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MANAGED EMERGENCY SURGE FOR HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MANAGED EMERGENCY SURGE FOR HEALTHCARE INC (EIN 27-1299424)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201903189349313015
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-14T16:38:07-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 SW ADAMS STE 1000AddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271299424EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MANAGED EMERGENCY SURGE FORBusinessNameLine1Txt
Business Name Line2HEALTHCARE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMANABusinessNameControlTxt
Phone3176307409PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11202 W 16TH STAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER PITCHERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3176307409PhoneNum
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAMUEL A CIGELNIK CPAPreparerPersonNm
PTINP00324762PTIN
Phone3096714500PhoneNum
Preparation2019-11-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-12IPDt
IP Tm11:16:35IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id85B9997AADF14A140E17A393DEEE4F99E0CB7F93AtSubmissionCreationDeviceId
At Submission Filing Device Id4FAD916B30D6483E6BED579D7996E7DFFFCB3996AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MESHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJENNIFER PITCHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11202 W 16TH STAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,480,111GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MESHCOALITION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionMESH IS A NON-PROFIT, PUBLIC PRIVATE PARTNERSHIP THAT ENABLES HEALTHCARE PROVIDERS TO EFFECTIVELY RESPOND TO EMERGENCY EVENTS AND REMAIN VIABLE THROUGH RECOVERY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$17,000PYContributionsGrantsAmt
CY Contributions Grants$77,487CYContributionsGrantsAmt
PY Program Service Revenue$1,392,751PYProgramServiceRevenueAmt
CY Program Service Revenue$1,398,639CYProgramServiceRevenueAmt
PY Investment Income$1,387PYInvestmentIncomeAmt
CY Investment Income$3,716CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$269CYOtherRevenueAmt
PY Total Revenue$1,411,138PYTotalRevenueAmt
CY Total Revenue$1,480,111CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,445,314PYOtherExpensesAmt
CY Other Expenses$1,399,118CYOtherExpensesAmt
PY Total Expenses$1,445,314PYTotalExpensesAmt
CY Total Expenses$1,399,118CYTotalExpensesAmt
PY Revenues Less Expenses-$34,176PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$80,993CYRevenuesLessExpensesAmt
Total Assets BOY$1,149,780TotalAssetsBOYAmt
Total Assets EOY$1,281,111TotalAssetsEOYAmt
Total Liabilities BOY$388,218TotalLiabilitiesBOYAmt
Total Liabilities EOY$438,556TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$761,562NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$842,555NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMANAGED EMERGENCY SURGE FOR HEALTHCARE, INC. (MESH) IS A NON-PROFIT, PUBLIC PRIVATE PARTNERSHIP THAT ENABLES HEALTHCARE PROVIDERS TO EFFECTIVELY RESPOND TO EMERGENCY EVENTS AND REMAIN VIABLE THROUGH RECOVERY. MESH PROVIDES EDUCATION AND TRAINING, HEALTHCARE INTELLIGENCE, PREPAREDNESS PLANNING, AND POLICY ANALYSIS SERVICES TO HEALTHCARE PROVIDERS, GOVERNMENT AGENCIES AND NON-GOVERNMENTAL ORGANIZATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,113,641ExpenseAmt
Revenue$730,297RevenueAmt
