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Nonprofiteer
← UCM HOME CARE

Form 990 for tax year 2022

Filed by UCM HOME CARE.

Totals

Total revenue
$6,283,572
Total expenses
$9,909,383
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$5,925,122
Investment income
$354,551
Other revenue
$3,899
Total assets, end of year
$27,329,426
Total liabilities, end of year
$1,941,736
Net assets or fund balances, end of year
$25,387,690
Program services expenses (Part IX)
$8,048,391
Management and general expenses
$1,860,992
Fundraising expenses
$0
Program service expenses (Part III)
$8,048,391

Program services were 81.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: INTERMITTENT HOME CARE

    total $2,636,296 · related or exempt $2,636,296

  • 2b · Program service revenue: HOSPICE

    total $2,589,646 · related or exempt $2,589,646

  • 2c · Program service revenue: PRIVATE DUTY HOME CARE

    total $699,180 · related or exempt $699,180

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $114,056 · excluded $114,056

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $240,495

  • 7c · Gain or loss

    securities $240,495 · other assets $0

  • 7d · Net gain or loss

    total $240,495 · excluded $240,495

  • 11a · Other revenue: OTHER REVENUE

    total $3,899 · related or exempt $3,899

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $3,899

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $205,376 · program services $102,688 · management and general $102,688

  • 7 · Other salaries and wages

    total $6,225,776 · program services $5,917,698 · management and general $308,078

  • 8 · Pension plan contributions

    total $142,542 · program services $135,293 · management and general $7,249

  • 9 · Other employee benefits

    total $629,579 · program services $482,463 · management and general $147,116

  • 10 · Payroll taxes

    total $456,196 · program services $428,901 · management and general $27,295

  • 11c · Fees: accounting

    total $14,214 · management and general $14,214

  • 11f · Fees: investment management

    total $85,814 · management and general $85,814

  • 11g · Fees: other

    total $682,188 · program services $521,944 · management and general $160,244 · fundraising $0

  • 12 · Advertising and promotion

    total $1,851 · management and general $1,851

  • 13 · Office expenses

    total $78,599 · program services $439 · management and general $78,160

  • 14 · Information technology

    total $255,367 · management and general $255,367

  • 16 · Occupancy

    total $84,000 · program services $18,000 · management and general $66,000

  • 17 · Travel

    total $79,318 · program services $79,318

  • 23 · Insurance

    total $214,876 · management and general $214,876

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $303,584 · program services $303,584

  • 24b · Other expenses: MANAGEMENT FEE

    total $200,724 · management and general $200,724

  • 24c · Other expenses: EQUIPMENT RENTAL/MAINTENANCE

    total $233,003 · program services $57,226 · management and general $175,777

  • 24d · Other expenses: BOOKS AND SUBSCRIPTIONS

    total $1,876 · management and general $1,876

  • 24e · All other expenses

    total $14,500 · program services $837 · management and general $13,663 · fundraising $0

Balance sheet

Part X, book values.

  • 4 · Accounts receivable

    beginning of year $2,399,903 · end of year $1,973,972

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $124,291 · end of year $22,567

  • 10a · Land, buildings and equipment: cost or other basis

    $135,486

  • 10b · Land, buildings and equipment: accumulated depreciation

    $135,486

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $19,067,698 · end of year $16,397,744

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $5,493 · end of year $5,493

  • 15 · Other assets

    beginning of year $11,152,423 · end of year $8,929,650

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,288,913 · end of year $1,177,281

  • 19 · Deferred revenue

    beginning of year $563,288 · end of year $498,637

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $1,918,195 · end of year $265,818

  • 27 · Net assets without donor restrictions

    beginning of year $28,973,919 · end of year $25,382,197

  • 28 · Net assets with donor restrictions

    beginning of year $5,493 · end of year $5,493

Mission and programs · 2022

Mission

INGALLS HOME CARE (IHC) PROVIDES HOME HEALTHCARE SERVICES IN THE HOMES OF PATIENTS, BOTH TEMPORARILY OR INDEFINITELY, FOLLOWING HOSPITAL DISCHARGE.

  • INTERMITTENT HOME CARE: INGALLS HOME CARE PATIENTS ARE CARED FOR BY A TEAM THAT MAY INCLUDE SKILLED NURSES, CERTIFIED HOME HEALTH AIDES, PHYSICAL OR OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, PHARMACISTS AND MEDICAL SOCIAL WORKERS. INTERMITTENT CARE BRINGS THE BEST POSSIBLE CARE TO PATIENTS IN THE COMFORT OF THEIR HOME INCLUDING ASSISTANCE COPING WITH ILLNESS, HELP AFTER A HOSPITALIZATION, OR FOR THOSE WHO FIND IT DIFFICULT TO LEAVE HOME ON THEIR OWN. VISITS ARE SCHEDULED ACCORDING TO NEED, MAY RANGE FROM DAILY TO ONCE A MONTH, AND TYPICALLY LAST ABOUT ONE HOUR OR LESS. THERE WERE 979 ADMISSIONS IN FY23.

