Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: NET OUTPATIENT

  total $17,648,042 · related or exempt $17,648,042

• 2b · Program service revenue: INPATIENT

  total $9,444,883 · related or exempt $9,444,883

• 2c · Program service revenue: PHYSICIAN SERVICES

  total $1,849,634 · related or exempt $1,849,634

• 2d · Program service revenue: ALL OTHER

  total $58,179 · related or exempt $58,179

• 6a · Gross rents

  real property $176,189

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $176,189

• 6d · Net rental income or loss

  total $176,189 · excluded $176,189

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $346,976 · program services $308,809 · management and general $38,167

• 7 · Other salaries and wages

  total $7,167,644 · program services $6,379,202 · management and general $788,442

• 8 · Pension plan contributions

  total $127,260 · program services $113,261 · management and general $13,999

• 9 · Other employee benefits

  total $1,524,183 · program services $1,356,523 · management and general $167,660

• 10 · Payroll taxes

  total $597,575 · program services $531,842 · management and general $65,733

• 11g · Fees: other

  total $5,549,204 · program services $3,828,951 · management and general $1,720,253

• 12 · Advertising and promotion

  total $11,632 · program services $10,352 · management and general $1,280

• 13 · Office expenses

  total $1,990,761 · program services $1,771,777 · management and general $218,984

• 14 · Information technology

  total $131,352 · program services $120,844 · management and general $10,508

• 16 · Occupancy

  total $657,240 · program services $584,943 · management and general $72,297

• 17 · Travel

  total $13,843 · program services $12,321 · management and general $1,522

• 19 · Conferences, conventions and meetings

  total $14,514 · program services $12,990 · management and general $1,524

• 20 · Interest

  total $254,171 · program services $226,212 · management and general $27,959

• 22 · Depreciation, depletion and amortization

  total $1,344,664 · program services $1,196,751 · management and general $147,913

• 23 · Insurance

  total $148,095 · program services $131,805 · management and general $16,290

• 24a · Other expenses: OH ALLOCATION

  total $2,341,711 · program services $2,084,123 · management and general $257,588

• 24b · Other expenses: TAX EXPENSE

  total $436,126 · program services $388,152 · management and general $47,974

• 24c · Other expenses: REPAIRS AND MAINTENANCE

  total $193,195 · program services $171,860 · management and general $21,335

• 24d · Other expenses: BANK CHARGES

  total $29,489 · program services $26,246 · management and general $3,243

• 24e · All other expenses

  total $15,432 · program services $13,924 · management and general $1,508

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $11,193,647 · end of year $23,389,820

• 4 · Accounts receivable

  beginning of year $2,075,406 · end of year $2,551,256

• 8 · Inventories for sale or use

  beginning of year $481,072 · end of year $360,550

• 9 · Prepaid expenses and deferred charges

  beginning of year $89,012 · end of year $70,149

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

  $12,224,746

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

  $4,462,216

• 10c · Land, buildings and equipment, net

  beginning of year $7,998,525 · end of year $7,762,530

• 15 · Other assets

  beginning of year $5,444,553 · end of year $152,745

• 17 · Accounts payable and accrued expenses

  beginning of year $2,422,659 · end of year $6,028,444

• 23 · Secured mortgages and notes payable

  beginning of year $5,595,149 · end of year $5,399,634

• 25 · Other liabilities

  beginning of year $9,970,943 · end of year $7,283,648

• 27 · Net assets without donor restrictions

  beginning of year $9,293,464 · end of year $15,575,324

The filer's explanations (Part III)

PART I, LINE 4B

SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: SEVERANCE NONQUALIFIED EQUITY-BASED WILLIAM ALLEN WHITE, MD $ -0- $15,209 $ -0- MARC FLORENCE $ -0- $ 20,500 $ -0- PART 1, LINE 4B: WILLIAM WHITE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $21,523. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $21,523. MARC FLORENCE: SUPPLEMENTAL ACCUMULATION ACCOUNT CONTRIBUTIONS OF $77,614. SUPPLEMENTAL ACCUMULATION ACCOUNT PAYOUT OF $72,580.

PART I, LINE 7

PHYSICIANS ARE ELIGIBLE FOR INCENTIVE COMPENSATION. THE PHYSICIAN IS COMPENSATED FOR EACH WORK RVU PERFORMED BY A PHYSICIAN IN A CALENDAR YEAR IN EXCESS OF THE PHYSICIAN'S WORK RVU INCENTIVE THRESHOLD FOR THE CALENDAR YEAR MULTIPLIED BY THE INCENTIVE RVU PAYMENT.

Related partnerships

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

• DEACONESS HEALTH PLANS LLC

  PREFERRED PROVIDER NETWORK · IN

• ENCOMPASS HEALTH DEACONESS REHABILIATION

  OUTPATIENT · AL

• MAINSPRING MANAGERS LLC

  NEUROLOGY SERVICES · IN

• ORTHOALIGN LLC

  HEALTHCARE · IN

• PROGRESSIVE HEALTH OF IN LLC

  OUTPATIENT · IN

• TRI - STATE HEALTHCARE CONSULTING LLC

  HEALTHCARE · IN

• TRI-STATE RADIATION ONCOLOGY

  OUTPATIENT · DE

• VASCMED LLC

  VASCULAR SERVICES · IN

• BURKHARDT CANCER CENTER

  HEALTHCARE · IN

• BOSTON IVF FERTILITY SERVICES AT THE WOMEN'S HOSPITAL

  HEALTHCARE · IN

• INNOVATIVE HEALTHCARE COLLABORATIVE OF INDIANA LLC

  HEALTHCARE · IN

Related corporations and trusts

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

• TRI-STATE MEDICAL MANAGEMENT INC

  C · PHYSICIAN MANAGEMENT · IN