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Nonprofiteer
← GREAT LAKES PHYSICIAN PRACTICE PC

Form 990 for tax year 2022

Filed by GREAT LAKES PHYSICIAN PRACTICE PC.

Totals

Total revenue
$39,755,796
Total expenses
$52,834,746
Contributions and grants received
$1,203,631
Grants paid
$0
Program services expenses (Part IX)
$52,834,746
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$52,834,746

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

  • James J Cirbus MD

    Director

    Total calculated
    $1,393,001
    From this org
    $1,341,435
    From related orgs
    $0
    Other
    $51,566
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $950,915
    Bonus
    $349,134
    Other
    $41,386
    Deferred
    $27,298
    Nontaxable benefits
    $24,268
    Filer's total
    $1,393,001

  • James P Campion MD

    Former Director

    Total calculated
    $1,302,830
    From this org
    $1,244,244
    From related orgs
    $0
    Other
    $58,586
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $1,038,324
    Bonus
    $195,858
    Other
    $10,062
    Deferred
    $27,202
    Nontaxable benefits
    $31,384
    Filer's total
    $1,302,830

  • Keith Kulju MD

    Physician

    Total calculated
    $1,060,624
    From this org
    $999,744
    From related orgs
    $0
    Other
    $60,880
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $767,559
    Bonus
    $196,055
    Other
    $36,130
    Deferred
    $27,298
    Nontaxable benefits
    $33,582
    Filer's total
    $1,060,624

  • Brian A Mata MD

    Physician

    Total calculated
    $779,056
    From this org
    $732,416
    From related orgs
    $0
    Other
    $46,640
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $618,502
    Bonus
    $112,534
    Other
    $1,380
    Deferred
    $19,323
    Nontaxable benefits
    $27,317
    Filer's total
    $779,056

  • Anthony Bartholomew MD

    Physician

    Total calculated
    $727,602
    From this org
    $675,268
    From related orgs
    $0
    Other
    $52,334
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $455,209
    Bonus
    $213,177
    Other
    $6,882
    Deferred
    $26,424
    Nontaxable benefits
    $25,910
    Filer's total
    $727,602

  • Steven Barnes MD

    Physician

    Total calculated
    $689,755
    From this org
    $647,679
    From related orgs
    $0
    Other
    $42,076
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $404,044
    Bonus
    $237,581
    Other
    $6,054
    Deferred
    $26,379
    Nontaxable benefits
    $15,697
    Filer's total
    $689,755

  • Hyder Alam MD

    Physician

    Total calculated
    $644,388
    From this org
    $589,520
    From related orgs
    $0
    Other
    $54,868
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $482,932
    Bonus
    $99,040
    Other
    $7,548
    Deferred
    $26,444
    Nontaxable benefits
    $28,424
    Filer's total
    $644,388

  • John N LaMancuso MD

    Director

    Total calculated
    $500,912
    From this org
    $459,669
    From related orgs
    $0
    Other
    $41,243
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $405,419
    Bonus
    $42,633
    Other
    $11,617
    Deferred
    $27,298
    Nontaxable benefits
    $13,945
    Filer's total
    $500,912

  • Matthew Chang MD

    Former Director

    Total calculated
    $473,393
    From this org
    $422,546
    From related orgs
    $0
    Other
    $50,847
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $373,725
    Bonus
    $41,083
    Other
    $7,738
    Deferred
    $26,799
    Nontaxable benefits
    $24,048
    Filer's total
    $473,393

  • Timothy Brown MD

    Former Director

    Total calculated
    $465,973
    From this org
    $413,428
    From related orgs
    $0
    Other
    $52,545
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $366,121
    Bonus
    $41,858
    Other
    $5,449
    Deferred
    $27,212
    Nontaxable benefits
    $25,333
    Filer's total
    $465,973

  • Kiran Kandukurti MD

    FORMER DIRECTOR

    Total calculated
    $440,096
    From this org
    $403,561
    From related orgs
    $0
    Other
    $36,535
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $342,877
    Bonus
    $59,999
    Other
    $685
    Deferred
    $22,608
    Nontaxable benefits
    $13,927
    Filer's total
    $440,096

  • Lynn Rupp

    Director

    Total calculated
    $411,897
    From this org
    $0
    From related orgs
    $373,687
    Other
    $38,210
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $230,317 related
    Bonus
    $0 + $137,000 related
    Other
    $0 + $6,370 related
    Deferred
    $0 + $27,344 related
    Nontaxable benefits
    $0 + $10,866 related
    Filer's total
    $0 + $411,897 related

