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UNITED PHYSICIANS CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
UNITED PHYSICIANS CARE INC (EIN 55-0638563)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202113199349315281
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2021-11-15T08:21:59-00:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN550638563EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1United Physicians Care IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNITBusinessNameControlTxt
Phone3046244655PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1686 S Pike Street AAddressLine1Txt
CityShinnstonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26431ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn ForesterPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Signature2021-11-15SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJohnPersonFirstNm
Person LastForesterPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn ForesterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1686 S Pike Street AAddressLine1Txt
CityShinnstonCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26431ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,622,752GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateWVLegalDomicileStateCd
Activity Or MissionUPC is a not-for-profit corporation focused on the development and operation of primary care clinics, particularly in under serviced areas. UPC provides health care through 17 clinics to the residents of Northern WV.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee301TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,200PYContributionsGrantsAmt
CY Contributions Grants$2,840CYContributionsGrantsAmt
PY Program Service Revenue$41,228,543PYProgramServiceRevenueAmt
CY Program Service Revenue$40,472,478CYProgramServiceRevenueAmt
CY Investment Income-$68,799CYInvestmentIncomeAmt
CY Other Revenue$147,434CYOtherRevenueAmt
PY Total Revenue$41,230,743PYTotalRevenueAmt
CY Total Revenue$40,553,953CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,058,790PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,601,638CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,383,095PYOtherExpensesAmt
CY Other Expenses$11,978,352CYOtherExpensesAmt
PY Total Expenses$41,441,885PYTotalExpensesAmt
CY Total Expenses$40,579,990CYTotalExpensesAmt
PY Revenues Less Expenses-$211,142PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$26,037CYRevenuesLessExpensesAmt
Total Assets BOY$23,810,031TotalAssetsBOYAmt
Total Assets EOY$8,171,979TotalAssetsEOYAmt
Total Liabilities BOY$19,093,433TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,455,381TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,716,598NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,716,598NetAssetsOrFundBalancesEOYAmt
MissionUnited Physicians Care, Inc. is a not-for-profit corporation focused on the development and operation of primary care clinics, particularly in under serviced areas. UPC provides health care through 17 primary clinics to the residents of Northern West Virginia.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$38,152,756ExpenseAmt
Revenue$40,619,912RevenueAmt
DescUnited Physicians Care, Inc. UPC is a not-for-profit medical corporation licensed in the state of West Virginia. UPC leases various facilities in eight counties, providing medical services designed to promote health of persons within our service areas. Within the scope of its mission, UPC has established the following care programs Harrison County, WV - primary care services Taylor County, WV - primary care services Barbour County, WV - primary care services Braxton County, WV - primary care services Doddridge County, WV - primary care services Ritchie County, WV - primary care services and Lewis County, WV - primary care services.Desc
Total Program Service Expenses$38,152,756TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document52IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee301EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Quid Pro Quo Contri DisclfalseQuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonUnited Hospital Center IncPersonNm
Phone6813421000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1327 Medical Park DriveAddressLine1Txt
CityBridgeportCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26330ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Michael Tillman
Director, UHC President004.00044.00Yes (X)Yes (X)$0$698,829$44,667
Eric Radcliffe MD
Director, UHC Executive Director Family Medicine001.00039.00Yes (X)$0$473,823$70,199
Jessica Harvey DO
Physician040.00$450,082$0$31,892Yes (X)
Benjamin Gerber
Director, VP Payor Strategy000.50039.50Yes (X)$0$386,306$77,667
John Angotti MD
Physician040.00$408,534$0$19,262Yes (X)
Richard Vasicek DO
Physician040.00$389,498$0$32,865Yes (X)
John Epling MD
Physician040.00$398,795$0$11,877Yes (X)
John Forester
VP - Provider Network Services, UPC Executive Director025.00025.00Yes (X)$166,613$166,613$69,357
Vigneshwaran Ramanathan MD
Physician040.00$372,181$0$14,097Yes (X)
Brandon Koehler
VP of Finance - Provider Network Services015.00020.00Yes (X)$0$276,799$53,330
Lance Dubberke MD
Director, Physician040.00Yes (X)$213,453$0$31,196
Kathy Wagner
Director001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,399,156TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,002,370TotReportableCompRltdOrgAmt
Total Other Compensation$456,409TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K69IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PA Consultants LLC
115 Lou Ellen LnHarvestAL357499337Physician Services$1,208,693
CHG Companies Inc
PO Box 972651DallasTX753972651Physician Services$463,158
Tusk Enterprises LLC
2000 E Lamar Blvd Suite 250ArlingtonTX760067358Physician Services$418,108
West Virginia University Medical Corporation
255 Scott Ave PO Box 897MorgantownWV265070897Medical Support Services$186,967
Sean Kessee
328 New StBridgeportWV263301417Physician Services$119,760
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$2,200GovernmentGrantsAmt
All Other Contributions$640AllOtherContributionsAmt
Total Contributions$2,840TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Revenue621110$24,830,382$24,830,382
Other Health Care Revenue621110$14,552,968$14,552,968
CARES Act Funding621110$1,089,128$1,089,128
FieldValueIRS element (for citing)
Total Program Service Revenue$40,472,478TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$68,799OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$68,799OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$68,799TotalRevenueColumnAmt
