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Nonprofiteer
← COMMUNITY HOSPITALS OF INDIANA INC

Form 990 for tax year 2022

Filed by COMMUNITY HOSPITALS OF INDIANA INC.

Totals

Total revenue
$311,163,081
Total expenses
$261,144,777
Contributions and grants received
$1,381,011
Grants paid
$0
Program service revenue
$305,422,125
Investment income
$2,821,967
Other revenue
$1,537,978
Total assets, end of year
$819,958,924
Total liabilities, end of year
$7,723,974
Net assets or fund balances, end of year
$812,234,950
Program services expenses (Part IX)
$187,725,800
Management and general expenses
$73,418,977
Fundraising expenses
$0
Program service expenses (Part III)
$187,725,800

Program services were 71.9% 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

    $125

  • 1e · Government grants (contributions)

    $1,380,886

  • 2a · Program service revenue: PATIENT REVENUE

    total $304,210,111 · related or exempt $304,210,111

  • 2b · Program service revenue: RENT

    total $747,893 · related or exempt $747,893

  • 2c · Program service revenue: RADIOLOGY

    total $373,079 · related or exempt $373,079

  • 2d · Program service revenue: MEDICAL STAFF ACCOUNTING SERVICES

    total $91,042 · related or exempt $91,042

  • 7a · Gross sales of assets other than inventory

    other assets $2,899,570

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

    other assets $77,603

  • 7c · Gain or loss

    other assets $2,821,967

  • 7d · Net gain or loss

    total $2,821,967 · excluded $2,821,967

  • 11a · Other revenue: CAFETERIA

    total $1,246,265 · excluded $1,246,265

  • 11b · Other revenue: LEASED EMPLOYEES

    total $69,215 · related or exempt $69,215

  • 11c · Other revenue: UNRELATED BUSINESS INC TAX REFUND

    total $47,277 · excluded $47,277

  • 11d · All other revenue

    total $175,221 · related or exempt $175,221

  • 11e · Other revenue, total

    $1,537,978

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $404,671 · management and general $404,671

  • 7 · Other salaries and wages

    total $87,241,389 · program services $77,661,347 · management and general $9,580,042

  • 8 · Pension plan contributions

    total $3,058,227 · program services $2,734,981 · management and general $323,246

  • 9 · Other employee benefits

    total $10,008,110 · program services $8,867,978 · management and general $1,140,132

  • 10 · Payroll taxes

    total $5,794,685 · program services $5,089,095 · management and general $705,590

  • 11g · Fees: other

    total $70,839,948 · program services $19,516,131 · management and general $51,323,817

  • 12 · Advertising and promotion

    total $3,667 · program services $1,023 · management and general $2,644

  • 13 · Office expenses

    total $5,148,096 · program services $2,083,127 · management and general $3,064,969

  • 14 · Information technology

    total $381,683 · program services $146,778 · management and general $234,905

  • 16 · Occupancy

    total $5,885,750 · program services $5,215,240 · management and general $670,510

  • 17 · Travel

    total $41,887 · program services $34,834 · management and general $7,053

  • 19 · Conferences, conventions and meetings

    total $778 · program services $778

  • 20 · Interest

    total $5,450,551 · program services $3,296,918 · management and general $2,153,633

  • 22 · Depreciation, depletion and amortization

    total $10,787,114 · program services $7,229,669 · management and general $3,557,445

  • 23 · Insurance

    total $14,630 · program services $14,530 · management and general $100

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $39,204,644 · program services $39,204,644

  • 24b · Other expenses: HAF PROGRAM FEES

    total $16,616,718 · program services $16,616,718

  • 24c · Other expenses: CORPORATE SPONSORSHIP

    total $149,500 · program services $1,544 · management and general $147,956

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $79,376 · program services $10,120 · management and general $69,256

  • 24e · All other expenses

    total $33,353 · program services $345 · management and general $33,008

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,849 · end of year $5,849

  • 4 · Accounts receivable

    beginning of year $42,113,419 · end of year $42,689,851

  • 8 · Inventories for sale or use

    beginning of year $4,309,154 · end of year $4,780,016

  • 9 · Prepaid expenses and deferred charges

    beginning of year $11,828 · end of year $11,828

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

    $295,859,554

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

    $164,865,138

  • 10c · Land, buildings and equipment, net

    beginning of year $129,730,089 · end of year $130,994,416

  • 15 · Other assets

    beginning of year $603,086,658 · end of year $641,476,964

  • 17 · Accounts payable and accrued expenses

    beginning of year $416,146 · end of year $542,183

  • 19 · Deferred revenue

    beginning of year $1,380,887 · end of year $0

  • 25 · Other liabilities

    beginning of year $23,215,260 · end of year $7,181,791

  • 27 · Net assets without donor restrictions

    beginning of year $754,244,704 · end of year $812,234,950

Mission and programs · 2022

Mission

COMMUNITY HOSPITAL SOUTH, INC. ("CHS") IS A 501(C)(3) CORPORATION SERVING THE HEALTH-RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHS OPERATES A GENERAL ACUTE CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.

