BOWEN HEALTH INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BOWEN HEALTH INC (EIN 35-1057889)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-02-04
- IRS object ID
- 202300369349300050
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-02-04T20:52:32-06:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N MERIDIAN ST SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351057889 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE OTIS R BOWEN CENTER | BusinessNameLine1Txt |
| Business Name Line2 | FOR HUMAN SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OTIS | BusinessNameControlTxt |
| Phone | 5742677169 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2621 E JEFFERSON ST | AddressLine1Txt |
| City | WARSAW | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46581 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAY BAUMGARTNER | PersonNm |
| Person Title | SENIOR VP - FINANCIAL SERVICES | PersonTitleTxt |
| Phone | 5742677169 | PhoneNum |
| Signature | 2023-01-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAY | PersonFirstNm |
| Person Last | BAUMGARTNER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANGELA N CRAWFORD CPA | PreparerPersonNm |
| PTIN | P00573197 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2023-01-29 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAY BAUMGARTNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2621 E JEFFERSON ST | AddressLine1Txt |
| City | WARSAW | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $115,657,602 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BOWENCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | TO STRENGTHEN OUR COMMUNITIES & IMPROVE THE HEALTH & WELL-BEING OF THOSE WE ARE PRIVILEGED TO SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1971 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,475,589 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,914,420 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $98,498,355 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $96,332,745 | CYProgramServiceRevenueAmt |
| PY Investment Income | $647,283 | PYInvestmentIncomeAmt |
| CY Investment Income | $757,229 | CYInvestmentIncomeAmt |
| PY Other Revenue | $221,228 | PYOtherRevenueAmt |
| CY Other Revenue | $306,362 | CYOtherRevenueAmt |
| PY Total Revenue | $113,842,455 | PYTotalRevenueAmt |
| CY Total Revenue | $115,310,756 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $27,900 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $27,900 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $75,745,289 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $81,092,900 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,557,695 | PYOtherExpensesAmt |
| CY Other Expenses | $19,949,574 | CYOtherExpensesAmt |
| PY Total Expenses | $93,330,884 | PYTotalExpensesAmt |
| CY Total Expenses | $101,070,374 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,511,571 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,240,382 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $107,274,465 | TotalAssetsBOYAmt |
| Total Assets EOY | $127,423,736 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,495,936 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,471,663 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $82,778,529 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $94,952,073 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BOWEN CENTER'S MISSION IS TO STRENGTHEN OUR COMMUNITIES AND TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE ARE PRIVILEGED TO SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $82,430,954 | ExpenseAmt |
| Grant | $27,900 | GrantAmt |
| Revenue | $96,332,745 | RevenueAmt |
| Desc | THE OTIS R. BOWEN FOR HUMAN SERVICES, INC. (THE CENTER), IS A COMMUNITY MENTAL HEALTH CENTER AND FQHC LOOKALIKE WITH THE PURPOSE OF PROVIDING A FULL RANGE OF BEHAVIORAL HEALTH SERVICES AND PRIMARY CARE. SERVICES PROVIDED INCLUDE: PSYCHIATRIC, OUTPATIENT COUNSELING, INPATIENT, CRISIS INTERVENTION, SUBSTANCE ABUSE, REHABILITATION, RESIDENTIAL, AND CONSULTATIVE SERVICES. THE CENTER PROVIDES SERVICES IN 30 COUNTIES IN NORTHERN INDIANA WITH OFFICES IN THE FOLLOWING COUNTIES - ALLEN, DEKALB, HUNTINGTON, KOSCIUSKO, LAGRANGE, MARSHALL, NOBLE, STEUBEN, WABASH, AND WHITLEY. [CONTINUES ON SCHEDULE O]THE CENTER HAD EMPLOYED AN AVERAGE OF 1,283 EMPLOYEES DURING FY 2022, AND PROVIDED THE FOLLOWING SERVICES TO OUR PATIENTS:INPATIENT: 4,061 DAYSRESIDENTIAL CARE: 11,215 DAYSOUTPATIENT CARE: 759,093 HOURSHEALTH CLINIC: 4,298 VISITSOPIOID TREATMENT FACILITY: 163,188 VISITSMEDICAL VISITS: 79,372 | Desc |
| Total Program Service Expenses | $82,430,954 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 105 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1971 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAY BAUMGARTNER | PersonNm |
| Phone | 5742677169 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2621 E JEFFERSON ST PO BOX 497 | AddressLine1Txt |
| City | WARSAW | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 465810497 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BETH PINKERTON | ||||||||
