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Nonprofiteer
← UNITED PHYSICIANS CARE INC

Form 990 for tax year 2022

Filed by UNITED PHYSICIANS CARE INC.

Totals

Total revenue
$47,936,670
Total expenses
$47,917,991
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$47,830,796
Investment income
$0
Other revenue
$105,874
Total assets, end of year
$19,958,071
Total liabilities, end of year
$15,435,888
Net assets or fund balances, end of year
$4,522,183
Program services expenses (Part IX)
$45,247,907
Management and general expenses
$2,670,084
Fundraising expenses
$0
Program service expenses (Part III)
$45,247,907

Program services were 94.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • David Hess MD

    Director, UHC President, July-December

    Total calculated
    $805,834
    From this org
    $0
    From related orgs
    $682,954
    Other
    $122,880
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    not reported + $440,903 related
    Bonus
    not reported + $236,710 related
    Other
    not reported + $5,341 related
    Deferred
    not reported + $93,742 related
    Nontaxable benefits
    not reported + $29,138 related
    Filer's total
    not reported + $805,834 related

  • Benjamin Gerber

    Director, VP Payor Strategy

    Total calculated
    $766,878
    From this org
    $0
    From related orgs
    $664,902
    Other
    $101,976
    Hours/week
    0.5 + 39.5 related

    Schedule J breakdown matched by us

    Base
    not reported + $401,382 related
    Bonus
    not reported + $262,980 related
    Other
    not reported + $540 related
    Deferred
    not reported + $73,272 related
    Nontaxable benefits
    not reported + $28,704 related
    Filer's total
    not reported + $766,878 related

  • Eric Radcliffe MD

    Director, UHC Executive Director Family Medicine

    Total calculated
    $547,852
    From this org
    $0
    From related orgs
    $467,508
    Other
    $80,344
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    not reported + $372,288 related
    Bonus
    not reported + $90,015 related
    Other
    not reported + $5,205 related
    Deferred
    not reported + $51,201 related
    Nontaxable benefits
    not reported + $29,143 related
    Filer's total
    not reported + $547,852 related

  • Michael Tillman

    Director, UHC President, January-June

    Total calculated
    $508,731
    From this org
    $0
    From related orgs
    $479,680
    Other
    $29,051
    Hours/week
    4 + 45 related

    Schedule J breakdown matched by us

    Base
    not reported + $242,818 related
    Bonus
    not reported + $184,198 related
    Other
    not reported + $52,664 related
    Deferred
    not reported + $15,331 related
    Nontaxable benefits
    not reported + $13,720 related
    Filer's total
    not reported + $508,731 related

  • John Epling MD

    Physician

    Total calculated
    $495,559
    From this org
    $475,759
    From related orgs
    $0
    Other
    $19,800
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $338,148
    Bonus
    not reported
    Other
    $137,611
    Deferred
    $9,519
    Nontaxable benefits
    $10,281
    Filer's total
    $495,559

  • Richard Vasicek DO

    Physician

    Total calculated
    $474,726
    From this org
    $434,210
    From related orgs
    $0
    Other
    $40,516
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $279,887
    Bonus
    not reported
    Other
    $154,323
    Deferred
    $12,959
    Nontaxable benefits
    $27,557
    Filer's total
    $474,726

  • Jessica Harvey DO

    Physician

    Total calculated
    $468,648
    From this org
    $429,873
    From related orgs
    $0
    Other
    $38,775
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $328,826
    Bonus
    not reported
    Other
    $101,047
    Deferred
    $10,285
    Nontaxable benefits
    $28,490
    Filer's total
    $468,648

  • James Malone MD

    Physician

    Total calculated
    $446,184
    From this org
    $408,231
    From related orgs
    $0
    Other
    $37,953
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $291,793
    Bonus
    not reported
    Other
    $116,438
    Deferred
    $9,001
    Nontaxable benefits
    $28,952
    Filer's total
    $446,184

  • Monica Cerone MD

    Physician

    Total calculated
    $433,238
    From this org
    $409,081
    From related orgs
    $0
    Other
    $24,157
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $356,332
    Bonus
    not reported
    Other
    $52,749
    Deferred
    $13,725
    Nontaxable benefits
    $10,432
    Filer's total
    $433,238

  • John Forester

    VP - Provider Network Services, UPC Executive Director

    Total calculated
    $413,694
    From this org
    $167,071
    From related orgs
    $167,071
    Other
    $79,552
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $134,349 + $134,349 related
    Bonus
    $32,127 + $32,127 related
    Other
    $595 + $595 related
    Deferred
    $25,402 + $25,402 related
    Nontaxable benefits
    $14,374 + $14,374 related
    Filer's total
    $206,847 + $206,847 related

  • Lance Dubberke MD

    Director, Physician

    Total calculated
    $256,736
    From this org
    $227,848
    From related orgs
    $0
    Other
    $28,888
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $176,796
    Bonus
    not reported
    Other
    $51,052
    Deferred
    $8,415
    Nontaxable benefits
    $20,473
    Filer's total
    $256,736

  • Brandon Koehler

    VP of Finance - Provider Network Services through August 2022

    Total calculated
    $243,706
    From this org
    $33,597
    From related orgs
    $190,382
    Other
    $19,727
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    $23,875 + $135,290 related
    Bonus
    $8,987 + $50,927 related
    Other
    $735 + $4,165 related
    Deferred
    $2,858 + $16,195 related
    Nontaxable benefits
    $101 + $573 related
    Filer's total
    $36,556 + $207,150 related

  • Kathy Wagner

    Director

    Total calculated
    $0
    Hours/week
    1

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, and on a Form 990-PF Part VIII's — 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)

Part I Line 3
Compensation for CEOs is determined by the WV United Health System compensation committee. The System engages an independent group to perform an executive compensation review and compensation survey every two years. This information is provided to the committee, which is made up of independent board members who are then responsible for setting the compensation packages offered to each executive, ensuring that the compensation package offered does not exceed fair market value.
Part I Line 4b
During 2022, Brandon Koehler deferred 12,100 of compensation through the CAA plan. Benjamin Gerber deferred compensation of 59,547 through the CAA plan. Eric Radcliffe deferred compensation of 37,476 through the CAA plan. John Forester deferred compensation of 20,259 through the CAA plan. David Hess deferred compensation of 78,253 through the CAA plan.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202323199349300122

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