UNION HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- UNION HOSPITAL INC (EIN 35-0876396)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201643209349303409
- Schema version
- 2015v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T09:34:45-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350876396 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Union Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIO | BusinessNameControlTxt |
| Phone | 8122387000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1606 North Seventh Street | AddressLine1Txt |
| City | Terre Haute | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47804 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WAYNE HUTSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8122387000 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amber Kocher CPA | PreparerPersonNm |
| PTIN | P01286298 | PTIN |
| Phone | 3176334705 | PhoneNum |
| Preparation | 2016-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Schedule O | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WAYNE HUTSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1606 North Seventh Street | AddressLine1Txt |
| City | Terre Haute | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47804 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $444,231,099 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.uhhg.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1892 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | We exist to serve our patients with compassionate health care of the highest quality. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 2459 | TotalEmployeeCnt |
| Total Volunteers | 256 | TotalVolunteersCnt |
| Total Gross UBI | $528,100 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $384,426 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,818,105 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $136,746,188 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $408,991,967 | CYProgramServiceRevenueAmt |
| PY Investment Income | $869,724 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,672,413 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,894,461 | PYOtherRevenueAmt |
| CY Other Revenue | $7,810,158 | CYOtherRevenueAmt |
| PY Total Revenue | $139,894,799 | PYTotalRevenueAmt |
| CY Total Revenue | $420,292,643 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,595 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $142,499 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $54,425,233 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $145,413,503 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $83,765,231 | PYOtherExpensesAmt |
| CY Other Expenses | $250,255,693 | CYOtherExpensesAmt |
| PY Total Expenses | $138,203,059 | PYTotalExpensesAmt |
| CY Total Expenses | $395,811,695 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,691,740 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $24,480,948 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $446,950,404 | TotalAssetsBOYAmt |
| Total Assets EOY | $464,831,939 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $322,965,636 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $329,735,267 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $123,984,768 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $135,096,672 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | We exist to serve our patients with compassionate health care of the highest quality. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $340,978,393 | ExpenseAmt |
| Grant | $142,499 | GrantAmt |
| Revenue | $408,991,967 | RevenueAmt |
