Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 07-01-2024 , and ending 02-05-2025
BCheck if applicable:
CName of organization
Primary Healthcare Associates SC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE INGALLS DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
HARVEY, IL60426
D Employer identification number

36-4132865
E Telephone number

G Gross receipts $ 18,477,664
F Name and address of principal officer:
THOMAS JACKIEWICZ
ONE INGALLS DRIVE
HARVEY,IL60426
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
UCHICAGOMEDICINE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1997
M State of legal domicile: IL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: PRIMARY HEALTHCARE ASSOCIATES SC (PHA) WAS FORMED TO DIAGNOSE AND TREAT HUMAN AILMENTS AND INJURIES, WHETHER PHYSICAL OR MENTAL, WITHIN THE UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. AREA.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 1
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 24,699,387 16,817,304
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 0 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,734,391 1,660,360
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 26,433,778 18,477,664
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 38,243,644 24,938,741
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 16,322,480 12,954,054
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 54,566,124 37,892,795
19 Revenue less expenses. Subtract line 18 from line 12....... -28,132,346 -19,415,131
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 8,153,501 0
21 Total liabilities (Part X, line 26)............. 135,449,249 0
22 Net assets or fund balances. Subtract line 21 from line 20..... -127,295,748 0
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: PRIMARY HEALTHCARE ASSOCIATES SC (PHA) WAS FORMED TO DIAGNOSE AND TREAT HUMAN AILMENTS AND INJURIES, WHETHER PHYSICAL OR MENTAL, WITHIN THE UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. AREA.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 12,064,929 including grants of $   ) (Revenue $ 6,378,298 )
PRIMARY CAREPRIMARY HEALTH SPECIALIZES IN PROVIDING CARE TO PATIENTS OF ALL AGES WITH ALL SORTS OF CONDITIONS. OUR FAMILY PHYSICIANS ARE SUITED TO PROVIDING PREVENTIVE CARE AS WELL AS MANAGING CHRONIC AND COMPLEX CONDITIONS. THIS INCLUDES: TREAT A WIDE RANGE OF MEDICAL ISSUES, COORDINATE CARE WITH OTHER MEDICAL PROFESSIONALS AND SPECIALISTS, PROVIDE PRIMARY CARE OF THE WHOLE PATIENT, INCLUDING MENTAL AND EMOTIONAL NEEDS, STRIVE TO BUILD LONG-TERM RELATIONSHIPS WITH THEIR PATIENTS, PROVIDE INFORMATION AND TECHNIQUES TO HELP PATIENTS TAKE CONTROL OF THEIR HEALTH, FOCUS ON PREVENTING, AS WELL AS TREATING, ILLNESS.
4b (Code:   ) (Expenses $ 6,441,873 including grants of $   ) (Revenue $ 2,858,152 )
ANESTHESIOLOGYPHA PROVIDES VARIOUS FORMS OF SEDATIVE AND ANALGESIC ANESTHESIA FOR ALL TYPES OF ADULT AND PEDIATRIC SURGICAL PROCEDURES, INCLUDING CARDIAC, NEUROSURGICAL, OBSTETRICAL AND TRANSPLANTATION. THE DIFFERENT TYPES OF ANESTHESIA INCLUDE LOCAL ANESTHESIA TO TEMPORARILY STOP THE SENSE OF PAIN IN A PARTICULAR AREA OF THE BODY, REGIONAL ANESTHESIA TO NUMB ONLY THE PORTION OF THE BODY THAT WILL UNDERGO THE SURGERY, SPINAL ANESTHETIC FOR LOWER ABDOMINAL, PELVIC, RECTAL, OR LOWER EXTREMITY SURGERY, AND EPIDURAL ANESTHETIC FOR SURGERY OF THE LOWER LIMBS AND DURING LABOR AND CHILDBIRTH.
4c (Code:   ) (Expenses $ 4,606,566 including grants of $   ) (Revenue $ 1,348,217 )
ONCOLOGYUSING THE BEST MEDICAL INFORMATION AVAILABLE, PRIMARY HEALTH ONCOLOGISTS/HEMATOLOGISTS WORK CLOSELY WITH OTHER SPECIALISTS AND THE EXPERTS AT INGALLS CANCER CARE TO CREATE A PLAN OF CARE SPECIFICALLY DESIGNED FOR EACH INDIVIDUAL PATIENT THAT MAY INCLUDE: CHEMOTHERAPY, INCLUDING THE LATEST CANCER CLINICAL TRIALS, RADIATION THERAPY, CHEMOEMBOLIZATION, RADIOFREQUENCY ABLATION AND CRYOABLATION, SELECTIVE INTERNAL RADIATION THERAPY, CARE OF LONG-TERM CENTRAL CATHETERS, AND BIOLOGICAL RESPONSE MODIFIERS.
(Code:   ) (Expenses $ 13,979,682 including grants of $   ) (Revenue $ 7,892,997 )
PRIMARY HEALTHCARE ASSOCIATES SC (PHA) IS THE PREMIER MEDICAL GROUP IN THE SOUTH SUBURBS FOR YOUR FAMILY'S HEALTHCARE NEEDS. PRIMARY HEALTH IS A MULTI-SPECIALTY GROUP OF PHYSICIANS AFFILIATED WITH UCHICAGO MEDICINE NETWORK, INC. THESE PHYSICIANS PRACTICE IN A VARIETY OF SPECIALTIES, INCLUDING: NEPHROLOGY, OBSTETRICS & GYNECOLOGY, HOSPICE CARE, BEHAVIORAL HEALTH, GENERAL SURGERY, PEDIATRICS, OTOLARYNGOLOGY, NEUROLOGY, ORTHOPEDICS, ENDOCRINOLOGY, GASTROENTEROLOGY, AND RHEUMATOLOGY.
4d Other program services (Describe in Schedule O.)
(Expenses $ 13,979,682 including grants of $   ) (Revenue $ 7,892,997 )
4e Total program service expenses37,093,050
Form 990 (2024)
Form 990 (2024)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part IClick to see attachment
List of Attached Documents:
// Content
31
Yes
 
