Form 990 for tax year 2023
Filed by COMMUNITY HOWARD REGIONAL HEALTH INC.
Totals
- Total revenue
- $224,426,135
- Total expenses
- $193,654,520
- Contributions and grants received
- $5,635,477
- Grants paid
- $41,250
- Program services expenses (Part IX)
- $141,264,270
- Management and general expenses
- $52,390,250
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $141,264,270
Program services were 72.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
ELIZABETH THARP MBA BSN RN
SVP-HOSPITAL ACUTE SERVICES/CNO
- Total calculated
- $842,307
- From this org
- $0
- From related orgs
- $543,274
- Other
- $299,033
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $519,670 related
- Bonus
- $0
- Other
- $0 + $23,604 related
- Deferred
- $0 + $278,131 related
- Nontaxable benefits
- $0 + $20,902 related
- Filer's total
- $0 + $842,307 related
-
COURTNEY HOLLAND MD
DIRECTOR
- Total calculated
- $841,846
- From this org
- $0
- From related orgs
- $697,118
- Other
- $144,728
- Hours/week
- 2 + 53 related
Schedule J breakdown matched by us
- Base
- $0 + $619,993 related
- Bonus
- $0
- Other
- $0 + $77,125 related
- Deferred
- $0 + $113,140 related
- Nontaxable benefits
- $0 + $31,588 related
- Filer's total
- $0 + $841,846 related
-
SYED KHAN MD
PSYCHIATRIST
- Total calculated
- $724,617
- From this org
- $679,399
- From related orgs
- $0
- Other
- $45,218
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $490,202
- Bonus
- $0
- Other
- $189,197
- Deferred
- $10,863
- Nontaxable benefits
- $34,355
- Filer's total
- $724,617
-
BENJAMIN CHIU MD
VICE CHAIR THROUGH JUNE 2023
- Total calculated
- $584,388
- From this org
- $0
- From related orgs
- $459,081
- Other
- $125,307
- Hours/week
- 2 + 48 related
Schedule J breakdown matched by us
- Base
- $0 + $435,489 related
- Bonus
- $0
- Other
- $0 + $23,592 related
- Deferred
- $0 + $87,798 related
- Nontaxable benefits
- $0 + $37,509 related
- Filer's total
- $0 + $584,388 related
-
JENNIFER HINDMAN
DIRECTOR/VP-HOSP ADMIN THR MAR 2023
- Total calculated
- $482,204
- From this org
- $85,616
- From related orgs
- $256,849
- Other
- $139,739
- Hours/week
- 12.5 + 37.5 related
Schedule J breakdown matched by us
- Base
- $85,043 + $255,128 related
- Bonus
- $0
- Other
- $573 + $1,721 related
- Deferred
- $26,400 + $79,202 related
- Nontaxable benefits
- $8,534 + $25,603 related
- Filer's total
- $120,550 + $361,654 related
-
LAXESHKUMAR PATEL MD
PSYCHIATRIST
- Total calculated
- $391,715
- From this org
- $292,481
- From related orgs
- $0
- Other
- $99,234
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $268,960
- Bonus
- $0
- Other
- $23,521
- Deferred
- $69,402
- Nontaxable benefits
- $29,832
- Filer's total
- $391,715
-
DOUGLAS COOK MD
PSYCHIATRIST
- Total calculated
- $381,218
- From this org
- $285,406
- From related orgs
- $0
- Other
- $95,812
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $223,306
- Bonus
- $0
- Other
- $62,100
- Deferred
- $60,353
- Nontaxable benefits
- $35,459
- Filer's total
- $381,218
-
JOHN BILO
VP-FINANCE
- Total calculated
- $368,656
- From this org
- $0
- From related orgs
- $254,068
- Other
- $114,588
- Hours/week
- 48 + 2 related
Schedule J breakdown matched by us
- Base
- $0 + $253,321 related
- Bonus
- $0
- Other
- $0 + $747 related
- Deferred
- $0 + $92,091 related
- Nontaxable benefits
- $0 + $22,497 related
- Filer's total
- $0 + $368,656 related
-
DEREK MCMICHAEL
VP-HOSPITAL ADMINISTRATOR
- Total calculated
- $348,820
- From this org
- $258,715
- From related orgs
- $0
- Other
- $90,105
- Hours/week
- 48 + 2 related
Schedule J breakdown matched by us
- Base
- $235,140
- Bonus
- $0
- Other
- $23,575
- Deferred
- $90,105
- Nontaxable benefits
- $0
- Filer's total
- $348,820
-
JOHN SCHILTZ MD
PSYCHIATRIST
- Total calculated
- $390,273
- From this org
- $295,529
- From related orgs
- $0
- Other
- $94,744
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $294,505
- Bonus
- $0
- Other
- $1,024
- Deferred
- $60,937
- Nontaxable benefits
- $33,807
- Filer's total
- $390,273
-
SHILPA PURI MD
PSYCHIATRIST
- Total calculated
- $321,809
- From this org
- $276,037
- From related orgs
- $0
- Other
- $45,772
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $258,495
- Bonus
- $0
- Other
- $17,542
- Deferred
- $16,915
- Nontaxable benefits
- $28,857
- Filer's total
- $321,809
-
DIANE COGDELL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
ROBERT HAYES
CHAIR THROUGH JUNE 2023
- Total calculated
- $0
- Hours/week
- 2
-
KAREN MCLEAN
CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
SHARON REED
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
TRISH SEVERNS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
REBECCA VENT
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
BRIDGET WHITMORE
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
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 — 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 HOWARD REGIONAL HEALTH, INC. ("CHRH") CEO/EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A RELATED 501(C)(3) ORGANIZATION. CHNW USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION SURVEY OR STUDY
- PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS
- 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 HOWARD REGIONAL HEALTH, INC. ("CHRH") 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
- CHRH 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 INFLUENECE 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
-
$36,000
BUDDY BAG PROGRAM
-
$5,250
GENERAL SUPPORT
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 COUNTY
501(C)(3) · HOSPITAL · IN · controlled entity
Directly controlled by COMMUNITY HEALTH NETWORK INC
-
COMMUNITY HOSP ANDERSON FOUNDATION INC
501(C)(3) · SUPPORT · IN · controlled entity
Directly controlled by COMM HOSP OF ANDERSON & MADISON COUNTY
-
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 INDIANA 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
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 6 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202433179349305603
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