  • COMMUNITY HOSPITAL SOUTH ("CHS") IS AN ACUTE CARE HOSPITAL IN INDIANAPOLIS, INDIANA WITH 166 STAFFED BEDS. IN 2022, CHS SERVED 9,796 INPATIENTS FOR A TOTAL OF 38,852 INPATIENT DAYS OF SERVICE. CHS PROVIDED 154,701 OUTPATIENT VISITS, WHICH INCLUDED 55,705 EMERGENCY VISITS. CHS OFFERS MANY PATIENT-FOCUSED HEALTHCARE SERVICES INCLUDING WOMEN'S AND CHILDREN'S SERVICES, PEDIATRICS, ONCOLOGY, NEUROSCIENCES, ORTHOPEDICS, JOINT REPLACEMENT, BREAST CARE SERVICES, SURGERY SERVICES, AND EMERGENCY SERVICES.

    Expenses $187,725,800 · Revenue $305,666,561

  • N/A

  • N/A

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

Listed in Part VII

  • Bryan A Mills

    DIRECTOR

    Total calculated
    $2,533,482
    From this org
    $0
    From related orgs
    $2,112,016
    Other
    $421,466
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,357,500 related
    Bonus
    $0 + $731,897 related
    Other
    $0 + $22,619 related
    Deferred
    $0 + $393,904 related
    Nontaxable benefits
    $0 + $27,562 related
    Filer's total
    $0 + $2,533,482 related
  • Jason Fahrlander

    EVP COO

    Total calculated
    $1,249,262
    From this org
    $0
    From related orgs
    $1,075,656
    Other
    $173,606
    Hours/week
    5 + 50 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
  • Kyle Fisher

    EVP CFO

    Total calculated
    $1,114,490
    From this org
    $0
    From related orgs
    $958,824
    Other
    $155,666
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $666,072 related
    Bonus
    $0 + $284,633 related
    Other
    $0 + $8,119 related
    Deferred
    $0 + $121,946 related
    Nontaxable benefits
    $0 + $33,720 related
    Filer's total
    $0 + $1,114,490 related
  • Robin Ledyard

    SVP CHIEF MEDICAL OFFICER

    Total calculated
    $697,245
    From this org
    $0
    From related orgs
    $648,036
    Other
    $49,209
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $497,686 related
    Bonus
    $0 + $127,731 related
    Other
    $0 + $22,619 related
    Deferred
    $0 + $38,850 related
    Nontaxable benefits
    $0 + $10,359 related
    Filer's total
    $0 + $697,245 related
  • Elizabeth S Tharp MBA Bsn RN

    SVP HOSPITAL ACUTE CARE SERVICES

    Total calculated
    $681,192
    From this org
    $0
    From related orgs
    $622,940
    Other
    $58,252
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $495,674 related
    Bonus
    $0 + $105,578 related
    Other
    $0 + $21,688 related
    Deferred
    $0 + $37,552 related
    Nontaxable benefits
    $0 + $20,700 related
    Filer's total
    $0 + $681,192 related
  • Annette Moore MD

    DIRECTOR

    Total calculated
    $628,197
    From this org
    $0
    From related orgs
    $609,897
    Other
    $18,300
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $562,262 related
    Bonus
    $0
    Other
    $0 + $47,635 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $628,197 related
  • David Kiley MD

    SVP INDY REGION PRES THRU 03/2022

    Total calculated
    $494,006
    From this org
    $0
    From related orgs
    $444,144
    Other
    $49,862
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,732 related
    Bonus
    $0 + $122,312 related
    Other
    $0 + $21,100 related
    Deferred
    $0 + $27,210 related
    Nontaxable benefits
    $0 + $22,652 related
    Filer's total
    $0 + $494,006 related
  • Anita Capps RN Bsn Ms

    VP CHIEF NURSING EXECUTIVE

    Total calculated
    $404,671
    From this org
    $375,091
    From related orgs
    $0
    Other
    $29,580
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $300,152
    Bonus
    $58,479
    Other
    $16,460
    Deferred
    $18,300
    Nontaxable benefits
    $11,280
    Filer's total
    $404,671
  • Charles M Platz MD

    DIRECTOR

    Total calculated
    $362,678
    From this org
    $0
    From related orgs
    $324,888
    Other
    $37,790
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $235,061 related
    Bonus
    $0 + $36,607 related
    Other
    $0 + $53,220 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $19,490 related
    Filer's total
    $0 + $362,678 related
  • Cory Nuetzmann

    PATIENT CARE COORDINATOR

    Total calculated
    $262,739
    From this org
    $238,112
    From related orgs
    $0
    Other
    $24,627
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $236,813
    Bonus
    $1,000
    Other
    $299
    Deferred
    $14,481
    Nontaxable benefits
    $10,146
    Filer's total
    $262,739
  • Theresa Shively

    PATIENT CARE COORDINATOR

    Total calculated
    $225,390
    From this org
    $202,174
    From related orgs
    $0
    Other
    $23,216
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $200,725
    Bonus
    $1,000
    Other
    $449
    Deferred
    $12,094
    Nontaxable benefits
    $11,122
    Filer's total
    $225,390
  • Sandra Lemon

