Form 990 for tax year 2022
Filed by CENTRAL INDIANA HEALTH ASSOCIATIONINC.
Totals
- Total revenue
- $1,675,066
- Total expenses
- $738,781
- Contributions and grants received
- $0
- Grants paid
- $511,278
- Program service revenue
- $64,123
- Investment income
- $1,512,005
- Other revenue
- $98,938
- Total assets, end of year
- $82,165,859
- Total liabilities, end of year
- $2,062,218
- Net assets or fund balances, end of year
- $80,103,641
- Program services expenses (Part IX)
- $655,036
- Management and general expenses
- $83,745
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $655,036
Program services were 88.7% 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: PROGRAM REVENUE
total $64,123 · related or exempt $64,123
-
3 · Investment income
total $1,463,039 · excluded $1,463,039
-
6a · Gross rents
real property $131,208
-
6b · Less rental expenses
real property $32,270
-
6c · Rental income or loss
real property $98,938
-
6d · Net rental income or loss
total $98,938 · excluded $98,938
-
7a · Gross sales of assets other than inventory
securities $2,315,659
-
7b · Less cost or other basis and sales expenses
securities $2,266,693
-
7c · Gain or loss
securities $48,966
-
7d · Net gain or loss
total $48,966 · excluded $48,966
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $511,278 · program services $511,278
-
9 · Other employee benefits
total $34,657 · program services $34,657
-
11b · Fees: legal
total $62,978 · management and general $62,978
-
11g · Fees: other
total $86 · program services $86
-
13 · Office expenses
total $18,821 · management and general $18,821
-
17 · Travel
total $1,946 · management and general $1,946
-
19 · Conferences, conventions and meetings
total $14,777 · program services $14,777
-
22 · Depreciation, depletion and amortization
total $16,095 · program services $16,095
-
24a · Other expenses: LICENSE FEES
total $10,215 · program services $10,215
-
24b · Other expenses: MEALS
total $7,252 · program services $7,252
-
24c · Other expenses: DUES & SUBSCRIPTIONS
total $3,698 · program services $3,698
-
24d · Other expenses: RECRUITING SERVICES
total $622 · program services $622
-
24e · All other expenses
total $56,356 · program services $56,356
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $10,658,536 · end of year $2,260,044
-
4 · Accounts receivable
beginning of year $26,549 · end of year $14,149
-
10a · Land, buildings and equipment: cost or other basis
$20,774,600
-
10b · Land, buildings and equipment: accumulated depreciation
$1,196,382
-
10c · Land, buildings and equipment, net
beginning of year $11,394,647 · end of year $19,578,218
-
11 · Investments: publicly traded securities
beginning of year $68,367,209 · end of year $60,311,732
-
15 · Other assets
beginning of year $152,414 · end of year $1,716
-
17 · Accounts payable and accrued expenses
beginning of year $204,125 · end of year $168,389
-
18 · Grants payable
beginning of year $2,362,667 · end of year $1,884,000
-
25 · Other liabilities
beginning of year $316,545 · end of year $9,829
-
27 · Net assets without donor restrictions
beginning of year $87,716,018 · end of year $80,103,641
Mission and programs · 2022
Mission
TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF AND CARRYING OUT THE PURPOSES OF WITHAM MEMORIAL HOSPITAL.
-
PROVIDE HEALTH CARE SERVICES, INCLUDING MANAGEMENT AND CONSULTING SERVICES, BELOW ACTUAL FAIR MARKET VALUE TO SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS INCLUDING WITHAM HOSPITAL FURTHERING THE PURPOSES AND GOALS OF THE ORGANIZATIONS, IN PROVIDING HEALTH CARE AND HEALTH EDUCATION.ADMINISTERING, MANAGING, DIRECTING, AND CONSULTING REGARDING HOSPITAL, MEDICAL AND HEALTH CARE SERVICES, HEALTH CARE PRODUCTS, EQUIPMENT, PERSONNEL, FACILITIES AND FINANCES.
Expenses $655,036 · Grants $511,278 · Revenue $64,123
-
PROMOTING AND ENCOURAGE AN INFORMED UNDERSTANDING AND UTILIZATION OF HOSPITAL, MEDICAL AND HEALTH CARE SERVICES, PRODUCTS, EQUIPMENT, PERSONNEL, FACILITIES AND FINANCES.