| CHAIRPERSON | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CINDY BRADY | ||||||||
| VICE CHAIRPERSON | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAN WOODS | ||||||||
| SECRETARY/TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JIM FLECK | ||||||||
| IMM. PAST CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TANNER BABB | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RYAN BAKER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBRA BRICE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA BURDGE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MATT DITZLER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JON GARBER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHIRLEY GIDLEY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KEITH GILLENWATER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROXANNE GONAZLES | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC HELFRICH | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROL HOCHSTETLER | ||||||||
| BOARD MEMBER-TERM BEGAN OCT'21 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARON METZGER | ||||||||
| BOARD MEMBER-TERM ENDED SEP'21 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID BAILEY | ||||||||
| BOARD MEMBER-TERM ENDED SEP'21 | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KURT CARLSON | ||||||||
| PRESIDENT AND CEO | 40.00 | 0.00 | Yes (X) | $922,649 | $0 | $6,112 | ||
| JAY BAUMGARTNER | ||||||||
| SENIOR VP-FINANCIAL SVC | 40.00 | 0.00 | Yes (X) | $678,200 | $0 | $18,637 | ||
| ROBERT RYAN | ||||||||
| SENIOR VP-OPERATIONS | 40.00 | 0.00 | Yes (X) | $855,758 | $0 | $135,085 | ||
| DR HANI AHMAD | ||||||||
| STAFF PSYCHIATRIST | 40.00 | 0.00 | $529,924 | $0 | $22,138 | Yes (X) | ||
| DR CAROLYN GREER | ||||||||
| STAFF PSYCHIATRIST | 40.00 | 0.00 | $407,131 | $0 | $21,665 | Yes (X) | ||
| SHANNON HANNON | ||||||||
| VP-INTEGRATIVE CARE | 40.00 | 0.00 | $392,280 | $0 | $74,488 | Yes (X) | ||
| DR SANTOSH MAHARJAN | ||||||||
| STAFF PSYCHIATRIST | 40.00 | 0.00 | $446,176 | $0 | $33,715 | Yes (X) | ||
| DR KISHORE SRIRAM | ||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $513,021 | $0 | $33,715 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,745,139 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $345,555 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 44 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRIME TIME HEALTHCARE LLC | |||||
| 15380 WEIR ST | OMAHA | NV | 68137 | NURSE STAFFING AGENCY | $1,238,422 |
| WJ CAREY CONSTRUCTION | |||||
| PO BOX 534 7004 W 350 S | SOUTH WHITLEY | IN | 46787 | GENERAL CONTRACTOR | $585,352 |
| MM CUSTOM CLEANING | |||||
| PO BOX 429 | AUBURN | IN | 46706 | JANITORIAL SERVICES | $293,852 |
| SUPERIOR JANITORIAL | |||||
| 7004 E 1000 N SUITE B | SYRACUSE | IN | 46567 | JANITORIAL SERVICES | $268,195 |
| DM TRUMP CONSTRUCTION LLC | |||||
| 8193 E 150 S | PIERCETON | IN | 46562 | GENERAL CONTRACTOR | $204,610 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $77,834 | FederatedCampaignsAmt |
| Government Grants | $17,706,550 | GovernmentGrantsAmt |
| All Other Contributions | $130,036 | AllOtherContributionsAmt |
| Total Contributions | $17,914,420 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621110 | $87,220,977 | $87,220,977 |
| MEDICAID FUNDS RECOVER | 900099 | $9,000,001 | $9,000,001 |
| DISPROPORTIONATE SHARE | 900099 | $111,767 | $111,767 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $96,332,745 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $810,271 | TotalRevenueColumnAmt |
| Exclusion | $810,271 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $463,445 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $293,804 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $169,641 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $169,641 | TotalRevenueColumnAmt |
| Exclusion | $169,641 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $53,042 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$53,042 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$53,042 | TotalRevenueColumnAmt |
| Exclusion | -$53,042 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136,721 | TotalRevenueColumnAmt |
| Exclusion | $136,721 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $136,721 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,310,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $96,332,745 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,063,591 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,900 | TotalAmt |
| Program Services | $27,900 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,616,441 | TotalAmt |
| Management And General | $2,616,441 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,385,731 | TotalAmt |
| Program Services | $56,773,707 | ProgramServicesAmt |
| Management And General | $7,612,024 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,666,057 | TotalAmt |
| Program Services | $8,497,247 | ProgramServicesAmt |
| Management And General | $1,168,810 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,424,671 | TotalAmt |
| Program Services | $3,937,268 | ProgramServicesAmt |
| Management And General | $487,403 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,660 | TotalAmt |
| Program Services | $8,435 | ProgramServicesAmt |
| Management And General | $57,225 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,671 | TotalAmt |
| Program Services | $6,027 | ProgramServicesAmt |
| Management And General | $85,644 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,269,498 | TotalAmt |
| Program Services | $731,070 | ProgramServicesAmt |
| Management And General | $538,428 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,396 | TotalAmt |
| Program Services | $123,689 | ProgramServicesAmt |
| Management And General | $337,707 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,154,759 | TotalAmt |
| Program Services | $2,067,591 | ProgramServicesAmt |
| Management And General | $5,087,168 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,470,728 | TotalAmt |
| Program Services | $3,168,657 | ProgramServicesAmt |
| Management And General | $302,071 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,420,633 | TotalAmt |
| Program Services | $2,360,852 | ProgramServicesAmt |
| Management And General | $59,781 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,129 | TotalAmt |
| Program Services | $67,539 | ProgramServicesAmt |
| Management And General | $35,590 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,587 | TotalAmt |
| Program Services | $44,587 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,934,948 | TotalAmt |
| Program Services | $2,683,922 | ProgramServicesAmt |
| Management And General | $251,026 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HOSPITAL ASSESSMENT FEE | $1,099,919 | $1,099,919 | |
| PATIENT EXPENSES | $832,646 | $832,544 | $102 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,070,374 | TotalAmt |
| Program Services | $82,430,954 | ProgramServicesAmt |
| Management And General | $18,639,420 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,408,400 | BOYAmt |
| EOY | $31,915,809 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,458,276 | BOYAmt |
| EOY | $6,724,512 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,696,702 | BOYAmt |
| EOY | $6,025,855 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,362 | BOYAmt |
| EOY | $178,362 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,415,680 | BOYAmt |
| EOY | $1,252,801 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $67,138,086 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,938,792 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,662,589 | BOYAmt |
| EOY | $42,199,294 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,397,426 | BOYAmt |
| EOY | $37,494,368 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,831,551 | BOYAmt |
| EOY | $1,441,026 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,479 | BOYAmt |
| EOY | $191,709 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,274,465 | BOYAmt |
| EOY | $127,423,736 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,705,724 | BOYAmt |
| EOY | $11,718,159 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,661 | BOYAmt |
| EOY | $115,278 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,000 | BOYAmt |
| EOY | $9,500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,461,551 | BOYAmt |
| EOY | $11,138,226 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,495,936 | BOYAmt |
| EOY | $32,471,663 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,778,529 | BOYAmt |
| EOY | $94,952,073 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,778,529 | BOYAmt |
| EOY | $94,952,073 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,274,465 | BOYAmt |
| EOY | $127,423,736 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $14,240,382 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,066,838 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,273,657 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,324,625 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,885,639 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,475,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,836,586 | CurrentTaxYearAmt |
| Total | $60,796,096 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,391,591 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,466,821 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $79,179,739 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,498,355 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $96,332,745 | CurrentTaxYearAmt |
| Total | $406,869,251 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,665,248 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $81,791,446 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,065,378 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $112,973,944 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $114,169,331 | CurrentTaxYearAmt |
| Total | $467,665,347 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,636,216 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,978,268 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,380,551 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,227,282 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,844,203 | CurrentTaxYearAmt |
| Total | $23,066,520 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,636,216 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,978,268 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,380,551 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,227,282 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,844,203 | CurrentTaxYearAmt |
| Total | $23,066,520 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $444,598,827 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $413,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $619,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $843,877 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $844,166 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,273,716 | CurrentTaxYearAmt |
| Total | $3,994,055 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $413,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $619,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $843,877 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $844,166 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,273,716 | CurrentTaxYearAmt |
| Total | $3,994,055 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $121,162 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $124,346 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $134,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $108,085 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $136,721 | CurrentTaxYearAmt |
| Total | $624,861 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $68,199,698 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $82,534,800 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $92,043,802 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $113,926,195 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,579,768 | CurrentTaxYearAmt |
| Total | $472,284,263 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94140 | PublicSupportCY509Pct |
| Public Support PY509 | 0.94960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00850 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00720 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 121,162. 2018 AMOUNT: $ 124,346. 2019 AMOUNT: $ 134,547. 2020 AMOUNT: $ 108,085. 2021 AMOUNT: $ 136,721. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,597 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,597 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF TRADE ORGANIZATION'S ANNUAL DUES ALLOCATED TO LOBBYING EFFORTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $216,663 | BeginningBalanceAmt |
| Additions During Year | $925,368 | AdditionsDuringYearAmt |
| Distributions During Year | $1,025,763 | DistributionsDuringYearAmt |
| Ending Balance | $116,268 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $362,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $5,915,791 | OtherCostOrOtherBasisAmt |
| Book Value | $6,277,791 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,607,191 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,186,472 | DepreciationAmt |
| Book Value | $29,420,719 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,225,624 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,752,320 | DepreciationAmt |
| Book Value | $5,473,304 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,027,480 | OtherCostOrOtherBasisAmt |
| Book Value | $1,027,480 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,199,294 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYABLE | $9,630,000 |
| DEFERRED COMPENSATION | $1,508,226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,138,226 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $113,537,722 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,066,838 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$2,066,838 | RevenueNotReportedAmt |
| Revenue Subtotal | $115,604,560 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$293,804 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$293,804 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $115,310,756 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $101,364,178 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $293,804 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $293,804 | ExpensesNotReportedAmt |
| Expenses Subtotal | $101,070,374 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $101,070,374 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | THE ORGANIZATION IS AN AGENT FOR CLIENT/RESIDENT FUNDS, THE PAYEE ACCOUNTS. |
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF JUNE 30, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -293,804. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 293,804. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH & HOSPITAL CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3838 N RURAL STREET | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46205 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 356005697 | RecipientEIN |
