Skip to content
Nonprofiteer
← FAIRBANKS HOSPITAL INC

Form 990 for tax year 2022

Filed by FAIRBANKS HOSPITAL INC.

Totals

Total revenue
$22,129,046
Total expenses
$24,134,979
Contributions and grants received
$1,102,092
Grants paid
$0
Program service revenue
$20,784,319
Investment income
$7,145
Other revenue
$235,490
Total assets, end of year
$19,910,240
Total liabilities, end of year
$242,235
Net assets or fund balances, end of year
$19,668,005
Program services expenses (Part IX)
$17,850,460
Management and general expenses
$6,284,519
Fundraising expenses
$0
Program service expenses (Part III)
$17,850,460

Program services were 74.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $678,092

  • 1e · Government grants (contributions)

    $424,000

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $20,328,109 · related or exempt $20,328,109

  • 2b · Program service revenue: RENT

    total $456,210 · related or exempt $456,210

  • 3 · Investment income

    total $7,145 · excluded $7,145

  • 11a · Other revenue: CAFETERIA REVENUE

    total $80,000 · excluded $80,000

  • 11b · Other revenue: UNCLAIMED PROPERTY

    total $71,223 · related or exempt $71,223

  • 11c · Other revenue: GIFT SHOP REVENUE

    total $57,038 · excluded $57,038

  • 11d · All other revenue

    total $27,229 · related or exempt $27,229

  • 11e · Other revenue, total

    $235,490

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $695,191 · program services $615,594 · management and general $79,597

  • 7 · Other salaries and wages

    total $12,630,777 · program services $11,184,597 · management and general $1,446,180

  • 8 · Pension plan contributions

    total $494,252 · program services $420,476 · management and general $73,776

  • 9 · Other employee benefits

    total $2,019,818 · program services $1,788,556 · management and general $231,262

  • 10 · Payroll taxes

    total $948,258 · program services $840,137 · management and general $108,121

  • 11g · Fees: other

    total $4,291,484 · program services $532,741 · management and general $3,758,743

  • 13 · Office expenses

    total $1,026,281 · program services $778,152 · management and general $248,129

  • 14 · Information technology

    total $21,263 · program services $8,415 · management and general $12,848

  • 16 · Occupancy

    total $1,039,737 · program services $920,691 · management and general $119,046

  • 17 · Travel

    total $23,494 · program services $9,797 · management and general $13,697

  • 19 · Conferences, conventions and meetings

    total $8,692 · program services $8,692

  • 22 · Depreciation, depletion and amortization

    total $563,268 · program services $461,880 · management and general $101,388

  • 23 · Insurance

    total $77,526 · program services $3,068 · management and general $74,458

  • 24a · Other expenses: MEDICAL EXPENSES

    total $266,828 · program services $266,828

  • 24b · Other expenses: DUES & LICENSES

    total $12,837 · program services $5,836 · management and general $7,001

  • 24c · Other expenses: LICENSING & INSPECTION

    total $6,016 · program services $1,925 · management and general $4,091

  • 24d · Other expenses: MEALS & ENTERTAINMENT

    total $3,955 · program services $1,266 · management and general $2,689

  • 24e · All other expenses

    total $5,302 · program services $1,809 · management and general $3,493

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,546,224 · end of year $169,523

  • 4 · Accounts receivable

    beginning of year $1,978,758 · end of year $2,074,679

  • 7 · Other notes and loans receivable

    beginning of year $50,000 · end of year $45,833

  • 8 · Inventories for sale or use

    beginning of year $11,714 · end of year $7,124

  • 9 · Prepaid expenses and deferred charges

    beginning of year $45,743 · end of year $14,905

  • 10a · Land, buildings and equipment: cost or other basis

    $17,377,141

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,835,075

  • 10c · Land, buildings and equipment, net

    beginning of year $15,637,580 · end of year $15,542,066

  • 15 · Other assets

    beginning of year $290,008 · end of year $2,056,110

  • 17 · Accounts payable and accrued expenses

    beginning of year $62,338 · end of year $2,309

  • 19 · Deferred revenue

    beginning of year $42,488 · end of year $0

  • 25 · Other liabilities

    beginning of year $10,539,973 · end of year $239,926

  • 27 · Net assets without donor restrictions

    beginning of year $8,915,228 · end of year $19,668,005

Mission and programs · 2022

Mission

FAIRBANKS IS A NONPROFIT ORGANIZATION FOCUSED ON RECOVERY FROM ALCOHOL AND OTHER DRUG PROBLEMS, SERVING AS A RESOURCE TO IMPROVE THE WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITIES BY OFFERING HOPE AND SUPPORT THROUGH ITS PROGRAMS AND SERVICES.

Activities or mission (Part I)

NONPROFIT ORGANIZATION FOCUSED ON RECOVERY FROM ALCOHOL AND OTHER DRUG PROBLEMS.

  • ADULT INPATIENT SERVICES CONSISTING OF DETOXIFICATION AND REHABILIATION SERVICES. THE DETOXIFICATION PHASE IS A MEDICALLY MANAGED LEVEL OF CARE WHERE THE EXTENT OF THE PATIENT'S ADDICTION IS DETERMINED AND THE PHYSICAL AND PSYCHOLOGICAL IMPACT OF THAT ADDICTION IS ASSESSED AND THE APPROPRIATE TREATMENT COURSE IS INITIATED. FOR THE CURRENT YEAR, FAIRBANKS HOSPITAL HAD 8,484 ADULT DETOX PATIENT DAYS.THE REHABILITATION PHASE OCCURS WHEN FURTHER INPATIENT STABILIZATION/TREATMENT IS NEEDED AND REQUIRED CONTINUED MEDICAL SUPERVISION. THE TREATMENT PROCESS IS MULTI-DISCIPLINARY AND GROUP ORIENTED. FOR THE CURRENT YEAR, THE HOSPITAL HAD 375 ADULT REHAB PATIENT DAYS.

    Expenses $5,375,798 · Revenue $12,340,799

  • ADULT OUTPATIENT SERVICES PROGRAM CONSISTING OF PARTIAL HOSPITALIZATION (PHP) AND INTENSIVE OUTPATIENT PROGRAM (IOP). THE PHP PROGRAM IS SIX TO SEVEN HOURS PER DAY MONDAY THROUGH FRIDAY AND IS A MULTI-DISCIPLINARY AND GROUP ORIENTED TREATMENT PROGRAM. THE PROGRAM CONTAINS EVALUATION AND EDUCATION. IT ALLOWS THE PATIENT TO EXPERIENCE LIFE ON THE "OUTSIDE" WHILE BEING INVOLVED IN A VERY INTENSE LEVEL OF TREATMENT. FOR THE CURRENT YEAR, THE HOSPITAL HAD 3,713 PHP VISITS.IOP IS AVAILABLE TO THOSE WHOSE ADDICTION IS NOT SO SEVERE AS TO REQUIRE INPATIENT OR PHP SERVICES. THE PATIENTS MUST DEMONSTRATE THE ABILITY TO REMAIN DRUG-FREE DURING THE ENTIRE TREATMENT COURSE AND INDICATE A WILLINGNESS TO BECOME INVOLVED IN A 12-STEP PROGRAM. IOP PATIENTS GENERALLY MEET FOR THREE HOURS, THREE TIMES PER WEEK. IOP OFFERS EDUCATION AND GROUP THERAPY. FOR THE CURRENT YEAR, THE HOSPITAL HAD 9,868 VISITS PLUS 1,019 VIRTUAL IOP VISITS.LEVEL 1 OUTPATIENT - IN ALIGNMENT WITH THE AMERICAN SOCIETY FOR ADDICTION MEDICINE (ASAM), FAIRBANKS CONSIDERS PATIENTS WHOSE SEVERITY OF SUBSTANCE USE IS MILD AND CAUSES MINIMAL INTERRUPTION IN THEIR FUNCTIONING AS BEING BEST SUITED FOR LEVEL 1 OP SERVICES. THESE INDIVIDUALS MAY PRESENT WITH MILD, CO-OCCURRING SUBSTANCE ABUSE AND MENTAL HEALTH AND/OR PHYSICAL HEALTH CONDITIONS. THEY MAY ALREADY BE RECEIVING SERVICES FOR THESE OTHER CO-OCCURING CONDITIONS, BUT NEED MORE EDUCATION, SUPPORT AND TREATMENT FOR ISSUES RELATED TO THEIR SUBSTANCE USE. ADDITIONALLY, LEVEL 1 MAY BE APPROPRIATE FOR INDIVIDUALS WHO ARE NOT INTERESTED IN RECOVERY, BUT ARE MANDATED INTO TREATMENT. THEY MAY OR MAY NOT HAVE COMPLETED AN EDUCATION COURSE, BUT APPEAR TO NEED MORE THAN JUST EDUCATION AS INDICATED BY THEIR USE OR SERVICE HISTORY. INDIVIDUALS WHO NEED MORE THAN JUST EDUCATION TO ENHANCE THEIR MOTIVATION OR TO CREATE AMBIVALENCE MAY ALSO BENEFIT FROM THIS LEVEL OF CARE. AT THE SAME TIME, INDIVIDUALS WHO ARE IN EARLY RECOVERY AND VIEW TREATMENT AS POTENTIALLY HELPFUL AND ARE ENTERING TREATMENT FOR THE FIRST TIME WILL BENEFIT FROM LEVEL 1. PATIENTS IN THIS LEVEL OF CARE MAY BE RECEIVING MEDICATION ASSISTED TREATMENT (MAT) SERVICES AND/OR OTHER THERAPIES DUE TO THEIR SUBSTANCE USE INCLUDING PATIENTS WHO NEED A STEP DOWN FROM IOP WHOM THE TREATMENT TEAM FINDS HAVE CONTINUED THERAPEUTIC NEEDS BEYOND THE SUPPORT OF AN AFTERCARE PROGRAM. FOR THE CURRENT YEAR, THE HOSPITAL HAD 1,991 ADULT LEVEL 1 VISITS PLUS 1,029 VIRTUAL LEVEL 1 VISITS.

    Expenses $1,289,553 · Revenue $4,078,421

  • THE ADULT RESIDENTIAL PROGRAM IS FOR THE PATIENT WHO REQUIRES A RESTRICTIVE ENVIRONMENT TO ABSTAIN FROM USING BUT WHO IS MEDICALLY STABLE. THE PATIENT PARTICIPATES IN NO LESS THAN FOUR HOURS OF THERAPY DAILY AND NURSING CARE IS PROVIDED, IF NEEDED. FOR THE CURRENT YEAR, THE HOSPITAL HAD 8,107 ADULT RESIDENTIAL PATIENT DAYS.

    Expenses $1,134,337 · Revenue $3,908,889

  • ADOLESCENT OUTPATIENTS SERVICES PROGRAM SERVED 812 IOP VISITS DURING THE CURRENT YEAR. FAIRBANKS HOSPITAL PROVIDED 2,898 PATIENT DAYS AT LAVERNA LODGE FOR MEN AND 15,291 PATIENT DAYS AT RECOVERY HOUSING DURING THE CURRENT YEAR.

    Expenses $10,050,772 · Revenue $554,662

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jason Fahrlander

    DIRECTOR

    Total calculated
    $1,249,262
    From this org
    $0
    From related orgs
    $1,075,656
    Other
    $173,606
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $727,977 related
    Bonus
    $0 + $319,060 related
    Other
    $0 + $28,619 related
    Deferred
    $0 + $137,137 related
    Nontaxable benefits
    $0 + $36,469 related
    Filer's total
    $0 + $1,249,262 related

  • Andrew Sonderman MD

    DIRECTOR

    Total calculated
    $439,344
    From this org
    $400,645
    From related orgs
    $0
    Other
    $38,699
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,556
    Bonus
    $40,266
    Other
    $127,823
    Deferred
    $18,300
    Nontaxable benefits
    $20,399
    Filer's total
    $439,344

  • Patrick Carr

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • David Corbitt

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Billie Fouts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Greg Fulk

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Swati Gunale

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • David Herzog

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • Marissa Manlove

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • David Moore MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kevin Murphy

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Matthew Neff

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • Conrad Wong MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Geoffrey Fortner MD

    DIRECTOR

    Total calculated
    $504,474
    From this org
    $0
    From related orgs
    $449,704
    Other
    $54,770
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $358,611 related
    Bonus
    $0 + $71,565 related
    Other
    $0 + $19,528 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $36,470 related
    Filer's total
    $0 + $504,474 related

  • Jason Landis

    VP-FINANCE

    Total calculated
    $324,831
    From this org
    $0
    From related orgs
    $296,468
    Other
    $28,363
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $249,655 related
    Bonus
    $0 + $45,751 related
    Other
    $0 + $1,062 related
    Deferred
    $0 + $18,016 related
    Nontaxable benefits
    $0 + $10,347 related
    Filer's total
    $0 + $324,831 related

  • Cathy Boggs

    EXECUTIVE DIRECTOR AND ADMINISTRATOR

    Total calculated
    $255,847
    From this org
    $230,302
    From related orgs
    $0
    Other
    $25,545
    Hours/week
    30 + 10 related

    Schedule J breakdown matched by us

    Base
    $192,734
    Bonus
    $36,694
    Other
    $874
    Deferred
    $14,147
    Nontaxable benefits
    $11,398
    Filer's total
    $255,847

  • Robin Parsons

    DIRECTOR-BEHAVIORAL HEALTH

    Total calculated
    $163,776
    From this org
    $144,514
    From related orgs
    $0
    Other
    $19,262
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,868
    Bonus
    $16,071
    Other
    $575
    Deferred
    $8,812
    Nontaxable benefits
    $10,450
    Filer's total
    $163,776

  • Judie Huff

    PATIENT CARE COORDINATOR

    Total calculated
    $171,128
    From this org
    $159,998
    From related orgs
    $0
    Other
    $11,130
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,581
    Bonus
    $1,000
    Other
    $4,417
    Deferred
    $0
    Nontaxable benefits
    $11,130
    Filer's total
    $171,128

  • Peggy McCormick

    PATIENT CARE COORDINATOR

    Total calculated
    $239,454
    From this org
    $212,035
    From related orgs
    $0
    Other
    $27,419
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,153
    Bonus
    $1,000
    Other
    $4,882
    Deferred
    $12,875
    Nontaxable benefits
    $14,544
    Filer's total
    $239,454

  • Jacob Mulinix MD

    PHYSICIAN

    Total calculated
    $185,251
    From this org
    $168,233
    From related orgs
    $0
    Other
    $17,018
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,213
    Bonus
    $1,000
    Other
    $18,020
    Deferred
    $8,465
    Nontaxable benefits
    $8,553
    Filer's total
    $185,251

  • Dennis Rhyne MD

    PSYCHIATRIST

    Total calculated
    $299,763
    From this org
    $277,306
    From related orgs
    $0
    Other
    $22,457
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,893
    Bonus
    $0
    Other
    $27,413
    Deferred
    $0
    Nontaxable benefits
    $22,457
    Filer's total
    $299,763

  • Theresa Anderson RN

    FORMER INTERIM CEO

    Total calculated
    $233,103
    From this org
    $192,592
    From related orgs
    $0
    Other
    $40,511
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,210
    Bonus
    $21,634
    Other
    $748
    Deferred
    $5,739
    Nontaxable benefits
    $34,772
    Filer's total
    $233,103

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, and on a Form 990-PF Part VIII's — 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

  • 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)

PART III - OTHER ADDITIONAL INFORMATION
PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION FAIRBANKS HOSPITAL, INC. ("FBH") CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A RELATED 501(C)(3) ORGANIZATION. CHNW USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS
COMMUNITY HEALTH NETWORK, INC. RESTORATION PLAN COMMUNITY HEALTH NETWORK, INC. ("COMMUNITY") ADOPTED THIS COMMUNITY HEALTH NETWORK RESTORATION PLAN ("PLAN") AS OF DECEMBER 1, 2017 TO PROVIDE A SUPPLEMENTAL INCOME FOR RETIREMENT UPON VESTING IN THE BENEFITS AS DESCRIBED IN THE PLAN DOCUMENT. FAIRBANKS HOSPITAL, INC. ("FBH") IS INCLUDED IN THE PLAN. THE PLAN IS DESIGNED UNDER CODE SECTION 457(F) AS A "TOP-HAT PLAN" (I.E. AN UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES PURSUANT TO SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). ELIGIBILITY: INDIVIDUALS WHO HAVE THE TITLE OF PRESIDENT, SENIOR VICE PRESIDENT OR EXECUTIVE VICE PRESIDENT AND WHOSE PLAN COMPENSATION FOR THE APPLICABLE PLAN YEAR EXCEEDS THE ANNUAL COMPENSATION LIMIT UNDER CODE SECTION 401(A) (17), AS ADJUSTED FROM TIME TO TIME. CONTRIBUTIONS: 1. MATCHING CONTRIBUTIONS: IF A PARTICIPANT RECEIVES THE MAXIMUM PERMISSIBLE MATCHING CONTRIBUTION UNDER THE COMMUNITY HEALTH NETWORK 401(K) RETIREMENT PLAN, THEY WILL RECEIVE A MATCHING CONTRIBUTION IN THE PLAN THAT IS EQUAL TO THEIR COMPENSATION THAT IS GREATER THAN THE 401(K) PLAN LIMIT MULTIPLIED BY THE MAXIMUM PERMITTED MATCHING CONTRIBUTION PERCENTAGE IN THE 401(K) PLAN FOR THAT YEAR. 2. NON-ELECTIVE CONTRIBUTIONS: IF A PARTICIPANT RECEIVES A NON-ELECTIVE CONTRIBUTION IN THE 401(K) PLAN, THEY WILL RECEIVE A NON-ELECTIVE CONTRIBUTION IN THE PLAN THAT IS EQUAL TO THEIR COMPENSATION THAT IS GREATER THAN THE 401(K) PLAN LIMIT MULTIPLIED BY THE NON-ELECTIVE CONTRIBUTION PERCENTAGE IN THE 401(K) PLAN FOR THAT YEAR. NOTE THAT NO NON-ELECTIVE CONTRIBUTIONS ARE CURRENTLY BEING MADE TO THE 401(K) PLAN. CONTRIBUTIONS WILL BE CREDITED TO A PARTICIPANT'S ACCOUNT AS SOON AS ADMINISTRATIVELY FEASIBLE FOLLOWING THE END OF THE PLAN YEAR TO WHICH THE CONTRIBUTIONS RELATE. VESTING: A PARTICIPANT WILL BE 100% VESTED IN HIS ACCOUNT UPON THE EARLIEST TO OCCUR OF THE FOLLOWING: 1. ATTAINMENT OF AGE 65 PRIOR TO SEPARATION FROM SERVICE 2. DISABILITY 3. INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN FOR CAUSE 4. SEPARATION FROM SERVICE FOR GOOD REASON 5. A NONCOMPETITIVE PARTICIPANT'S COMPLIANCE WITH ALL TERMS OF A NONCOMPETING AGREEMENT, OR 6. DEATH FORFEITURES: IF ACCOUNT IS NOT VESTED AS DESCRIBED ABOVE, THE ACCOUNT WILL BE COMPLETELY FORFEITED. AMOUNTS FORFEITED DURING A PLAN YEAR REMAIN A GENERAL ASSET OF COMMUNITY.
PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED
SENIOR LEADERSHIP INCENTIVE PROGRAM FAIRBANKS HOSPITAL, INC., PARTICIPATES IN THE NETWORK'S SENIOR LEADERSHIP INCENTIVE PROGRAM. CERTAIN INDIVIDUALS OF THE LEADERSHIP TEAM PARTICIPATE IN THIS PROGRAM. THE PROGRAM WAS ADOPTED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE BY THE SENIOR LEADERS, AS MEASURED AGAINST ORGANIZATIONAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED ENTIRELY OF INDEPENDENT COMMUNITY MEMBERS. THE INCENTIVE COMPENSATION THAT IS AWARDED IS INCLUDED IN TOTAL COMPENSATION TO THE EXECUTIVE. THE TOTAL COMPENSATION (INCLUDING ANY PAYMENTS UNDER THE PROGRAM) IS SUBJECT TO THE REVIEW AND APPROVAL OF THE EXECUTIVE COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, IN CONSIDERATION OF CODE SECTION 4958 (AND THE CORRESPONDING TREASURY REGULATIONS) TO ENSURE THAT IT REFLECTS ARM'S LENGTH, FAIR MARKET TERMS.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • CHNJMH VENTURES LLC

    DIAG/REHAB · IN

  • COMMUNITY ENDOSCOPY CENTER LLC

    HEALTH CARE · IN

  • COMMUNITY HEALTH AT HOME LLC

    HOME CARE · IN

  • COMMUNITY HEALTH NETWORK REHAB HOSP LLC

    REHAB · IN

  • COMMUNITY HEALTH NTWRK REHAB HOSP SOUTH LLC

    REHAB · IN

  • COMMUNITY HEALTH NTWRK REHAB HOSP WEST LLC

    REHAB · IN

  • EAST CAMPUS SURGERY CENTER LLC

    SURGERY · IN

  • HAMILTON SURGERY CENTER LLC

    SURGERY · IN

  • HEALTHBOX CHICAGO II LLC

    INVESTMENT · IL

  • HOWARD COMMUNITY SURGERY CTR LLC

    SURGERY · IN

  • INDIANAPOLIS ENDOSCOPY CENTER LLP

    HEALTH CARE · IN

  • NORTH CAMPUS OFFICE ASSOCIATES LP

    RENTAL PROPERTY · IN

  • NORTH CAMPUS SURGERY CENTER LLC

    SURGERY · IN

  • NORTHPOINT PEDIATRICS LLC

    HEALTH CARE · IN

  • NORTHWEST SURGERY CENTER LLC

    SURGERY · IN

  • PILLARS HOUSING LP

    HOUSING · IN

  • PRIMARIA HEALTH LLC

    HEALTH CARE · IN

  • SCP INDIANAPOLIS LLC

    HEALTH CARE · IN

  • SOUTH CAMPUS SURGERY CENTER LLC

    SURGERY · IN

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CHN ASSURANCE COMPANY LTD

    C · SELF INSURANCE · CJ

  • PILLARS COMMUNITY HOUSING INC

    C · HOUSING · IN

  • VISIONARY ENTERPRISES INC

    C · MANAGEMENT SERVICES · IN

  • WESTVIEW DELIVERY SYSTEM INC

    C · MANAGEMENT SERVICES · IN

Provenance

Return type
form_990
Tax year
2022
Filed
8 November 2023
IRS schema version
2022v5.0
Source object
202343139349301799

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

The source document this was parsed from is served over the API, which is where bulk and document access live.