Exclusion-$68,799ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cash Discounts900099$13,986$13,986
Other Revenue900099$133,448$133,448
FieldValueIRS element (for citing)
Other Revenue Total$147,434OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,553,953TotalRevenueColumnAmt
Related Or Exempt Func Income$40,619,912RelatedOrExemptFuncIncomeAmt
Exclusion-$68,799ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$445,940TotalAmt
Program Services$225,459ProgramServicesAmt
Management And General$220,481ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,670,667TotalAmt
Program Services$21,431,344ProgramServicesAmt
Management And General$239,323ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,632TotalAmt
Program Services$35,238ProgramServicesAmt
Management And General$394ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,435,113TotalAmt
Program Services$6,417,186ProgramServicesAmt
Management And General$17,927ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,286TotalAmt
Program Services$14,128ProgramServicesAmt
Management And General$158ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,993TotalAmt
Program Services$32ProgramServicesAmt
Management And General$23,961ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,826,096TotalAmt
Program Services$3,676,899ProgramServicesAmt
Management And General$149,197ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,200TotalAmt
Program Services$6,138ProgramServicesAmt
Management And General$62ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$418,778TotalAmt
Program Services$377,151ProgramServicesAmt
Management And General$41,627ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$130,221TotalAmt
Program Services$1,849ProgramServicesAmt
Management And General$128,372ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,639,093TotalAmt
Program Services$1,569,603ProgramServicesAmt
Management And General$69,490ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,876TotalAmt
Program Services$12,208ProgramServicesAmt
Management And General$2,668ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,192,257TotalAmt
Management And General$1,192,257ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$212,434TotalAmt
Program Services$150,998ProgramServicesAmt
Management And General$61,436ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$63,239TotalAmt
Program Services$63,239ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$2,090,270$2,090,270
Provision for Doubtful Accounts$1,856,806$1,856,806
Taxes, Licenses Fees$225,339$79,033$146,306
Recruiting$73,495$72,229$1,266

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$205,255TotalAmt
Program Services$72,946ProgramServicesAmt
Management And General$132,309ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,579,990TotalAmt
Program Services$38,152,756ProgramServicesAmt
Management And General$2,427,234ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,752BOYAmt
EOY$3,253EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,356,910BOYAmt
EOY$4,246,128EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY-$408,577BOYAmt
EOY-$172,123EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$77,612BOYAmt
EOY$46,863EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,014,312LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,150,235LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,655,683BOYAmt
EOY$864,077EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,124,651BOYAmt
EOY$3,183,781EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,810,031BOYAmt
EOY$8,171,979EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,662,856BOYAmt
EOY$2,377,896EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$810,884EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$430,577BOYAmt
EOY$266,601EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,093,433BOYAmt
EOY$3,455,381EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,716,598BOYAmt
EOY$4,716,598EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,716,598BOYAmt
EOY$4,716,598EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,810,031BOYAmt
EOY$8,171,979EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$26,037ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$26,037NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Facts And Circumstances TestPart I Section A Line 3 Although the organization qualifies as a hospital under IRC Section 170B1AIII as shown on Schedule A, Item 3, the organization does not qualify as a hospital for Schedule H or State of West Virginia purposes.FactsAndCircumstancesTestTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,660OtherCostOrOtherBasisAmt
Depreciation$135,246DepreciationAmt
Book Value$42,414BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,149,267OtherCostOrOtherBasisAmt
Depreciation$867,906DepreciationAmt
Book Value$281,361BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$687,385OtherCostOrOtherBasisAmt
Depreciation$147,083DepreciationAmt
Book Value$540,302BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$864,077TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Deferred Compensation$146,788
Goodwill Other Intangibles$3,036,993
CIP
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,183,781TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Federal income taxes
Deferred Compensation$146,788
Estimated Malpractice Costs- Current$26,713
Self Insurance Liability-$10,017
Long Term Lease Liability$103,117
FieldValueIRS element (for citing)
Total Liability$266,601TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$38,723,184TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$26,037NetUnrealizedGainsInvstAmt
Other Revenue-$1,856,806OtherRevenueAmt
Revenue Not Reported-$1,830,769RevenueNotReportedAmt
Revenue Subtotal$40,553,953RevenueSubtotalAmt
Total Revenue Per Form990$40,553,953TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$38,723,184TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$38,723,184ExpensesSubtotalAmt
Other Expenses Not Included$1,856,806OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,856,806ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,579,990TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
X 2The annual audit and financial statements of United Physicians Care, Inc. are prepared on a consolidated basis as a member of the WV United Health System WVUHS. WVUHS accounts for uncertainty in income taxes using a recognition threshold of more-likely-than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. There were no tax uncertainties that met the recognition threshold in 2020 and 2019.