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................Click to see attachment
List of Attached Documents:
// Content
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
34
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
1
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
 
No
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
PHILLIP KAUFMAN150 HARVESTER DRIVE SUITE 300   BURR RIDGE,IL60527 (708) 333-2300
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MARK KOZLOFF MD......................................................................
PRESIDENT/VP/TREASURER/SECRETARY
 40.00
.................
3.00 		X   X       0 689,281 56,519
(2) IVAN SAMSTEIN......................................................................
CFO (THRU 12/31/24)
 1.00
.................
57.00 		    X       0 1,795,872 252,606
(3) SRINIVASU KUSUMA MD......................................................................
PHYSICIAN
 40.00
.................
0.00 		        X   0 1,461,856 17,379
(4) PHILLIP NIGRO MD......................................................................
PHYSICIAN
 40.00
.................
0.00 		        X   0 1,016,861 59,548
(5) JAMES WALLACE MD......................................................................
PHYSICIAN
 40.00
.................
1.00 		        X   0 998,808 19,250
(6) AKBAR RAHMANI MD......................................................................
PHYSICIAN
 40.00
.................
0.00 		        X   0 837,130 44,216
(7) MOHAMMAD SHAMSHUDDIN MD......................................................................
PHYSICIAN
 40.00
.................
0.00 		        X   0 846,644 56,519




















Form 990 (2024)
Form 990 (2024)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 0 7,646,452 506,037
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
THE UNIVERSITY OF CHICAGO

950 E 61ST ST
CHICAGO,IL60637 		Medical Services 2,103,752
LOCUMTENENS

PO BOX 405547
ATLANTA,GA30384 		Medical Services 1,063,550
WEATHERBY LOCUMS INC

PO BOX 972633
DALLAS,TX75397 		Medical Services 1,039,202
THE CENTRE

PO BOX 1536
CALUMET CITY,IL60409 		Services 964,100
MARTIN G LUKEN III MD SC,
3400 N LAKE SHORE DR
CHICAGO,IL60657 		Neurosurgery 515,100
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 12
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......  
Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 624100 15,491,788 15,491,788    
b ICN/ACO BONUS 900099 1,074,129 1,074,129    
c CAPITATION REVENUE 900099 196,367 196,367    
d HOSPICE REVENUE 621610 55,020 55,020    
e
f All other program service revenue.        
g Total. Add lines 2a–2f ..... 16,817,304
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......        
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a    
b Less: rental expenses 6b    
c Rental income or (loss) 6c    
d Net rental income or (loss).......        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a    
b Less: cost or other basis and sales expenses 7b    
c Gain or (loss) 7c    
d Net gain or (loss).........        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
OtherRevenueMiscAmt
Business Code
11a PSA REVENUE 624100 1,601,295 1,601,295    
b MISCELLANEOUS REVENUE 900099 59,065 59,065    
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... 1,660,360
12 Total revenue. See instructions..... 18,477,664 18,477,664 0 0
Form 990 (2024)
Form 990 (2024)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 502,062 502,062    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 20,909,829 20,529,018 380,811  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 606,657 595,754 10,903  
9 Other employee benefits ....... 1,876,752 1,842,182 34,570  
10 Payroll taxes ........... 1,043,441 1,024,826 18,615  
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ........... 21,252   21,252  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 4,568,494 4,465,273 103,221  
12 Advertising and promotion ....        
13 Office expenses ....... 217,174 212,457 4,717  
14 Information technology ...... 52,346 52,346    
15 Royalties ..        
16 Occupancy ........... 1,673,930 1,476,577 197,353  
17 Travel ............ 15,942 15,942    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 288,415 288,415    
23 Insurance ... 4,545,675 4,517,588 28,087  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical Supplies 1,537,694 1,537,694 0 0
b Professional Fees 15,825 15,815 10 0
c Equipment Rental 13,761 13,555 206 0
d Dues and subscriptions 3,509 3,509 0 0
e All other expenses 37 37    
25 Total functional expenses. Add lines 1 through 24e 37,892,795 37,093,050 799,745 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1 0
2 Savings and temporary cash investments .........   2 0
3 Pledges and grants receivable, net ......   3 0
4 Accounts receivable, net ............. 1,739,582 4 0
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6 0
7 Notes and loans receivable, net ...........   7 0
8 Inventories for sale or use ............   8 0
9 Prepaid expenses and deferred charges ...... 42,966 9 0
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 0
b Less: accumulated depreciation 10b 0 2,995,765 10c 0
11 Investments—publicly traded securities .   11 0
12 Investments—other securities. See Part IV, line 11 .....   12 0
13 Investments—program-related. See Part IV, line 11 ..   13 0
14 Intangible assets ...............   14 0
15 Other assets. See Part IV, line 11 ........... 3,375,188 15 0
16 Total assets. Add lines 1 through 15 (must equal line 33)... 8,153,501 16 0
Liabilities 17 Accounts payable and accrued expenses ..... 4,178,939 17 0
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 131,270,310 25 0
26 Total liabilities. Add lines 17 through 25.. 135,449,249 26 0
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... -127,295,748 27 0
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... -127,295,748 32 0
33 Total liabilities and net assets/fund balances ........ 8,153,501 33 0
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
18,477,664
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
37,892,795
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-19,415,131
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
-127,295,748
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
146,710,879
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
0
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2024)
Form 990 (2024)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
Primary Healthcare Associates SC
 
