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Nonprofiteer
← NORTH CENTRAL HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by NORTH CENTRAL HEALTH SERVICES INC.

Totals

Total revenue
$6,223,974
Total expenses
$17,446,657
Contributions and grants received
$0
Grants paid
$7,601,430
Program service revenue
$2,147,561
Investment income
$3,953,878
Other revenue
$122,535
Total assets, end of year
$460,736,412
Total liabilities, end of year
$11,093,488
Net assets or fund balances, end of year
$449,642,924
Program services expenses (Part IX)
$17,177,564
Management and general expenses
$269,093
Fundraising expenses
$0
Program service expenses (Part III)
$17,177,564

Program services were 98.5% 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.

  • 2a · Program service revenue: INPATIENT PSYCHIATRIC SERVICES

    total $2,147,561 · related or exempt $2,147,561

  • 3 · Investment income

    total $4,612,469 · unrelated business -$30,825 · excluded $4,643,294

  • 6a · Gross rents

    real property $49,166

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $49,166

  • 6d · Net rental income or loss

    total $49,166 · related or exempt $49,166

  • 7a · Gross sales of assets other than inventory

    securities $140,997,935

  • 7b · Less cost or other basis and sales expenses

    securities $141,656,526

  • 7c · Gain or loss

    securities -$658,591

  • 7d · Net gain or loss

    total -$658,591 · excluded -$658,591

  • 11d · All other revenue

    total $73,369 · excluded $73,369

  • 11e · Other revenue, total

    $73,369

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $7,580,796 · program services $7,580,796

  • 2 · Grants to domestic individuals

    total $20,634 · program services $20,634

  • 5 · Compensation of officers, directors and key employees

    total $624,288 · program services $561,859 · management and general $62,429

  • 7 · Other salaries and wages

    total $204,804 · program services $184,324 · management and general $20,480

  • 8 · Pension plan contributions

    total $19,367 · program services $17,430 · management and general $1,937

  • 9 · Other employee benefits

    total $85,477 · program services $76,929 · management and general $8,548

  • 10 · Payroll taxes

    total $40,841 · program services $36,757 · management and general $4,084

  • 11a · Fees: management

    total $5,776,799 · program services $5,719,031 · management and general $57,768

  • 11b · Fees: legal

    total $4,500 · program services $4,455 · management and general $45

  • 11c · Fees: accounting

    total $62,000 · program services $61,380 · management and general $620

  • 11f · Fees: investment management

    total $931,000 · program services $931,000

  • 11g · Fees: other

    total $83,976 · program services $83,183 · management and general $793

  • 13 · Office expenses

    total $38,143 · program services $31,277 · management and general $6,866

  • 16 · Occupancy

    total $121,203 · program services $99,386 · management and general $21,817

  • 17 · Travel

    total $3,580 · program services $3,544 · management and general $36

  • 19 · Conferences, conventions and meetings

    total $4,587 · program services $4,541 · management and general $46

  • 22 · Depreciation, depletion and amortization

    total $1,266,517 · program services $1,203,191 · management and general $63,326

  • 23 · Insurance

    total $123,661 · program services $122,424 · management and general $1,237

  • 24a · Other expenses: HOSPITAL ASSESSMENT FEE

    total $201,356 · program services $201,356

  • 24b · Other expenses: DUES & SUBSCRIPTIONS

    total $12,871 · program services $10,554 · management and general $2,317

  • 24e · All other expenses

    total $240,257 · program services $223,513 · management and general $16,744

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,239,159 · end of year $3,913,109