    Expenses $4,162,348 · Revenue $2,636,296

  • HOSPICE: OUR HOSPICE TEAM STRIVES TO IMPROVE THE QUALITY OF THE PATIENT'S LAST DAYS, WEEKS OR MONTHS. OUR GOAL IS TO HELP THE PATIENT LIVE EACH AND EVERY DAY TO THE BEST OF THEIR ABILITY AND KEEP THEM IN THE COMFORT OF THEIR OWN HOME, IF AT ALL POSSIBLE. OUR TEAM ASSISTS PATIENTS WITH THE PHYSICAL, EMOTIONAL, SOCIAL, SPIRITUAL, AND GRIEF NEEDS. ALL TEAM MEMBERS ARE IMPORTANT IN PROVIDING THE BEST POSSIBLE CARE. CARE IS PROVIDED IN THE HOME, AT A LONG-TERM CARE FACILITY OR IN OUR INPATIENT UNIT, WITH THE SAFETY AND COMFORT OF THE PATIENT IN MIND. THERE WERE 342 ADMISSIONS IN FY23.

    Expenses $2,930,083 · Revenue $2,589,646

  • PRIVATE DUTY HOME CARE: WE PROVIDE ASSISTANCE AT HOME FOR LONG-TERM HOME CARE SITUATIONS: POST SURGERY, AFTER THE BIRTH OF A BABY, DURING CHRONIC ILLNESS, OR TO HELP THE ELDERLY OR MEDICALLY FRAGILE. THERE WERE 6 ADMISSIONS IN FY23.

    Expenses $955,960 · Revenue $699,180

  • OTHER PROGRAM REVENUE INCLUDES MISCELLANEOUS REVENUE

    Revenue $3,899

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Emily Chase

    INTERIM PRESIDENT (7/10/22 THRU 3/7/23)

    Total calculated
    $957,706
    From this org
    $0
    From related orgs
    $814,302
    Other
    $143,404
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $533,446 related
    Bonus
    $0 + $240,486 related
    Other
    $0 + $40,370 related
    Deferred
    $0 + $105,854 related
    Nontaxable benefits
    $0 + $37,550 related
    Filer's total
    $0 + $957,706 related

  • Michael Antoniades

    INTERIM PRESIDENT, INGALLS

    Total calculated
    $0
    Hours/week
    1 + 43 related

  • Randy Neiswonger

    BOARD MEMBER/IMH PRESIDENT (THRU 7/10/22)

    Total calculated
    $425,007
    From this org
    $0
    From related orgs
    $388,177
    Other
    $36,830
    Hours/week
    1 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,241 related
    Bonus
    $0 + $127,836 related
    Other
    $0 + $3,100 related
    Deferred
    $0 + $7,947 related
    Nontaxable benefits
    $0 + $28,883 related
    Filer's total
    $0 + $425,007 related

  • Joseph Larkin

    BOARD MEMBER/DIRECTOR OF OPERATIONS

    Total calculated
    $201,849
    From this org
    $190,170
    From related orgs
    $0
    Other
    $11,679
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,432
    Bonus
    $19,406
    Other
    $332
    Deferred
    $3,199
    Nontaxable benefits
    $8,480
    Filer's total
    $201,849

  • Mark Kozloff MD

    BOARD MEMBER

    Total calculated
    $702,228
    From this org
    $0
    From related orgs
    $652,231
    Other
    $49,997
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $400,417 related
    Bonus
    $0 + $229,317 related
    Other
    $0 + $22,497 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $34,747 related
    Filer's total
    $0 + $702,228 related

  • Ivan Samstein

    CHIEF FINANCIAL OFFICER

    Total calculated
    $1,404,762
    From this org
    $0
    From related orgs
    $1,193,414
    Other
    $211,348
    Hours/week
    1 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $873,834 related
    Bonus
    $0 + $287,750 related
    Other
    $0 + $31,830 related
    Deferred
    $0 + $176,154 related
    Nontaxable benefits
    $0 + $35,194 related
    Filer's total
    $0 + $1,404,763 related

  • Tomasz Samek

    SECRETARY/TREASURER

    Total calculated
    $282,752
    From this org
    $0
    From related orgs
    $246,895
    Other
    $35,857
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $221,439 related
    Bonus
    $0 + $25,084 related
    Other
    $0 + $373 related
    Deferred
    $0 + $16,856 related
    Nontaxable benefits
    $0 + $19,001 related
    Filer's total
    $0 + $282,753 related

  • Donna Novak

    REGISTERED NURSE

    Total calculated
    $121,848
    From this org
    $110,167
    From related orgs
    $0
    Other
    $11,681
    Hours/week
    40

  • Eleanor Williams

    HOSPICE PROGRAM MANAGER

    Total calculated
    $126,317
    From this org
    $113,022
    From related orgs
    $0
    Other
    $13,295
    Hours/week
    40