Employer identification number

36-4132865
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 1,092,744 1,185,197 0 0 0 2,277,941
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 20,150,440 25,154,773 24,331,641 26,427,022 18,418,599 114,482,475
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5 21,243,184 26,339,970 24,331,641 26,427,022 18,418,599 116,760,416
7a Amounts included on lines 1, 2, and 3 received from disqualified persons           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.       1,463,297 1,416,518 2,879,815
c Add lines 7a and 7b..       1,463,297 1,416,518 2,879,815
8 Public support. (Subtract line 7c from line 6.) 113,880,601
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
9 Amounts from line 6... 21,243,184 26,339,970 24,331,641 26,427,022 18,418,599 116,760,416
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..       6,756 59,065 65,821
13 Total support. (Add lines 9, 10c, 11, and 12.).. 21,243,184 26,339,970 24,331,641 26,433,778 18,477,664 116,826,237
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
97.480 %
16
16
98.780 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2024 		(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2025. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Part III, Short Year Explanation: PART III, SECTION A. COLUMN (e): SHORT YEAR
Schedule A (Form 990) 2024


Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
Primary Healthcare Associates SC
 
Employer identification number

36-4132865
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements        
d Equipment ....        
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 0
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow  
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part X, Line 2: THE SYSTEM APPLIES THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS. ASC 740 PRESCRIBES A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. UNDER ASC 740, TAX POSITIONS ARE EVALUATED FOR RECOGNITION, DERECOGNITION, AND MEASUREMENT USING CONSISTENT CRITERIA AND PROVIDE MORE INFORMATION ABOUT THE UNCERTAINTY IN INCOME TAX ASSETS AND LIABILITIES. AS OF JUNE 30, 2025 AND 2024, PRIMARY HEALTHCARE ASSOCIATES, SC DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS. PRIMARY HEALTHCARE ASSOCIATES, SC IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE.
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
Primary Healthcare Associates SC
 
Employer identification number

36-4132865
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1IVAN SAMSTEIN
CFO (THRU 12/31/24) 		(i)

(ii)		 0
-------------
947,364 		0
-------------
833,378 		0
-------------
15,130 		0
-------------
214,114 		0
-------------
38,492 		0
-------------
2,048,478 		0
-------------
0
2SRINIVASU KUSUMA MD
PHYSICIAN 		(i)

(ii)		 0
-------------
1,032,388 		0
-------------
428,463 		0
-------------
1,005 		0
-------------
17,250 		0
-------------
129 		0
-------------
1,479,235 		0
-------------
0
3PHILLIP NIGRO MD
PHYSICIAN 		(i)

(ii)		 0
-------------
747,564 		0
-------------
268,540 		0
-------------
757 		0
-------------
17,250 		0
-------------
42,298 		0
-------------
1,076,409 		0
-------------
0
4JAMES WALLACE MD
PHYSICIAN 		(i)

(ii)		 0
-------------
729,040 		0
-------------
267,907 		0
-------------
1,861 		0
-------------
17,250 		0
-------------
2,000 		0
-------------
1,018,058 		0
-------------
0
5MOHAMMAD SHAMSHUDDIN MD
PHYSICIAN 		(i)

(ii)		 0
-------------
509,982 		0
-------------
333,009 		0
-------------
3,653 		0
-------------
17,250 		0
-------------
39,269 		0
-------------
903,163 		0
-------------
0
6AKBAR RAHMANI MD
PHYSICIAN 		(i)

(ii)		 0
-------------
549,114 		0
-------------
282,449 		0
-------------
5,567 		0
-------------
17,250 		0
-------------
26,966 		0
-------------
881,346 		0
-------------
0
7MARK KOZLOFF MD
PRESIDENT/VP/TREASURER/SECRETARY 		(i)

(ii)		 0
-------------
469,586 		0
-------------
215,380 		0
-------------
4,315 		0
-------------
17,250 		0
-------------
39,269 		0
-------------
745,800 		0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 3 COMPENSATION OF THE PRESIDENT OF PRIMARY HEALTHCARE ASSOCIATES, SC IS REVIEWED AND RECOMMENDED FOR APPROVAL BY THE COMPENSATION COMMITTEE OF UCMC. THE COMMITTEE'S DETERMINATION PROCESS UTILIZES A COMBINATION OF AN INDEPENDENT COMPENSATION CONSULTANT AND COMPENSATION STUDIES/SURVEY, WHICH IS THEN REVIEWED AND APPROVED BY THE UCMC COMPENSATION COMMITTEE. THE UCMC 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.
Part I, Line 4b 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 2025 FOR CALENDAR YEAR 2024: IVAN SAMSTEIN NO INDIVIDUALS LISTED IN SCHEDULE J, PART II BECAME VESTED IN, NOR WERE TAXED ON, AMOUNTS PREVIOUSLY CREDITED UNDER THE PLAN TO THE INDIVIDUAL FOR SERVICES PROVIDED TO THE ORGANIZATION IN PRIOR YEARS. FURTHERMORE, NO INDIVIDUALS LISTED IN THIS SCHEDULE J, PART II RECEIVED A DISTRIBUTION FROM A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN.
SCHEDULE J, PART II - - 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 2024 FORM 990 ON SCHEDULE J, PART II, COLUMN (F). 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. FOR THE INDIVIDUALS LISTED ON SCHEDULE J, PART II THAT ARE IDENTIFIED AS FORMER OFFICERS OR KEY EMPLOYEES, THE COMPENSATION LISTED IS EITHER THE FAIR MARKET VALUE COMPENSATION PAID TO THEM FOR SERVICES THEY PERFORMED AS ACTIVE EMPLOYEES OF UCMC OR A RELATED ORGANIZATION (AND WAS NOT PAID TO THEM DUE TO THEIR FORMERLY HAVING BEEN LISTED AS OFFICERS OR KEY EMPLOYEES), OR AS COMPENSATION FOR A COMBINATION OF SERVICES AND SEVERANCE.
Schedule J (Form 990) (Rev. 1-2025)

