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Nonprofiteer
← COMMUNITY HEALTHCARE PARTNERS ACO INC

Form 990 for tax year 2022

Filed by COMMUNITY HEALTHCARE PARTNERS ACO INC.

Totals

Total revenue
$0
Total expenses
$1,010,401
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$51,250
Total liabilities, end of year
$86,652
Net assets or fund balances, end of year
-$35,402
Program services expenses (Part IX)
$912,973
Management and general expenses
$97,428
Fundraising expenses
$0
Program service expenses (Part III)
$912,973

Program services were 90.4% 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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $678,781 · program services $678,781 · management and general $0 · fundraising $0

  • 8 · Pension plan contributions

    total $25,702 · program services $25,702 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $78,312 · program services $78,312 · management and general $0 · fundraising $0

  • 10 · Payroll taxes

    total $51,914 · program services $51,914 · management and general $0 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11c · Fees: accounting

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $774 · program services $774 · management and general $0 · fundraising $0

  • 12 · Advertising and promotion

    total $15 · program services $15 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $428 · program services $0 · management and general $428 · fundraising $0

  • 14 · Information technology

    total $75,500 · program services $75,500 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $12,000 · program services $0 · management and general $12,000 · fundraising $0

  • 17 · Travel

    total $1,975 · program services $1,975 · management and general $0 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 20 · Interest

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 24a · Other expenses: Dues and Subscriptions

    total $85,000 · program services $0 · management and general $85,000 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 26 · Joint costs (an allocation of the lines above)

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $183 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $51,250 · end of year $51,250

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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $50,253 · end of year $86,652

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $1,180 · end of year -$35,402

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

Community Healthcare Partners ACO is a clinically integrated network that is committed to invest in necessary resources and innovations to improve the overall health of the population it serves. It seeks to improve quality and outcomes and reduce costs through enhanced integration and collaboration among patients, providers and the hospital system.

  • ROBUST QUALITY DATA THAT IS USED TO IMPROVE CARE AND EVALUATE CHP'S CLINICAL PRACTICE GUIDELINES. THESE EVIDENCE BASED GUIDELINES REPRESENT PRACTICE THAT WILL DRIVE IMPROVED PATIENT OUTCOMES AND ADHERENCE TO FTC REQUIREMENTS FOR CLINICALLY INTEGRATED PROVIDERS. THE CARE NAVIGATION TEAM OF COMMUNITY HEALTH PARTNERS PROVIDES OUTPATIENT CARE MANAGEMENT SERVICES TO ALL MEMBERS WHO MAY BENEFIT FROM ASSISTANCE NAVIGATING THROUGH THE HEALTHCARE SYSTEM, FROM HEALTH PROMOTION TO COMPLEX MEDICAL MANAGEMENT. ONE ON ONE SUPPORT BY SKILLED NURSING PROFESSIONALS HELP TO COORDINATE CARE OF MEMBERS BY IDENTIFYING GAPS IN CARE, ENCOURAGING WELLNESS VISITS AND ASSISTING THOSE IDENTIFIED AS HIGH RISK. USING SOPHISTICATED RISK STRATIFICATION TOOLS OUR CARE MANAGEMENT TEAM IS DEDICATED TO PROVIDING A CONTINUUM OF CARE THAT NOT ONLY IMPROVES PATIENT CARE BUT DEMONSTRATES VALUE TO OUR PROVIDERS.

    Expenses $912,973

As filed on the 2022 return.

Listed in Part VII

  • Gregg Ferlin

    Treasurer

    Total calculated
    $761,965
    From this org
    $0
    From related orgs
    $722,834
    Other
    $39,131
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $448,101 related
    Bonus
    $0 + $239,741 related
    Other
    $0 + $34,992 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $25,406 related
    Filer's total
    $0 + $761,965 related

  • M Nabil Shabeeb MD

    Secretary

    Total calculated
    $28,960
    From this org
    $0
    From related orgs
    $28,960
    Other
    $0
    Hours/week
    1 + 4 related

  • Thomas Devine MD

    Chairperson

    Total calculated
    $483,266
    From this org
    $0
    From related orgs
    $441,073
    Other
    $42,193
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $345,058 related
    Bonus
    $0 + $74,023 related
    Other
    $0 + $21,992 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $28,468 related
    Filer's total
    $0 + $483,266 related

  • Thomas Maginot MD

    Vice Chairperson

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Alan Kumar MD

    Director

    Total calculated
    $843,539
    From this org
    $0
    From related orgs
    $815,078
    Other
    $28,461
    Hours/week
    1 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $609,555 related
    Bonus
    $0 + $193,213 related
    Other
    $0 + $12,310 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $14,736 related
    Filer's total
    $0 + $843,539 related

  • Binh Nguyen MD

    Director

    Total calculated
    $630
    From this org
    $0
    From related orgs
    $630
    Other
    $0
    Hours/week
    1 + 1 related

