Form 990 for tax year 2022
Filed by CENTER FOR OCCUPATIONAL HEALTH WAYNE R HUDSON EXECTIVE VP & CEO.
Totals
- Total revenue
- $1,776,849
- Total expenses
- $1,845,614
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $1,776,849
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $244,075
- Total liabilities, end of year
- $2,267,192
- Net assets or fund balances, end of year
- -$2,023,117
- Program services expenses (Part IX)
- $1,671,359
- Management and general expenses
- $174,255
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $1,671,359
Program services were 90.6% 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: NET PATIENT REVENUE
total $1,776,849 · related or exempt $1,776,849
Functional expenses
Part IX, the statement of functional expenses.
-
11g · Fees: other
total $1,533,920 · program services $1,369,856 · management and general $164,064
-
13 · Office expenses
total $9,991 · program services $8,692 · management and general $1,299
-
16 · Occupancy
total $22,356 · program services $19,450 · management and general $2,906
-
17 · Travel
total $7,981 · program services $1,995 · management and general $5,986
-
22 · Depreciation, depletion and amortization
total $4,103 · program services $4,103
-
23 · Insurance
total $14,149 · program services $14,149
-
24a · Other expenses: MEDICAL SUPPLIES
total $235,894 · program services $235,894
-
24b · Other expenses: OTHER EXP
total $17,220 · program services $17,220
Balance sheet
Part X, book values.
-
4 · Accounts receivable
beginning of year $331,133 · end of year $217,199
-
9 · Prepaid expenses and deferred charges
beginning of year $6,845 · end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$100,216
-
10b · Land, buildings and equipment: accumulated depreciation
$73,340
-
10c · Land, buildings and equipment, net
beginning of year $11,648 · end of year $26,876
-
17 · Accounts payable and accrued expenses
beginning of year $1,065 · end of year $0
-
25 · Other liabilities
beginning of year $2,302,913 · end of year $2,267,192
-
27 · Net assets without donor restrictions
beginning of year -$1,954,352 · end of year -$2,023,117
Mission and programs · 2022
Mission
CENTER FOR OCCUPATIONAL HEALTH'S MISSION IS TO PROVIDE A FULL RANGE OF OCCUPATIONAL HEALTH SERVICES IN PREVENTION, TREATMENT AND REHABILITATION FOR TERRE HAUTE, INDIANA AND SURROUNDING COMMUNITIES.
Activities or mission (Part I)
PROVIDE A FULL RANGE OF OCCUPATIONAL HEALTH SERVICES IN PREVENTION, TREATMENT AND REHABILITATION FOR TERRE HAUTE, INDIANA AND SURROUNDING COMMUNITIES.
-
PREVENTION: CENTER FOR OCCUPATIONAL HEALTH, INC. PERFORMS A WIDE VARIETY OF PRE-PLACEMENT PHYSICAL EXAMINATIONS SPECIFIC TO THE JOB FOR WHICH THE INDIVIDUAL IS BEING CONSIDERED, AND WITH THE ADVENT OF THE AMERICANS WITH DISABILITIES ACT (ADA), IS MATCHING POTENTIAL JOB APPLICANTS WITH THE ESSENTIAL FUNCTIONS OF THEIR JOBS. THIS ASSISTANCE IS CRITICAL TO EMPLOYERS AS THEY COMPLY WITH THE ADA. THE ORGANIZATION ALSO OFFERS A NATIONAL CERTIFIED DRUG SCREEN PROGRAM, WHICH IS OPERATED IN COMPLIANCE WITH GUIDELINES ESTABLISHED BY THE NATIONAL INSTITUTE FOR DRUG ABUSE. FURTHER, THE ORGANIZATION PROVIDES ON-SITE MEDICAL MONITORING EXAMINATION PROTOCOL DEVELOPMENT, E.G. ASSISTING COMPANIES WITH THEIR COMPLIANCE UNDER OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION GUIDELINES, ERGONOMIC COMPLIANCE ASSISTANCE, AND ASSISTANCE IN COMPLIANCE WITH THE ADA REASONABLE ACCOMMODATIONS GUIDELINES. ADDITIONALLY, THE ORGANIZATION PROVIDES INDUSTRIAL HYGIENE SERVICES TO ASSIST IN ANALYZING NOISE LEVELS, INDOOR AIR QUALITY, AND OTHER MANDATED SURVEILLANCE PROGRAMS UNDER THE AUTHORIZATION OF THE OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION.
