Skip to content
Nonprofiteer
← USC CARE MEDICAL GROUP INC

Form 990 for tax year 2022

Filed by USC CARE MEDICAL GROUP INC.

Totals

Total revenue
$403,651,809
Total expenses
$450,507,893
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$450,507,893
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$450,507,893

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • VAUGHN STARNES MD

    Director

    Total calculated
    $3,801,525
    From this org
    $0
    From related orgs
    $3,729,112
    Other
    $72,413
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $3,415,992 related
    Bonus
    $0
    Other
    $0 + $313,120 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $41,913 related
    Filer's total
    $0 + $3,801,525 related

  • INDERBIR SINGH GILL MD

    Director

    Total calculated
    $2,853,061
    From this org
    $0
    From related orgs
    $2,779,735
    Other
    $73,326
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,551,322 related
    Bonus
    $0
    Other
    $0 + $228,413 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $42,826 related
    Filer's total
    $0 + $2,853,061 related

  • ROD HANNERS

    Chair

    Total calculated
    $2,064,680
    From this org
    $0
    From related orgs
    $2,006,403
    Other
    $58,277
    Hours/week
    0.5 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,176,716 related
    Bonus
    $0 + $596,612 related
    Other
    $0 + $233,075 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $27,777 related
    Filer's total
    $0 + $2,064,680 related

  • JAMES M STATEN

    Director (UNTIL 1/20/23)

    Total calculated
    $1,995,159
    From this org
    $0
    From related orgs
    $1,916,188
    Other
    $78,971
    Hours/week
    0.5 + 60 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,524,938 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $291,250 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $48,471 related
    Filer's total
    $0 + $1,995,159 related

  • JAY LIEBERMAN

    Director

    Total calculated
    $1,559,900
    From this org
    $0
    From related orgs
    $1,497,778
    Other
    $62,122
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,342,833 related
    Bonus
    $0
    Other
    $0 + $154,945 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $31,622 related
    Filer's total
    $0 + $1,559,900 related

  • CAROLYN MELTZER MD

    Vice Chair

    Total calculated
    $1,315,907
    From this org
    $0
    From related orgs
    $1,287,546
    Other
    $28,361
    Hours/week
    0.5 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,070,879 related
    Bonus
    $0 + $216,667 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $28,361 related
    Filer's total
    $0 + $1,315,907 related

  • DAVID PENG MD

    Director

    Total calculated
    $1,190,378
    From this org
    $0
    From related orgs
    $1,049,978
    Other
    $140,400
    Hours/week
    0.5 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $905,418 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $69,560 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $109,900 related
    Filer's total
    $0 + $1,190,378 related

  • ERIC STRUCKO

    Director (UNTIL 2/17/23)

    Total calculated
    $1,139,344
    From this org
    $0
    From related orgs
    $1,093,318
    Other
    $46,026
    Hours/week
    0.5 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $808,414 related
    Bonus
    $0 + $191,580 related
    Other
    $0 + $93,324 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $15,526 related
    Filer's total
    $0 + $1,139,344 related

  • ROBERT RYU

    Director

    Total calculated
    $1,138,799
    From this org
    $0
    From related orgs
    $1,067,647
    Other
    $71,152
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $834,127 related
    Bonus
    $0
    Other
    $0 + $233,520 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $40,652 related
    Filer's total
    $0 + $1,138,799 related

  • LAURA MOSQUEDA

    Former Chair

    Total calculated
    $1,105,272
    From this org
    $0
    From related orgs
    $1,050,551
    Other
    $54,721
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $836,431 related
    Bonus
    $0 + $125,000 related
    Other
    $0 + $89,120 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $24,221 related
    Filer's total
    $0 + $1,105,272 related

  • JOHN OGHALAI

    Director

    Total calculated
    $1,033,653
    From this org
    $0
    From related orgs
    $910,201
    Other
    $123,452
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $749,711 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $110,490 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $92,952 related
    Filer's total
    $0 + $1,033,653 related