-
PROVIDING PROFESSIONAL, PRACTICAL, CONTINUING AND OTHER EDUCATIONAL PROGRAMS AND SERVICES FOR PERSONS SERVING IN THE HEALTH CARE FIELD AND TO INFORM THE PUBLIC REGARDING HEALTH CARE ISSUES.
As filed on the 2022 return.
Listed in Part VII
-
Jack JonesJACK JONES
CHAIRMAN
- Total calculated
- $6,000
- From this org
- $0
- From related orgs
- $6,000
- Other
- $0
- Hours/week
- 2 + 4 related
-
Margaret McFryeMARGARET MCFRYE
VICE CHAIRMAN
- Total calculated
- $6,000
- From this org
- $0
- From related orgs
- $6,000
- Other
- $0
- Hours/week
- 2 + 2 related
-
Nancy MortonNANCY MORTON
SECRETARY
- Total calculated
- $6,000
- From this org
- $0
- From related orgs
- $6,000
- Other
- $0
- Hours/week
- 2 + 2 related
-
Beverly NewhartBEVERLY NEWHART
TREASURER
- Total calculated
- $6,250
- From this org
- $0
- From related orgs
- $6,250
- Other
- $0
- Hours/week
- 2 + 2 related
-
Rev C Archibald HawkinsREV C ARCHIBALD HAWKINS
MEMBER
- Total calculated
- $6,000
- From this org
- $0
- From related orgs
- $6,000
- Other
- $0
- Hours/week
- 2 + 4 related
-
John BrandJOHN BRAND
MEMBER
- Total calculated
- $6,000
- From this org
- $0
- From related orgs
- $6,000
- Other
- $0
- Hours/week
- 2 + 2 related
-
Kelly BravermanKELLY BRAVERMAN
PRESIDENT
- Total calculated
- $541,310
- From this org
- $0
- From related orgs
- $540,900
- Other
- $410
- Hours/week
- 2 + 42 related
Schedule J breakdown matched by us
- Base
- $0 + $520,000 related
- Bonus
- $0
- Other
- $0 + $20,900 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $410 related
- Filer's total
- $0 + $541,310 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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- SCH J, PART I AND II, RELATED PARTY COMPENSATION:
- ALL COMPENSATION REPORTED ON SCHEDULE J WAS PAID BY RELATED ORGANIZATION, WITHAM HEALTH SERVICES, INC. ALL POLICIES RELATING TO THE COMPENSATION FOR INDIVIDUALS LISTED ON SCHEDULE J ARE POLICIES OF THE RELATED ORGANIZATION AND NOT CENTRAL INDIANA HEALTH ASSOCIATION, THE FILING ORGANIZATION. LINE 1A: THE FILING ORGANIZATION DID NOT PROVIDE ANY ITEMS LISTED. LINE 1B AND 2: NOT APPLICABLE. LINE 3: THE ORGANIZATION'S METHOD FOR ESTABLISHING COMPENSATION IS DETERMINED BY APPROVAL FROM THE BOARD OF DIRECTORS, WHICH IS COMPLETED BY THE RELATED ORGANIZATION, WITHAM HEALTH SERVICES. PART II, LINE (1), COLUMN (B) AND (D): THE COMPENSATION REPORTED DURING THE CURRENT YEAR DOES NOT RELATE TO SERVING AS A BOARD MEMBER FOR CENTRAL INDIANA HEALTH ASSOCIATION, INC.
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
-
WESTERN BOONE COMMUNITY SCHOOLS
$100,000
SPONSORSHIP
-
TRADERS POINT CHRISTIAN HIGH SCHOOL
$100,000
SPONSORSHIP
-
LEBANON COMMUNITY SCHOOL
$100,000
SPONSORSHIP
-
$100,000
SPONSORSHIP
-
$25,000
SPONSORSHIP
-
SPONSORSHIP
-
FRANKFORT COMMUNITY SCHOOL
$15,000
SPONSORSHIP
-
LITTLE LEAGUE BASEBALL INC
$10,000
SPONSORSHIP
-
$10,000
SPONSORSHIP
-
SPONSORSHIP
The 10 largest by cash amount. The API serves every itemized grant.
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
-
WITHAM HEALTH SERVICES FOUNDATION INC
501(C)(3) · FUNDRAISING · IN
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343179349302839
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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