Civic Intelligence

Uchicago Medicine Northwest Indiana Inc.

EIN 92-2355855 • 501(c)3 • Crown Point, IN

Pub. 78 Eligible990-N CoverageNTEE E20

Profile

UChicago Medicine Northwest Indiana IS A NONPROFIT MICRO HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING ADVANCED MULTISPECIALITY PATIENT CARE TO PATIENTS IN NORTHWEST INDIANA.

10855 Virginia StreetCrown Point, IN 46307-0210

uchicagomedicine.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

97th percentile

5.03x

Higher debt load relative to assets than 97% of similar nonprofits.

NTEE E • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

97th percentile

6.04x

Higher debt load relative to revenue than 97% of similar nonprofits.

NTEE E • $1M-$5M nonprofits • Source year 2024

Net Margin

2nd percentile

-484%

Higher net margin than 2% of similar nonprofits.

NTEE E • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$1,937,704

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 113.6% of source-year revenue.

NTEE E • $1M-$5M nonprofits • Source year 2024

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Assets

$2,047,343

No earlier filing loaded for comparison.

Liabilities

$10,297,629

No earlier filing loaded for comparison.

Net Assets

-$8,250,286

No earlier filing loaded for comparison.

Revenue

$1,705,577

No earlier filing loaded for comparison.

Expenses

$9,955,863

No earlier filing loaded for comparison.

Net Income

-$8,250,286

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0-$5.0M-$10MAssets 2024: $2,047,343Liabilities 2024: $10,297,629Net Assets 2024: -$8,250,2862024

Highlighted filing

2024

Assets$2,047,343
Liabilities$10,297,629
Net Assets-$8,250,286

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0M-$10MRevenue 2024: $1,705,577Expenses 2024: $9,955,863Net Income 2024: -$8,250,2862024

Highlighted filing

2024

Revenue$1,705,577
Expenses$9,955,863
Net Income-$8,250,286

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.05$10.3$8.25$1.71$9.96$8.25
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 15, 2025
Return Version
2023v6.0
Gross Receipts
$1,705,577
Mission and Program Overview

Mission

UChicago Medicine Northwest Indiana IS A NONPROFIT MICRO HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING ADVANCED MULTISPECIALITY PATIENT CARE TO PATIENTS IN NORTHWEST INDIANA.

UChicago Medicine Northwest Indiana, IS A NONPROFIT MICRO HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING ADVANCED MULTISPECIALITY PATIENT CARE TO PATIENTS IN NORTHWEST INDIANA.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable-$1,379,343-
Inventories for Sale or Use-$668,000-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities$0--
Investments Program Related$0--
Land, Buildings, and Equipment, Net-$0-
Loans From Officers Directors-$0-
Total Assets$0$2,047,343▲ $2,047,343
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$0$9,148,557▲ $9,148,557
Accounts Payable and Accrued Expenses-$1,149,072-
Total Liabilities$0$10,297,629▲ $10,297,629
Net Assets / Fund Balance
Net Assets Without Donor Restrictions-$-8,250,286-
Total Net Assets Fund Balance$0$-8,250,286▼ $8,250,286
Total Liabilities and Net Assets / Fund Balance$0$2,047,343▲ $2,047,343
Compensation and Service Providers

Board Members and Trustees

NameTitle
Krista CurellBoard Member & President (eff. 10/11/23)
Blase Polite MdBoard Member Ex Officio/president of the Medical Staff (eff 10/11/23)
Phillip KaufmanBoard Member & CFO/treasurer - Nwi (eff. 10/11/23)
Lauren HullBoard Member & COO (eff. 10/11/23)
Jason KeelerBoard Member (10/11/23 Thru 2/1/24)
Everett Vokes MdBoard Member (eff 10/11/23)
John Cunningham MdBoard Member (eff 10/11/23)
Nishant Agrawal MdBoard Member (eff 10/11/23)
Amy RossBoard Member (eff. 10/11/23)
Sarah KundratBoard Member (eff. 10/11/23)
Ivan SamsteinChief Financial Officer
Jennifer HillSecretary (eff. 10/11/23)