Additional Data


Software ID:  
Software Version:  

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

SCHEDULE N
(Form 990)

Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution, or Significant Disposition of Assets
Right arrow Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
Right arrow Attach certified copies of any articles of dissolution, resolutions, or plans.
Right arrow Attach to Form 990 or 990-EZ.
Right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
Primary Healthcare Associates SC
 
Employer identification number
36-4132865
Part I
Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid 		(b) Date of
distribution 		(c) Fair market value of
asset(s) distributed or
amount of transaction
expenses 		(d) Method of
determining FMV for
asset(s) distributed or
transaction expenses 		(e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity
ALL ASSETS AND LIABILITIES OF PRIMARY HEALTHCARE ASSOCIATES, S.C. 02-05-2025 -146,710,879 GAAP 36-4132865 UCM MEDICAL GROUP INC SUB LLC
 
ONE INGALLS DRIVE
HARVEY,IL60426 		501(c)(3)
Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? ...........................
 
No
b
Become an employee of, or independent contractor for, a successor or transferee organization? .....................
 
No
c
Become a direct or indirect owner of a successor or transferee organization? .........................
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........
 
No
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. Right arrow
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50087Z
Schedule N (Form 990) (2024)

Schedule N (Form 990) (2024)
Page 2
Part I
Liquidation, Termination, or Dissolution (continued)
Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III ...............
3
Yes
 
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? .........
4a
Yes
 
b
If "Yes," did the organization provide such notice? ................................
4b
Yes
 
5
Did the organization discharge or pay all of its liabilities in accordance with state laws? .......................
5
Yes
 
6a
Did the organization have any tax-exempt bonds outstanding during the year? .........................
6a
 
No
b
If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?
6b
 
 
c
If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II
Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.
1(a) Description of asset(s)
distributed or transaction
expenses paid 		(b) Date of
distribution 		(c) Fair market value of
asset(s) distributed or
amount of transaction
expenses 		(d) Method of
determining FMV for
asset(s) distributed or
transaction expenses 		(e) EIN of recipient (f) Name and address of recipient (g) IRC section
of recipient(s) (if
tax-exempt) or type
of entity
Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? ...........................
 
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? .....................
 
 
c
Become a direct or indirect owner of a successor or transferee organization? .........................
 
 
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets? ..........
 
 
e
If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. Right arrow
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50087Z
Schedule N (Form 990) (2024)

Schedule N (Form 990) (2024)
Page 3
Part III
Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule N (Form 990) (2024)



Additional Data


Software ID:  
Software Version:  


SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
Primary Healthcare Associates SC
 
