STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UNION HEALTH SERVICE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
UNION HEALTH SERVICE INC (EIN 36-2302593)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-05-11
IRS object ID
201531319349302203
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-05-11T12:50:00-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN320043599PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LEGACY PROFESSIONALS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1311 S WACKER DRIVE STE 4000AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362302593EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNION HEALTH SERVICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNIOBusinessNameControlTxt
Phone3124234200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11634 WEST POLK STREETAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60612ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonW JOE GARRETTPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3124234200PhoneNum
Signature2015-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCOLIN THOMPSONPreparerPersonNm
PTINP01460524PTIN
Phone3123680500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerW JOE GARRETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11634 WEST POLK STREETAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60612ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$72,400,049GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNIONHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO OPERATE A VOLUNTARY HEALTH SERVICES PLAN AND HEALTH MAINTENANCE ORGANIZATIONActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee250TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$63,799,833PYProgramServiceRevenueAmt
CY Program Service Revenue$68,115,364CYProgramServiceRevenueAmt
PY Investment Income$308,453PYInvestmentIncomeAmt
CY Investment Income$302,879CYInvestmentIncomeAmt
PY Other Revenue$119,164PYOtherRevenueAmt
CY Other Revenue$129,494CYOtherRevenueAmt
PY Total Revenue$64,227,450PYTotalRevenueAmt
CY Total Revenue$68,547,737CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$35,263,577PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$38,766,080CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,675,378PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,965,400CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,936,949PYOtherExpensesAmt
CY Other Expenses$4,832,346CYOtherExpensesAmt
PY Total Expenses$63,875,904PYTotalExpensesAmt
CY Total Expenses$68,563,826CYTotalExpensesAmt
PY Revenues Less Expenses$351,546PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16,089CYRevenuesLessExpensesAmt
Total Assets BOY$30,208,497TotalAssetsBOYAmt
Total Assets EOY$30,107,351TotalAssetsEOYAmt
Total Liabilities BOY$11,602,896TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,777,335TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,605,601NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,330,016NetAssetsOrFundBalancesEOYAmt
MissionTO OPERATE A VOLUNTARY HEALTH SERVICES PLAN AND HEALTH MAINTENANCE ORGANIZATION AND EDUCATE CONSUMERS, PROVIDERS, GOVERNMENT AND THE BUSINESS SECTOR ABOUT THE CONCEPT AND ADVANTAGES OF PREPAID HEALTH CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$63,752,959ExpenseAmt
Revenue$67,788,943RevenueAmt
DescPREPAID GROUP HEALTH PLAN INCLUDING OUTPATIENT MEDICAL, DENTAL, VISION AND INPATIENT MEDICAL CARE.Desc
Total Program Service Expenses$63,752,959TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document630IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee250EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1W JOE GARRETTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3124234200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11634 W POLK STAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LEON WOLIN
PRESIDENT1.00Yes (X)$0$0$0
THOMAS BALANOFF
TRUSTEE0.50Yes (X)$0$0$0
LAURA GARZA
TRUSTEE0.50Yes (X)$0$0$0
KENNETH CLIFF
TRUSTEE0.50Yes (X)$0$0$0
ROBERT WIGGS
TRUSTEE0.50Yes (X)$0$0$0
TIPBHRAPA JAOJAROENKUL
PHYSICIAN/TRUSTEE - PAST36.00Yes (X)$273,770$0$97,918
DR AGNIESZKA BRUKASZ
PHYSICIAN/TRUSTEE33.50Yes (X)$208,873$0$40,623
DR RADOMIR JOVANOVICH
PHYSICIAN/TRUSTEE32.00Yes (X)$203,446$0$40,208
W JOE GARRETT
EXECUTIVE DIRECTOR37.50$263,044$0$37,736Yes (X)
RAMESH B JOSHI
DIRECTOR OF OPERATIONS37.50$222,887$0$102,905Yes (X)
DR HARRY POULOUS
MEDICAL DIRECTOR42.50$273,315$0$67,578Yes (X)
DR CHARANJEET S RAY
PHYSICIAN24.00$329,520$0$11,928Yes (X)
DR SUBHASH GOYAL
PHYSICIAN46.50$317,880$0$63,472Yes (X)
DR THITI JAOJAROENKUL
PHYSICIAN34.50$273,770$0$94,918Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,366,505TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$557,286TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K53IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ADVOCATE NORTHSIDE IL MASONIC MEDICAL CE
22393 NETWORK PLACECHICAGOIL606731233GENERAL MEDICAL SERVICES$4,388,781
NATIONAL MEDICAL CARE
4013 PAYSPHERE CIRCLECHICAGOIL60674GENERAL MEDICAL SERVICES$2,618,178
FRESENIUS MEDICAL CARE
7600 SOLUTION CENTERCHICAGOIL60677GENERAL MEDICAL SERVICES$1,685,098
CHICAGO EYE INSTITUTE
3982 N MILWAUKEECHICAGOIL60641GENERAL MEDICAL SERVICES$1,003,361
AMG HEART & VASCULAR OF ILLINOIS
75 REMITTANCE DRIVE 60675CHICAGOIL60675GENERAL MEDICAL SERVICES$887,063
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PREMIUMS EARNED900099$59,536,258$59,536,258
MEDICARE PAYMENTS900099$4,810,650$4,810,650
PATIENT CHARGES900099$3,442,035$3,442,035
THIRD PARTY REIMBURSEMENTS900099$326,421$326,421
FieldValueIRS element (for citing)
Total Program Service Revenue$68,115,364TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$219,318TotalRevenueColumnAmt
Exclusion$219,318ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,935,873SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,852,312SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$83,561SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$83,561TotalRevenueColumnAmt
Exclusion$83,561ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$129,494TotalRevenueColumnAmt
Exclusion$129,494ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$129,494OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,547,737TotalRevenueColumnAmt
Related Or Exempt Func Income$67,788,943RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$758,794ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$38,766,080TotalAmt
Program Services$38,766,080ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,336,152TotalAmt
Program Services$709,581ProgramServicesAmt
Management And General$626,571ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,937,899TotalAmt
Program Services$15,829,957ProgramServicesAmt
Management And General$2,107,942ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$285,706TotalAmt
Program Services$252,132ProgramServicesAmt
Management And General$33,574ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,141,645TotalAmt
Program Services$3,400,875ProgramServicesAmt
Management And General$740,770ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,263,998TotalAmt
Program Services$1,146,709ProgramServicesAmt
Management And General$117,289ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$77,937TotalAmt
Program Services$6,631ProgramServicesAmt
Management And General$71,306ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,020TotalAmt
Management And General$49,020ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$82,775TotalAmt
Management And General$82,775ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$510,247TotalAmt
Program Services$165,186ProgramServicesAmt
Management And General$345,061ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$318TotalAmt
Management And General$318ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$644,091TotalAmt
Program Services$374,097ProgramServicesAmt
Management And General$269,994ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$186,053TotalAmt
Program Services$167,025ProgramServicesAmt
Management And General$19,028ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,491,377TotalAmt
Program Services$1,406,457ProgramServicesAmt
Management And General$84,920ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,625TotalAmt
Management And General$6,625ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,135TotalAmt
Management And General$12,135ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$575,366TotalAmt
Program Services$550,748ProgramServicesAmt
Management And General$24,618ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,107,678TotalAmt
Program Services$969,271ProgramServicesAmt
Management And General$138,407ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
DUES & SUBSCRIPTIONS$52,826$52,826
CORPORATE SPONSORED EVE$27,688$27,688
HEALTH PROMOTION LIBRAR$8,210$8,210

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$68,563,826TotalAmt
Program Services$63,752,959ProgramServicesAmt
Management And General$4,810,867ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,853,780BOYAmt
EOY$2,573,808EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,910,111BOYAmt
EOY$2,327,346EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$848,327BOYAmt
EOY$2,268,130EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$641,181BOYAmt
EOY$599,820EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,777,081BOYAmt
EOY$6,233,150EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,702,223LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,780,083LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$819,461BOYAmt
EOY$922,140EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,547,546BOYAmt
EOY$14,276,680EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$811,010BOYAmt
EOY$906,277EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,208,497BOYAmt
EOY$30,107,351EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,111,886BOYAmt
EOY$8,191,058EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$491,010BOYAmt
EOY$586,277EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,602,896BOYAmt
EOY$8,777,335EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,605,601BOYAmt
EOY$21,330,016EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,605,601BOYAmt
EOY$21,330,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,208,497BOYAmt
EOY$30,107,351EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$16,089ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$360,098NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,380,406OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,112,533OtherCostOrOtherBasisAmt
Depreciation$1,834,311DepreciationAmt
Book Value$278,222BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,589,690OtherCostOrOtherBasisAmt
Depreciation$5,945,772DepreciationAmt
Book Value$643,918BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$922,140TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescGROUP ANNUITY CONTRACTDesc
Amt$586,277Amt
FieldValueIRS element (for citing)
Total Liability$586,277TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$68,825,060TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$360,098NetUnrealizedGainsInvstAmt
Revenue Not Reported$360,098RevenueNotReportedAmt
Revenue Subtotal$68,464,962RevenueSubtotalAmt
Investment Expenses Not Incld$82,775InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$82,775RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$68,547,737TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$68,481,051TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$68,481,051ExpensesSubtotalAmt
Investment Expenses Not Incld2$82,775InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$82,775ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$68,563,826TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CORPORATION IS A CERTIFIED HEALTH MAINTENANCE ORGANIZATION UNDER THE PROVISIONS OF THE ILLINOIS HEALTH MAINTENANCE ORGANIZATION ACT. THE CORPORATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ALSO DETERMINED THAT THE CORPORATION IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIPBHRAPA JAOJAROENKUL
PHYSICIAN/TRUSTEE - PAST$273,770$0$0$0$0$0$76,684$0$21,234$0$371,688$0$0$0
DR AGNIESZKA BRUKASZ
PHYSICIAN/TRUSTEE$208,873$0$0$0$0$0$13,972$0$26,651$0$249,496$0$0$0
DR RADOMIR JOVANOVICH
PHYSICIAN/TRUSTEE$203,446$0$0$0$0$0$36,014$0$4,194$0$243,654$0$0$0
W JOE GARRETT
EXECUTIVE DIRECTOR$263,044$0$0$0$0$0$17,718$0$20,018$0$300,780$0$0$0
RAMESH B JOSHI
DIRECTOR OF OPERATIONS$222,887$0$0$0$0$0$82,900$0$20,005$0$325,792$0$0$0
DR HARRY POULOUS
MEDICAL DIRECTOR$273,315$0$0$0$0$0$46,269$0$21,309$0$340,893$0$0$0
DR CHARANJEET S RAY
PHYSICIAN$329,520$0$0$0$0$0$0$0$11,928$0$341,448$0$0$0
DR SUBHASH GOYAL
PHYSICIAN$317,880$0$0$0$0$0$42,273$0$21,199$0$381,352$0$0$0
DR THITI JAOJAROENKUL
PHYSICIAN$273,770$0$0$0$0$0$73,684$0$21,234$0$368,688$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD FOR ITS THROUGH REVIEW PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION, INCLUDING RAISES AND ANY BONUSES, FOR EXECUTIVE DIRECTOR, MEDICAL DIRECTOR AND DIRECTOR OF OPERATIONS.
FORM 990, PART VI, SECTION C, LINE 19ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION PLAN FUNDED STATUS 2,380,406.