Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $477,625

• 1f · All other contributions, gifts and grants

  $2,030,926

• 2a · Program service revenue: NET PATIENT REVENUE

  total $659,541,471 · related or exempt $659,541,471

• 2b · Program service revenue: 340B PHARMACY SETTLEMENT

  total $12,225,929 · related or exempt $12,225,929

• 3 · Investment income

  total $8,215,488 · excluded $8,215,488

• 6a · Gross rents

  real property $6,161,689

• 6b · Less rental expenses

  real property $2,258,800

• 6c · Rental income or loss

  real property $3,902,889

• 6d · Net rental income or loss

  total $3,902,889 · excluded $3,902,889

• 7a · Gross sales of assets other than inventory

  securities $21,876

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

  securities $35,598

• 7c · Gain or loss

  securities -$13,722

• 7d · Net gain or loss

  total -$13,722 · excluded -$13,722

• 11a · Other revenue: LEASED EMPLOYEE REVENUE

  total $2,353,583 · excluded $2,353,583

• 11b · Other revenue: CAFETERIA REVENUE

  total $1,962,115 · excluded $1,962,115

• 11c · Other revenue: CHILD DEVELOPMENT REVENUE

  total $960,860 · excluded $960,860

• 11d · All other revenue

  total $8,127,181 · related or exempt $870,461 · excluded $7,256,720

• 11e · Other revenue, total

  $13,403,739

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $738,335 · program services $738,335

• 5 · Compensation of officers, directors and key employees

  total $6,946,605 · program services $5,882,049 · management and general $1,064,556

• 7 · Other salaries and wages

  total $151,107,859 · program services $127,950,831 · management and general $23,157,028

• 8 · Pension plan contributions

  total $5,439,390 · program services $4,605,813 · management and general $833,577

• 9 · Other employee benefits

  total $18,444,661 · program services $15,618,047 · management and general $2,826,614

• 10 · Payroll taxes

  total $10,830,120 · program services $9,170,422 · management and general $1,659,698

• 11a · Fees: management

  total $38,993,802 · program services $33,018,067 · management and general $5,975,735

• 11b · Fees: legal

  total $1,108,435 · program services $938,569 · management and general $169,866

• 11c · Fees: accounting

  total $461,835 · program services $391,060 · management and general $70,775

• 11g · Fees: other

  total $116,680,877 · program services $98,799,727 · management and general $17,881,150

• 12 · Advertising and promotion

  total $423,949 · program services $358,980 · management and general $64,969

• 13 · Office expenses

  total $9,309,634 · program services $7,104,422 · management and general $2,205,212

• 16 · Occupancy

  total $16,204,859 · program services $13,721,492 · management and general $2,483,367

• 17 · Travel

  total $465,536 · program services $394,193 · management and general $71,343

• 19 · Conferences, conventions and meetings

  total $43,830 · program services $37,113 · management and general $6,717

• 20 · Interest

  total $10,323,225 · program services $8,741,208 · management and general $1,582,017

• 22 · Depreciation, depletion and amortization

  total $26,920,542 · program services $22,795,013 · management and general $4,125,529

• 23 · Insurance

  total $3,345,740 · program services $2,833,011 · management and general $512,729

• 24a · Other expenses: MEDICAL SUPPLIES

  total $142,267,844 · program services $142,267,844

• 24b · Other expenses: HAF FEE

  total $41,052,188 · program services $41,052,188

• 24c · Other expenses: SOFTWARE FEES

  total $11,152,199 · program services $9,443,143 · management and general $1,709,056

• 24d · Other expenses: LICENSES, DUES & SUBSCR

  total $1,321,847 · program services $1,119,276 · management and general $202,571

• 24e · All other expenses

  total $1,948,440 · program services $1,729,884 · management and general $218,556

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $50,053,658 · end of year $66,394,247

• 4 · Accounts receivable

  beginning of year $99,468,958 · end of year $96,706,672

• 7 · Other notes and loans receivable

  beginning of year $24,972 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $8,459,432 · end of year $10,855,001

• 9 · Prepaid expenses and deferred charges

  beginning of year $15,828,023 · end of year $18,778,864

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

  $701,640,561

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

  $431,575,823

• 10c · Land, buildings and equipment, net

  beginning of year $277,074,955 · end of year $270,064,738

• 11 · Investments: publicly traded securities

  beginning of year $241,685,829 · end of year $277,697,244

• 15 · Other assets

  beginning of year $6,426,432 · end of year $7,965,458

• 17 · Accounts payable and accrued expenses

  beginning of year $63,295,113 · end of year $64,438,756

• 20 · Tax-exempt bond liabilities

  beginning of year $259,508,701

• 23 · Secured mortgages and notes payable

  beginning of year $21,308,290 · end of year $271,390,587

• 25 · Other liabilities

  beginning of year $16,482,782 · end of year $21,775,815

• 27 · Net assets without donor restrictions

  beginning of year $329,266,262 · end of year $381,698,503

• 28 · Net assets with donor restrictions

  beginning of year $9,161,111 · end of year $9,158,563

The filer's explanations (Part III)