Employer identification number

36-4132865
Return Reference Explanation
FORM 990, PART I, LINE I PRIMARY HEALTHCARE ASSOCIATES SC (PHA) WAS FORMED TO DIAGNOSE AND TREAT HUMAN AILMENTS AND INJURIES, WHETHER PHYSICAL OR MENTAL.
Form 990, Part VI, Section A, line 3 ON 1/27/2025, PRIMARY HEALTHCARE ASSOCIATES SC FILED A STATEMENT OF CONVERSION WITH THE STATE OF ILLINOIS TO CONVERT FROM A PROFESSIONAL CORPORATION TO A SINGLE MEMBER LIMITED LIABILITY COMPANY DISREGARDED FOR TAX PURPOSES. THE PRIMARY HEALTHCARE ASSOCIATES, S.C. 36-4132865 CONVERSION WAS APPROVED BY THE STATE OF ILLINOIS ON 2/5/2025. ON 2/7/2025, PRIMARY HEALTHCARE ASSOCIATES FILED ARTICLES OF ORGANIZATION WITH THE STATE OF ILLINOIS NAMING UCM MEDICAL GROUP, INC. AS THE SOLE MANAGING MEMBER OF PRIMARY HEALTHCARE ASSOCIATES, SC. UCM MEDICAL GROUP, INC. IS A 501(C)(3) NONPROFIT CORPORATION. EFFECTIVE 2/5/2025, THE DAILY OPERATIONS AND RIGHTS TO APPROVE OR DIRECT SIGNIFICANT DECISIONS OF PRIMARY HEALTHCARE ASSOCIATES SC ARE MANAGED BY UCM MEDICAL GROUP, INC.
Form 990, Part VI, Section A, line 4 EFFECTIVE 2/5/2025, PRIMARY HEALTHCARE ASSOCIATES SC IS AN ENTITY DISREGARDED FOR TAX PURPOSES UPON ITS CONVERSION TO A SINGLE MEMBER LIMITED LIABILITY COMPANY ORGANIZED IN THE STATE OF ILLINOIS. AS SUCH, PRIMARY HEALTHCARE ASSOCIATES IS FILING ITS FINAL FORM 990 AND FUTURE OPERATIONS WILL BE REPORTED ON THE FORM 990 TAX RETURN OF ITS SOLE MANAGING MEMBER, UCM MEDICAL GROUP INC.
Form 990, Part VI, Section A, line 6 FOR THE SHORT PERIOD 7/1/2024 - 2/5/2025, THE ORGANIZATION WAS AN AFFILIATED TAX-EXEMPT PROFESSIONAL CORPORATION CONTROLLED BY UCM CARE NETWORK MEDICAL GROUP INC. (CNMG), THROUGH A SHAREHOLDER CONTROL AGREEMENT WITH THE PHYSICIAN SHAREHOLDER. UNDER THE SHAREHOLDER CONTROL AGREEMENT, CNMG HAD THE EXCLUSIVE RIGHT TO APPROVE OR DIRECT SIGNIFICANT DECISIONS OF THE ORGANIZATION'S SHAREHOLDER. THE PHYSICIAN SHAREHOLDER HAD NO ECONOMIC RIGHTS TO ANY PROFITS OR DISTRIBUTIONS OF THE ORGANIZATION AND WAS REQUIRED TO VOTE ON DECISIONS OF THE ORGANIZATION IN THE MANNER DIRECTED BY CNMG. EFFECTIVE 2/5/2025, THE SOLE MANAGING MEMBER OF PRIMARY HEALTHCARE ASSOCIATES, SC IS UCM MEDICAL GROUP INC., A 501(C)(3) NONPROFIT CORPORATION. UCM MEDICAL GROUP INC. HAS THE EXCLUSIVE RIGHT TO APPROVE OR DIRECT SIGNIFICANT DECISIONS OF THE ORGANIZATION.
Form 990, Part VI, Section A, line 7a PLEASE SEE THE NARRATIVE FOR PART VI, LINE 6.
Form 990, Part VI, Section A, line 7b PLEASE SEE THE NARRATIVE FOR PART VI, LINE 6.
Form 990, Part VI, Section A, line 8b PRIMARY HEALTHCARE ASSOCIATES SC HAS NO COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY; THEREFORE, THIS QUESTION IS NOT APPLICABLE BUT HAS BEEN ANSWERED NO IN ACCORDANCE WITH THE IRS FORM 990 INSTRUCTIONS.
Form 990, Part VI, Section B, line 11b THE FORM 990 IS PREPARED INTERNALLY BY THE UCMC TAX DEPARTMENT USING INFORMATION PROVIDED BYMANAGEMENT. THE FULL FORM, INCLUDING SUPPLEMENTAL SCHEDULES, IS REVIEWED IN DETAIL BY THE TAX DIRECTOR. AT ITS REGULARLY SCHEDULED MEETING, THE COMPENSATION COMMITTEE OF THE UCMC BOARD OF TRUSTEES IS PROVIDED A DRAFT COPY OF PORTIONS OF THE FORM 990. THE FINAL COMPLETE VERSION OF THE FORM 990 IS THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO ITS FILING.
Form 990, Part VI, Section B, line 12c PRIMARY HEALTHCARE ASSOCIATES HAS A ROBUST CONFLICTS OF INTEREST POLICY FOR EMPLOYEES, OFFICERS, AND DIRECTORS. THE POLICY CONTAINS CERTAIN PROHIBITIONS AS WELL AS DISCLOSURE REQUIREMENTS, AND ENCOURAGES QUESTIONS DIRECTED TO THE COMPLIANCE OFFICE AND LEGAL AFFAIRS. DURING THIS TAX YEAR, PRIMARY HEALTHCARE ASSOCIATES CONTINUED ITS PRACTICE OF SURVEYING DIRECTORS, OFFICERS, MANAGERIAL EMPLOYEES, AND INFLUENTIAL MEDICAL STAFF MEMBERS, SEEKING DISCLOSURES OF VARIOUS RELATIONSHIPS, INCLUDING RELATIONSHIPS DISCLOSED IN THIS FORM 990. IN ADDITION, CERTAIN CHAIRS OF COMMITTEES, SUCH AS THE PHARMACY AND THERAPEUTICS COMMITTEE OF THE MEDICAL STAFF, AT MONTHLY MEETINGS ASK FOR ORAL DISCLOSURES OF POTENTIAL CONFLICTS. UPON REQUEST, THE COMPLIANCE OFFICER AND THE OFFICE OF LEGAL AFFAIRS PROVIDE EDUCATIONAL SESSIONS. UCMC NOTES THAT RESEARCHER CONFLICTS ARE MANAGED BY THE UNIVERSITY OF CHICAGO. THE CONFLICT OF INTEREST POLICY SPECIFICALLY REQUIRES DISCLOSURE, AND ABSTENTION OR RECUSAL AS NECESSARY, WHENEVER A DIRECTOR OR RELATED PARTY HAS A POTENTIAL CONFLICT OF INTEREST.
Form 990, Part VI, Section C, line 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, LINE 15A - 15B THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS ARE COMPENSATED BASED ON THEIR EMPLOYMENT CONTRACTS AS PHYSICIANS OF THE ORGANIZATION.
Form 990, Part IX, line 11g Program Support Services: Program service expenses 238,424. Management and general expenses 13,975. Fundraising expenses 0. Total expenses 252,399. Physician Services: Program service expenses 1,981,319. Management and general expenses 5,000. Fundraising expenses 0. Total expenses 1,986,319. Contract Labor: Program service expenses 1,129,101. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,129,101. Laundry services: Program service expenses 61,012. Management and general expenses 0. Fundraising expenses 0. Total expenses 61,012. Medical Agreements: Program service expenses -10. Management and general expenses 0. Fundraising expenses 0. Total expenses -10. Billing Fees: Program service expenses 817,808. Management and general expenses 82,482. Fundraising expenses 0. Total expenses 900,290. Collection Fees: Program service expenses 10. Management and general expenses 0. Fundraising expenses 0. Total expenses 10. Capitation Expense: Program service expenses 237,609. Management and general expenses 1,764. Fundraising expenses 0. Total expenses 239,373.
Form 990, Part XI, line 9: NET ASSET TRANSFER TO LLC 146,710,879.
Schedule N Line 1(a) Effective February 5, 2025, Primary Healthcare Associates S.C. converted from a 501(c)(3) tax-exempt entity to a single-member LLC disregarded for tax purposes under Treas. Reg. 301.7701-3, whose sole member is UCM Medical Group, Inc. (EIN: 47-4221241).
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
Primary Healthcare Associates SC
 