  • Christian Badillo MD

    Director

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Donald P Fesko

    Director

    Total calculated
    $1,788,381
    From this org
    $0
    From related orgs
    $1,730,872
    Other
    $57,509
    Hours/week
    1 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $991,881 related
    Bonus
    $0 + $520,782 related
    Other
    $0 + $218,209 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $43,784 related
    Filer's total
    $0 + $1,788,381 related

  • Janice Ryba

    Director

    Total calculated
    $784,580
    From this org
    $0
    From related orgs
    $752,036
    Other
    $32,544
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $440,478 related
    Bonus
    $0 + $216,895 related
    Other
    $0 + $94,663 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $18,819 related
    Filer's total
    $0 + $784,580 related

  • John Hoehn DO

    Director

    Total calculated
    $556,302
    From this org
    $0
    From related orgs
    $513,346
    Other
    $42,956
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $368,379 related
    Bonus
    $0 + $140,776 related
    Other
    $0 + $4,191 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $29,231 related
    Filer's total
    $0 + $556,302 related

  • Lambert-Ian Santos

    Director

    Total calculated
    $750
    From this org
    $0
    From related orgs
    $750
    Other
    $0
    Hours/week
    1 + 1 related

  • Leo Correa

    Director

    Total calculated
    $624,443
    From this org
    $0
    From related orgs
    $568,985
    Other
    $55,458
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $402,058 related
    Bonus
    $0 + $152,985 related
    Other
    $0 + $13,942 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $41,733 related
    Filer's total
    $0 + $624,443 related

  • Luis Molina

    Director (TERM 7/8/2022)

    Total calculated
    $696,370
    From this org
    $0
    From related orgs
    $654,878
    Other
    $41,492
    Hours/week
    1 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $453,524 related
    Bonus
    $0 + $147,879 related
    Other
    $0 + $53,475 related
    Deferred
    $0 + $13,645 related
    Nontaxable benefits
    $0 + $27,847 related
    Filer's total
    $0 + $696,370 related

  • Randy Neiswonger

    Director

    Total calculated
    $293,798
    From this org
    $0
    From related orgs
    $279,319
    Other
    $14,479
    Hours/week
    1 + 43 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,084 related
    Bonus
    $0
    Other
    $0 + $27,235 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $14,479 related
    Filer's total
    $0 + $293,798 related

  • Richard Jones DDS

    Director (TERM 12/31/2022)

    Total calculated
    $0
    Hours/week
    1

  • Sister Mary Ellen Goeller

    Director

    Total calculated
    $10,968
    From this org
    $0
    From related orgs
    $10,968
    Other
    $0
    Hours/week
    1

  • Thomas Golubski MD

    Director

    Total calculated
    $2,100
    From this org
    $0
    From related orgs
    $2,100
    Other
    $0
    Hours/week
    1 + 2 related

  • Wassim Shwaiki MD

    Director

    Total calculated
    $34,256
    From this org
    $0
    From related orgs
    $34,256
    Other
    $0
    Hours/week
    1 + 2 related

  • Kevin Mybeck

    Executive Director

    Total calculated
    $451,372
    From this org
    $0
    From related orgs
    $407,285
    Other
    $44,087
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $325,505 related
    Bonus
    $0 + $69,998 related
    Other
    $0 + $11,782 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $30,362 related
    Filer's total
    $0 + $451,372 related

  • Gene L Chang MD

    FORMER OFFICER

    Total calculated
    $112,300
    From this org
    $0
    From related orgs
    $112,300
    Other
    $0
    Hours/week
    0 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $112,300 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $112,300 related

  • Jon Misch MD

    Director

    Total calculated
    $403,108
    From this org
    $0
    From related orgs
    $362,797
    Other
    $40,311
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $332,968 related
    Bonus
    $0 + $5,765 related
    Other
    $0 + $24,064 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $26,586 related
    Filer's total
    $0 + $403,108 related

  • Sharon Harig MD

    Chairperson

    Total calculated
    $227,731
    From this org
    $0
    From related orgs
    $227,731
    Other
    $0
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $227,731 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $227,731 related

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

None.

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

The filer's explanations (Part III)

Schedule J, Part I, Line 3 COMPENSATION OF ORG.
COMMUNITY HEALTHCARE PARTNERS, ACO FOLLOWS ITS PARENT, (CFNI), COMPENSATION POLICIES. THE CFNI BOARD HAS ADOPTED EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS.

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 corporations and trusts

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

  • COMMUNITY RESOURCES INC

    C Corporation · MGMT SERVICES · IN · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by CFNI

  • COMMUNITY HEALTHCARE PARTNERS LLC

    C Corporation · CLINICAL INTG · IN · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by CFNI

  • COMMUNITY MEDICAL & PROFESSIONAL CENTER

    C Corporation · CONDO ASSOC · IN · 0% owned · share of income $0 · share of assets $0 · controlled entity

    Directly controlled by CFNI

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202411359349312286

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