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Nonprofiteer
← INGALLS MEMORIAL HOSPITAL

Form 990 for tax year 2024

Filed by INGALLS MEMORIAL HOSPITAL.

Totals

Total revenue
$420,576,276
Total expenses
$386,657,650
Contributions and grants received
$3,157,491
Grants paid
$82,500
Program services expenses (Part IX)
$355,687,599
Management and general expenses
$30,557,483
Fundraising expenses
$412,568
Program service expenses (Part III)
$355,687,599

Program services were 92.0% 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
  • KEVIN M PURCELL

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • MICHAEL ANTONIADES

    PRESIDENT, INGALLS

    Total calculated
    $1,396,250
    From this org
    $1,241,148
    From related orgs
    $0
    Other
    $155,102
    Hours/week
    40 + 4 related

    Schedule J breakdown matched by us

    Base
    $865,199
    Bonus
    $217,433
    Other
    $158,516
    Deferred
    $112,323
    Nontaxable benefits
    $42,779
    Filer's total
    $1,396,250
  • SAMUEL J CUTRARA JR

    SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • DANISH AHMED

    BOARD MEMBER (EFF. 1/1/25)

    Total calculated
    $141,119
    From this org
    $0
    From related orgs
    $123,718
    Other
    $17,401
    Hours/week
    1 + 40 related
  • ENGIN YILMAZ MD

    BOARD MEMBER

    Total calculated
    $525,358
    From this org
    $0
    From related orgs
    $497,132
    Other
    $28,226
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $329,390 related
    Bonus
    $0 + $167,742 related
    Other
    $0
    Deferred
    $0 + $27,600 related
    Nontaxable benefits
    $0 + $626 related
    Filer's total
    $0 + $525,358 related
  • FRANCIS ALMEDA

    BOARD MEMBER (THRU 1/1/25)

    Total calculated
    $0
    Hours/week
    1
  • GRETCHEN PACHOLEK

    BOARD MEMBER/VP PATIENT CARE & CNO, INGALLS

    Total calculated
    $446,629
    From this org
    $0
    From related orgs
    $378,120
    Other
    $68,509
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $294,584 related
    Bonus
    $0 + $76,078 related
    Other
    $0 + $7,458 related
    Deferred
    $0 + $46,603 related
    Nontaxable benefits
    $0 + $21,906 related
    Filer's total
    $0 + $446,629 related
  • HENRY JOHNSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • KAVEH RAHMANI DO

    BOARD MEMBER

    Total calculated
    $845,224
    From this org
    $0
    From related orgs
    $804,743
    Other
    $40,481
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $509,809 related
    Bonus
    $0 + $294,451 related
    Other
    $0 + $483 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $23,231 related
    Filer's total
    $0 + $845,224 related
  • MARK KOZLOFF MD

    BOARD MEMBER

    Total calculated
    $745,800
    From this org
    $0
    From related orgs
    $689,281
    Other
    $56,519
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,944 related
    Bonus
    $0 + $217,022 related
    Other
    $0 + $4,315 related
    Deferred
    $0 + $17,250 related
    Nontaxable benefits
    $0 + $39,269 related
    Filer's total
    $0 + $745,800 related
  • MARY JO CRANDALL

    BOARD MEMBER/VP OPERATIONS

    Total calculated
    $467,220
    From this org
    $423,610
    From related orgs
    $0
    Other
    $43,610
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $327,650
    Bonus
    $80,931
    Other
    $15,029
    Deferred
    $43,610
    Nontaxable benefits
    $0
    Filer's total
    $467,220
  • 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
    $1,379,572
    From this org
    $0
    From related orgs
    $1,233,990
    Other
    $145,582
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $833,442 related
    Bonus
    $0 + $273,708 related
    Other
    $0 + $126,840 related
    Deferred
    $0 + $27,600 related
    Nontaxable benefits
    $0 + $117,982 related
    Filer's total
    $0 + $1,379,572 related
  • THOMAS JACKIEWICZ

    BOARD MEMBER/PRESIDENT UCHS

    Total calculated
    $3,169,675
    From this org
    $0
    From related orgs
    $2,771,431
    Other
    $398,244
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,882,610 related
    Bonus
    $0 + $841,993 related
    Other
    $0 + $46,828 related
    Deferred
    $0 + $369,135 related
    Nontaxable benefits
    $0 + $29,109 related
    Filer's total
    $0 + $3,169,675 related
  • IVAN SAMSTEIN

    CHIEF FINANCIAL OFFICER (THRU 12/31/24)