Employer identification number

36-4132865
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ADVENTIST BOLINGBROOK HOSPITAL
500 REMINGTON BLVD

BOLINGBROOK,IL60440
65-1219504 		HOSPITAL IL 501(c)(3) Line 3 ADVENT MIDWEST
 
 
No
(2)ADVENTIST GLENOAKS HOSPITAL
701 WINTHROP AVE

GLENDALE HEIGHTS,IL60139
36-3208390 		HOSPITAL IL 501(c)(3) Line 3 ADVENT MIDWEST HEALTH
 
 
No
(3)ADVENTIST HEALTH PARTNERS INC
5101 S WILLOW SPRINGS RD B1013

LA GRANGE,IL60525
36-4138353 		PHYSICIAN PRACTICES IL 501(c)(3) Line 3 AHS MIDWEST MGMT
 
 
No
(4)ADVENTIST MIDWEST HEALTH
120 N OAK STREET

HINSDALE,IL60521
36-2276984 		2 HOSPITALS IL 501(c)(3) Line 3 N/A
 
No
(5)AHP SPECIALTY CARE NFP
5101 S WILLOW SPRINGS RD B1013

LA GRANGE,IL60525
81-1105774 		PHYSICIAN PRACTICES IL 501(c)(3) Line 3 AHS MIDWEST MGMT
 
 
No
(6)AHS MIDWEST MANAGEMENT INC
500 REMINGTON BLVD

BOLINGBROOK,IL60440
36-3354567 		PHYSICIAN PRACTICE MANAGEMENT IL 501(c)(3) Line 12a, I ADVENT MIDWEST HEALTH
 
 
No
(7)ARCH DEVELOPMENT CORPORATION
5555 S WOODLAWN AVENUE

CHICAGO,IL60637
36-3485244 		TECH TRANSFER IL 501(c)(3) Line 12a, I UNIV CHICAGO
 
 
No
(8)ASIAN HEALTH COALITION
180 W WASHINGTON ST SUITE 1

CHICAGO,IL60602
31-1607193 		HLTH ACCESS IL 501(c)(3) Line 10 UNIV CHICAGO
 
 
No
(9)CHAPIN HALL CENTER FOR CHILDREN
1313 E 60TH STREET

CHICAGO,IL60637
36-2167012 		POL RES CTR IL 501(c)(3) Line 7 N/A
 
No
(10)CHICAGO HOME FOR THE INCURABLES
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-2169138 		SUPP RESEARCH IL 501(c)(3) Line 12a, I UNIV CHICAGO
 
 
No
(11)CHICAGO TUMOR INSTITUTE
5801 S ELLIS AVENUE

CHICAGO,IL60637
23-7136019 		SUPP RESEARCH IL 501(c)(3) Line 12a, I UNIV CHICAGO
 
 
No
(12)COURT THEATRE FUND
5535 S ELLIS AVENUE

CHICAGO,IL60637
36-3203660 		SUPP THE ARTS IL 501(c)(3) Line 12a, I UNIV CHICAGO
 
 
No
(13)FERMI FORWARD DISCOVERY GROUP LLC
5801 S ELLIS AVENUE

CHICAGO,IL60637
93-3319101 		MANAGEMENT IL 501(c)(3) Line 7 UNIV CHICAGO
 
 
No
(14)FERMI RESEARCH ALLIANCE LLC
PO BOX 500

BATAVIA,IL60510
57-1239010 		MANAGE LAB IL 501(c)(3) Line 7 N/A
 
No
(15)HYMEN MILGROM SUPPORTING ORGANIZATION
33 N LASALLE ST STE 2131

CHICAGO,IL60602
46-6789522 		SUPP EDU RES VA 501(c)(3) Line 12c, III-FI N/A
 
No
(16)UCM NETWORK DEVELOPMENT FOUNDATION
ONE INGALLS DRIVE

HARVEY,IL60426
36-3189150 		SUPPORT IL 501(c)(3) Line 7 UCHHD
 
 
No
(17)UCM NFP COMMUNITY VENTURES
ONE INGALLS DRIVE

HARVEY,IL60426
36-3239703 		AMBULATORY IL 501(c)(3) Line 12a, I UCHHD
 
 
No
(18)UCM HOME CARE
ONE INGALLS DRIVE

HARVEY,IL60426
36-3367939 		HEALTHCARE IL 501(c)(3) Line 10 IMH
 
 
No
(19)INGALLS MEMORIAL HOSPITAL
ONE INGALLS DRIVE

HARVEY,IL60426
36-2170866 		HOSPITAL IL 501(c)(3) Line 3 UCHHD
 
 
No
(20)LAKE PARK ASSOCIATES
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-6111317 		PROP HOLDG IL 501(c)(2)   UNIV CHICAGO
 
 
No
(21)NATIONAL OPINION RESEARCH CENTER (NORC)
55 E MONROE AVENUE

CHICAGO,IL60603
36-2167808 		SO SCI SRVYS IL 501(c)(3) Line 7 N/A
 
No
(22)THE JOHN CRERAR FOUNDATION
5730 S ELLIS AVENUE

CHICAGO,IL60637
36-3155157 		SUPP LIBRARY IL 501(c)(3) Line 12c, III-FI UNIV CHICAGO
 
 
No
(23)THE MARINE BIOLOGICAL LABORATORY
7 MBL STREET

WOODS HOLE,MA02543
04-2104690 		RES & EDU MA 501(c)(3) Line 7 UNIV CHICAGO
 
 
No
(24)THE QUADRANGLE CLUB
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-1655190 		SOCIAL CLUB IL 501(c)(7)   UNIV CHICAGO
 