DescMESH SERVES AS A FOUNDING MEMBER OF THE NATIONAL HEALTHCARE COALITION RESOURCE CENTER (NHCRC). FOUNDED IN 2013, WITH A FOCUS ON ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE (ASPR) HOSPITAL PREPAREDNESS PROGRAM (HPP) AND CENTERS FOR DISEASE CONTROL PUBLIC HEALTH EMERGENCY PREPAREDNESS (PHEP) PROGRAM CAPABILITIES, NHCRC PROJECT OFFERINGS INCLUDE: (1) HOSTING THE ANNUAL NATIONAL HEALTHCARE COALITION PREPAREDNESS CONFERENCE; (2) PROVIDING EDUCATIONAL AND TECHNICAL ASSISTANCE TO EMERGING AND ESTABLISHED HEALTHCARE COALITIONS; AND (3) OFFERING WORKSHOPS AND TRAINING OPPORTUNITIES FOR COALITIONS AND GOVERNMENT AGENCIES. THE LATTER ARE DESIGNED TO PROVIDE ATTENDEES WITH THE TOOLS NEEDED TO ESTABLISH A SUSTAINABLE COALITION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$32,004ExpenseAmt
Revenue$636,950RevenueAmt
DescMESH PROVIDES DIRECT HEALTHCARE EMERGENCY MANAGEMENT SERVICES INCLUDING, BUT ARE NOT LIMITED TO: (1) COMPREHENSIVE PROGRAM ASSESSMENT AND GAP ANALYSIS; (2) ONGOING MAINTENANCE OF ESSENTIAL PROGRAM COMPONENTS; (3) STAFFING OF THE HOSPTIAL EMERGENCY MANAGEMENT COMMITTEES; (4) EMERGENCY MANAGEMENT TRAINING AND EDUCATION SERVICES; (5) HOMELAND SECURITY EXERCISE AND EVALUATION PROGRAM COMPLIANT DRILLS, EXERCISES, AND AFTER ACTION REVIEWS, AS WELL AS REAL INCIDENT AARS; (6) 24/7 ON-CALL SUPPORT SERVICES; (7) SUPPORT FOR HAZARDOUS MATERIALS SERVICES; AND (8) ASSISTANCE WITH HOSPITAL PREPAREDNESS PROGRAM GRANT COMPLIANCE. THIS MANAGED SERVICES APPROACH ALLOWS HEALTHCARE FACILITIES TO RAPIDLY AND EFFECTIVELY MEET ACCREDITATION REQUIREMENTS; BUILD CLINICAL, OPERATIONAL, AND BUSINESS RESILIENCE; AND DEVELOP A STANDARDIZED PROGRAM TO INCREASE EFFICIENCY AND PROMOTE BEST PRACTICES ACROSS THE CONTINUUM OF CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$35,909ExpenseAmt
Revenue$31,661RevenueAmt
DescMESH PROVIDES A BROAD RANGE OF TRAINING AND EDUCATION OPPORTUNITIES TO SUBSCRIBING HEALTHCARE AGENCIES. ADDITIONALLY, MESH SERVES AS A CLEARINGHOUSE FOR EDUCATIONAL BEST PRACTICES AND SHARING BETWEEN AND AMONG HEALTHCARE PARTNERS AND GOVERNMENT ENTITIES. MESH OFFERS COURSES IN EMERGENCY RESPONSE AND CLINICAL DECISION MAKING AT ITS EDUCATIONAL CENTER. THROUGH CO-LEARNING OPPORTUNITIES, PARTNERING AGENCIES GAIN COMFORT IN WORKING TOGETHER AND PREPARING FOR AN EMERGENCY EVENT. MESH ALSO PROVIDES ON-SITE EDUCATIONAL SERVICES TO ADDRESS THE SPECIFIC NEEDS OF SUBSRIBING HOSPITALS. OUR EDUCATORS ARE EXPERTS IN HEALTHCARE DISASTER RESPONSE AND CUTTING EDGE INSTRUCTIONAL METHODS. FROM BASIC HAZARDOUS MATERIALS TRAINING TO COMPLEX HIGH FIDELITY CLINICAL SITUATIONS, MESH OFFERS ENGAGING, EFFECTIVE, AND RELEVANT EDUCATIONAL PROGRAMS DESIGNED TO PREPARE CLINICIANS, EMERGENCY MANAGERS, ADMINISTRATORS, AND HEALTHCARE PERSONNEL TO MAKE GOOD DECISIONS UNDER TOUGH CONDITIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,181,554TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER PITCHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3176307409PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11202 W 16TH STAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
VIRGINIA A CAINE MD
CHAIR1.0040.00Yes (X)Yes (X)$0$0$0
DIANA LEONARD
DIRECTOR1.0040.00Yes (X)$0$0$0
ROBIN LEDYARD MD
DIRECTOR1.0040.00Yes (X)$0$0$0
LISA E HARRIS MD
DIRECTOR1.0040.00Yes (X)$0$0$0
CATHY LEE-SELLERS
DIRECTOR1.0040.00Yes (X)$0$0$0
ALICIA SCHULHOF
DIRECTOR1.0040.00Yes (X)$0$0$0
BETH MELCHI
DIRECTOR1.0040.00Yes (X)$0$0$0
CHARLES MIRAMONTI MD
DIRECTOR1.0040.00Yes (X)$0$0$0
PAUL BABCOCK
DIRECTOR1.0040.00Yes (X)$0$0$0
DEAN PAUL HAVERSON
DIRECTOR1.0040.00Yes (X)$0$0$0
SHELIA GUENIN
DIRECTOR1.0040.00Yes (X)$0$0$0
JENNIFER PITCHER
EXECUTIVE DIRECTOR40.000.00Yes (X)$0$96,339$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$96,339TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INDIANAPOLIS EMS
3930 GEORGETOWN RDINDIANAPOLISIN46254PERSONNEL SERVICES$381,326
HILTON
120 W MARKET STINDIANAPOLISIN46204CONFERENCE/EVENT SERVICES$380,642
SCOTT CIRCLE EVENTS
1900 L STREET NW STE 705WASHINGTONDC20036CONFERENCE/EVENT SERVICES$187,079
J STREET PRODUCTIONS