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TREATMENT: CENTER FOR OCCUPATIONAL HEALTH, INC. SPECIALIZES IN THE TREATMENT OF WORKER'S COMPENSATION INJURIES AND OFFERS SERVICES COMPLEMENTARY TO THE BASIC TREATMENT OF AN INJURY, SUCH AS HAND SURGERY, PHYSIATRY, ORTHOPEDIC, NEUROLOGY, AND OPHTHALMOLOGY, AS WELL AS IN-HOUSE PHARMACY SERVICES. THE CONCEPT OF THE ORGANIZATION'S TREATMENT PLAN IS CENTERED ON THE EARLY INTERVENTION/EARLY RETURN TO WORK CONCEPT. THROUGH EARLY INTERVENTION AND A VARIETY OF TREATMENT AND REHABILITATIVE MODALITIES, PATIENTS ARE ASSURED BETTER TREATMENT OUTCOMES, THE MOST EXPEDITIOUS RETURN TO WORK, THUS SAVING THE EMPLOYERS TREMENDOUS EXPENSE IN LOST PRODUCTIVITY, OVERTIME, TRAINING COSTS, ETC.
Expenses $1,671,359 · Revenue $1,776,849
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RELATIONSHIP OF ACTIVITIES TO THE ACCOMPLISHMENT OF THE EXEMPT PURPOSE: CENTER FOR OCCUPATIONAL HEALTH, INC. MEETS THE OCCUPATIONAL HEALTH CARE NEEDS OF THE TERRE HAUTE AND SURROUNDING COMMUNITIES' EMPLOYERS IN THE AREAS OF PREVENTION, TREATMENT, AND REHABILITATION. THESE SERVICES ARE DELIVERED WITH AN EMPHASIS ON COST CONTAINMENT THROUGH EARLY INTERVENTION AND EXPERT CASE MANAGEMENT. THE CENTER FOR OCCUPATIONAL HEALTH, INC. CLINIC IS EQUIPPED TO CONDUCT BASIC INJURY CARE, PHYSICAL EXAMINATIONS, AND THE FOLLOWING ANCILLARY SERVICES: X-RAY, COLLECTION OF SPECIMENS FOR LABORATORY ANALYSIS, PULMONARY FUNCTION TESTING, AUDIOMETRY, ELECTROCARDIOGRAM (EKG), RADIOLOGY, AND VISION SCREENING. CERTAIN SERVICES ARE CONTRACTED IN THE TREATMENT COMPONENTS. HAND SURGERY, NEUROLOGY, PHYSIATRY, ORTHOPEDICS, AND OPHTHALMOLOGY ARE ALL CONTRACTED WITH INDIVIDUAL PHYSICIANS AND OR SPECIALTY GROUPS WHO PROVIDE THEIR SERVICES TO PATIENTS OF THE CENTER FOR OCCUPATIONAL HEALTH, INC.'S AT THE SPECIALISTS' OFFICE. CENTER FOR OCCUPATIONAL STAFF WORK CLOSELY WITH THE SPECIALIST TO ASSURE STREAMLINED COMMUNICATION WITH THE PHYSICIAN AND THE EMPLOYER AND INSURANCE CARRIER, THEREBY PROVIDING COORDINATED CARE FOR THE PATIENT PRODUCING BETTER CLINICAL OUTCOMES. CENTER FOR OCCUPATIONAL HEALTH, INC. IS COMMITTED TO COST CONTAINMENT FOR ITS EMPLOYER CLIENTS AND/OR THEIR INSURANCE CARRIERS. SINCE THE ORGANIZATION SPECIALIZES IN OCCUPATIONAL HEALTH, APPROXIMATELY NINETY-NINE PERCENT (99%) OF THE FEES FOR ALL CASES ARE PAID EITHER THROUGH THE EMPLOYERS' WORKERS' COMPENSATION INSURANCE OR DIRECTLY BY THE EMPLOYERS. DUE TO THE UNIQUE FIELD IN THE MEDICAL CONTINUUM, OCCUPATIONAL HEALTH PROVIDERS CHARGE THE FEES FOR CARE TO THE EMPLOYERS' WORKERS' COMPENSATION INSURANCE OR THE EMPLOYERS. THE EMPLOYEES ARE NOT DIRECTLY RESPONSIBLE FOR PAYMENT FOR THEIR CARE. THUS, THE NEED TO PROVIDE CHARITY CARE BY THE ORGANIZATION ITSELF IS VIRTUALLY NONEXISTENT. THE ORGANIZATION WILL REFER PATIENTS, WHEN MEDICALLY INDICATED, TO UNION HOSPITAL WHERE CHARITY CARE IS PROVIDED, SHOULD IT BE NECESSARY. CENTER FOR OCCUPATIONAL HEALTH, INC. PROVIDES CONSULTATIONS AT NO CHARGE TO THE LOCAL INDUSTRY ON SAFETY AND ERGONOMICS WITH THE AIM OF PROVIDING A SAFER WORK ENVIRONMENT. ALSO, THE CENTER FOR OCCUPATIONAL HEALTH, INC. PROVIDES NUMEROUS EDUCATIONAL PROGRAMS FOR THE COMMUNITY INCLUDING: INJURY PREVENTION, DEPARTMENT OF TRANSPORTATION DRUG TESTING/PHYSICAL COMPLIANCE, OSHA REGULATIONS, ERGONOMIC AND SAFETY. ALL EDUCATIONAL PROGRAMS ARE AVAILABLE TO INTERESTED PARTIES IN THE COMMUNITY.