  • JOSEPH OUZOUNIAN

    Director

    Total calculated
    $991,247
    From this org
    $0
    From related orgs
    $763,796
    Other
    $227,451
    Hours/week
    0.5 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $683,347 related
    Bonus
    $0
    Other
    $0 + $80,449 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $196,951 related
    Filer's total
    $0 + $991,247 related

  • ERIC CHANG

    Director

    Total calculated
    $982,165
    From this org
    $0
    From related orgs
    $846,256
    Other
    $135,909
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $754,924 related
    Bonus
    $0 + $20,000 related
    Other
    $0 + $71,332 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $105,409 related
    Filer's total
    $0 + $982,165 related

  • CARL CHUDNOFSKY

    Director

    Total calculated
    $962,723
    From this org
    $0
    From related orgs
    $908,302
    Other
    $54,421
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $736,692 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $121,610 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $23,921 related
    Filer's total
    $0 + $962,723 related

  • STEVEN SIEGEL

    Director

    Total calculated
    $905,825
    From this org
    $0
    From related orgs
    $830,629
    Other
    $75,196
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $690,792 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $114,837 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $44,696 related
    Filer's total
    $0 + $905,825 related

  • MARK TODD

    Director

    Total calculated
    $859,457
    From this org
    $0
    From related orgs
    $705,981
    Other
    $153,476
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $412,486 related
    Bonus
    $0 + $235,100 related
    Other
    $0 + $58,395 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $122,976 related
    Filer's total
    $0 + $859,457 related

  • SMITHA Ravipudi

    CEO

    Total calculated
    $807,976
    From this org
    $0
    From related orgs
    $757,660
    Other
    $50,316
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $582,798 related
    Bonus
    $0 + $132,277 related
    Other
    $0 + $42,585 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $19,816 related
    Filer's total
    $0 + $807,976 related

  • MICHAEL SELSTED

    Director

    Total calculated
    $807,425
    From this org
    $0
    From related orgs
    $738,503
    Other
    $68,922
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $676,918 related
    Bonus
    $0
    Other
    $0 + $61,585 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $38,422 related
    Filer's total
    $0 + $807,425 related

  • STEVEN L GIANNOTTA

    Director

    Total calculated
    $795,080
    From this org
    $0
    From related orgs
    $730,987
    Other
    $64,093
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $650,555 related
    Bonus
    $0 + $40,000 related
    Other
    $0 + $40,432 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $33,593 related
    Filer's total
    $0 + $795,080 related

  • HOLLY MUIR

    Director

    Total calculated
    $736,160
    From this org
    $0
    From related orgs
    $682,318
    Other
    $53,842
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $564,197 related
    Bonus
    $0 + $50,000 related
    Other
    $0 + $68,121 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $23,342 related
    Filer's total
    $0 + $736,160 related

  • VIVIAN MO

    CMO

    Total calculated
    $620,490
    From this org
    $0
    From related orgs
    $557,316
    Other
    $63,174
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $512,579 related
    Bonus
    $0
    Other
    $0 + $44,737 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $32,674 related
    Filer's total
    $0 + $620,490 related

  • JEHNI ROBINSON

    President

    Total calculated
    $607,443
    From this org
    $0
    From related orgs
    $553,971
    Other
    $53,472
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $502,586 related
    Bonus
    $0
    Other
    $0 + $51,385 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $22,972 related
    Filer's total
    $0 + $607,443 related

  • KRIST AZIZIAN

    Chief Pharmacy Officer

    Total calculated
    $580,735
    From this org
    $0
    From related orgs
    $532,543
    Other
    $48,192
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $438,469 related
    Bonus
    $0 + $71,832 related
    Other
    $0 + $22,242 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $17,692 related
    Filer's total
    $0 + $580,735 related

  • MARTIN HEUR

    Director

    Total calculated
    $570,402
    From this org
    $0
    From related orgs
    $516,852
    Other
    $53,550
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $476,092 related
    Bonus
    $0
    Other
    $0 + $40,760 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $23,050 related
    Filer's total
    $0 + $570,402 related

