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Nonprofiteer
← INSPIRA HOMECARE & HOSPICECARE INC

Form 990 for tax year 2022

Filed by INSPIRA HOMECARE & HOSPICECARE INC.

Totals

Total revenue
$1,281,901
Total expenses
$36
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$36
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$36

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • AMY MANSUE

    TRUSTEE - PRESIDENT & CEO

    Total calculated
    $1,866,065
    From this org
    $0
    From related orgs
    $1,542,152
    Other
    $323,913
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $1,037,106 related
    Bonus
    $0 + $393,353 related
    Other
    $0 + $111,693 related
    Deferred
    $0 + $304,992 related
    Nontaxable benefits
    $0 + $18,921 related
    Filer's total
    $0 + $1,866,065 related

  • THOMAS P BALDOSARO CPA

    EVP & CFO (TERMED 10/2022)

    Total calculated
    $894,337
    From this org
    $0
    From related orgs
    $846,481
    Other
    $47,856
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $474,519 related
    Bonus
    $0 + $151,070 related
    Other
    $0 + $220,892 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $29,556 related
    Filer's total
    $0 + $894,337 related

  • MATTHEW DOONAN ESQ

    SVP & CHIEF LEGAL OFFICER

    Total calculated
    $726,542
    From this org
    $0
    From related orgs
    $605,366
    Other
    $121,176
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $0 + $366,606 related
    Bonus
    $0 + $98,888 related
    Other
    $0 + $139,872 related
    Deferred
    $0 + $93,154 related
    Nontaxable benefits
    $0 + $28,022 related
    Filer's total
    $0 + $726,542 related

  • GLENN M DRAGON MD

    TRUSTEE; EX-OFFICIO

    Total calculated
    $88,240
    From this org
    $0
    From related orgs
    $88,240
    Other
    $0
    Hours/week
    25

  • FIORE COPARE MD

    TRUSTEE (TERMED 04/2022)

    Total calculated
    $13,633
    From this org
    $0
    From related orgs
    $13,633
    Other
    $0
    Hours/week
    1

  • JAMES M BONNER DO

    CHAIR - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • HERBERT J KONRAD

    VICE CHAIR - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • PAMELA S CLARK

    SECRETARY/TREASURER - TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DAWN E FLITCRAFT

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • HUGH J MCCAFFREY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • RONALD ROSSI

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ELIZABETH A RYAN ESQ

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • SHELLY O SCHNEIDER EDD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ANDREW P ZINN MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — 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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 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; QUESTION 4B
THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS P. BALDOSARO, CPA, $133,526 AND MATTHEW DOONAN, ESQ., $67,263. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: AMY MANSUE, $286,692 AND MATTHEW DOONAN, ESQ., $74,854.
SCHEDULE J, PART I; QUESTION 7
THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2022 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN B(III)
CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J OF THIS FEDERAL FORM 990 RECEIVED COMPENSATION WITH RESPECT TO PAID TIME OFF, WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN AND IN EACH INDIVIDUAL'S 2022 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II; COLUMN F
THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE AMOUNTS HAVE BEEN TREATED AS TAXABLE INCOME AND WERE REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202313179349305496

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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