Highest Paid Contractors

ContractorServicesLocationCompensation
Covider HealthHealthcare Consulting Services9351 Lake Conroe Dr, Conroe, TX 77304$119,730
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,705,577
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-8,250,286
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$5,054,761
Salaries, Compensation, and Employee Benefits$4,901,102
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,092,084$157,066-$4,249,150
Fees for Services Other$1,846,543$14,159$0$1,860,702
Other Employee Benefits$310,923$34,461-$345,384
Occupancy$288,132$40,276-$328,408
Advertising-$321,843-$321,843
Payroll Taxes$233,944$25,994-$259,938
Information Technology$4,346$133,056-$137,402
Office Expenses$68,586$54,841-$123,427
Fees for Services Lobbying-$100,100-$100,100
Pension Plan Contributions$41,967$4,663-$46,630
Insurance$42,314--$42,314
All Other Expenses$35,573$1,579$0$37,152
Other Expenses$25,938$14,817-$25,938
Travel$6,763$3,034-$9,797
Fees for Services Legal-$1,443-$1,443
Total Functional Expenses$9,048,531$907,332$0$9,955,863
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees-$0-
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$9,148,557
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6 Classes of members or stockholders

Pursuant to the organization's governing documents, the sole member of the organization is University of Chicago Medical Center, a related tax-exempt organization.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

Directors, excluding the Ex Officio Directors, are elected annually by University of Chicago Medical Center. The President of the corporation and the President of the Medical Staff shall be the Ex Officio members of the board and are elected by the University of Chicago Medical Center.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The policy-making powers of the corporation shall be vested in the board of directors, which shall have charge, control, and management of the policies, property, affairs, and funds of the corporation and shall determine compliance with the corporation's stated purposes; shall appoint the officers of the corporation, with the exception of the president, and fill vacancies occurring in such offices; shall determine the compensation of the officers for services actually performed for the corporation and shall have the power and authority to do and perform all acts or functions not inconsistent with the reserved powers of the member, applicable law, these bylaws or the corporation's articles of incorporation. The board shall consist of no more than 13 directors. The board shall be appointed by the member and consist of individuals who meet such criteria for appointment to the board as may be established from time to time by the member. A director may be removed at any time, with or without cause, by the member actiing in the best interests of the corporation as determined by the member at its sole discretion. The sole member of the corporation shall be the university of chicago medical center, an illinois not-for-profit corporation. Membership in the corporation is not transferable or assignable. The general powers of the corporation shall be vested in the member (except for such powers as are delegated in these bylaws or by the member to the board of directors of the corporation (the "board")), which shall have complete charge, control and management of the property, affairs, funds and operations of the corporation.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The Form 990 is prepared internally by the UCMC tax department using information provided by management and reviewed in detail by an independent accounting firm. 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 Trustees prior to its filing.

Form 990, Part VI, Line 12C Conflict of interest policy

Uchicago medicine northwest indiana has a robust conflicts of interest policy for employees, officers, and trustees. 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, uchicago medicine northwest indiana established 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, managers at monthly meetings ask for oral disclosures of potential conflicts. The compliance officer and the office of legal affairs provide educational sessions. The university of chicago manages researcher conflicts. The conflict-of interest policy specifically requires disclosure, and abstention or recusal as necessary, whenever a trustee or related party has a potential conflict of interest.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

University of chicago medical center (ucmc) is responsible for determining and administering compensation for all officers of each respective entity within the university of chicago medical center, corporate structure. Below is the process used to establish compensation for the top management official and senior executives. The ucmc compensation committee of the board of trustees (the committee) is responsible for the oversight of ucm care network medical group's executive compensation decision-making process. Its review process is designed to satisfy the procedural criteria necessary to qualify for the rebuttable presumption of reasonableness (under intermediate sanctions regulations) with respect to the total compensation and benefits provided. The committee is comprised of independent members of the board of trustees who are "disinterested" within the meaning of intermediate sanctions regulations. It reviews and approves compensation and employee benefits provided to ucm care network medical group inc.'s president and key executives by following its written executive compensation philosophy statement and written compensation review process, which includes seeking counsel from outside professional advisors and relying in advance on appropriate comparability data (for functionally similar positions at similarly situated healthcare organizations) provided by an independent third party consultant. The committee reviews and approves all new compensation ranges, as well as current packages for newly hired executives, as needed, but at least annually. It prepares a timely and thorough written record of its deliberations and conclusions.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