  • Joseph Fernando

    PHYSICAL THERAPIST

    Total calculated
    $134,604
    From this org
    $121,980
    From related orgs
    $0
    Other
    $12,624
    Hours/week
    40

  • Tashanna Price

    HOME CARE CLINICAL MANAGER

    Total calculated
    $127,533
    From this org
    $113,537
    From related orgs
    $0
    Other
    $13,996
    Hours/week
    40

  • Richard W Silveria

    FORMER CHIEF FINANCIAL OFFICER (THRU 4/22/21)

    Total calculated
    $251,969
    From this org
    $0
    From related orgs
    $251,969
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $251,969 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $251,969 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
COMPENSATION OF THE PRESIDENT AND CEO OF IHC IS REVIEWED AND RECOMMENDED FOR APPROVAL BY THE COMPENSATION COMMITTEE OF UCM COMMUNITY HEALTH & HOSPITAL DIVISION, INC. THE COMMITTEE'S DETERMINATION PROCESS UTILIZES A COMBINATION OF AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION STUDIES/SURVEYS, ALONG WITH APPROVAL BY THE COMPENSATION COMMITTEE, WHICH IS THEN REVIEWED AND APPROVED BY THE UCMC COMPENSATION COMMITTEE. THE UCHHD 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.
Schedule J, Part I, Line 4a Severance or change-of-control payment
IN CALENDAR YEAR 2022, RICHARD SILVERIA RECEIVED SEVERANCE PAYMENTS FOLLOWING THEIR TERMINATION OF EMPLOYMENT ($251,969 TO RICHARD SILVERIA).
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
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 2023 FOR CALENDAR YEAR 2022: EMILY CHASE 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 I, Line 7 Non-fixed payments
ONE PERSON LISTED IN PART VII, SECTION A, LINE 1A RECEIVED A PERFORMANCE BONUS DURING CALENDAR YEAR 2022.
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 2022 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: RICHARD SILVERIA.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

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

Related partnerships

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

  • ADVENTIST MIDWESTUSP SURGERY CENTERS LLC

    N/A · SURGERY CENTER · IL

    Directly controlled by NA

  • INGALLS SAME DAY SURGERY CTR

    N/A · SURGERY CENTER · IL

    Directly controlled by NA

  • PABHS-UCM MSO JV LLC

    N/A · RADIOLOGY ONCOLOGY · IL

    Directly controlled by NA

  • PABHS-UCM RADONC JV

    N/A · RADIOLOGY ONCOLOGY · IL

    Directly controlled by NA

  • UCMC-SOLIS OFF-CAMPUS MAMMOGRAPHY SERVICES LLC

    N/A · MAMMOGRAPHY · DE

    Directly controlled by NA

  • UCMC-SOLIS ON-CAMPUS MAMMOGRAPHY LLC

    N/A · MAMMOGRAPHY · DE

    Directly controlled by NA

Related corporations and trusts

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

  • CHARITABLE LEAD TRUST (0)

    Trust · CHAR LEAD TRUST · IL

    Directly controlled by NA

  • CHARITABLE REMAINDER TRUSTS (68)

    Trust · CHAR RMDR TRUST · IL

    Directly controlled by NA

  • INGALLS CASUALTY INSURANCE LTD

    C Corporation · LIAB INSURANCE · CJ

    Directly controlled by UCHHD

  • INGALLS HEALTH COUNCIL

    C Corporation · PURCHASING GROUP · IL

    Directly controlled by UCHHD

  • INGALLS PROVIDER GROUP

    C Corporation · INSURANCE SERVICE · IL

    Directly controlled by IMH

  • MEDCENTRIX INC

    C Corporation · BILLING & MGMT · IL

    Directly controlled by UCHHD

  • PHOENIX OVERLAY FUND LTD

    INVESTMENT · CJ

    Directly controlled by NA

  • POOLED INCOME FUND (1)

    C Corporation · POOLED INCO FUND · IL

    Directly controlled by NA

  • SC CURRICULUM INC

    C Corporation · SCNC CURRICULUM · IL

    Directly controlled by NA

  • UCHICAGO (BEIJING) CONSULTING CO LTD

    CONSULTING · CH

    Directly controlled by NA

  • UCHICAGO CENTER IN INDIA PRIVATE LIMITED

    C Corporation · CONSULTING · IN

    Directly controlled by NA

  • TRULEN INSURANCE SPC LIMITED

    LIAB INSURANCE · CJ

    Directly controlled by UCHHD

  • EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD

    LIAB INSURANCE · CJ

    Directly controlled by UCHHD

  • HPL-GL SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC LTD

    LIAB INSURANCE · CJ

    Directly controlled by UCHHD

  • NON-EMPLOYED PHYSICIANS SP A SEGREGATED PORTFOLIO OF TRULEN INSURANCE SPC L TD

    LIAB INSURANCE · CJ

    Directly controlled by UCHHD

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202401349349306920

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