    SR CLINICAL PHARMACY SPECIALIST

    Total calculated
    $220,273
    From this org
    $194,412
    From related orgs
    $0
    Other
    $25,861
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $182,103
    Bonus
    $1,000
    Other
    $11,309
    Deferred
    $11,871
    Nontaxable benefits
    $13,990
    Filer's total
    $220,273
  • Lori Baker

    PATIENT CARE COORDINATOR

    Total calculated
    $218,072
    From this org
    $195,650
    From related orgs
    $0
    Other
    $22,422
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $194,210
    Bonus
    $1,000
    Other
    $440
    Deferred
    $11,932
    Nontaxable benefits
    $10,490
    Filer's total
    $218,072
  • Sibusisiwe Kahari

    RN

    Total calculated
    $196,084
    From this org
    $196,084
    From related orgs
    $0
    Other
    $0
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $196,084
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $196,084
  • Nichole Goddard

    FORMER VP OPERATIONS

    Total calculated
    $162,483
    From this org
    $144,487
    From related orgs
    $0
    Other
    $17,996
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $104,149
    Bonus
    $37,903
    Other
    $2,435
    Deferred
    $8,849
    Nontaxable benefits
    $9,147
    Filer's total
    $162,483
  • Gary S Aletto

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Jason E Becker

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Kathryn G Betley

    DIRECTOR THROUGH MAY 2022

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Rodney D Cotton

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Bruce F King

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Maggie A Lewis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Michael Peterson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Steven Plump

    DIRECTOR THROUGH MARCH 2022

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Rafael A Sanchez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Yvonnee Shaheen

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Kristen T Sherman

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Charles Scott Vore MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Marina Waters

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Brian K Williams

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 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

  • 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 COMMUNITY HOSPITAL SOUTH, INC. ("CHS") 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 - NONQUALIFIED SUPPLEMENTAL RETIREMENT PLANS
COMMUNITY HEALTH NETWORK, INC. SECTION 457(F) PLAN COMMUNITY HEALTH NETWORK, INC. ("COMMUNITY") ADOPTED THIS COMMUNITY HEALTH NETWORK, INC. SECTION 457(F) PLAN ("PLAN") AS OF JANUARY 1, 2016 TO PROVIDE A SUPPLEMENTAL INCOME FOR RETIREMENT UPON VESTING IN THE BENEFIT AS DESCRIBED IN THE PLAN DOCUMENT. COMMUNITY HOSPITAL SOUTH, INC. ("CHS") IS INCLUDED IN THE PLAN. THE PLAN IS INTENDED TO BE EXEMPT FROM THE REQUIREMENTS OF CODE SECTION 409A AS A SHORT-TERM DEFERRAL PROGRAM DESCRIBED UNDER TREAS. REG. 1.409A-1(B)(4). 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 DESIGNATED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH NETWORK, INC. CONTRIBUTIONS: ANNUALLY FROM 2021 TO 2025 COMMUNITY WILL CREDIT A CONTRIBUTION TO A PARTICIPANT'S ACCOUNT IN AN AMOUNT EQUAL TO TEN PERCENT OF THEIR BASE COMPENSATION AS DEFINED IN THE PARTICIPANT'S EMPLOYMENT AGREEMENT WITH COMMUNITY. VESTING: SINGLE VESTING METHOD ELECTED BY THE EMPLOYER, IN ITS DISCRETION, FOR EACH PARTICIPANT, WHICH APPLIES TO ALL EMPLOYER CONTRIBUTION CREDITS. UNLESS VESTED OR FORFEITED EARLIER, THE ENTIRE ACCOUNT SHALL VEST ON JANUARY 1, 2026. IN ADDITION, A PARTICIPANT'S ENTIRE ACCOUNT SHALL VEST ON THE PARTICIPANT'S DEATH, AN INVOLUNTARY TEMINATION OF THE PARTICIPANT'S EMPLOYMENT WITHOUT CAUSE (AS REASONABLY DETERMINED BY THE EMPLOYER), THE PARTICIPANT'S DISABILITY (AS DEFINED BY THE SOCIAL SECURITY ADMINISTRATION), OR THE PARTICIPANT'S VOLUNTARY TERMINATION FOR GOOD REASON. FORFEITURE: 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. 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. COMMUNITY HOSPITAL SOUTH, INC. ("CHS") 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 COMMUNITY HOSPITAL SOUTH, 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 · controlled entity

  • PILLARS COMMUNITY HOUSING INC

    C · HOUSING · IN · controlled entity

  • VISIONARY ENTERPRISES INC

    C · MANAGEMENT SERVICES · IN · controlled entity

  • WESTVIEW DELIVERY SYSTEM INC

    C · MANAGEMENT SERVICES · IN · controlled entity

Provenance

Return type
form_990
Tax year
2022
Filed
1 November 2023
IRS schema version
2022v5.0
Source object
202313149349303186

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