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Nonprofiteer
← UCHICAGO MEDICINE NETWORK INC

Form 990 for tax year 2022

Filed by UCHICAGO MEDICINE NETWORK INC.

Totals

Total revenue
$7,048,780
Total expenses
$7,468,574
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$5,075,483
Management and general expenses
$2,393,091
Fundraising expenses
$0
Program service expenses (Part III)
$2,990,719

Program services were 68.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • RANDY NEISWONGER

    BOARD MEMBER/CHIEF OPERATING OFFICER (THRU 7/10/22)

    Total calculated
    $425,007
    From this org
    $0
    From related orgs
    $388,177
    Other
    $36,830
    Hours/week
    1 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,241 related
    Bonus
    $0 + $127,836 related
    Other
    $0 + $3,100 related
    Deferred
    $0 + $7,947 related
    Nontaxable benefits
    $0 + $28,883 related
    Filer's total
    $0 + $425,007 related

  • AMY ROSS

    BOARD MEMBER/SVP UCMC (EFF 1/25/23)

    Total calculated
    $787,620
    From this org
    $0
    From related orgs
    $669,466
    Other
    $118,154
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $495,958 related
    Bonus
    $0 + $164,728 related
    Other
    $0 + $8,779 related
    Deferred
    $0 + $97,783 related
    Nontaxable benefits
    $0 + $20,370 related
    Filer's total
    $0 + $787,619 related

  • AUDRE G BAGNALL

    BOARD MEMBER/EVP UCMC (THRU 1/25/23)

    Total calculated
    $1,157,046
    From this org
    $0
    From related orgs
    $1,013,884
    Other
    $143,162
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $596,700 related
    Bonus
    $0 + $202,339 related
    Other
    $0 + $214,845 related
    Deferred
    $0 + $121,556 related
    Nontaxable benefits
    $0 + $21,606 related
    Filer's total
    $0 + $1,157,047 related

  • JOHN A SVOBODA

    BOARD MEMBER UCMC

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JOSEPH P NOLAN

    TRUSTEE UCMC

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KENNETH S POLONSKY MD

    CHAIRMAN/EVP UCMC (THRU 9/30/22)

    Total calculated
    $2,799,084
    From this org
    $0
    From related orgs
    $2,468,390
    Other
    $330,694
    Hours/week
    1 + 61 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,300,361 related
    Bonus
    $0 + $400,000 related
    Other
    $0 + $768,029 related
    Deferred
    $0 + $303,992 related
    Nontaxable benefits
    $0 + $26,701 related
    Filer's total
    $0 + $2,799,084 related

  • KEVIN M PURCELL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MARK ANDERSON

    BOARD MEMBER/DEAN, BIOLOGLICAL SCIENCES AND PRESIDENT UCHS (EFF. 10/1/22)

    Total calculated
    $702,282
    From this org
    $0
    From related orgs
    $669,519
    Other
    $32,763
    Hours/week
    1 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $597,666 related
    Bonus
    $0
    Other
    $0 + $71,853 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $8,363 related
    Filer's total
    $0 + $702,282 related

  • NATHANIEL SUTTON

    BOARD MEMBER INGALLS

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • THOMAS JACKIEWICZ

    BOARD MEMBER/PRESIDENT UCMC

    Total calculated
    $2,638,594
    From this org
    $0
    From related orgs
    $2,303,568
    Other
    $335,026
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,636,423 related
    Bonus
    $0 + $616,836 related
    Other
    $0 + $50,309 related
    Deferred
    $0 + $323,694 related
    Nontaxable benefits
    $0 + $11,333 related
    Filer's total
    $0 + $2,638,595 related

  • ANN MCCOLGAN

    TREASURER (THRU 5/1/23)

    Total calculated
    $541,441
    From this org
    $0
    From related orgs
    $453,543
    Other
    $87,898
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $275,729 related
    Bonus
    $0 + $68,220 related
    Other
    $0 + $109,594 related
    Deferred
    $0 + $49,787 related
    Nontaxable benefits
    $0 + $38,111 related
    Filer's total
    $0 + $541,441 related

  • EMILY CHASE

    INTERIM PRESIDENT (7/10/22 THRU 3/7/23)

    Total calculated
    $957,706
    From this org
    $0
    From related orgs
    $814,302
    Other
    $143,404
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $533,446 related
    Bonus
    $0 + $240,486 related
    Other
    $0 + $40,370 related
    Deferred
    $0 + $105,854 related
    Nontaxable benefits
    $0 + $37,550 related
    Filer's total
    $0 + $957,706 related

