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 MillsBRYAN 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 FahrlanderJASON 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 FisherKYLE 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 LedyardROBIN 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 RNELIZABETH 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 MDANNETTE 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 MDDAVID 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 MsANITA 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 MDCHARLES 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 NuetzmannCORY 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 ShivelyTHERESA 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 LemonSANDRA 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 BakerLORI 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 KahariSIBUSISIWE 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 GoddardNICHOLE 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 AlettoGARY S ALETTO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Jason E BeckerJASON E BECKER
TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Kathryn G BetleyKATHRYN G BETLEY
DIRECTOR THROUGH MAY 2022
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Rodney D CottonRODNEY D COTTON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Bruce F KingBRUCE F KING
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Maggie A LewisMAGGIE A LEWIS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Michael PetersonMICHAEL PETERSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Steven PlumpSTEVEN PLUMP
DIRECTOR THROUGH MARCH 2022
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Rafael A SanchezRAFAEL A SANCHEZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Yvonnee ShaheenYVONNEE SHAHEEN
SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Kristen T ShermanKRISTEN T SHERMAN
CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Charles Scott Vore MDCHARLES SCOTT VORE MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Marina WatersMARINA WATERS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Brian K WilliamsBRIAN 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.
-
501(C)(3) · HOSPITAL · IN
-
COMMUNITY HEALTH NETWORK FOUNDATION
501(C)(3) · SUPPORT · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMMUNITY HOME HEALTH SERVICES INC
501(C)(3) · HEALTH CARE · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMM HOSP OF ANDERSON & MADISON CTY
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMMUNITY HOSP ANDERSON FDN INC
501(C)(3) · SUPPORT · IN · controlled entity
Directly controlled by COMM HOSP OF ANDERSON & MADISON CTY
-
COMMUNITY HOWARD REGIONAL HEALTH
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMM HOWARD REGIONAL HEALTH FDN
501(C)(3) · SUPPORT · IN
-
COMMUNITY PHYSICIANS OF IN INC
501(C)(3) · PHYSICIAN SERVICES · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
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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