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Nonprofiteer
← INGALLS MEMORIAL HOSPITAL

Form 990 for tax year 2023

Filed by INGALLS MEMORIAL HOSPITAL.

Totals

Total revenue
$387,878,212
Total expenses
$370,543,391
Contributions and grants received
$1,017,615
Grants paid
$100,000
Program services expenses (Part IX)
$324,864,176
Management and general expenses
$45,305,692
Fundraising expenses
$373,523
Program service expenses (Part III)
$328,106,944

Program services were 87.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DENNIS IRVIN

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • GRETCHEN PACHOLEK

    BOARD MEMBER/VP PATIENT CARE & CNO, INGALLS

    Total calculated
    $381,119
    From this org
    $0
    From related orgs
    $341,969
    Other
    $39,150
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $290,000 related
    Bonus
    $0 + $47,860 related
    Other
    $0 + $4,109 related
    Deferred
    $0 + $39,150 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $381,119 related

  • KEVIN M PURCELL

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MICHAEL ANTONIADES

    PRESIDENT, INGALLS

    Total calculated
    $1,268,833
    From this org
    $1,268,833
    From related orgs
    $0
    Other
    $0
    Hours/week
    40 + 5 related

    Schedule J breakdown matched by us

    Base
    $1,200,000
    Bonus
    $0
    Other
    $68,833
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $1,268,833

  • SAMUEL J CUTRARA JR

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • ENGIN YILMAZ MD

    BOARD MEMBER

    Total calculated
    $460,742
    From this org
    $0
    From related orgs
    $433,569
    Other
    $27,173
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $299,243 related
    Bonus
    $0 + $134,326 related
    Other
    $0
    Deferred
    $0 + $26,400 related
    Nontaxable benefits
    $0 + $773 related
    Filer's total
    $0 + $460,742 related

  • FRANCIS ALMEDA MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • HENRY JOHNSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KAVEH RAHMANI DO

    BOARD MEMBER

    Total calculated
    $611,698
    From this org
    $0
    From related orgs
    $577,489
    Other
    $34,209
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $400,332 related
    Bonus
    $0 + $154,260 related
    Other
    $0 + $22,897 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $17,709 related
    Filer's total
    $0 + $611,698 related

  • MARK KOZLOFF MD

    BOARD MEMBER

    Total calculated
    $593,612
    From this org
    $0
    From related orgs
    $540,056
    Other
    $53,556
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $392,613 related
    Bonus
    $0 + $121,235 related
    Other
    $0 + $26,208 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $37,056 related
    Filer's total
    $0 + $593,612 related

  • MARY JO CRANDALL

    BOARD MEMBER/VP OPERATIONS

    Total calculated
    $375,418
    From this org
    $346,778
    From related orgs
    $0
    Other
    $28,640
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $289,780
    Bonus
    $49,740
    Other
    $7,258
    Deferred
    $28,640
    Nontaxable benefits
    $0
    Filer's total
    $375,418

  • NATHANIEL SUTTON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • PAULA JACKSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN WEBER MD

    BOARD MEMBER

    Total calculated
    $1,614,329
    From this org
    $0
    From related orgs
    $1,402,086
    Other
    $212,243
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $754,090 related
    Bonus
    $0 + $525,446 related
    Other
    $0 + $122,550 related
    Deferred
    $0 + $153,240 related
    Nontaxable benefits
    $0 + $59,003 related
    Filer's total
    $0 + $1,614,329 related

  • THOMAS JACKIEWICZ

    BOARD MEMBER/PRESIDENT UCMC

    Total calculated
    $3,820,320
    From this org
    $0
    From related orgs
    $3,453,544
    Other
    $366,776
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,741,683 related
    Bonus
    $0 + $1,653,428 related
    Other
    $0 + $58,433 related
    Deferred
    $0 + $345,452 related
    Nontaxable benefits
    $0 + $21,324 related
    Filer's total
    $0 + $3,820,320 related

