BY MANAGEMENT. THE FULL FORM 990, INCLUDING SUPPLEMENTAL SCHEDULES, WAS PRESENTED BY THE CHIEF FINANCIAL OFFICERS TO THE FINANCE COMMITTEE AT A COMMITTEE MEETING. THE FULL BOARD HAS GRANTED TO THE FINANCE COMMITTEE AUTHORITY TO APPROVE THE FORM 990. THE FULL BOARD WILL RECEIVE A REPORT FROM THE FINANCE COMMITTEE, DESCRIBING THE FINANCE COMMITTEE'S REVIEW PERFORMED. PRIOR TO FILING WITH THE IRS, THE FORM 990 WILL BE AVAILABLE AT THE ORGANIZATION'S BOARD MEETING FOR EACH MEMBER'S REVIEW. |
| Form 990, Part VI, Line 12c Conflict of interest policy | PRIMARY HEALTHCARE ASSOCIATES 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, PRIMARY HEALTHCARE ASSOCIATES 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 DIRECTOR OR RELATED PARTY HAS A POTENTIAL CONFLICT OF INTEREST. |
| Form 990, Part VI, Line 19 Required documents available to the public | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | MISCELLANEOUS REVENUE - Total Revenue: 5132, Related or Exempt Function Revenue: 5132, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | Other fees for services - Anestesiology - Total Expense: 1976251, Program Service Expense: 1976251, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - PSA expense - Total Expense: 1401261, Program Service Expense: 1401261, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - Neurologists - Total Expense: 686000, Program Service Expense: 686000, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - Neurosurgeon - Total Expense: 400000, Program Service Expense: 400000, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - Laborist - Total Expense: 355520, Program Service Expense: 355520, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - Medix Staffing/Addison Group - Total Expense: 63492, Program Service Expense: 63492, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - Xray staff - Total Expense: 57600, Program Service Expense: 57600, Management and General Expenses: , Fundraising Expenses: ; Other fees for services - Contract Salaries - Total Expense: 34482, Program Service Expense: 33595, Management and General Expenses: 887, Fundraising Expenses: ; Other fees for services - Lab Services - Total Expense: 583, Program Service Expense: 583, Management and General Expenses: , Fundraising Expenses: ; Other - Total Expense: 3912, Program Service Expense: 3912, Management and General Expenses: , Fundraising Expenses: ; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (43 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTIST BOLINGBROOK HOSPITAL | |||||||||||||||||
| 500 REMINGTON BLVD | BOLINGBROOK | IL | 60440 | 651219504 | HOSPITAL | IL | 501(c)(3) | 3 | ADVENT MIDWEST HEALTH | false | |||||||
| ADVENTIST GLENOAKS HOSPITAL | |||||||||||||||||
| 701 WINTHROP AVE | GLENDALE HEIGHTS | IL | 60139 | 363208390 | HOSPITAL | IL | 501(c)(3) | 3 | ADVENT MIDWEST HEALTH | false | |||||||
| ADVENTIST HEALTH PARTNERS INC | |||||||||||||||||
| 5101 S WILLOW SPRINGS RD | LA GRANGE | IL | 60525 | 364138353 | PHYSICIAN PRACTICES | IL | 501(c)(3) | 3 | AHS MIDWEST MGMT | false | B1013 | ||||||
| ADVENTIST MIDWEST HEALTH | |||||||||||||||||
| 120 N OAK STREET | HINSDALE | IL | 60521 | 362276984 | 2 HOSPITALS | IL | 501(c)(3) | 3 | NA | false | |||||||
| AHP SPECIALTY CARE NFP | |||||||||||||||||
| 5101 S WILLOW SPRINGS RD | LA GRANGE | IL | 60525 | 811105774 | PHYSICIAN PRACTICES | IL | 501(c)(3) | 3 | AHS MIDWEST MGMT | false | B1013 | ||||||
| AHS MIDWEST MANAGEMENT INC | |||||||||||||||||
| 500 REMINGTON BLVD | BOLINGBROOK | IL | 60440 | 363354567 | PHYSICIAN PRACTICE MANAGEMENT | IL | 501(c)(3) | Type I | ADVENT MIDWEST HEALTH | false | |||||||
| ARCH DEVELOPMENT CORPORATION | |||||||||||||||||
| 5555 S WOODLAWN AVENUE | CHICAGO | IL | 60637 | 363485244 | TECH TRANSFER | IL | 501(c)(3) | Type I | UNIV CHICAGO | false | |||||||
| 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 | |||||||
| INGALLS MEMORIAL HOSPITAL | |||||||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | 362170866 | HOSPITAL | IL | 501(c)(3) | 3 | UCHHD | 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 | |||||||
| 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 MEDICINE NORTHWEST INDIANA INC | |||||||||||||||||
| 5841 S MARYLAND AVE | CHICAGO | IL | 60637 | 922355855 | HOSPITAL | IN | 501(c)(3) | 3 | UCMC | 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 CARE NETWORK MEDICAL GROUP INC | |||||||||||||||||
| 5841 S MARYLAND AVE MC 1086 | CHICAGO | IL | 60637 | 474221241 | HEALTH SERVICE | IL | 501(c)(3) | 10 | UCMC | 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 AVENUE | CHICAGO | IL | 60637 | 363188183 | 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENTIST MIDWESTUSP SURGERY CENTERS LLC | |||||||||||
| 14201 DALLAS PARKWAY | DALLAS | TX | 75254 | 203256430 | SURGERY CENTER | IL | NA | N/A | false | false | |
| INGALLS SAME DAY SURGERY CTR | |||||||||||
| 6701 W 159TH ST | TINLEY PARK | IL | 60477 | 363368549 | SURGERY CENTER | IL | NA | N/A | false | false | |
| 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 |
| UCMC-SOLIS OFF-CAMPUS MAMMOGRAPHY SERVICES LLC | |||||||||||
| 1501 DALLAS PARKWAY | ADDISON | TX | 75001 | 384108853 | MAMMOGRAPHY | DE | NA | N/A | false | false | SUITE 300 |
| UCMC-SOLIS ON-CAMPUS MAMMOGRAPHY LLC | |||||||||||
| 15601 DALLAS PARKWAY | ADDISON | TX | 75001 | 352641914 | MAMMOGRAPHY | DE | NA | N/A | false | false | SUITE 300 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 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 (68) | ||||||||||||
| 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 | UCHHD | C Corporation | false | 980485714 | CJ | |||
| INGALLS HEALTH COUNCIL | ||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | PURCHASING GROUP | IL | UCHHD | C Corporation | false | 273226539 | |||
| INGALLS PROVIDER GROUP | ||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | INSURANCE SERVICE | IL | IMH | C Corporation | false | 363485578 | |||
| MEDCENTRIX INC | ||||||||||||
| ONE INGALLS DRIVE | HARVEY | IL | 60426 | BILLING & MGMT | IL | UCHHD | 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 | |||||||
| 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 | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |