2015-05-11T12:50:00-05:00 2014-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2014-01-01 362302593 UNION HEALTH SERVICE INC UNIO 3124234200 1634 WEST POLK STREET CHICAGO IL 60612 W JOE GARRETT EXECUTIVE DIRECTOR 3124234200 2015-05-11 1 COLIN THOMPSON P01460524 3123680500 2014 2016-02-25 16:41:14Z W JOE GARRETT 1634 WEST POLK STREET CHICAGO IL 60612 72400049 0 X WWW.UNIONHEALTH.ORG X 1952 IL TO OPERATE A VOLUNTARY HEALTH SERVICES PLAN AND HEALTH MAINTENANCE ORGANIZATION 7 5 250 0 0 0 0 0 63799833 68115364 308453 302879 119164 129494 64227450 68547737 0 0 35263577 38766080 23675378 24965400 0 0 0 4936949 4832346 63875904 68563826 351546 -16089 30208497 30107351 11602896 8777335 18605601 21330016 TO 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 CARE 0 0 63752959 67788943 PREPAID GROUP HEALTH PLAN INCLUDING OUTPATIENT MEDICAL, DENTAL, VISION AND INPATIENT MEDICAL CARE. 63752959 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 630 0 1 250 1 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 1 0 X W JOE GARRETT 3124234200 1634 W POLK ST CHICAGO IL 60612 LEON WOLIN PRESIDENT 1.00 X 0 0 0 THOMAS BALANOFF TRUSTEE 0.50 X 0 0 0 LAURA GARZA TRUSTEE 0.50 X 0 0 0 KENNETH CLIFF TRUSTEE 0.50 X 0 0 0 ROBERT WIGGS TRUSTEE 0.50 X 0 0 0 TIPBHRAPA JAOJAROENKUL PHYSICIAN/TRUSTEE - PAST 36.00 X 273770 0 97918 DR AGNIESZKA BRUKASZ PHYSICIAN/TRUSTEE 33.50 X 208873 0 40623 DR RADOMIR JOVANOVICH PHYSICIAN/TRUSTEE 32.00 X 203446 0 40208 W JOE GARRETT EXECUTIVE DIRECTOR 37.50 X 263044 0 37736 RAMESH B JOSHI DIRECTOR OF OPERATIONS 37.50 X 222887 0 102905 DR HARRY POULOUS MEDICAL DIRECTOR 42.50 X 273315 0 67578 DR CHARANJEET S RAY PHYSICIAN 24.00 X 329520 0 11928 DR SUBHASH GOYAL PHYSICIAN 46.50 X 317880 0 63472 DR THITI JAOJAROENKUL PHYSICIAN 34.50 X 273770 0 94918 2366505 0 557286 53 0 1 0 ADVOCATE NORTHSIDE IL MASONIC MEDICAL CE 22393 NETWORK PLACE CHICAGO IL 606731233 GENERAL MEDICAL SERVICES 4388781 NATIONAL MEDICAL CARE 4013 PAYSPHERE CIRCLE CHICAGO IL 60674 GENERAL MEDICAL SERVICES 2618178 FRESENIUS MEDICAL CARE 7600 SOLUTION CENTER CHICAGO IL 60677 GENERAL MEDICAL SERVICES 1685098 CHICAGO EYE INSTITUTE 3982 N MILWAUKEE CHICAGO IL 60641 GENERAL MEDICAL SERVICES 1003361 AMG HEART & VASCULAR OF ILLINOIS 75 REMITTANCE DRIVE 60675 CHICAGO IL 60675 GENERAL MEDICAL SERVICES 887063 22 PREMIUMS EARNED 900099 59536258 59536258 MEDICARE PAYMENTS 900099 4810650 4810650 PATIENT CHARGES 900099 3442035 3442035 THIRD PARTY REIMBURSEMENTS 900099 326421 326421 68115364 219318 219318 3935873 3852312 83561 83561 83561 MISCELLANEOUS 900099 129494 129494 129494 68547737 67788943 0 758794 38766080 38766080 1336152 709581 626571 17937899 15829957 2107942 285706 252132 33574 4141645 3400875 740770 1263998 1146709 117289 77937 6631 71306 49020 49020 82775 82775 510247 165186 345061 318 318 644091 374097 269994 186053 167025 19028 1491377 1406457 84920 6625 6625 12135 12135 575366 550748 24618 1107678 969271 138407 DUES & SUBSCRIPTIONS 52826 52826 CORPORATE SPONSORED EVE 27688 27688 HEALTH PROMOTION LIBRAR 8210 8210 68563826 63752959 4810867 0 4853780 2573808 4910111 2327346 848327 2268130 641181 599820 3777081 6233150 8702223 7780083 819461 922140 13547546 14276680 811010 906277 30208497 30107351 11111886 8191058 491010 586277 11602896 8777335 X 18605601 21330016 18605601 21330016 30208497 30107351 X -16089 360098 2380406 X 0 1 X 1 0 X 2112533 1834311 278222 6589690 5945772 643918 922140 GROUP ANNUITY CONTRACT 586277 586277 X 68825060 360098 360098 68464962 82775 82775 68547737 68481051 0 68481051 82775 82775 68563826 PART X, LINE 2: THE 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. X 0 0 0 0 0 0 0 0 0 TIPBHRAPA JAOJAROENKUL PHYSICIAN/TRUSTEE - PAST 273770 0 0 0 0 0 76684 0 21234 0 371688 0 0 0 DR AGNIESZKA BRUKASZ PHYSICIAN/TRUSTEE 208873 0 0 0 0 0 13972 0 26651 0 249496 0 0 0 DR RADOMIR JOVANOVICH PHYSICIAN/TRUSTEE 203446 0 0 0 0 0 36014 0 4194 0 243654 0 0 0 W JOE GARRETT EXECUTIVE DIRECTOR 263044 0 0 0 0 0 17718 0 20018 0 300780 0 0 0 RAMESH B JOSHI DIRECTOR OF OPERATIONS 222887 0 0 0 0 0 82900 0 20005 0 325792 0 0 0 DR HARRY POULOUS MEDICAL DIRECTOR 273315 0 0 0 0 0 46269 0 21309 0 340893 0 0 0 DR CHARANJEET S RAY PHYSICIAN 329520 0 0 0 0 0 0 0 11928 0 341448 0 0 0 DR SUBHASH GOYAL PHYSICIAN 317880 0 0 0 0 0 42273 0 21199 0 381352 0 0 0 DR THITI JAOJAROENKUL PHYSICIAN 273770 0 0 0 0 0 73684 0 21234 0 368688 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PROVIDED TO THE ENTIRE BOARD FOR ITS THROUGH REVIEW PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 ORGANIZATION 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.