| IRC Section | N/A | IRCSectionDesc |
| Cash Grant | $27,900 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | ASSIST INDIVIDUALS IN THE COMMUNITY WITH NAVIGATION SERVICES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 1 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT RYAN | ||||||||||||||
| SENIOR VP-OPERATIONS | $552,918 | $0 | $291,000 | $0 | $11,840 | $0 | $116,280 | $0 | $18,805 | $0 | $990,843 | $0 | $0 | $0 |
| KURT CARLSON | ||||||||||||||
| PRESIDENT AND CEO | $589,646 | $0 | $308,685 | $0 | $24,318 | $0 | $0 | $0 | $6,112 | $0 | $928,761 | $0 | $0 | $0 |
| JAY BAUMGARTNER | ||||||||||||||
| SENIOR VP-FINANCIAL SVC | $434,860 | $0 | $231,500 | $0 | $11,840 | $0 | $0 | $0 | $18,637 | $0 | $696,837 | $0 | $0 | $0 |
| DR HANI AHMAD | ||||||||||||||
| STAFF PSYCHIATRIST | $237,456 | $0 | $252,468 | $0 | $40,000 | $0 | $0 | $0 | $22,138 | $0 | $552,062 | $0 | $0 | $0 |
| DR KISHORE SRIRAM | ||||||||||||||
| MEDICAL DIRECTOR | $288,036 | $0 | $213,145 | $0 | $11,840 | $0 | $15,000 | $0 | $18,715 | $0 | $546,736 | $0 | $0 | $0 |
| DR SANTOSH MAHARJAN | ||||||||||||||
| STAFF PSYCHIATRIST | $387,636 | $0 | $46,200 | $0 | $12,340 | $0 | $15,000 | $0 | $18,715 | $0 | $479,891 | $0 | $0 | $0 |
| SHANNON HANNON | ||||||||||||||
| VP-INTEGRATIVE CARE | $233,235 | $0 | $154,000 | $0 | $5,045 | $0 | $61,200 | $0 | $13,288 | $0 | $466,768 | $0 | $0 | $0 |
| DR CAROLYN GREER | ||||||||||||||
| STAFF PSYCHIATRIST | $222,221 | $0 | $179,970 | $0 | $4,940 | $0 | $0 | $0 | $21,665 | $0 | $428,796 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | ELIGIBLE EMPLOYEES PARTICIPATE IN A 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII PARTICIPATED IN THE PLAN IN 2021: -KURT CARLSON -ROBERT RYAN -JAY BAUMGARTNER -DR. SRIRAM -DR. MAHARJAN -SHANNON HANNON | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR HANI AHMAD | PersonNm |
| Relationship With Org | SEE PART V | RelationshipWithOrgTxt |
| Loan Purpose | SEE PART V | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $328,362 | OriginalPrincipalAmt |
| Balance Due | $178,362 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $178,362 | TotalBalanceDueAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART II, LOAN TO AND FROM INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: DR. HANI AHMAD(B) RELATIONSHIP WITH ORGANIZATION: HIGHEST COMPENSATED EMPLOYEE(C) PURPOSE OF LOAN: PHYSICIAN RECRUITMENT | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE TAX RETURN WAS EMAILED TO ALL BOARD OF DIRECTORS PRIOR TO FILING. THE 990 WAS THEN DISCUSSED WITH THE BOARD OF DIRECTORS DURING A REGULARLY SCHEDULED BOARD MEETING AND FINAL APPROVAL BY THE BOARD WAS REQUIRED BEFORE FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD OF DIRECTORS AND EXECUTIVE STAFF (PRESIDENT/CEO AND ALL VPS) ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST THEY MAY HAVE WITH THE CENTER. INFORMATION IS FULLY DISCLOSED AND SHARED WITH OTHERS INVOLVED IN DECISION-MAKING. BOARD OF DIRECTORS ARE PROHIBITED FROM VOTING ON AGREEMENTS WHERE THEY HAVE A CONFLICT OF INTEREST. CONTRACTS ARE MONITORED TO DETERMINE WHETHER ANY POTENTIAL UNDISCLOSED CONFLICT OF INTEREST MAY OCCUR. THESE ARE FULLY INVESTIGATED AND DISCUSSED WITH THE PERSON IN QUESTION TO ENSURE EITHER NO CONFLICT OF INTEREST EXISTS, OR THAT THE CONFLICT OF INTEREST IS FULLY DISCLOSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR HANDLING THE CONTRACT AND COMPENSATION FOR THE PRESIDENT/CEO. THEY WILL EACH YEAR CONDUCT A PERFORMANCE EVALUATION ON THE PRESIDENT/CEO AND PRESENT THEIR REVIEW TO THE FULL BOARD OF DIRECTORS FOR THEIR ARRANGEMENT/APPROVAL. AFTER THE EVALUATION IS COMPLETED, A REVIEW OF THE COMPENSATION FOR THE PRESIDENT/CEO IS CONDUCTED. INFORMATION IS PROVIDED TO THE BOARD OF DIRECTORS BY THE SENIOR VICE PRESIDENT-FINANCIAL SERVICES OF THE BOWEN CENTER. AN OUTSIDE CONSULTANT IS UTILIZED TO HELP GATHER AND PREPARE THIS INFORMATION. INFORMATION PROVIDED INCLUDES THE INDIANA COUNCIL SALARY AND BENEFIT SURVEY OF COMMUNITY MENTAL HEALTH CENTERS AND A REVIEW OF COMPENSATION OF OTHER PRESIDENT/CEO'S OF COMMUNITY MENTAL HEALTH CENTERS BY REVIEWING THEIR 990 RETURNS. THE PRESIDENT/CEO IS RESPONSIBLE FOR DETERMINING THE COMPENSATION FOR ALL OTHER KEY EMPLOYEES OF THE CENTER. COMPARATIVE DATA SUCH AS INDIANA'S COUNCIL'S SALARY AND BENEFIT SURVEY IS UTILIZED WHEN DETERMINING THEIR COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR AUDIT OVERSIGHT AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BOWEN APARTMENTS | ||||||||||
| 2621 E JEFFERSON ST | WARSAW | IN | 465810497 | 351908138 | HOUSING TO HANDICAPPED | IN | 501(C)(3) | LINE 10 | N/A | 0 |
| BOWEN RESIDENTIAL | ||||||||||
| 2621 E JEFFERSON ST | WARSAW | IN | 465810497 | 351815690 | HOUSING TO HANDICAPPED | IN | 501(C)(3) | LINE 10 | N/A | 0 |
| HOUSING FOR HOPE | ||||||||||
| 2621 E JEFFERSON ST | WARSAW | IN | 465810497 | 352024026 | HOUSING FOR LOWER INCOME | IN | 501(C)(3) | LINE 7 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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