Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
ULSTER HOME HEALTH SERVICES INC |
141513989 | 10 | No | 694,665 | 0 | |
| (B)
ULSTER HOME CARE INC |
141513989 | 10 | No | 317,969 | 0 | |
|
Total 2
|
1,012,634 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART IV, SECTION A, LINE 1: | IN THE ARTICLES OF INCORPORATION OF UMC INC, IT WAS ESTABLISHED FOR THE LIMITED PURPOSE OF MANAGING NOT FOR PROFIT LICENSED AND/OR CERTIFIED HOME HEALTH CARE AGENCIES. WHILE THE ARTICLES OF INCORPORATION DO NOT SEPECIFICALLY LIST THE SUPPORTED ORGANIZATIONS, ULSTER HOME HEALTH SERVICES, INC. ("UHHS"), A CERTIFIED HOME HEALTH CARE AGENCY, AND ULSTER HOME CARE INC. ("UHC"), A LICENSED HOME CARE SERVICE AGENCY. UMC IS THE SOLE MEMBER OF THESE ORGANZIATIONS WITH THE RIGHT TO APPOINT AND REMOVE BOARD MEMBERS. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | WILLIAM J. QUERBES AND CHRISTINE HEAVEY HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | AN "INTERESTED DIRECTOR" IS ANY DIRECTOR WHO HOLDS AND INTEREST AS A PARTNER, STOCKHOLDER, DIRECTOR, OFFICER, EMPLOYEE OR AGENT OF ANY FIRM OR CORPORATION WITH WHICH THIS CORPORATION CONTEMPLATES CONTRACTING OR TRANSACTING BUSINESS. ANY BOARD MEMBER WHO IS AN "INTERESTED DIRECTOR" MUST DISCLOSE HIS/HER RELATIONSHIP OR INTEREST TO THE FULL BOARD OF DIRECTORS WHO WILL BE ACTING UPON OR CONSIDERING ANY CONTRACT OR TRANSACTION WITH THE BUSINESS IN WHICH THE MEMBER HOLDS AN INTEREST. NO DIRECTOR SO INTERESTED SHALL PARTICIPATE IN THE DISCUSSIONS AND DELIBERATIONS REGARDING SUCH A CONTRACT OR TRANSACTION, NOR VOTE ON SUCH CONTRACT OR TRANSACTION. DISCLOSURE SHALL BE MADE AS SOON AS THE BOARD MEMBER BECOMES AWARE OF THE POTENTIAL FOR A CONFLICT. SUCH DISCLOSURE SHALL BE PROVIDED TO THE EXECUTIVE COMMITTEE AND RECORDED IN THE MINUTES OF THE FIRST SCHEDULED BOARD MEETING AFTER THE DISCLOSURE IS MADE. PRIOR TO VOTING UPON ANY CONTRACT OR TRANSACTION INVOLVING AN INTERESTED DIRECTOR, THE BOARD SHALL BE PRESENTED WITH INFORMATION FROM TWO OTHER CONTRACTORS WHO HAVE BEEN SOLICITED TO BID ON THE CONTRACT OR TRANSACTION IN QUESTION. THE AFFIRMATIVE VOTE OF THE MAJORITY OF THE DISINTERESTED DIRECTORS SHALL BE REQUIRED BEFORE THIS CORPORATION MAY ENTER INTO SUCH CONTRACT OR TRANSACTION. NO CONTRACT OR TRANSACTION SHALL BE INVALIDATED OR AFFECTED IN ANY WAY SO LONG AS THE MEMBERS OF THE BOARD COMPLY WITH THIS POLICY STATEMENT, AS SUCH, A CONTRACT OR TRANSACTION BETWEEN AN OUTSIDE ENTITY AND OUR ORGANIZATIONS WILL BE VALID EVEN THOUGH THE ENTITY IS ASSOCIATED WITH A BOARD MEMBER PROVIDED THAT THE INTERESTED BOARD MEMBER HAS (1) PROVIDED NOTICE, (2) RECUSED HIM OR HERSELF FROM CONDIERATION OF THE MATTER AND (3) COMPETITIVE BIDS HAVE BEEN OBTAINED. ADDITIONALLY, THE TERMS OF SUCH CONTRACT OR BUSINESS RELATIONSHIP MUST BE AT LEAST AS FAIR AND REASONABLE TO THE CORPORATION AS WOULD OTHERWISE THEN BE OBTAINABLE BY SUCH CORPORATION FROM OTHER BUSINESSES UNRELATED TO ANY BOARD MEMBER. IN ORDER TO PROPERLY IMPLEMENT THIS POLICY, EACH BOARD MEMBER SHALL PROVIDE AN ANNUAL DISCLOSURE SETTING FORTH ALL POTENTIAL AND ACTUAL CONFLICTS OF INTEREST OR INDICATING THAT NO SUCH CONFLICTS EXIST. THIS DISCLOSURE SHALL BE IN THE FORM OF A LETTER DIRECTED TO THE MEMBERS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 15A | IT IS THE POLICY OF UMC, INC. TO ENSURE THAT COMPENSATION OF INDIVIDUAL EMPLOYEES CONSIDERED "HIGHLY COMPENSATED EMPLOYEES" IS DISCUSSED, RESEARCHED, REVIEWED AND DOCUMENTED BY THE GOVERNING BOARD. THE PURPOSE OF THIS POLICY IS TO ENSURE THAT COMPENSATION FOR UMC, INC. "HIGHLY COMPENSATED EMPLOYEES" FALLS WITHIN THE REALMS AND BOUNDARIES OF SIMILAR POSITIONS IN SIMILAR REGIONAL AREAS, AND THAT THE COMPENSATION IS NOT OUT OF THE BOUNDARIES SET FORTH BY STATE REGULATIONS OF NON-PROFIT INSTITUTIONS. IN THE EVENT THAT A "HIGHLY COMPENSATED EMPLOYEE" IS CONSIDERED FOR EMPLOYMENT BY UMC, INC., THE GOVERNING BODY WILL BEGIN AND FOLLOW THE PROCESS BELOW: 1. DISCUSSION OF CANDIDATE(S) FOR POSITION. 2. RESEARCH AND RETRIEVAL OF PERTINENT INFORMATION FROM SOURCES SUCH AS LOCAL SALARY SURVEYS, AND SURVEYS DONE BY PROVIDER AGENCIES, BOTH STATE AND NATIONAL. 3. DOCUMENTATION OF DISCUSSIONS REGARDING THE POSSIBLE COMPENSATION LEVELS. 4. ONCE THE COMPENSATION LEVELS ARE DISCUSSED AND THE CANDIDATE AGREES TO THE OFFER, THE GOVERNING BOARD DISCUSSIONS AND RESULTANT DECISIONS ARE DOCUMENTED AND KEPT IN THE CANDIDATE'S PERSONNEL FILE. 5. AT LEAST YEARLY, THE COMPENSATION POLICY WILL BE REVIEWED AND DISCUSSED, AND ANY RECENT OR TIMELY SALARY SURVEYS WILL BE BROUGHT TO BEAR FOR DISCUSSION BY THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY AT 845-339-6683. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| Software ID: | |
| Software Version: |