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
JACK HILL
PRESIDENT
- Total calculated
- $662,546
- From this org
- $0
- From related orgs
- $623,255
- Other
- $39,291
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $393,064 related
- Bonus
- $0 + $147,488 related
- Other
- $0 + $82,703 related
- Deferred
- $0 + $12,844 related
- Nontaxable benefits
- $0 + $26,447 related
- Filer's total
- $0 + $662,546 related
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MATTHEW NEALON
TREASURER
- Total calculated
- $743,481
- From this org
- $0
- From related orgs
- $704,384
- Other
- $39,097
- Hours/week
- 2 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $475,770 related
- Bonus
- $0 + $174,638 related
- Other
- $0 + $53,976 related
- Deferred
- $0 + $13,650 related
- Nontaxable benefits
- $0 + $25,447 related
- Filer's total
- $0 + $743,481 related
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PATRICK TITZER MD
VICE PRES & SECRETARY
- Total calculated
- $388,052
- From this org
- $0
- From related orgs
- $350,489
- Other
- $37,563
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $262,319 related
- Bonus
- $0 + $88,170 related
- Other
- $0
- Deferred
- $0 + $15,600 related
- Nontaxable benefits
- $0 + $21,963 related
- Filer's total
- $0 + $388,052 related
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AMY HOCK
ASST. SECRETARY
- Total calculated
- $515,638
- From this org
- $0
- From related orgs
- $484,691
- Other
- $30,947
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $354,481 related
- Bonus
- $0 + $97,500 related
- Other
- $0 + $32,710 related
- Deferred
- $0 + $5,300 related
- Nontaxable benefits
- $0 + $25,647 related
- Filer's total
- $0 + $515,638 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)
- PART I, LINE 3
- COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR IS DETERMINED BY A RELATED ORGANIZATION, UNION HOSPITAL, INC. USING THE FOLLOWING METHODS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
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.
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501(C)(3) · HOSPITAL - GENERAL · IN · controlled entity
Directly controlled by UNION HEALTH SYSTEM
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VISITING NURSE ASSOCIATION OF THE WABASH VALLEY INC
501(C)(3) · HOME HEALTH AND HOSPICE CARE · IN · controlled entity
Directly controlled by UNION HOSPITAL FOUNDATION
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501(C)(3) · MANAGEMENT ORGANIZATION · IN
-
501(C)(3) · FUNDRAISING · IN
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UNION ASSOCIATED PHYSICIAN CLINIC INC
501(C)(3) · PHYSICIAN GROUP · IN · controlled entity
Directly controlled by UNION HEALTH SYSTEM
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.
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REHABILITATION AND THERAPY SERVICES · IN
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AMBULATORY SURGERY MGMT SVCS LLC II
MEDICAL SERVICES · IN
-
MEDICAL SERVICES · IN
-
MEDICAL SERVICES · IN
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313199349310026
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