2024-11-15T12:41:44-06:00 2023-12-31 990 2023-01-01 391776340 HOME CARE UNITED INC HOME 6082421516 4639 HAMMERSLEY ROAD MADISON WI 53711 STEPHANIE KING VP-FINANCE 6082421516 2024-11-15 0 2023 2024-10-15 13:58:12Z X DG GLOEDE 4639 HAMMERSLEY ROAD MADISON WI 53711 18007117 0 X WWW.SSMHEALTH.COM/HEALTH-AT-HOME X 1993 WI TO SELL AND RENT DURABLE MEDICAL EQUIPMENT TO PATIENTS FOR HOME USE, AS WELL AS PROVIDE HOME RESPIRATORY THERAPY AND INFUSION SERVICES. 1 0 116 0 73323 0 0 30 15433821 17936518 0 8694 67500 61875 15501321 18007117 0 0 0 0 6956178 7473544 0 0 0 8885256 10154192 15841434 17627736 -340113 379381 8929677 8462129 2561130 1714202 6368547 6747927 PROMOTE OPTIMAL HEALTH AND QUALITY OF LIFE TO THOSE WE SERVE THROUGH OUR EXCEPTIONAL, COMPREHENSIVE CARE AT HOME AND IN THE COMMUNITY. 0 0 14341308 17863195 TO PROVIDE SALES AND RENTALS OF DURABLE MEDICAL EQUIPMENT, AS WELL AS HOME RESPIRATORY THERAPY AND INFUSION SERVICES IN SOUTHERN WISCONSIN. 14341308 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 116 1 1 1 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 1 1 0 1 0 0 0 0 1 1 1 1 1 0 0 0 WI X THE ORGANIZATION 6082421516 4639 HAMMERSLEY ROAD MADISON WI 53711 DG GLOEDE DIRECTOR, PRES-POST ACUTE 1.00 40.00 X X 0 352791 181038 GENE SALISBURY MANAGER, REHABILITATION EQUIPMENT 40.00 0.00 X 108799 0 28983 BRIAN KELLY VP OF HOME MEDICAL EQUIPMENT 40.00 0.00 X 163009 0 65088 ANGELIKA FERNHOLZ MANAGER, RESPIRATORY CARE SERVICES 40.00 0.00 X 108476 0 20572 ERIN O'BRIEN MANAGER, REVENUE CYCLE PATIENT FINANCIAL SERVICES 40.00 0.00 X 102918 0 22433 CHRIS THORNOCK DIRECTOR, CHAIRPERSON, PRESIDENT-POST ACUTE 0.00 40.00 X 0 583387 263637 483202 936178 581751 4 1 1 0 VGM GROUP INC 1111 WEST SAN MARNAN DRIVE WATERLOO IA 50701 MSO 312301 HCI LP 3121 MERCEDES DRIVE MONROE LA 71201 CONTRACTING SERVICES 102787 2 30 30 NET PATIENT SERVICE REVENUE 621610 17936518 17863195 73323 17936518 61875 0 61875 61875 61875 8694 0 8694 8694 8694 18007117 17863195 73323 70569 5389162 4446779 942383 268329 221407 46922 1441165 1189154 252011 374888 309333 65555 499 499 982177 194292 787885 584778 540440 44338 104680 104680 614252 552417 61835 186693 186693 1168 1168 10494 10494 738644 738644 243553 142902 100651 61108 61108 MEDICAL SUPPLIES 6536928 6440340 96588 BANK SERVICE CHARGES 49040 49040 LICENSES AND TAXES 39144 10170 28974 1034 1034 17627736 14341308 3286428 0 564 0 3612593 3723419 890310 862323 36622 32490 7399508 5056495 2550595 2343013 166981 131010 1672012 1369874 8929677 8462129 1916324 1369052 0 136616 644806 208534 2561130 1714202 X 6368547 6747927 6368547 6747927 8929677 8462129 X 379381 -1 X 0 1 X 1 0 X 7011 98855 33530 0 30 139426 14465462 13506038 12934292 15433821 17863195 74202808 14472473 13604893 12967822 15433821 17863225 74342234 0 0 0 74342234 71458 84083 83095 67500 61875 368011 71458 84083 83095 