PART I, LINE 7

THE ORGANIZATION PROVIDES NON-FIXED PAYMENTS TO SEVERAL INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. THESE NON-FIXED PAYMENTS ARE BASED ON THE ORGANIZATION'S ABILITY TO PAY AND ARE NOT CONSTRUED AS A CONTRACT BETWEEN UNION AND ITS EXECUTIVES. THE EXECUTIVE BONUS PLAN IS A MIXTURE OF OBJECTIVES, STANDARDS AND SUBJECTIVE STANDARDS THAT BOTH THE POLICY AND THE IMPLEMENTATION OF THE POLICY BY THE PERSONNEL COMMITTEE AND THE BOARD OF DIRECTORS APPROVES AND AWARDS DEPENDING ON UNION'S ABILITY TO PAY. THERE IS NO AUTOMATIC RIGHT TO A BONUS OR A SPECIFIC BONUS AMOUNT EVEN IF ALL CRITERIA ARE MET. THE PERFORMANCE MEASURE PLAN IS LINKED TO THE UNION STRATEGIC AND FISCAL-YEAR BUSINESS PLANNING PROCESS. THE PLAN IS INTENDED TO FOCUS PARTICIPANTS' ATTENTION ON MISSION-CRITICAL GOALS AND KEY STRATEGIC PRIORITIES. THE PLAN IS ALSO INTENDED TO ENHANCE THE PERFORMANCE OF UNION EXECUTIVES AND THE ORGANIZATION. PRIOR TO THE START OF THE FISCAL YEAR AND AS PART OF THE BUSINESS PLANNING PROCESS, THE UNION PRESIDENT AND CEO WILL FINALIZE A LIST OF GOALS, WEIGHTS AND MEASURES TO BE USED TO ASSESS PERFORMANCE DURING THE FISCAL YEAR. THE LIST IS PRESENTED TO AND DISCUSSED WITH THE COMMITTEE. THE COMMITTEE REVIEWS AND APPROVES THE BONUS PLAN GOALS, WEIGHTS, AND MEASURES. ORGANIZATION GOALS WILL BE ASSIGNED TO EACH PARTICIPANT HOSPITAL-WIDE. IN ADDITION TO HOSPITAL-WIDE GOALS INDIVIDUAL AND/OR FUNCTIONAL/DEPARTMENT GOALS MAY OR MAY NOT BE INCLUDED. AFTER THE CONCLUSION OF EACH FISCAL YEAR, THE PRESIDENT AND CEO WILL PREPARE AN ANNUAL BONUS PLAN REPORT FOR THE COMMITTEE. THE REPORT CONTAINS: AN APPRAISAL OF UNION AND HOSPITAL/OPERATING UNIT PERFORMANCE DURING THE RECENTLY-COMPLETED FISCAL YEAR; AND THE PRESIDENT AND CEO'S RECOMMENDED PAYOUT FOR EACH PLAN PARTICIPANT. THE BONUS RECOMMENDATIONS FOR ALL SR. MANAGEMENT ARE RECEIVED AND REVIEWED FIRST BY THE PERSONNEL COMMITTEE WHO THEN MAKE DECISIONS AND SUBMITS TO THE BOARD TO VOTE. THE COMMITTEE WILL DETERMINE AND SUBMIT THE PAYOUT FOR THE PRESIDENT AND CEO TO THE BOARD OF DIRECTORS WHO, ABSENT THE PRESIDENT AND CEO, WILL VOTE ON APPROVAL. AWARD DETERMINATIONS ARE CALCULATED AS PERCENTAGES OF PARTICIPANT'S SALARIES PAID FOR TIME WORKED DURING THE FISCAL YEAR. PAYOUT FOR THE PRESIDENT IS 0% TO 30%; CFO AND COO ARE 0% TO 25%; AND OTHER EXECUTIVES ARE 0% TO 20%. THE EXECUTIVE BONUS PLAN PAYOUTS ARE TO BE PAID WHEN DETERMINED BY THE PERSONNEL COMMITTEE, SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• UNION HOSPITAL THERAPY LLC

  INVESTMENT · REHABILITATION AND THERAPY SERVICES · IN · 51.96% owned · share of income $995,037 · share of assets $896,534

  Directly controlled by UNION HOSPITAL INC

• ONCOLOGY SERVICES GROUP LLC

  MEDICAL SERVICES · IN