 
No
(25)THE UNIV OF CHICAGO FDN IN THE HONG KONG LTD
RM 100 FAR E CTR
Hong Kong    
CH
FUNDRAISING HK     UNIV CHICAGO
 
 
No
(26)THE UNIVERSITY OF CHICAGO CLOISTERS CLUB
1212 E 59TH STREET

CHICAGO,IL60637
 SOCIAL CLUB IL     UNIV CHICAGO
 
 
No
(27)UCHICAGO MEDICINE NORTHWEST INDIANA INC
5841 S MARYLAND AVE

CHICAGO,IL60637
92-2355855 		HOSPITAL IN 501(c)(3) Line 3 UCMC
 
 
No
(28)UCHICAGO RESEARCH INTERNATIONAL LIMITED
5801 S ELLIS AVENUE

CHICAGO,IL60637
26-2741573 		RESEARCH IL 501(c)(3) Line 12a, I UNIV CHICAGO
 
 
No
(29)UCM MEDICAL GROUP INC
5841 S MARYLAND AVE MC 1086

CHICAGO,IL60637
47-4221241 		HEALTH SERVICE IL 501(c)(3) Line 10 UCMC
 
 
No
(30)UCHICAGO MEDICINE NETWORKINC
ONE INGALLS DRIVE

HARVEY,IL60426
36-3181170 		MANAGEMENT IL 501(c)(3) Line 12a, I UCMC
 
 
No
(31)UCMC TITLE HOLDING CORPORATION
5841 S MARYLAND AVE MC 1086

CHICAGO,IL60637
81-2126789 		TITLE HOLD IL 501(c)(3) Line 12a, I UCMC
 
 
No
(32)UCMC TITLE HOLDING CORPORATION II NFP
5841 S MARYLAND AVE MC 1086

CHICAGO,IL60637
82-1736040 		TITLE HOLD IL 501(c)(3) Line 12a, I UCMC
 
 
No
(33)UNIV OF CHI BOOTH SCH OF BUS (SINGAPORE)
101 PENANG ROAD
SINGAPORE    
SN
EDUCATION SN     UNIV CHICAGO
 
 
No
(34)UNIV OF CHI BOOTH SCH OF BUS (UK)
One Bartholomew Close Barts Square
LONDON   EC1A 7BL
UK
EDUCATION UK     UNIV CHICAGO
 
 
No
(35)UNIV OF CHICAGO CANCER RESEARCH FD
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-6056201 		SUPP RESEARCH IL 501(c)(3) Line 12a, I UNIV CHICAGO
 
 
No
(36)UNIV OF CHICAGO CENTER IN PARIS (FRANCE)
6 RUE THOMAS MAINN
PARIS    
FR
EDUCATION FR     UNIV CHICAGO
 
 
No
(37)UNIV OF CHICAGO CHARTER SCHOOL CORP
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-4225812 		EDUCATION IL 501(c)(3) Line 2 UNIV CHICAGO
 
 
No
(38)UNIV OF CHICAGO PROPERTY HOLDING CO
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-6108743 		PROP HOLDG IL 501(c)(2)   UNIV CHICAGO
 
 
No
(39)UNIV OF CHICAGO RETIREE MEDICAL TRUST
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-3999692 		MEDICAL TRUST IL 501(c)(3) Line 12a, I UNIV CHICAGO
 
 
No
(40)UNIV OF CHICAGO SELF INSURANCE TRUST
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-3020034 		MALPRAC TR IL 501(c)(3) Line 12a, I UNIV CHICAGO
 
 
No
(41)UNIVERSITY OF CHICAGO
5801 S ELLIS AVENUE

CHICAGO,IL60637
36-2177139 		EDUCATION IL 501(c)(3) Line 2 N/A
 
No
(42)UNIVERSITY OF CHICAGO MEDICAL CENTER
5841 S MARYLAND AVENUE

CHICAGO,IL60637
36-3188183 		HOSPITAL IL 501(c)(3) Line 3 UNIV CHICAGO
 
 
No
(43)UNIVERSITY OF CHICAGO TRUST (INDIA)
L-9 East Wing Raheja Towers MG R
BANGALORE,KARNATAKA560001
IN
FUNDRAISING IN     UNIV CHICAGO
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ADVENTIST MIDWESTUSP SURGERY CENTERS LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
20-3256430 		SURGERY CENTER IL N/A
 N/A       No     No  
(2) INGALLS SAME DAY SURGERY CTR

6701 W 159TH ST
TINLEY PARK,IL60477
36-3368549 		SURGERY CENTER IL N/A
 N/A       No     No  
(3) IRON POINT RE PTNRS - TE(C) LP

201 MAIN ST
FORT WORTH,TX76102
26-0526955 		INVESTMENT TX N/A
 N/A       No     No  
(4) JAPAN ABSOLUTE VALUE FUND LP

201 WASHINGTON ST
BOSTON,MA02108
85-4345851 		INVESTMENT MA N/A
 N/A       No     No  
(5) NEEDLE 2023-1 LLC

548 MARKET ST
SAN FRANCISCO,CA94104
93-1514126 		INVESTMENT CA N/A
 N/A       No     No  
(6) NYDIG DIGITAL ASSETS FUND V LP

1 VANDERBILT AVE
NEW YORK,NY10017
36-2177139 		INVESTMENT NY N/A
 N/A       No     No  
(7) SILKROAD ASIA VALUE PTNERS II CO VISTRA (CAYMAN) LIMITED

PO BOX 31119
GRAND PAVILION    
CJ
INVESTMENT CJ N/A
 N/A       No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CHARITABLE LEAD TRUST (0)

5801 S ELLIS AVENUE
CHICAGO,IL60637
 CHAR LEAD TRUST IL N/A
 T         No
(2) CHARITABLE REMAINDER TRUSTS (68)

5801 S ELLIS AVENUE
CHICAGO,IL60637
 CHAR RMDR TRUST IL N/A
 T         No
(3) CAPSTONE CPP 2012 1 FUND

190 ELGIN AVENUE
GEORGE TOWN   KY1-9008
CJ
INVESTMENT CJ N/A
 C         No
(4) EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD

171 ELGIN AVENUE WILLOW HOUSE CRI
GRAND CAYMAN   KY1-1002
CJ
98-1571310 		LIAB INSURANCE CJ UCHHD
  		          No
(5) HPL-GL SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD

171 ELGIN AVENUE WILLOW HOUSE CRI
GRAND CAYMAN   KY1-1002
CJ
98-1571446 		LIAB INSURANCE CJ UCHHD
  		          No
(6) INGALLS CASUALTY INSURANCE LTD

ONE INGALLS DRIVE
HARVEY,IL60426
98-0485714 		LIAB INSURANCE CJ N/A
 C         No
(7) INGALLS HEALTH COUNCIL

ONE INGALLS DRIVE
HARVEY,IL60426
27-3226539 		PURCHASING GROUP IL N/A
 C         No
(8) INGALLS PROVIDER GROUP

ONE INGALLS DRIVE
HARVEY,IL60426
36-3485578 		INSURANCE SERVICE IL N/A
 C         No
(9) KOHINOOR CORE (CAYMAN) FUND

PO BOX 309
GRAND CAYMAN   KY1-1104
CJ
INVESTMENT CJ N/A
 C         No
(10) UCM SERVICES CORPORATION

ONE INGALLS DRIVE
HARVEY,IL60426
36-3374228 		BILLING & MGMT IL N/A
 C         No
(11) NON-EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC L

171 ELGIN AVENUE WILLOW HOUSE CRI
GRAND CAYMAN   KY1-1002
CJ
98-1571387 		LIAB INSURANCE CJ UCHHD
  		          No
(12) PENSO FUND PLATFORM SPC - SEG PORTFOLIO

PO BOX 309
GRAND CAYMAN   KY1-1104
CJ
98-1360251 		INVESTMENT CJ N/A
 C         No
(13) PHOENIX OVERLAY FUND LTD

401 N MICHIGAN AVE C/O INVST OFFICE
CHICAGO,IL60611
 INVESTMENT CJ N/A
 C         No
(14) POOLED INCOME FUND (1)

5801 S ELLIS AVENUE
CHICAGO,IL60637
 POOLED INCO FUND IL N/A
 C         No
(15) SC CURRICULUM INC

70 WEST MADISON ST
CHICAGO,IL60602
 SCNC CURRICULUM IL N/A
 C         No
(16) SP 4 A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD

REGATTA OFFICE PARK WEST BAY ROAD P
GRAND CAYMAN   KY1-1002
CJ
98-1745253 		LIAB INSURANCE CJ UCHHD
  		          No
(17) STANDARD GENERAL OFFSHORE FUND LTD

767 5TH AVE 12TH FLOOR
NEW YORK CITY,NY10153
 INVESTMENT CJ N/A
 C         No
(18) TARPON ALL EQUITIES FUND LP

MAPLES CORPORATE SERVICES LTD PO
GRAND CAYMAN    
CJ
INVESTMENT CJ N/A
 C         No
(19) TRULEN INSURANCE SPC LIMITED

171 ELGIN AVENUE WILLOW HOUSE CRI
GRAND CAYMAN   KY1-1002
CJ
98-1571288 		LIAB INSURANCE CJ UCHHD
  		          No
(20) UCHICAGO (BEIJING) CONSULTING CO LTD

UNIT 1-10 CULTURE PL OF REMMIN UNI
BEIJING    
CH
CONSULTING CH N/A
           No
(21) UCHICAGO CENTER IN INDIA PRIVATE LIMITED

UNIT 5-10 GRD FL DLF CAPITAL POINT
NEW DEHLI    
IN
CONSULTING IN N/A
 C         No
(22) VIEWFORTH EUROPEAN EQUITY FUND LIMITED

190 ELGIN AVENUE
GRAND CAYMAN   KY1-9001
CJ
INVESTMENT CJ N/A
 C         No
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
SCHEDULE R, PART II - ALTHOUGH EACH OF UCMC AND ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION (AHSSHC) AND ITS WHOLLY-OWNED SUBSIDIARY, ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (AHSSI), APPOINT ONLY HALF OF ADVENTIST MIDWEST HEALTH (AMH'S) BOARD OF DIRECTORS, AND THUS NEITHER TECHNICALLY HAS CONTROL OVER AMH BASED ON THE DEFINITION OF "CONTROL" IN THE SCHEDULE R INSTRUCTIONS, THE AFFILIATION BETWEEN UCMC AND AMH GIVES UCMC A SIGNIFICANT AMOUNT OF CONTROL OVER AMH, AND THEREFORE AMH AND ITS SUBSIDIARIES ARE BEING REPORTED ON THE SCHEDULE R OF UCMC. FOR GAAP REPORTING, UCMC'S CONSOLIDATED FINANCIAL STATEMENTS REFLECT UCMC'S CONTROLLING INTEREST IN THE NET ASSETS AND OPERATIONS OF AMH. FURTHERMORE, THE UNIVERSITY OF CHICAGO CONTROLS BOTH UCMC (BY VIRTUE OF BEING ITS SOLE MEMBER) AND AMH AND ITS SUBSIDIARIES (WITHIN THE MEANING OF REG 53.4968-3(B)(2)(III)). AS A RESULT, UCMC AND AMH AND ITS SUBSIDIARIES ARE RELATED BY REASON OF BOTH BEING CONTROLLED BY THE UNIVERSITY OF CHICAGO (THOUGH THE UNIVERSITY'S CONTROL OVER AMH IS WITHIN THE MEANING OF REG 53.4968- 3(B)(2)(III)) RATHER THAN THE SCHEDULE R INSTRUCTIONS).
Schedule R (Form 990) (Rev. 1-2025)

Additional Data


Software ID:  
Software Version: