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Nonprofiteer
← UB FAMILY MEDICINE INC

Form 990 for tax year 2022

Filed by UB FAMILY MEDICINE INC.

Totals

Total revenue
$12,844,931
Total expenses
$13,249,218
Contributions and grants received
$28,377
Grants paid
$0
Program services expenses (Part IX)
$12,085,905
Management and general expenses
$1,163,313
Fundraising expenses
$0
Program service expenses (Part III)
$12,085,905

Program services were 91.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANDREA MANYON MD

    PRESIDENT

    Total calculated
    $241,791
    From this org
    $167,379
    From related orgs
    $69,338
    Other
    $5,074
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,379 + $69,338 related
    Bonus
    $0
    Other
    $0
    Deferred
    $5,021
    Nontaxable benefits
    $53
    Filer's total
    $172,453 + $69,338 related

  • KIMBERLY WILKINS MD

    SECRETARY

    Total calculated
    $233,987
    From this org
    $227,093
    From related orgs
    $0
    Other
    $6,894
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $227,093
    Bonus
    $0
    Other
    $0
    Deferred
    $6,813
    Nontaxable benefits
    $81
    Filer's total
    $233,987

  • DIANA WILKINS MD

    VICE PRESIDENT

    Total calculated
    $133,222
    From this org
    $65,805
    From related orgs
    $65,362
    Other
    $2,055
    Hours/week
    40

  • RANJIT SINGH MD

    TREASURER

    Total calculated
    $222,455
    From this org
    $95,960
    From related orgs
    $123,535
    Other
    $2,960
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $95,960 + $123,535 related
    Bonus
    $0
    Other
    $0
    Deferred
    $2,879
    Nontaxable benefits
    $81
    Filer's total
    $98,920 + $123,535 related

  • HENRY MCWILLIAMS

    CFO

    Total calculated
    $200,776
    From this org
    $182,376
    From related orgs
    $0
    Other
    $18,400
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $182,376
    Bonus
    $0
    Other
    $0
    Deferred
    $5,471
    Nontaxable benefits
    $12,929
    Filer's total
    $200,776

  • ROBERT MACEK MD

    PHYSICIAN

    Total calculated
    $268,342
    From this org
    $247,974
    From related orgs
    $0
    Other
    $20,368
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $247,974
    Bonus
    $0
    Other
    $0
    Deferred
    $7,439
    Nontaxable benefits
    $12,929
    Filer's total
    $268,342

  • MOHAMMADREZA AZADFARD MD

    PHYSICIAN

    Total calculated
    $311,549
    From this org
    $295,327
    From related orgs
    $0
    Other
    $16,222
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $295,327
    Bonus
    $0
    Other
    $0
    Deferred
    $8,860
    Nontaxable benefits
    $7,362
    Filer's total
    $311,549

  • TILDABETH DOSCHER MD

    PHYSICIAN

    Total calculated
    $547,554
    From this org
    $527,183
    From related orgs
    $0
    Other
    $20,371
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $527,183
    Bonus
    $0
    Other
    $0
    Deferred
    $15,815
    Nontaxable benefits
    $4,556
    Filer's total
    $547,554

  • SARAH ABDELSAYED MD

    PHYSICIAN

    Total calculated
    $262,206
    From this org
    $249,633
    From related orgs
    $0
    Other
    $12,573
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,633
    Bonus
    $0
    Other
    $0
    Deferred
    $7,489
    Nontaxable benefits
    $5,084
    Filer's total
    $262,206

  • ARTHUR WEISSMAN MD

    PHYSICIAN

    Total calculated
    $263,310
    From this org
    $246,324
    From related orgs
    $0
    Other
    $16,986
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $246,324
    Bonus
    $0
    Other
    $0
    Deferred
    $7,390
    Nontaxable benefits
    $9,596
    Filer's total
    $263,310

  • DAVID HOLMES MD

    PHYSICIAN

    Total calculated
    $308,172
    From this org
    $229,560
    From related orgs
    $71,644
    Other
    $6,968
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $229,560 + $71,644 related
    Bonus
    $0
    Other
    $0
    Deferred
    $6,887
    Nontaxable benefits
    $81
    Filer's total
    $236,528 + $71,644 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 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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
21 September 2023
IRS schema version
2022v5.0
Source object
202302649349300735

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

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