  • IVAN SAMSTEIN

    CHIEF FINANCIAL OFFICER, UCMC

    Total calculated
    $1,404,762
    From this org
    $0
    From related orgs
    $1,193,414
    Other
    $211,348
    Hours/week
    1 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $873,834 related
    Bonus
    $0 + $287,750 related
    Other
    $0 + $31,830 related
    Deferred
    $0 + $176,154 related
    Nontaxable benefits
    $0 + $35,194 related
    Filer's total
    $0 + $1,404,763 related

  • JENNIFER HILL

    SECRETARY

    Total calculated
    $269,901
    From this org
    $0
    From related orgs
    $215,623
    Other
    $54,278
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $213,355 related
    Bonus
    $0 + $2,000 related
    Other
    $0 + $268 related
    Deferred
    $0 + $16,846 related
    Nontaxable benefits
    $0 + $37,432 related
    Filer's total
    $0 + $269,902 related

  • MICHELLE SALOMON

    TREASURER (EFF. 5/2/23)

    Total calculated
    $0
    Hours/week
    1 + 45 related

  • SARA HAGGERTY

    INTERIM CHIEF FINANCIAL OFFICER

    Total calculated
    $403,505
    From this org
    $0
    From related orgs
    $341,647
    Other
    $61,858
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,303 related
    Bonus
    $0 + $83,792 related
    Other
    $0 + $553 related
    Deferred
    $0 + $22,613 related
    Nontaxable benefits
    $0 + $39,245 related
    Filer's total
    $0 + $403,505 related

  • DOUGLAS SAEGESSER

    FORMER CHIEF FINANCIAL OFFICER (THRU 9/8/2021)

    Total calculated
    $276,870
    From this org
    $0
    From related orgs
    $253,258
    Other
    $23,612
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $253,258 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $23,612 related
    Filer's total
    $0 + $276,870 related

  • RICHARD W SILVERIA

    FORMER CHIEF FINANCIAL OFFICER (TIL 3/31/20)

    Total calculated
    $251,969
    From this org
    $0
    From related orgs
    $251,969
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $251,969 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $251,969 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION OF THE PRESIDENT AND CEO OF UCHHD IS REVIEWED AND RECOMMENDED FOR APPROVAL BY THE COMPENSATION COMMITTEE OF UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. THE COMMITTEE'S DETERMINATION PROCESS UTILIZES A COMBINATION OF AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION STUDIES/SURVEYS, ALONG WITH APPROVAL BY THE COMPENSATION COMMITTEE, WHICH IS THEN REVIEWED AND APPROVED BY THE UCMC COMPENSATION COMMITTEE. THE UCHHD COMPENSATION COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS IN A MANNER DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW. THIS IS A RIGOROUS REVIEW AND APPROVAL PROCESS DESIGNED FOR TAX-EXEMPT ORGANIZATIONS BY THE INTERNAL REVENUE SERVICE, AND IS DESIGNED TO RESULT IN COMPETITIVE AND REASONABLE COMPENSATION.
Schedule J, Part I, Line 4a Severance or change-of-control payment
IN CALENDAR YEAR 2022, RICHARD SILVERIA AND DOUGLAS SAEGESSER RECEIVED SEVERANCE PAYMENTS FOLLOWING THEIR TERMINATION OF EMPLOYMENT ($251,969 TO RICHARD SILVERIA AND $253,258 TO DOUGLAS SAEGESSER).
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: KENNETH POLONSKY AMY ROSS ANN MCCOLGAN AUDRE G. BAGNALL EMILY CHASE IVAN SAMSTEIN THOMAS JACKIEWICZ THE FOLLOWING INDIVIDUALS BECAME VESTED IN, AND WERE TAXED ON, AMOUNTS PREVIOUSLY CREDITED UNDER THE PLAN TO THE INDIVIDUAL FOR SERVICES PROVIDED TO THE ORGANIZATION IN PRIOR YEARS (INCLUDED IN 2022 W-2S): KENNETH POLONSKY - $368,555 ANN MCCOLGAN - $29,271 AUDRE BAGNALL - $96,614
Schedule J, Part II COLUMN (B)
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). AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD ANNUALLY REVIEWS THESE BENEFITS IN COMPARISON TO MARKET DATA AND HAS CONCLUDED THAT THESE BENEFITS AND ALL OTHER FORMS OF COMPENSATION PROVIDED TO THESE INDIVIDUALS ARE REASONABLE. 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202441349349302629

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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