  • TED BUDGE

    Director

    Total calculated
    $524,157
    From this org
    $0
    From related orgs
    $457,596
    Other
    $66,561
    Hours/week
    0.5 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $396,872 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $35,724 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $36,061 related
    Filer's total
    $0 + $524,157 related

  • HELEN CHUI

    Director

    Total calculated
    $476,959
    From this org
    $0
    From related orgs
    $413,604
    Other
    $63,355
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $401,984 related
    Bonus
    $0
    Other
    $0 + $11,620 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $32,855 related
    Filer's total
    $0 + $476,959 related

  • LAURIE JOHNSON

    Chief, Ambulatory Operation

    Total calculated
    $463,894
    From this org
    $0
    From related orgs
    $421,422
    Other
    $42,472
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $326,510 related
    Bonus
    $0 + $62,710 related
    Other
    $0 + $32,202 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $11,972 related
    Filer's total
    $0 + $463,894 related

  • NATHAN YORK

    DIRECTOR, MEDICAL

    Total calculated
    $406,492
    From this org
    $0
    From related orgs
    $366,750
    Other
    $39,742
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $366,057 related
    Bonus
    $0
    Other
    $0 + $693 related
    Deferred
    $0 + $13,101 related
    Nontaxable benefits
    $0 + $26,641 related
    Filer's total
    $0 + $406,492 related

  • CINDY NAVEIRA

    Chief Nursing Officer

    Total calculated
    $395,716
    From this org
    $0
    From related orgs
    $363,763
    Other
    $31,953
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $271,581 related
    Bonus
    $0 + $66,328 related
    Other
    $0 + $25,854 related
    Deferred
    $0 + $30,315 related
    Nontaxable benefits
    $0 + $1,638 related
    Filer's total
    $0 + $395,716 related

  • JEREMY CHURCH

    Treasurer

    Total calculated
    $383,663
    From this org
    $0
    From related orgs
    $382,049
    Other
    $1,614
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,642 related
    Bonus
    $0 + $36,825 related
    Other
    $0 + $582 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $1,614 related
    Filer's total
    $0 + $383,663 related

  • MARY ROSE PATEJAK

    EXECUTIVE DIRECTOR

    Total calculated
    $363,039
    From this org
    $0
    From related orgs
    $308,321
    Other
    $54,718
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $279,047 related
    Bonus
    $0 + $27,197 related
    Other
    $0 + $2,077 related
    Deferred
    $0 + $25,238 related
    Nontaxable benefits
    $0 + $29,480 related
    Filer's total
    $0 + $363,039 related

  • SHARON LEE

    Assoc. Admin, Ambulatory Care

    Total calculated
    $349,062
    From this org
    $0
    From related orgs
    $296,639
    Other
    $52,423
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $256,235 related
    Bonus
    $0 + $39,387 related
    Other
    $0 + $1,017 related
    Deferred
    $0 + $30,281 related
    Nontaxable benefits
    $0 + $22,142 related
    Filer's total
    $0 + $349,062 related

  • DOUGLAS MILLER

    DIRECTOR, ADMIN SENIOR

    Total calculated
    $344,375
    From this org
    $0
    From related orgs
    $286,353
    Other
    $58,022
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $260,159 related
    Bonus
    $0 + $25,474 related
    Other
    $0 + $720 related
    Deferred
    $0 + $29,512 related
    Nontaxable benefits
    $0 + $28,510 related
    Filer's total
    $0 + $344,375 related

  • BRENT DEVERA

    PHYSICIAN

    Total calculated
    $338,003
    From this org
    $0
    From related orgs
    $299,920
    Other
    $38,083
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $299,200 related
    Bonus
    $0
    Other
    $0 + $720 related
    Deferred
    $0 + $10,384 related
    Nontaxable benefits
    $0 + $27,699 related
    Filer's total
    $0 + $338,003 related

  • HSIU-TSING EMILY LIANG-MARI

    Secretary

    Total calculated
    $225,626
    From this org
    $0
    From related orgs
    $198,415
    Other
    $27,211
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $182,695 related
    Bonus
    $0 + $15,000 related
    Other
    $0 + $720 related
    Deferred
    $0 + $20,028 related
    Nontaxable benefits
    $0 + $7,183 related
    Filer's total
    $0 + $225,626 related