  • IVAN SAMSTEIN

    CHIEF FINANCIAL OFFICER

    Total calculated
    $1,937,704
    From this org
    $0
    From related orgs
    $1,704,200
    Other
    $233,504
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,067,829 related
    Bonus
    $0 + $598,691 related
    Other
    $0 + $37,680 related
    Deferred
    $0 + $195,751 related
    Nontaxable benefits
    $0 + $37,753 related
    Filer's total
    $0 + $1,937,704 related

  • MICHELLE SALOMON

    ASSISTANT TREASURER

    Total calculated
    $283,750
    From this org
    $0
    From related orgs
    $246,423
    Other
    $37,327
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $196,667 related
    Bonus
    $0 + $17,772 related
    Other
    $0 + $31,984 related
    Deferred
    $0 + $35,953 related
    Nontaxable benefits
    $0 + $1,374 related
    Filer's total
    $0 + $283,750 related

  • TOMASZ SAMEK

    ASSISTANT SECRETARY

    Total calculated
    $300,648
    From this org
    $0
    From related orgs
    $261,623
    Other
    $39,025
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $234,136 related
    Bonus
    $0 + $26,990 related
    Other
    $0 + $497 related
    Deferred
    $0 + $17,867 related
    Nontaxable benefits
    $0 + $21,158 related
    Filer's total
    $0 + $300,648 related

  • JENNIFER ARIADO

    REGISTERED NURSE

    Total calculated
    $288,359
    From this org
    $236,290
    From related orgs
    $0
    Other
    $52,069
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,151
    Bonus
    $0
    Other
    $139
    Deferred
    $8,550
    Nontaxable benefits
    $43,519
    Filer's total
    $288,359

  • PAUL DONOHUE

    VP PHILANTHROPY AND COMMUNITY

    Total calculated
    $382,602
    From this org
    $311,617
    From related orgs
    $0
    Other
    $70,985
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,956
    Bonus
    $37,456
    Other
    $59,205
    Deferred
    $25,121
    Nontaxable benefits
    $45,864
    Filer's total
    $382,602

  • POONAM DESAI

    EXECUTIVE DIRECTOR, AMBULATORY

    Total calculated
    $272,649
    From this org
    $262,110
    From related orgs
    $0
    Other
    $10,539
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,124
    Bonus
    $29,166
    Other
    $820
    Deferred
    $3,444
    Nontaxable benefits
    $7,095
    Filer's total
    $272,649

  • ROBYNN FOSEN

    DIRECTOR ADMIN RADIOLOGY SVCS

    Total calculated
    $212,517
    From this org
    $202,979
    From related orgs
    $0
    Other
    $9,538
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,550
    Bonus
    $20,754
    Other
    $675
    Deferred
    $8,290
    Nontaxable benefits
    $1,248
    Filer's total
    $212,517

  • SUSAN KLACZAK

    EXECUTIVE DIRECTOR ACNO INGALLS

    Total calculated
    $222,998
    From this org
    $197,929
    From related orgs
    $0
    Other
    $25,069
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $175,372
    Bonus
    $19,809
    Other
    $2,748
    Deferred
    $11,250
    Nontaxable benefits
    $13,819
    Filer's total
    $222,998

  • ANN MCCOLGAN

    ASSISTANT TREASURER (THRU 5/1/23)

    Total calculated
    $297,884
    From this org
    $0
    From related orgs
    $271,598
    Other
    $26,286
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $91,513 related
    Bonus
    $0 + $59,570 related
    Other
    $0 + $120,515 related
    Deferred
    $0 + $8,158 related
    Nontaxable benefits
    $0 + $18,128 related
    Filer's total
    $0 + $297,884 related

  • EMILY CHASE

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

    Total calculated
    $1,528,097
    From this org
    $0
    From related orgs
    $1,375,367
    Other
    $152,730
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $548,190 related
    Bonus
    $0 + $459,963 related
    Other
    $0 + $367,214 related
    Deferred
    $0 + $109,990 related
    Nontaxable benefits
    $0 + $42,740 related
    Filer's total
    $0 + $1,528,097 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 — 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