X 2Most of the entities that comprise the System WVUHS are tax-exempt organizations and not subject to federal or state income taxes in accordance with Section 501c3 of the Internal Revenue Code. On such basis, they will not incur any liability for income taxes, except for possible unrelated business income. AHS, WVUIS and GHC are organizations subject to federal and/or state income taxes. The System does not have any material uncertain tax positions as of December 31, 2020 and 2019.
XI 2dThe amount shown on line 2d consists of 1,856,806 provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.
XII 4bThe amount shown on line 4b consists of 1,856,806, provision for doubtful accounts reported as an offset to revenue on the financial statements but is reported as an expense on the Form 990.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Michael Tillman
Director, UHC President$439,106$167,456$92,267$16,878$27,789$743,496
Lance Dubberke MD
Director, Physician$210,854$500$2,099$4,531$26,665$244,649
Benjamin Gerber
Director, VP Payor Strategy$300,331$80,402$5,573$51,265$26,402$463,973
Eric Radcliffe MD
Director, UHC Executive Director Family Medicine$366,232$98,826$8,764$42,648$27,552$544,022
John Forester
VP - Provider Network Services, UPC Executive Director$129,363$34,661$2,590$21,205$13,473$201,292$129,363$34,661$2,590$21,205$13,473$201,292
Brandon Koehler
VP of Finance - Provider Network Services$219,638$52,844$4,317$26,375$26,955$330,129
Jessica Harvey DO
Physician$447,944$500$1,639$5,859$26,032$481,974
John Angotti MD
Physician$404,658$500$3,376$19,262$427,796
John Epling MD
Physician$356,944$500$41,350$3,393$8,485$410,672
Richard Vasicek DO
Physician$377,791$500$11,207$6,951$25,914$422,363
Vigneshwaran Ramanathan MD
Physician$371,236$500$445$4,502$9,595$386,278

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I Line 3Compensation for CEOs is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value.
Part I Line 4bDuring 2020, Brandon Koehler deferred 21,832 of compensation through the CAA plan. Benjamin Gerber deferred compensation of 43,920 through the CAA plan and received vesting distributions of 38,645. Eric Radcliffe deferred compensation of 35,845 through the CAA plan and received vesting distributions of 41,309. John Forester deferred compensation of 19,190 and received vesting distributions of 24,215 each for the filing organization and related organizations. Vesting distributions were paid by a third party administrator TPA. The TPA is responsible for issuing the appropriate tax documents.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11bForm 990 was prepared by the West Virginia United Health System Tax Team. After the return is prepared, the return is sent to the VP of Finance and VP - Provider Network Services for review, once it is approved it is provided to the board of directors for review. Questions or comments are addressed prior to submitting to the Internal Revenue Service.
Form 990, Part VI, Line 12cConflict of interest questionaires are required to be completed annually by each board member and key employee. UHC Director of Corporate Compliance along with the West Virginia United Health System monitors compliance of the policy and reports any non-compliance to the CEO of United Physicians Care, Inc.. Board members are required to abstain from voting on issues in which they have a conflict of interest.
Form 990, Part VII, Section A, Line 4Four of the organizations board members were employed by the filing organization or related organizations. They are not considered to be independent, the compensation they received is for the services they provided to their respective related party employers.
Form 990, Part VI, Section B, Line 15 a bThe compensation of CEOs is determined by the WV United Health System Compensation Committee based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This information is provided to the compensation committee which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package does not exceed fair market value based on the data from the consultant group. The minutes of the compensation committee are contemporaneously documented and retained. A full compensation survey was completed in 2019 for 2020 compensation amounts. The compensation of all officers at the Vice President level and below is determined based upon a salary and benefit survey prepared by an independent company using data of comparable facilities. This data is then interpreted and provided to an independent compensation committee. The independent compensation committee then uses this data to determine a fair and reasonable compensation package. All relevant data as well as minutes from each meeting are retained.