An independent compensation consultant reviews the reasonableness of proposed total direct compensation for each by performing a market comparison for each executive. The market comparison involves collecting survey data for functionally similar positions at similar health care organizations. Performance goals are normally established based on the budget/business plan approved by the board for the fiscal year. The outside consultant opines whether or not performance goals have been reached before a fiscal year end payments are presented to the compensation committee for review and approval.

Form 990, Part VI, Line 19 Required documents available to the public

UChicago Medicine Northwest Indiana BYLAWS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, AUDITED FINANCIALS ARE AVAILABLE TO THE PUBLIC THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE, AND THE FOLLOWING DOCUMENT WAS, AS OF THE TIME OF COMPLETE OF THIS QUESTION, ON UCMC'S WEBSITE: -UNIVERSITY OF CHICAGO MEDICINE UNAUDITED FINANCIAL INFORMATION -2024 AUDITED FINANCIAL STATEMENTS

Filing and Contact Details

Filer

Filer Name
UChicago Medicine Northwest Indiana Inc
EIN
92-2355855
Phone
7737021998
Address
10855 VIRGINIA STREET, CROWN POINT, IN 46307-0210

Signing Officer

Name
Ivan Samstein
Title
Evp and Chief Financial Officer
Phone
7737021000
Signed
2025-05-15
Discuss with paid preparer
Yes

Organization Details

Formed
2022
Legal Domicile
In
Voting Board Members
9
Independent Board Members
0
Employees
3
Volunteers
0

Preparer

Firm
Kpmg Llp
Address
200 EAST RANDOLPH STREET SUITE 5500, CHICAGO, IL 60601-6436
Preparer
Zeljko Popovic
Phone
3126651000
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4D Description of other program services

(Expenses $ 1,990,819 including grants of $)(Revenue $ 0) OTHER PROGRAM SERVICES RELATED TO THE PROVISION OF HEALTHCARE INCLUDE RADIOLOGY, LABORATORY SERVICES, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, PHARMACY SERVICES, HEART AND VASCULAR AND NEUROPHYSIOLOGY.

Form 990, Part IX, Line 11G Other Fees

Contract Labor - Total Expense: 1591363, Program Service Expense: 1591363, Management and General Expenses: , Fundraising Expenses: ; Billing Fees - Total Expense: 141586, Program Service Expense: 127427, Management and General Expenses: 14159, Fundraising Expenses: ; Physician Services - Total Expense: 106633, Program Service Expense: 106633, Management and General Expenses: , Fundraising Expenses: ; Laundry services - Total Expense: 21120, Program Service Expense: 21120, Management and General Expenses: , Fundraising Expenses: ;

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

UChicago Medicine Northwest Indiana APPLIES ASC TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 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 TOPIC 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, 2024 AND 2023, UChicago Medicine Northwest Indiana DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS.