67500 61875 368011 14543931 13688976 13050917 15501321 17925100 74710245 0.99510 0.99450 0.00490 0.01000 X 522054 522054 4267133 2538582 1728551 1142820 1122105 20715 1467501 1395808 71693 2343013 DUE FROM AFFILIATES 1171299 OPERATING RIGHT OF USE ASSETS 198575 1369874 OPERATING RIGHT OF USE LIABILITIES 208534 208534 X PART X, LINE 2: HOME CARE UNITED, INC'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SSM HEALTH (SSMH), A RELATED ORGANIZATION. SSMH EVALUATES ITS UNCERTAIN TAX POSITIONS ON AN ANNUAL BASIS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS. THERE HAVE BEEN NO UNCERTAIN TAX POSITIONS RECORDED IN 2022 OR 2023. X 1 1 0 1 0 0 0 0 0 0 0 CHRIS THORNOCK DIRECTOR, CHAIRPERSON, PRESIDENT-POS 0 466669 0 112038 0 4680 0 228224 0 35413 0 847024 0 101538 DG GLOEDE DIRECTOR, PRES-POST ACUTE 0 307772 0 43403 0 1616 0 151034 0 30004 0 533829 0 30403 BRIAN KELLY VP OF HOME MEDICAL EQUIPMENT 153010 0 9103 0 896 0 28714 0 36374 0 228097 0 3603 0 PART I, LINE 1A AN INDIVIDUAL LISTED ON PART VII, SECTION A RECEIVED A TAX INDEMNIFICATION/GROSS UP PAYMENT IN 2023. THESE PAYMENTS WERE INCLUDED IN TAXABLE INDEMNIFICATION AND COMPENSATION. PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, PRESIDENT, IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B PENSION RESTORATION PLAN: SSM HEALTH (SSMH) PROVIDES THIS SUPPLEMENTAL DEFINED BENEFIT NONQUALIFIED RETIREMENT PLAN TO ANY EMPLOYEE WHO IS A PARTICIPANT IN THE SSMH QUALIFIED DEFINED BENEFIT PLAN WHO EARNS OVER THE INTERNAL REVENUE SERVICE COMPENSATION LIMIT. THE PLAN "RESTORES" THE BENEFITS TO THESE EMPLOYEES THAT WOULD HAVE BEEN PROVIDED UNDER THE SSMH QUALIFIED PLAN IF THE REGULATIONS DID NOT IMPOSE COMPENSATION LIMITS. AN INDIVIDUAL CAN TAKE A DISTRIBUTION FROM THE PLAN AT (1) AGE 65 OR OLDER IF THE INDIVIDUAL IS STILL EMPLOYED BY SSMH OR (2) AGE 55 OR OLDER IF THE INDIVIDUAL IS NO LONGER EMPLOYED BY SSMH. NO INDIVIDUALS LISTED ON PART VII OF FORM 990 RECEIVED DISTRIBUTIONS FROM THE PLAN IN 2023. CAPITAL ACCUMULATION PLAN: SSMH PROVIDES THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO EXECUTIVE LEVEL EMPLOYEES. THE ORGANIZATION CONTRIBUTED A PERCENTAGE OF THE EMPLOYEE'S BASE SALARY INTO THEIR CHOICE OF A SELECT LIST OF INVESTMENTS. THE DEPOSITS AND EARNINGS OF THE PLAN ARE OWNED BY SSMH AND ARE TAX-DEFERRED UNTIL A DISTRIBUTION IS MADE TO THE EMPLOYEE. IN ADDITION, THE PLAN HAS SPECIAL SAFEGUARDS IN PLACE TO PROTECT THE FUNDS FROM CONTINGENCIES, OTHER THAN INSOLVENCY. FOR CONTRIBUTIONS MADE TO THE PLAN IN 2014 OR AFTER, THE DISTRIBUTION WILL OCCUR AFTER THE COMPLETION OF FOUR PLAN YEARS FOR ALL EXECUTIVES THAT ARE STILL ACTIVELY EMPLOYED ON THE DISTRIBUTION DATE. ANY ACTIVE PARTICIPANT 65 YEARS OR OLDER WILL RECEIVE THE CONTRIBUTION IN THE CURRENT YEAR. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2023: DG GLOEDE $28,146 CHRIS THORNOCK $45,375 NO INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DISTRIBUTIONS FROM THIS PLAN IN 2023. ALL DISTRIBUTIONS RECEIVED FROM THE PLAN IN THE CURRENT YEAR ARE INCLUDED IN THE INDIVIDUAL'S TAXABLE COMPENSATION, WHEN RECEIVED. FORM 990, PART V, LINE 1A ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223. FORM 990, PART VI, SECTION A, LINE 6 SSM HEALTH ST. CLARE HOSPITAL-BARABOO, BARABOO, WISCONSIN AND SSM HEALTH ST. MARY'S HOSPITAL-MADISON, MADISON, WISCONSIN ARE SPONSORING HOSPITALS OF THE ORGANIZATION AND HAVE THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY. FROM TIME TO TIME CONTRIBUTIONS OF CERTAIN ASSETS OF THE CORPORATION MAY BE MADE TO ITS SPONSORING HOSPITALS. UPON DISSOLUTION OF THE CORPORATION, ANY LIQUIDATING DISTRIBUTIONS OF THE CORPORATION'S ASSETS WILL BE MADE TO THE ORGANIZATION'S SPONSORING HOSPITALS. FORM 990, PART VI, SECTION A, LINE 7A THE BUSINESS AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS. EACH OF THE SPONSORING HOSPITALS SHALL BE ENTITLED TO APPOINT ONE DIRECTOR EXCEPT ST. MARY'S HOSPITAL MEDICAL CENTER WHICH SHALL BE ENTITLED TO APPOINT TWO DIRECTORS. NOTICE OF THE NAME AND ADDRESS OF EACH APPOINTEE SHALL BE MADE BY THE SPONSORS TO THE SECRETARY OF THE ORGANIZATION. EACH DIRECTOR SERVES AT THE PLEASURE OF HIS OR HER APPOINTING SPONSOR AND MAY BE REMOVED AND REPLACED AT ANY TIME BY A WRITTEN NOTICE FROM THE APPOINTING SPONSOR TO THE SECRETARY OF THE CORPORATION. ONE POSITION ON THE BOARD OF DIRECTORS SHALL BE RESERVED FOR A VISITING NURSE SERVICE REPRESENTATIVE. ANY VACANCY IN THE REPRESENTATIVE POSITION SHALL BE FILLED BY THE BOARD IN THE FOLLOWING FASHION: THE VISITING NURSE SERVICE FOUNDATION OR ANOTHER LOCAL NON-PROFIT ORGANIZATION SHALL PROPOSE A LIST OF THREE NOMINEES TO FILL THE VACANT POSITION. THE BOARD OF DIRECTORS SHALL SELECT A PERSON FROM THE LIST. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION (SSM). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SSM PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C A WRITTEN CONFLICT OF INTEREST AND INSIDER TRANSACTION POLICY EXISTS WHICH REQUIRES EACH DIRECTOR, PRINCIPAL OFFICER, TRUSTEE OR COMMITTEE MEMBER TO DISCLOSE ON AN ANNUAL BASIS TO THE DESIGNATED AUTHORITY A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DESIGNATED AUTHORITY ENSURES THAT ALL STATEMENTS ARE COMPLETED, REVIEWS THEM FOR CONFLICTS, AND SUBMITS TO THE BOARD FOR REVIEW ANY CONFLICT OF INTEREST DISCLOSURE STATEMENTS THAT DISCLOSE ACTUAL OR POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL, PRESIDENT, IS COMPENSATED BY A RELATED ORGANIZATION THAT UTILIZED THE FOLLOWING TO DETERMINE COMPENSATION: (1) INDEPENDENT COMPENSATION CONSULTANT; (2) COMPENSATION SURVEY OR STUDY; (3) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING -1. 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