    Total calculated
    $2,048,478
    From this org
    $0
    From related orgs
    $1,795,872
    Other
    $252,606
    Hours/week
    1 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $947,364 related
    Bonus
    $0 + $833,378 related
    Other
    $0 + $15,130 related
    Deferred
    $0 + $214,114 related
    Nontaxable benefits
    $0 + $38,492 related
    Filer's total
    $0 + $2,048,478 related
  • MICHELLE SALOMON

    ASSISTANT TREASURER

    Total calculated
    $495,180
    From this org
    $0
    From related orgs
    $439,364
    Other
    $55,816
    Hours/week
    1 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $315,372 related
    Bonus
    $0 + $108,709 related
    Other
    $0 + $15,283 related
    Deferred
    $0 + $52,587 related
    Nontaxable benefits
    $0 + $3,229 related
    Filer's total
    $0 + $495,180 related
  • TOMASZ SAMEK

    ASSISTANT SECRETARY

    Total calculated
    $315,935
    From this org
    $0
    From related orgs
    $274,776
    Other
    $41,159
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $244,338 related
    Bonus
    $0 + $29,925 related
    Other
    $0 + $513 related
    Deferred
    $0 + $18,403 related
    Nontaxable benefits
    $0 + $22,756 related
    Filer's total
    $0 + $315,935 related
  • JENNIFER ARIADO

    REGISTERED NURSE

    Total calculated
    $277,886
    From this org
    $232,628
    From related orgs
    $0
    Other
    $45,258
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,477
    Bonus
    $0
    Other
    $151
    Deferred
    $7,079
    Nontaxable benefits
    $38,179
    Filer's total
    $277,886
  • KIZZY ROUSSEAU HARDAWAY

    Director Perioperative Services

    Total calculated
    $272,713
    From this org
    $227,639
    From related orgs
    $0
    Other
    $45,074
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $210,199
    Bonus
    $17,219
    Other
    $221
    Deferred
    $34,500
    Nontaxable benefits
    $10,574
    Filer's total
    $272,713
  • NEGIN KIYAVASH

    DIRECTOR PHARMACY

    Total calculated
    $262,870
    From this org
    $243,610
    From related orgs
    $0
    Other
    $19,260
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,451
    Bonus
    $30,699
    Other
    $1,460
    Deferred
    $6,500
    Nontaxable benefits
    $12,760
    Filer's total
    $262,870
  • PAUL DONOHUE

    VP PHILANTHROPY AND COMMUNITY

    Total calculated
    $379,720
    From this org
    $307,165
    From related orgs
    $0
    Other
    $72,555
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,332
    Bonus
    $60,914
    Other
    $20,919
    Deferred
    $31,901
    Nontaxable benefits
    $40,654
    Filer's total
    $379,720
  • SUSAN KLACZAK

    EXECUTIVE DIRECTOR ACNO INGALLS

    Total calculated
    $264,436
    From this org
    $242,848
    From related orgs
    $0
    Other
    $21,588
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,501
    Bonus
    $36,360
    Other
    $5,987
    Deferred
    $8,445
    Nontaxable benefits
    $13,143
    Filer's total
    $264,436
  • EMILY CHASE

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

    Total calculated
    $1,094,520
    From this org
    $0
    From related orgs
    $925,350
    Other
    $169,170
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $628,773 related
    Bonus
    $0 + $248,150 related
    Other
    $0 + $48,427 related
    Deferred
    $0 + $125,014 related
    Nontaxable benefits
    $0 + $44,156 related
    Filer's total
    $0 + $1,094,520 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 · First-class or charter travel
  • 1a · Tax indemnification and gross-up payments
  • 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 First-class or charter travel
DURING FY2025, ONE OFFICER HAD COMPANION TRAVEL. THE COMPANION TRAVEL WAS DEEMED TAXABLE COMPENSATION AND WAS INCLUDED IN THE INDIVIDUAL'S W-2 FOR THE TAX YEAR.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments
During calendar year 2024, the Ingalls President received a tax indemnification and gross-up payment relocation moving expenses. All tax-related payments are included in taxable compensation and are confirmed as being reasonable when considered with all other forms of compensation.
Schedule J, Part I, Line 1a Housing allowance or residence for personal use
DURING CALENDER YEAR 2024, 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 2024 and reported on 2024 Form W-2.
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 2025 FOR CALENDAR YEAR 2024: MICHAEL ANTONIADES 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 2024 W-2'S): PAUL DONOHUE - $13,871 STEPHEN WEBER - $126,840
Schedule J, Part I, Line 7 Non-fixed payments
SIX PERSONS LISTED IN PART VII, SECTION A, LINE 1A RECEIVED NON-FIXED NON-RECURRING PAYMENTS DURING CALENDAR YEAR 2024. 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 2024 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

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
2024
Filed
14 May 2026
IRS schema version
2024v5.1
Source object
202611349349300726

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