  • JOHN KUSMIERSKY

    Director

    Total calculated
    $0
    Hours/week
    0.5 + 2 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3:
THE ORGANIZATION RELIES ON THE USC HEALTH SYSTEM, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE CEO IN THE PROCESS DESCRIBED AS FOLLOWS. THE COMPENSATION IS DETERMINED ANNUALLY USING THE SAFE HARBOR PROCESS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6. NAMELY, A COMMITTEE OF THE USC HEALTH SYSTEMS'S BOARD OF DIRECTORS TAKES THE FOLLOWING THREE STEPS: (1) IT ENSURES THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT BEING REVIEWED, (2) IT LOOKS TO COMPARABILITY DATA AND SPECIALIZED COMPENSATION REPORTS (AND IN SOME CASES OPINIONS) PREPARED FOR THE USC HEALTH SYSTEM BY COMPENSATION CONSULTANTS WITH RESPECT TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED HEALTHCARE ORGANIZATIONS, AND (3) IT MAINTAINS A CONTEMPORANEOUS RECORD OF ITS DELIBERATIONS AND DECISIONS. THE COMPENSATION FOR THE PRESIDENT OF USC CARE MEDICAL GROUP IS SET VIA THE ANNUAL REVIEW PROCESS FOR FACULTY (AS THE PRESIDENT IS A FACULTY PHYSICIAN OF THE UNIVERSITY OF SOUTHERN CALIFORNIA) THROUGH THE OFFICE OF THE VICE PROVOST FOR ACADEMIC AND FACULTY AFFAIRS.
SCHEDULE J, PART I, LINE 4B:
ROD HANNERS: DURING CALENDAR YEAR 2022, CEO OF KECK MEDICINE OF USC, PARTICIPATED IN A RETENTION PROGRAM. THE RETENTION AWARDS ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. A PAYMENT OF $250,000 VESTED IN DECEMBER 2021 AND WAS PAID IN FEBRUARY 2022. THE PAYMENT AMOUNT HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). ANOTHER PAYMENT OF $250,000 WAS SCHEDULED TO VEST IN DECEMBER 2022 AND BE PAYABLE IN JANUARY 2023. A RATABLE ACCRUAL OF $0 HAS BEEN INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AS THE PAYMENT WAS MADE WITHIN TWO AND A HALF MONTHS AFTER THE END OF CALENDAR YEAR 2022. OTHER: IN 1994 USC CREATED A 457(F) SUPPLEMENTAL RETIREMENT PLAN TO PROVIDE MAKE-UP BENEFITS TO EMPLOYEES WHOSE COMPENSATION EXCEEDS THE EARNINGS LIMITATION FOR CONTRIBUTIONS TO THE USC DEFINED CONTRIBUTION RETIREMENT PLAN. AS OF JANUARY 1, 2005, THE PLAN WAS FROZEN AND PARTICIPANTS, WITH RESPECT TO FUTURE MAKE UP BENEFITS, WERE NO LONGER PERMITTED TO DEFER THESE BENEFITS.
SCHEDULE J, PART II:
DURING 2022, THE INDIVIDUALS REPORTED ON SCHEDULE J, PART II WERE PAID BY THE UNIVERSITY OF SOUTHERN CALIFORNIA ("USC"), A RELATED ORGANIZATION. CERTAIN DIRECTORS OF USC CARE MEDICAL GROUP ARE FULL-TIME EMPLOYEES OF THE USC ADMINISTRATION. THESE INDIVIDUALS ARE NOT COMPENSATED FOR THEIR ROLE AS DIRECTORS OF USC CARE MEDICAL GROUP. FOR PURPOSES OF FORM 990 REPORTING, A COMMON LAW EMPLOYEE ANALYSIS HAS BEEN COMPLETED BY THE FILING ORGANIZATION TO DETERMINE ITS KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES.

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
14 May 2024
IRS schema version
2022v5.0
Source object
202441369349305514

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

The source document this was parsed from is served over the API, which is where bulk and document access live.