Form 990, Part VI, Line 19Disclosures of governing documents, policies, conflict of interest information, and financial statements will be made upon receipt of a written request received at the corporate office.
Form 990, Part XII, Line 2cUnited Physicians Care Inc. does not have an audit committee to oversee their piece of the overall consolidated audit. The audit committee works closely with the independent auditors in pre-audit planning, throughout the audit, and in the implementing of post-audit recommendations.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
West Virginia United Health System
PO Box 8034MorgantownWV26506550754713Healthcare AccessWV501c312aN/Afalse
West Virginia University Hospitals East Inc
2000 Foundation WayMartinsburgWV25401202337985Healthcare AccessWV501c312afalseWest Virginia University Hospitals Inc
City Hospital Inc
2000 Foundation WayMartinsburgWV25401550383321Patient CareWV501c33falseWest Virginia University Hospitals East Inc
Jefferson Memorial Hospital
2000 Foundation WayMartinsburgWV25401550359755Patient CareWV501c33falseWest Virginia University Hospitals East Inc
University Healthcare Foundation
2500 Hospital DriveMartinsburgWV25401311118075Hospital SupportWV501c312afalseWest Virginia University Hospitals Inc
United Summit Center
6 Hospital PlazaClarksburgWV26301550752788Patient CareWV501c33falseWest Virginia University Hospitals Inc
United Hospital Center Inc
327 Medical Park DriveBridgeportWV26330550525724Patient CareWV501c33falseWest Virginia United Health System
West Virginia University Hospitals Inc
PO Box 8034MorgantownWV26506550643304Patient CareWV501c33falseWest Virginia United Health System
United Health Foundation
327 Medical Park DriveBridgeportWV26330550621706Hospital SupportWV501c312afalseUnited Hospital Center Inc
West Virginia Health Care Cooperative Inc
400 Fairview Heights RdSummersvilleWV26651550650441Patient CareWV501c33falseWest Virginia University Hospitals Inc
Camden-Clark Health Services
800 Garfield AveParkersburgWV26101550769602Healthcare AccessWV501c312afalseWest Virginia United Health System
Camden-Clark Foundation
800 Garfield AveParkersburgWV26101550667789Hospital SupportWV501c37falseCamden-Clark Health Services
Camden-Clark Memorial Hospital
800 Garfield AveParkersburgWV26101311524546Patient CareWV501c33falseCamden-Clark Health Services
Camden-Clark Physician Corp
604 Ann StreetParkersburgWV26101264058719Patient CareWV501c33falseCamden-Clark Health Services
Potomac Valley Hospital of W Va Inc
100 Pin Oak LaneKeyserWV26726550420956Patient CareWV501c33falseWest Virginia University Hospitals Inc
St Joseph's Hospital of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550356996Patient CareWV501c33falseWest Virginia United Health System
St Joseph's Foundation of Buckhannon Inc
1 Amalia DriveBuckhannonWV26201550727650Hospital SupportWV501c312bfalseSt Joseph's Hospital of Buckhannon Inc
Reynolds Memorial Hospital Inc
800 Wheeling AveGlen DaleWV26038550357045Patient CareWV501c33falseWest Virginia University Hospitals Inc
Reynolds Memorial Foundation
800 Wheeling AveGlen DaleWV26038550710402Hospital SupportWV501c312afalseReynolds Memorial Hospital Inc
Braxton County Memorial Hospital
100 Hoylman DriveGassawayWV26624550611919Patient CareWV501c33falseWest Virginia University Hospitals Inc
Community Health Association
122 Pinnell StreetRipleyWV25271550462730Patient CareWV501c33falseWest Virginia University Hospitals Inc
Wetzel County Hospital Inc
3 E Benjamin DriveNew MartinsvilleWV26155843480493Patient CareWV501c33falseWest Virginia University Hospitals Inc
WVUHS Home Care LLC
PO Box 8059MorgantownWV26506852915642Home Health and HospiceWV509a2falseWest Virginia United Health System

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Allied Health Sourcing SolutionsBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8034AddressLine1Txt
CityMorgantownCityNm
State AbbreviationWVStateAbbreviationCd
ZIP26506ZIPCd
FieldValueIRS element (for citing)
EIN842403526EIN
Primary ActivitiesSupply Chain ManagementPrimaryActivitiesTxt
Legal Domicile StateWVLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Allied Health Services Inc
PO Box 782MorgantownWV26507550652017Medical LabWVWV United Health SystemC Corpfalse
West Virginia United Insurance Services
3040 University Avenue Suite 3200MorgantownWV26505550756055Provider NetworkWVWV United Health SystemC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd