UNI CARE HOSPICE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: UNI CARE HOSPICE INC (EIN 46-5370628)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2023-12-07
IRS object ID: 202313419349300741
Schema version: 2021v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-12-07T14:51:44-08:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	830346452	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	AL M SHAD CPA INC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1645 S RANCHO SANTA FE RD STE 205	AddressLine1Txt
City	SAN MARCOS	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92078	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	465370628	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNI CARE HOSPICE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	UNIC	BusinessNameControlTxt
Phone	7605663345	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1510 S ESCONDIDO BLVD 104	AddressLine1Txt
City	ESCONDIDO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92025	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALBERT KESHAVARZI	PersonNm
Person Title	President & CEO	PersonTitleTxt
Signature	2023-12-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ALBERT	PersonFirstNm
Person Last	KESHAVARZI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Aliasghar Majidishad CPA	PreparerPersonNm
PTIN	P00439671	PTIN
Phone	7605997173	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	ALBERT KESHAVARZI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1510 S ESCONDIDO BLVD 104	AddressLine1Txt
City	ESCONDIDO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92025	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,521,333	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	Primary exempt purpose of the company is to take care of terminally ill patients during the last days or weeks of their lives by making them pain-free and comfortable.	ActivityOrMissionDesc
Voting Members Governing Body	2	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	63	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$612,122	PYContributionsGrantsAmt
CY Contributions Grants	$3,585	CYContributionsGrantsAmt
PY Program Service Revenue	$7,430,936	PYProgramServiceRevenueAmt
CY Program Service Revenue	$6,517,748	CYProgramServiceRevenueAmt
PY Investment Income	$11,153	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$8,054,211	PYTotalRevenueAmt
CY Total Revenue	$6,521,333	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,586,371	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,642,367	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,424,032	PYOtherExpensesAmt
CY Other Expenses	$3,128,087	CYOtherExpensesAmt
PY Total Expenses	$6,010,403	PYTotalExpensesAmt
CY Total Expenses	$5,770,454	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,043,808	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$750,879	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,810,676	TotalAssetsBOYAmt
Total Assets EOY	$3,640,895	TotalAssetsEOYAmt
Total Liabilities BOY	$179,566	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$202,193	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,631,110	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,438,702	NetAssetsOrFundBalancesEOYAmt
Mission	Primary exempt purpose of the company is to take care of terminally ill patients during the last days or weeks of their lives by making them pain-free and comfortable.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$4,395,840	ExpenseAmt
Desc	We have serviced over 1350 patients since the inception of the company in October of 2014.	Desc
Total Program Service Expenses	$4,395,840	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	Yes (true)	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	Yes (true)	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	10	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	63	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	2	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	false	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	UNI CARE HOSPICE INC	PersonNm
Phone	7605663345	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1510 S ESCONDIDO BLVD 104	AddressLine1Txt
City	ESCONDIDO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92025	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (2 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
ALBERT KESHAVARZI
President & CEO	50.00	0.00	Yes (X)	$150,000	$0	$0
BAHRAM MANOOCHERI
CFO	47.00	0.00	Yes (X)	$120,000	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$270,000	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$3,585	AllOtherContributionsAmt
Total Contributions	$3,585	TotalContributionsAmt
Total Program Service Revenue	$6,517,748	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,521,333	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,517,748	RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$270,000	TotalAmt
Program Services	$229,500	ProgramServicesAmt
Management And General	$40,500	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,716,214	TotalAmt
Program Services	$1,335,603	ProgramServicesAmt
Management And General	$380,611	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$362,941	TotalAmt
Program Services	$308,500	ProgramServicesAmt
Management And General	$54,441	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$79,326	TotalAmt
Program Services	$67,427	ProgramServicesAmt
Management And General	$11,899	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$213,886	TotalAmt
Program Services	$181,803	ProgramServicesAmt
Management And General	$32,083	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,700	TotalAmt
Management And General	$10,700	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,630	TotalAmt
Management And General	$3,630	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$426,297	TotalAmt
Management And General	$426,297	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$106,659	TotalAmt
Management And General	$106,659	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,377	TotalAmt
Management And General	$1,377	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$645,857	TotalAmt
Program Services	$590,045	ProgramServicesAmt
Management And General	$55,812	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$63,827	TotalAmt
Management And General	$63,827	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,538	TotalAmt
Management And General	$7,538	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$164,325	TotalAmt
Program Services	$139,676	ProgramServicesAmt
Management And General	$24,649	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$147,161	TotalAmt
Program Services	$125,087	ProgramServicesAmt
Management And General	$22,074	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$424,334	$424,334
Consulting Fees	$361,635	$354,845	$6,790
Equipment Rental	$246,086	$246,086
Mileage Reimbursement	$159,088	$159,088

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$359,573	TotalAmt
Program Services	$233,846	ProgramServicesAmt
Management And General	$125,727	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,770,454	TotalAmt
Program Services	$4,395,840	ProgramServicesAmt
Management And General	$1,374,614	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$628,277	BOYAmt
EOY	$258,062	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$1,889,737	BOYAmt
EOY	$3,099,098	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$526,637	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$292,993	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$285,062	BOYAmt
EOY	$233,644	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,600	BOYAmt
EOY	$50,091	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,810,676	BOYAmt
EOY	$3,640,895	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$179,566	BOYAmt
EOY	$202,193	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$179,566	BOYAmt
EOY	$202,193	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,631,110	BOYAmt
EOY	$3,438,702	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,631,110	BOYAmt
EOY	$3,438,702	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,810,676	BOYAmt
EOY	$3,640,895	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$750,879	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$56,713	OtherChangesInNetAssetsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$2,294	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$330	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$468	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,585	CurrentTaxYearAmt
Total	$6,677	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$2,294	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$330	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$468	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,585	CurrentTaxYearAmt
Total	$6,677	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$6,677	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$6,677	TotalSupportAmt
First5 Years170	Yes (X)	First5Years170Ind
Public Support CY170	0.00000	PublicSupportCY170Pct

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$481,755	OtherCostOrOtherBasisAmt
Depreciation	$269,088	DepreciationAmt
Book Value	$212,667	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,882	OtherCostOrOtherBasisAmt
Depreciation	$23,905	DepreciationAmt
Book Value	$20,977	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$233,644	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Auto Loan Camry	$21,381
Auto Loan Corolla 4589	$12,232
Auto Loan Corolla 0445	$25,186
Auto Loan Corolla 4402	$25,646
Auto Loan Corolla 4468	$12,273
Auto Loan Lexus 2020	$73,805
Diff	$1,179
ROU-Leased Liability	$30,491

Field	Value	IRS element (for citing)
Total Liability	$202,193	TotalLiabilityAmt

Schedule L IRS990ScheduleL

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp (5 entries)

Rln Disqualified Person OrgRlnDisqualifiedPersonOrgTxt	TransactionTransactionDesc	Transaction CorrectedTransactionCorrectedInd
OfficersDirectos
Officers/Directors	Loans	Yes (true)
OfficersDirectors
Officers/Directors	Loans	false
Yuma Hospice Inc
Interested Persons	Loans	false
Yuma Healthcare
Interested Persons	Loans	false
Sun City Enterprise
Interested Persons	Loans	false

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan To OrganizationLoanToOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Albert Kesha
CEO	Investment	Yes (X)	$354,621	$419,093	false	Yes (true)	Yes (true)
Bahram Manoo
CFO	Investment	Yes (X)	$288,518	$336,945	Yes (true)	Yes (true)	Yes (true)
Yuma Hospice
Unrelated	Investment	Yes (X)	$711,500	$789,386	Yes (true)	Yes (true)	Yes (true)
Yuma Healthcare
Unrelated	Investment	Yes (X)	$843,000	$916,565	Yes (true)	Yes (true)	Yes (true)
Sun City Enterprise
Unrelated	Investment	Yes (X)	$542,262	$637,109	Yes (true)	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$3,099,098	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process	No review was or will be conducted.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	No documents available to the public.
Other Changes In Net Assets Or Fund Balances - Other Increases	Interest Adjustment, = $56713
Amended Explanation	Beginning in 2019, Uni Care Hospice, Inc (the Organization) began making a series of advances to Albert Keshavarzi (Keshavarzi), Bahram Manoocheri (Manoocheri), Unicare Healthcare, Inc., an Arizona for-profit corporation (Yuma Healthcare), Unicare Hospice, Inc., an Arizona for-profit corporation (Yuma Hospice), and Sun City Enterprise, A California general partnership (Sun City).Such advances were made pursuant to a cursory written obligation characterizing the advances as loans from the Organization to the respective recipients.At the time of these advances, Yuma Healthcare, Yuma Hospice, and Sun City were all wholly owned and operated by Keshavarzi and Manoocheri, each of whom are also founders of the Organization and served as officers and directors of the Organization.While the advances were acknowledged as loans, management of the organization subsequently determined that such loans were inadequately documented, carried a rate of interest lower than would have been applicable in an arms-length transaction, were not approved by disinterested directors, and were not appropriately disclosed in either the Organizations financial statements or its Forms 990 filed with the Internal Revenue Service.Pursuant to these determinations, the Organization contacted legal counsel to reform the transactions in such a way as they would be rendered fair and reasonable to the Organization and structured in a way consistent with arms-length transactions of the same nature.Consequently, the following actions were taken: (1) each advance was memorialized by a Promissory Note bearing commercially reasonable terms, including an interest rate set at the Applicable Federal Rate plus eight and a half percent (8.5%); (2) each advance was memorialized in a loan agreement containing commercially reasonable terms obligating each recipient to repayment of the advances, with interest, in accordance with the Promissory Notes;(3) each advance became subject to a Security Agreement; and (4) each advance to Yuma Healthcare, Yuma Hospice, and Sun City became personally guaranteed.Taking into account interest as described above and payments reflected on the books of the Organization, the amounts due from each of the recipients as of December 31, 2021 were as follows: Keshavarzi $419,092.89; Manoocheri $336,945.17; Yuma Hospice $789,386.47; Sun City $637,108.52 and Yuma Healthcare $916,565.27. Each of the loan documents related to the Keshavarzi and Manoocheri transactions, with the exception of the Promissory Notes, required the signatures of Keshavarzi and Manoocheri, respectively, as well as their spouses. Because each of Keshavarzi and Manoocheri are married individuals and residents of the community property jurisdiction of California, the spousal signatures were sought so that the transaction would be recast on terms and conditions that would be expected in a similar transaction with an unrelated party.Keshavarzi and his spouse executed each of the appropriate documents and Keshvarzi subsequently paid to the Organization the full amount due under his Promissory Note, with interest to the date of payment. Manoocheris spouse did not sign any documents related to these transactions and Manoocheri has not made any payments to the Organization subsequent to the execution of his Promissory Note.Neither Yuma Healthcare and Yuma Hospice, however, have the available resources necessary to immediately satisfy their respective obligations to the Organization. Consequently, Keshavarzi has agreed to make a no-consideration transfer of all his ownership interests in Yuma Healthcare and Yuma Hospice to the Organization. Manoocheri has declined to do so.In addition,Amending to report the reduction of Salary and Wage expenses by $821,192.79 which was the ERC (Employee Retention Credit) received for 2021.