5200 PHILADELPHIA WAY STE LLANHAMMD20706CONFERENCE/EVENT SERVICES$109,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$77,387GovernmentGrantsAmt
All Other Contributions$100AllOtherContributionsAmt
Total Contributions$77,487TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescTRAINING & SERVICES REDesc
Business541900BusinessCd
Total Revenue Column$1,398,639TotalRevenueColumnAmt
Related Or Exempt Func Income$1,398,639RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,398,639TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,716TotalRevenueColumnAmt
Exclusion$3,716ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$269TotalRevenueColumnAmt
Related Or Exempt Func Income$269RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$269OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,480,111TotalRevenueColumnAmt
Related Or Exempt Func Income$1,398,908RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,716ExclusionAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$489,416TotalAmt
Program Services$413,552ProgramServicesAmt
Management And General$75,864ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$12,030TotalAmt
Management And General$12,030ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,416TotalAmt
Management And General$16,416ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,765TotalAmt
Program Services$23,765ProgramServicesAmt
Management And General$8,000ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$77,422TotalAmt
Program Services$49,420ProgramServicesAmt
Management And General$28,002ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,924TotalAmt
Management And General$13,924ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$54,839TotalAmt
Management And General$54,839ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,933TotalAmt
Program Services$21,778ProgramServicesAmt
Management And General$2,155ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$673,539TotalAmt
Program Services$673,039ProgramServicesAmt
Management And General$500ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,442TotalAmt
Management And General$1,442ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,392TotalAmt
Management And General$4,392ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,399,118TotalAmt
Program Services$1,181,554ProgramServicesAmt
Management And General$217,564ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$299,690BOYAmt
EOY$743,486EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$510,626BOYAmt
EOY$413,568EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$327,870BOYAmt
EOY$113,905EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,944LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,792LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,594BOYAmt
EOY$10,152EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,149,780BOYAmt
EOY$1,281,111EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$388,218BOYAmt
EOY$438,036EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$520EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$388,218BOYAmt
EOY$438,556EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$761,562BOYAmt
EOY$842,555EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$761,562BOYAmt
EOY$842,555EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,149,780BOYAmt
EOY$1,281,111EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$80,993ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations10SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (10 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
COMMUNITY HOSPITALS OF INDIANA
2509836173Yes (1)$0$0
FRANCISCAN ALLIANCE INC
3513304723Yes (1)$0$0
HEALTH AND HOSPITAL CORP MARION COUNTY
3560056973Yes (1)$0$0
INDIANA UNIVERSITY HEALTH INC
3519558723Yes (1)$0$0
ST VINCENT HOSPITAL & HEALTH CARE CTR