  • 2 · Savings and temporary cash investments

    beginning of year $40,389,060 · end of year $9,355,662

  • 4 · Accounts receivable

    beginning of year $239,926 · end of year $166,630

  • 8 · Inventories for sale or use

    beginning of year $23,249 · end of year $19,614

  • 9 · Prepaid expenses and deferred charges

    beginning of year $64,057 · end of year $81,722

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

    $24,361,988

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

    $7,117,768

  • 10c · Land, buildings and equipment, net

    beginning of year $14,559,375 · end of year $17,244,220

  • 11 · Investments: publicly traded securities

    beginning of year $460,360,489 · end of year $429,283,978

  • 15 · Other assets

    beginning of year $61,764 · end of year $671,477

  • 17 · Accounts payable and accrued expenses

    beginning of year $378,631 · end of year $568,510

  • 18 · Grants payable

    beginning of year $7,866,091 · end of year $10,524,978

  • 27 · Net assets without donor restrictions

    beginning of year $511,692,357 · end of year $449,642,924

Mission and programs · 2022

Mission

THE ORGANIZATION IS COMMITTED TO ADVANCING AND PROVIDING HEALTH CARE FOR THE BENEFIT OF THE CITIZENS OF ITS EIGHT COUNTY SERVICE AREA. CONTINUE ON SCHEDULE O:THROUGH THE SUPPORT OF TECHNOLOGICAL AND SCIENTIFIC ADVANCEMENT, EDUCATION, QUALITY OF LIFE, AND HUMANITARIAN COMMUNITY SERVICES, NCHS WILL STRIVE TO PROMOTE A HEALTHY COMMUNITY FOR ALL AREA RESIDENTS.

Activities or mission (Part I)

TO PROVIDE ACUTE INPATIENT PSYCHIATRIC CARE TO THE ADULT POPULATION OF MID-NORTH INDIANA.

  • RIVER BEND HOSPITAL IS A LICENSED INPATIENT PSYCHIATRIC HOSPITAL PROVIDING ACUTE INPATIENT PSYCHIATRIC CARE TO THE ADULT POPULATION OF MID-NORTH INDIANA. CARE IS PROVIDED WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S CHARITY CARE POLICY. BECAUSE THE ORGANIZATION DOES NOT COLLECT AMOUNTS DEEMED TO BE CHARITY CARE, THE AMOUNTS ARE NOT REPORTED AS REVENUE. OF THE ORGANIZATION'S TOTAL HEALTH CARE SERVICES EXPENSE REPORTED, AN ESTIMATED $388,000 (AT COST) AROSE FROM PROVIDING SERVICES TO CHARITY PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2022. CONTINUE ON SCHEDULE O: THE ESTIMATED COSTS OF PROVIDING CHARITY SERVICES ARE BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS. THE RATIO OF COST TO CHARGES, CALCULATED USING THE IRS GUIDELINES, IS 7% FOR THE YEAR ENDED DECEMBER 31, 2022.IN 2014, THE STATE OF INDIANA IMPLEMENTED HIP 2.0 WHICH EXPANDED THE EXISTING MEDICAID PROGRAM. AS A RESULT OF THIS EXPANSION, A GREATER NUMBER OF PATIENTS QUALIFIED FOR HIP 2.0 WHICH REDUCED SIGNIFICANTLY THE ORGANIZATION CHARITY CARE AND BAD DEBT EXPENSE IN THE YEARS SINCE THE EXPANSION.

    Expenses $5,776,799 · Revenue $2,196,727

  • NORTH CENTRAL HEALTH SERVICES IS COMMITTED TO ADDRESSING A WIDE RANGE OF HEALTH ISSUES AND ENHANCING THE QUALITY OF LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES IN THE EIGHT COUNTIES OF THE GREATER LAFAYETTE AREA. NCHS MAKES FINANCIAL GRANTS TO QUALIFIED NOT-FOR-PROFIT ORGANIZATIONS THAT SHARE ITS VISION AND CAN DEMONSTRATE THE CAPABILITY AND ORGANIZATIONAL STRENGTH TO SUCCEED WITH THEIR PROGRAMS AND CLIENT SERVICES IN AN EFFICIENT AND COST-CONSCIENTIOUS MANNER.

    Expenses $11,400,765 · Grants $7,601,430

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

Listed in Part VII

  • JAMES SCHOEN

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • DAVID MCGAUGHEY

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • DAVID COOPER

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • JEFFREY P BROWN MD

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • RICK DAVIS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • GARY LEHMAN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • LORI ROGERS MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • ALYSA ROLLOCK

    BOARD MEMBER TERM BEGAN

    Total calculated
    $0
    Hours/week
    2

  • MARJORIE T ROBERTS

    BOARD MEMBER PARTIAL YEAR

    Total calculated
    $0
    Hours/week
    2

  • STEPHANIE LONG

    PRESIDENT/CEO

    Total calculated
    $397,963
    From this org
    $338,279
    From related orgs
    $0
    Other
    $59,684
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $285,794
    Bonus
    $40,773
    Other
    $11,712
    Deferred
    $18,300
    Nontaxable benefits
    $41,384
    Filer's total
    $397,963

  • JAMIE SEGO

    CFO

    Total calculated
    $226,325
    From this org
    $174,845
    From related orgs
    $0
    Other
    $51,480
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $174,509
    Bonus
    $0
    Other
    $336
    Deferred
    $10,491
    Nontaxable benefits
    $40,989
    Filer's total
    $226,325

  • MICHELLE KREINBROOK

    GRANTS DIRECTOR

    Total calculated
    $168,630
    From this org
    $116,688
    From related orgs
    $0
    Other
    $51,942
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $116,148
    Bonus
    $0
    Other
    $540
    Deferred
    $7,001
    Nontaxable benefits
    $44,941
    Filer's total
    $168,630

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

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

  • COMMUNITY HEALTH NETWORK FOUNDATION

    $3,676,500

    PSYCHIATRY EDUCATION AND MENTAL HEALTH WORKFORCE DEVELOPMENT

  • IVY TECH FOUNDATION

    $2,037,552

    TO EXPAND ITS NURSING PROGRAM AND INCREASE STUDENT ENROLLMENT. FOR INVESTMENTS IN ADDITIONAL LABS, EQUIPMENT, STUDENT SCHOLARSHIPS ALONG WITH RECRUITING TALENTED FACULTY AND STAFF.

  • INDIANA UNIVERSITY

    $864,043

    FUNDING TO MAINTAIN EXPANSION OF THE GENERAL PSYCHIATRY RESIDENCY PROGRAM, TRIPLE BOARD (PSYCHIATRY, CHILD-ADOLESCENT PSYCHIATRY, PEDIATRICS) RESIDENCY PROGRAM, AND CHILD AND ADOLESCENT PSYCHIATRY, ADDICTIONS PSYCHIATRY, GERIATRIC PSYCHIATRY, AND CONSULTATION-LIAISON FELLOWSHIPS; MSW PROGRAM ON THE PURDUE CAMPUS, TO ADDRESS SHORTAGES AND COMMUNITY NEED.

  • MERIDIAN HEALTH SERVICES CORP

    $686,056

    WOMENS RECOVERY CENTER

  • TIPPECANOE ARTS FEDERATION INC

    $255,000

    18TH ROUND OF CAPITAL AND CAPACITY-BUILDING GRANTS TO NON-PROFIT ARTS ORGANIZATIONS IN THE NCHS SERVICE AREA, ADMINISTERED BY THE TIPPECANOE ARTS FEDERATION.

  • COMMUNITY FOUNDATION OF GREATER LAFAYETTE

    $20,504

    HONORARY GRANT FOR JEFF KESSLER VOLUNTEER BOARD SERVICE & NONPROFIT EXECUTIVE DEVELOPMENT INITIATIVE, MENTAL HEALTH

  • EVERFI

    $20,000

    SUPPORT TO PILOT A DIGITAL PRESCRIPTION DRUG SAFETY LEARNING PROGRAM IN SCHOOLS ACROSS THE NCHS SERVICE AREA.

  • INDIANA RURAL HEALTH ASSOCIATION

    $12,640

    FOR STUDENTS AND STAFF FROM RURAL HEALTH CLINICS IN THE NCHS SERVICE AREA TO ATTEND THE 24TH ANNUAL RURAL HEALTH CONFERENCE.

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202313119349303696

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