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IRS990/Desc0MULTISPECIALTY CARE: UChicago Medicine Northwest Indiana OPENED its two-story, 130,000-square-foot multispecialty care center in Northwest Indiana to patients on April 29, 2024. UChicago Medicine Northwest Indiana offers a range of adult and pediatric specialty services that include: - Infusion therapy, radiation and medical and surgical oncology for cancer patients - MRI, CT, PET, X-ray and ultrasound imaging capabilities, and a breast imaging center - An ambulatory surgery center (ASC) - Laboratory services - Access to the next generation of advanced treatments through UChicago Medicine clinical trials - An eight-bed emergency department and eight-bed inpatient unit The facility - called UChicago Medicine Northwest Indiana - offers advanced specialty care, including pediatric care from UChicago Medicine Comer Children's Hospital experts, in the following areas: For all ages: cancer, digestive diseases, heart and vascular care, and neurosciences For adults: obstetrics and gynecology (OB/GYN), pain management and transplant For children: allergy and immunology, endocrinology, general surgery, infectious diseases, orthopaedic surgery, otolaryngology (ENT), plastic surgery, pulmonary medicine and rheumatology The Crown Point facility is poised to meet a core need: Based on an assessment of the market, UChicago Medicine found that about 15% of patients in Northwest Indiana travel outside the region for medical care, with roughly 1 in 5 of that group visiting the health system's facilities in and around Chicago.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD MEMBER & PRESIDENT (EFF. 10/11/23)
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IRS990/Form990PartVIISectionAGrp/TitleTxt2BOARD MEMBER & CFO/TREASURER - NWI (EFF. 10/11/23)
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IRS990/MissionDesc0UChicago Medicine Northwest Indiana IS A NONPROFIT MICRO HOSPITAL ORGANIZED FOR THE PURPOSE OF PROVIDING ADVANCED MULTISPECIALITY PATIENT CARE TO PATIENTS IN NORTHWEST INDIANA.
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IRS990/ProgSrvcAccomActy2Grp/Desc0EMERGENCY MEDICINE: World-renowned UChicago Medicine emergency medicine experts bring the forefront of care to Northwestern Indiana. With our emergency department in Crown Point, IN, we offer our patients access to board-certified, fellowship-trained emergency medicine physicians and highly skilled support staff with immediate, 24/7 medical care closer to home. Common conditions treated include abdominal pain, back pain, bleeding, broken bones, chest pain, complications from chronic conditions, such as asthma, COPD, diabetes, dizziness, fainting, seizures, severe high fever, skin infections, and upper respiratory infections. At UChicago Medicine Northwest Indiana, patients will find cutting-edge imaging tools, experienced radiologists and emergency medicine doctors skilled at reading those images. There is in-house imaging, including CT, X-ray, PET, MRI, ultrasound capabilities, and in-house lab services. This helps reduce delays in results and treatment. Patients needing an ambulance can request to be taken to UChicago Medicine Northwest Indiana ED as they talk with paramedics. If a patient needs to be admitted directly from the ED for additional care, Crown Point features an eight-bed, fully-equipped inpatient unit with a highly experienced physician staff and medicine subspecialty consultants.
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IRS990/ProgSrvcAccomActy3Grp/Desc0AMBULATORY SURGERY CENTER: UChicago Medicine Northwest Indiana PROVIDES AN AMBULATORY SURGERY CENTER FOR OUTPATIENT SURGERIES, INCLUDING MINIMALLY INVASIVE GYNECOLOGIC SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY, THORACIC SURGERY, UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY, VASCULAR SURGERY, PEDIATRIC ORTHOPAEDIC SURGERY, AND PEDIATRIC PLASTIC & RECONSTRUCTIVE SURGERY.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0OTHER PROGRAM SERVICES RELATED TO THE PROVISION OF HEALTHCARE INCLUDE RADIOLOGY, LABORATORY SERVICES, PEDIATRICS, OBSTETRICS AND GYNECOLOGY, PHARMACY SERVICES, HEART AND VASCULAR AND NEUROPHYSIOLOGY.
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0THE VICE PRESIDENT OF GOVERNMENT AFFAIRS FOR UNIVERSITY OF CHICAGO MEDICINE HAS CONTACT WITH LEGISLATORS AND GOVERNMENT OFFICIALS ON BEHALF OF UChicago Medicine Northwest Indiana TOPICS INCLUDE Medicaid funding and hospital outpatient department funding.
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule C, Part II-B, Line 1g DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0UChicago Medicine Northwest Indiana APPLIES ASC TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S CONSOLIDATED FINANCIAL STATEMENTS. ASC TOPIC 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 TOPIC 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, 2024 AND 2023, UChicago Medicine Northwest Indiana DOES NOT HAVE AN ASSET OR LIABILITY RECORDED FOR UNRECOGNIZED TAX POSITIONS.
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