  • Francis Foti MD

    Board Chair and President

    Total calculated
    $383,049
    From this org
    $0
    From related orgs
    $329,202
    Other
    $53,847
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $239,670 related
    Bonus
    $0 + $86,000 related
    Other
    $0 + $3,532 related
    Deferred
    $0 + $26,233 related
    Nontaxable benefits
    $0 + $27,614 related
    Filer's total
    $0 + $383,049 related

  • Kaitlin Ames MD

    Director

    Total calculated
    $288,406
    From this org
    $259,499
    From related orgs
    $0
    Other
    $28,907
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,734
    Bonus
    $19,301
    Other
    $464
    Deferred
    $16,407
    Nontaxable benefits
    $12,500
    Filer's total
    $288,406

  • Ifeoma Igboeli MD

    Director

    Total calculated
    $281,028
    From this org
    $253,683
    From related orgs
    $0
    Other
    $27,345
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,798
    Bonus
    $1,333
    Other
    $552
    Deferred
    $16,381
    Nontaxable benefits
    $10,964
    Filer's total
    $281,028

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 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception
  • 9 · Followed the rebuttable-presumption procedure

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

The filer's explanations (Part III)

Schedule J
ALL SALARIES AND BENEFITS REPORTED ARE BASED ON INDIVIDUALS' OPERATIONAL POSITIONS AND ARE NOT FOR SERVICES PERFORMED AS DIRECTORS OR BOARD MEMBERS. BOARD POSITIONS ARE ALL VOLUNTARY AND UNPAID. QUESTION 4B: ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS DISCLOSED WITHIN THE TOTAL AMOUNT IN SCHEDULE J COLUMN C "RETIREMENT AND OTHER DEFERRED COMPENSATION". DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE ("CODE"). CERTAIN OFFICERS AND KEY EMPLOYEES ARE LIMITED IN THE AMOUNT OF BENEFITS WHICH MAY BE RECEIVED UNDER A TAX QUALIFIED RETIREMENT PROGRAM. LIKE MANY EMPLOYERS, UPMC SUPPLEMENTS ITS RETIREMENT BENEFITS THROUGH A SUPPLEMENTAL RETIREMENT PROGRAM. THE SUPPLEMENTAL RETIREMENT PROGRAM IS SUBJECT TO MULTI YEAR VESTING WHICH PLACES THE OFFICERS AND KEY EMPLOYEES' RETIREMENT BENEFIT AT RISK OF FORFEITURE IF THE VESTING REQUIREMENTS ARE NOT SATISFIED. ONCE VESTED HOWEVER, PROVISIONS OF THE CODE REQUIRE THAT THE VESTED AMOUNTS BE REPORTED ON THE FORM 990 AND THE VESTED OFFICER OR KEY EMPLOYEE INCLUDE IN CURRENT INCOME THE VALUE OF HER OR HIS SUPPLEMENTAL RETIREMENT BENEFIT. NOTWITHSTANDING THE TAX REQUIREMENT TO RECOGNIZE THE VESTED AMOUNT OF THE SUPPLEMENTAL RETIREMENT BENEFIT AS CURRENT INCOME, THIS BENEFIT, WHICH HAS BEEN EARNED OVER HER OR HIS ENTIRE CAREER, HAS NOT AND WILL NOT BE DISTRIBUTED UNTIL THE OFFICER OR KEY EMPLOYEE RETIRES OR SEPARATES FROM SERVICE FROM UPMC. THE SUPPLEMENTAL RETIREMENT PROGRAM PROVIDES FOR THE CURRENT DISTRIBUTION OF ONLY THE AMOUNT NECESSARY TO SATISFY ANY INCOME TAX LIABILITY RESULTING FROM THE VESTING DURING ACTIVE EMPLOYMENT. QUESTION 7: UPMC PROVIDES INCENTIVE COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. THIS COMPONENT IS BASED UPON THE ACCOMPLISHMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPRIATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT UPMC'S MISSION AND INCLUDE: PATIENT QUALITY AND SATISFACTION, COMMUNITY BENEFITS, OPERATIONAL AND FINANCIAL STRENGTH, LEADERSHIP DEVELOPMENT, AND STRATEGIC BUSINESS INITIATIVES AMONG OTHERS. QUESTION 8 & 9: CERTAIN EMPLOYMENT CONTRACTS MAY QUALIFY FOR THE INITIAL CONTRACT EXCEPTION UNDER IRC REGULATION 53.4958-4 (A)(3). IF SO QUALIFIED THE REBUTTABLE PRESUMPTION PROCEDURES DESCRIBED IN IRC REGULATION 53.4958-6(C) WERE FOLLOWED.

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
10 April 2024
IRS schema version
2022v5.0
Source object
202421019349300227

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

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