3508690663Yes (1)$0$0
INDIANA DEPT OF HOMELAND SECURITY
3560001586Yes (1)$0$0
INDIANA DEPT OF HEALTH
3560001586Yes (1)$0$0
INDIANA UNIVERSITY
3560016732Yes (1)$0$0
MARION COUNTY HEALTH DEPT
3560056976Yes (1)$0$0
RICHARD ROUDEBUSH VETERANS AFFAIRS MEDICAL
3519062806Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total10SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationYes (1)SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, SECTION A, LINE 2:FormAndLineReferenceDesc
ExplanationTHE FOLLOWING ENTITIES DO NOT TECHNICALLY HAVE IRS DETERMINATION LETTERS, HOWEVER EACH OF THEM IS DESCRIBED IN IRS SECTION 509(A)(1) AND 170(B)(1)(A)(V). THE ENTITIES INCLUDE THE INDIANA DEPARTMENT OF HOMELAND SECURITY, THE INDIANA DEPARTMENT OF HEALTH, INDIANA UNIVERSITY, THE MARION COUNTY HEALTH DEPARTMENT, AND THE RICHARD VETERANS AFFAIRS MEDICAL CENTER.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,282OtherCostOrOtherBasisAmt
Depreciation$2,282DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,662OtherCostOrOtherBasisAmt
Depreciation$21,510DepreciationAmt
Book Value$10,152BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,152TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S PROCESS FOR GOVERNING BODY REVIEW OF THIS FORM 990 CONSISTS OF 1) DISTRIBUTION OF AN ELECTRONIC COPY PRIOR TO FILING, 2) OPPORTUNITY FOR REVIEW AND COMMENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S PROCESS FOR REGULARLY AND CONSISTENTLY MONITORING AND ENFORCING COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY CONSISTS OF COMPLETING AN ANNUAL DISCLOSURE STATEMENT REGARDING ANY ACTUAL OR POTENTIAL CONFLICT DESCRIBED IN THE BYLAWS. THE DISCLOSURE STATEMENT MAY INCLUDE INFORMATION REGARDING A PERSON'S PARTICIPATION AS A DIRECTOR, OFFICER OR EMPLOYEE OF ANY OTHER NONPROFIT ORGANIZATION. THE BOARD OF DIRECTORS SHALL BE RESPONSIBLE FOR OVERSIGHT OF ALL DISCLOSURES OR FAILURES TO DISCLOSE AND FOR TAKING APPROPRIATE ACTION IN THE CASE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S BOARD EXERCISES DUE DILIGENCE TO ENSURE THAT EXECUTIVE PAY AND BENEFITS ARE CONSISTENT WITH THE ORGANIZATION'S CHARITABLE MISSION AND ARE REASONABLE COMPARED WITH FAIR MARKET VALUE IN THE INDUSTRY. SPECIFICALLY, COMPENSATION IS BASED ON INDEPENDENT SOURCES AND IS REVIEWED AND APPROVED IN ADVANCE BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VII, SECTION AINFORMATION ON THE COMPENSATION OF SEVERAL DIRECTORS EMPLOYED BY SUPPORTING ORGANIZATIONS WAS NOT ABLE TO BE OBTAINED FOR 12/31/18.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
COMMUNITY HOSPITALS OF INDIANA
1402 E COUNTY LINE RDINDIANAPOLISIN46227250983617HEALTH CAREIN501(C)(3)LINE 30
FRANCISCAN ALLIANCE INC
1515 DRAGON TAILMISHAWAKAIN46544351330472HEALTH CAREIN501(C)(3)LINE 30
HEALTH AND HOSPITAL CORP MARION COUNTY
3838 N RURAL STINDIANAPOLISIN46205356005697HEALTH CAREIN501(C)(3)LINE 30
INDIANA UNIVERSITY HEALTH INC
950 N MERIDIAN STINDIANAPOLISIN46204351955872HEALTH CAREIN501(C)(3)LINE 30
ST VINCENT HOSPITAL & HEALTH CARE CENTER
2001 W 86TH STINDIANAPOLISIN46260350869066HEALTH CAREIN501(C)(3)LINE 30
INDIANA DEPARTMENT OF HOMELAND SECURITY
302 W WASHINGTON STINDIANAPOLISIN46204356000158PROTECT PEOPLE, PROPERTY, AND PROSPERITYIN501(C)(6)0
INDIANA DEPARTMENT OF HEALTH
2 N MERIDIAN STINDIANAPOLISIN46204356000158PROMOTE, PROTECT, AND IMPROVE HEALTHIN501(C)(6)0
INDIANA UNIVERSITY
107 S INDIANA AVEBLOOMINGTONIN47405356001673RESEARCH UNIVERSITYIN501(C)(2)0
MARION COUNTY HEALTH DEPARTMENT
6042 E 21ST STINDIANAPOLISIN46219356005697PROMOTE PHYSICAL, MENTAL, AND ENVIRONMENTAL HEALTHIN501(C)(6)0
RICHARD ROUDEBUSH VETERANS AFFAIRS MEDICAL
1481 W 10TH STINDIANAPOLISIN46202351906280HEALTH CAREIN501(C)(6)0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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