  • 1a · Housing allowance or residence for personal use
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

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

The filer's explanations (Part III)

Schedule J, Part I, Line 1a Housing allowance or residence for personal use
DURING CALENDER YEAR 2023, ONE OFFICER LISTED ON SCHEDULE J, PART II RECEIVED REIMBURSEMENT FOR REASONABLE HOUSING ACCOMMODATIONS IN THE CHICAGO METROPOLITAN AREA IN CONNECTION WITH WORK REQUIREMENTS AND OBLIGATIONS. The housing allowance was reported as taxable income for the calendar year 2023 on Form 1099 issued to the firm Alvarez & Marsal.
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 2024 FOR CALENDAR YEAR 2023: EMILY CHASE MARY JO CRANDALL PAUL DONOHUE THOMAS JACKIEWICZ GRETCHEN PACHOLEK MICHELLE SALOMON IVAN SAMSTEIN STEPHEN WEBER THE FOLLOWING INDIVIDUALS BECAME VESTED IN, AND WERE TAXED ON, AMOUNTS PREVIOUSLY CREDITED UNDER THE PLAN TO THE INDIVIDUAL FOR SERVICES PROVIDED TO THE ORGANIZATION IN PRIOR YEARS (INCLUDED IN THE 2023 W-2'S): EMILY CHASE - $318,337 PAUL DONOHUE - $48,559 ANN MCCOLGAN - $27,809 STEPHEN WEBER - $122,550 THE FOLLOWING INDIVIDUALS RECEIVED A DISTRIBUTION FROM A SUPPLEMENTAL RETIREMENT PLAN FOLLOWING THEIR TERMINATION OF EMPLOYMENT, IN ACCORDANCE WITH THE GOVERNING PLAN DOCUMENT. ANN MCCOLGAN - $185,873 THESE DISTRIBUTIONS WERE REPORTED AS TAXABLE INCOME AND ARE INCLUDED IN THE COMPENSATION DISCLOSED IN SCHEDULE J IN THE REPORTED YEAR.
Schedule J, Part I, Line 7 Non-fixed payments
FIVE PERSONS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED NON-FIXED NON-RECURRING PAYMENTS DURING CALENDAR YEAR 2023. THESE NON-FIXED PAYMENTS ARE RELATED TO PERFORMANCE BONUSES.
Schedule J, Part I, Line 1a DISCRETIONARY SPENDING ACCOUNT
DISCRETIONARY SPENDING ACCOUNTS ARE AVAILABLE TO UCMC EMPLOYED EXECUTIVES ONLY, SERVING IMH. THOSE WHO MADE USE OF THE DISCRETIONARY SPENDING ACCOUNT RECEIVED BETWEEN $0 AND $10,000 DURING THE YEAR. THESE BENEFITS ARE ALL CONSIDERED TAXABLE COMPENSATION INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). IMH-EMPLOYED EXECUTIVES ARE INELIGIBLE.
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 2023 FORM 990 ON SCHEDULE J, PART II, COLUMN (F). AN INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD ANNUALLY REVIEWS THESE BENEFITS IN COMPARISON TO MARKET DATA AND HAS CONCLUDED THAT THESE BENEFITS AND ALL OTHER FORMS OF COMPENSATION PROVIDED TO THESE INDIVIDUALS ARE REASONABLE. 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 IMH OR A RELATED ORGANIZATION (AND WAS NOT PAID TO THEM DUE TO THEIR FORMERLY HAVING BEEN LISTED AS OFFICERS OR KEY EMPLOYEES): EMILY CHASE AND ANN MCCOLGAN
Schedule J, Part III
INGALLS MEMORIAL HOSPITAL PAID COMPENSATION IN THE AMOUNT OF $1,268,833 TO THE CONSULTING FIRM ALVAREZ & MARSAL FOR THE SERVICES OF MICHAEL ANTONIADES, INTERIM PRESIDENT.

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

Related organizations on this return

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

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202521359349304597

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