| Desc | UNION HOSPITAL (UHI), UNION HOSPITAL CLINTON (UHC), AND OUR NETWORK OF PRIMARY CARE PHYSICIANS JOIN TOGETHER TO PROVIDE COMPREHENSIVE CARE TO RESIDENTS OF WEST CENTRAL INDIANA AND EASTERN ILLINOIS. OUR FACILITIES AT UNION HOSPITAL INCLUDE TWO HOSPITALS AND MORE THAN 40 PRIMARY AND SPECIALTY CARE PHYSICIANS AND MID-LEVEL PROVIDERS. WE ARE THE LARGEST PROVIDER OF NOT-FOR-PROFIT HEALTH CARE SERVICES BETWEEN INDIANAPOLIS AND ST. LOUIS ALONG THE I-70 CORRIDOR, SERVING VIGO, PARKE, VERMILLION, CLAY, SULLIVAN AND GREENE COUNTIES IN INDIANA, AND CLARK AND EDGAR COUNTIES IN ILLINOIS AS OUR PRIMARY SERVICE AREA. OUR SECONDARY SERVICE AREA INCLUDES CRAWFORD COUNTY IN ILLINOIS.CONTINUE TO SCHEDULE O: CLAY GREENE SULLIVAN PARKE VERMILLION VIGOPOPULATION 26,562 32,726 21,050 17,233 15,693 108,291RANK IN IND. 59TH 52ND 69TH 76TH 79TH 17TH SQ MILES 357.50 542.5 447.10 444.70 256.9 403.30POP/SQ MILE 74.30 60.43 47.08 38.75 61.09 268.22LARGEST CITY BRAZIL LINTON SULLIVAN ROCKVILLE CLINTON TERRE HAUTEPOPULATION 8,114 5,331 4,171 2,596 4,812 60,956MEDIAN AGE 40.9 42.7 40.6 41.4 43.2 35.9POVERTY RATE 15.8% 14.0% 17.9% 13.3% 15.8% 20.0%UNMPLYMNT RATE 5.0% 6.0% 6.0% 5.7% 6.9% 6.1%AVG HOUSEHOLD INCOME 47,030 43,980 43,510 43,870 42,524 40,692CHILDREN LIVING BELOW POVERTY 22.2% 16.5% 25.0% 20.2% 23.1% 28.4%UNION HOSPITAL HAS BEEN SERVING COMMUNITIES IN WEST CENTRAL INDIANA AND EAST CENTRAL ILLINOIS FOR THE PAST 120 YEARS. UNION HOSPITAL SERVES 275,000 PEOPLE IN BOTH URBAN AND RURAL AREAS; CLAY, GREENE, SULLIVAN, PARKE, VERMILLION AND VIGO COUNTIES IN INDIANA ALONG WITH CLARK AND CRAWFORD COUNTIES IN ILLINOIS MAKE UP OUR PRIMARY SERVICE AREA AS IT RELATES TO COMMUNITY BENEFIT. THE MAJORITY OF FAMILIES IN OUR SERVICE AREA FALL SIGNIFICANTLY BELOW THE NATIONAL AND STATE MEDIAN HOUSEHOLD INCOME. AS THE LARGEST NOT-FOR-PROFIT HEALTHCARE PROVIDER BETWEEN ST. LOUIS AND INDIANAPOLIS, WE ARE PROUD TO BE THE SAFETY NET HOSPITAL FOR OUR COMMUNITY PROVIDING OVER $75 MILLION IN TOTAL COMMUNITY BENEFITS, THAT INCLUDE $33 MILLION IN CHARITY CARE TO OUR COMMUNITY. THE PEOPLE WHO MAKE UP UHI ARE DEVOTED TO HELPING OTHERS. WHETHER THEY PROVIDE CARE TO PATIENTS IN OUR HOSPITALS AND CLINICS, VOLUNTEER FOR COMMUNITY SERVICE ORGANIZATIONS AND CAUSES, OR ORGANIZE BAKE SALES FOR FELLOW EMPLOYEES IN NEED, OUR EMPLOYEES EXEMPLIFY A SPIRIT OF CARING. THAT SPIRIT OF CARING IS HARDWIRED THROUGHOUT THE ORGANIZATION FROM OUR VOLUNTEER BOARD OF DIRECTORS TO OUR LEADERSHIP TEAM TO OUR STAFF, PHYSICIANS AND VOLUNTEERS. ALL AROUND THE COMMUNITIES WE SERVE, YOU will FIND OUR CARING PEOPLE SERVING AS LEADERS IN CHURCHES, SCHOOLS AND COMMUNITY ORGANIZATIONS. THAT WEB OF INVOLVEMENT PROVIDES A RICH CONNECTION TO THE NEEDS OF OUR COMMUNITY AND GUIDES OUR ACTIVITIES TO IMPROVE THE QUALITY OF LIFE FOR ALL THAT WE SERVE. OUR COMMUNITIES ARE BOTH URBAN AND RURAL BUT SHARE A COMMON TRAIT: HOUSEHOLD INCOMES THAT FALL FAR BELOW THE STATE AND NATIONAL AVERAGES. ACCESS TO CARE IS A CHALLENGE FOR THOSE LIVING IN URBAN POVERTY AND THOSE WHO LIVE IN THE RURAL COUNTRYSIDE. THE SERVICES AND PROGRAMS OUTLINED IN THIS COMMUNITY BENEFIT REPORT WERE DESIGNED TO MEET THE NEEDS OF THE POOR AND UNINSURED AND TO IMPROVE ACCESS TO HEALTH CARE IN OUR RURAL COMMUNITIES. THE RICHARD G. LUGAR CENTER FOR RURAL HEALTH IS AN INNOVATION CENTER DESIGNED TO GIVE PROVIDERS THE TOOLS AND TRAINING TO SUCCESSFULLY ESTABLISH MEDICAL PRACTICE IN RURAL AREAS. THE CLAY CITY CENTER FOR FAMILY MEDICINE IS A MODEL TRAINING SITE FOR FAMILY MEDICINE RESIDENTS AND A VITAL RURAL HEALTH CLINIC SERVING THE PEOPLE OF CLAY COUNTY, INDIANA. A MULTI-DISCIPLINARY TEAM APPROACH PROVIDES A HIGH LEVEL OF SERVICE TO THIS AREA AND HAS RESULTED IN IMPRESSIVE HEALTH IMPROVEMENTS FOR ITS PEOPLE. UHI ALSO PROVIDES PRE-NATAL CARE FOR INDIGENT POPULATIONS BY OFFERING THE FOLLOWING SERVICES ON A SLIDING PAY SCALE: PRENATAL CARE, SUPPORT AND DELIVERY ARE PROVIDED THROUGH A TEAM OF PHYSICIANS, NURSES, SOCIAL WORKERS, AND SUBSTANCE ABUSE COUNSELORS TO WOMEN. OUR SPIRIT OF CARING MAKES US NATURAL PARTNERS WITH PROVIDENCE SELF SUFFICIENCY MINISTRIES' ST. ANN CLINIC, A FREE PRIMARY CARE CLINIC SERVING THE CITY OF TERRE HAUTE'S POOREST POPULATION. UNION HOSPITAL AFFILIATED PHYSICIANS, NURSES AND OTHERS PROVIDE THOUSANDS OF VOLUNTEER HOURS EACH YEAR TO STAFF THE CLINIC. UPON SEEING THE GROWING NEED FOR CARE, UHI HAS PROVIDED FUNDING FOR A FULL-TIME NURSE PRACTITIONER TO SEE PATIENTS AT THE CLINIC. THE CLINIC HAS BEEN SUCCESSFUL IN HELPING PATIENTS WITH CHRONIC DISEASE MANAGEMENT. WE KNOW THAT MANY WOMEN WILL FOREGO BREAST HEALTH SCREENING TO PUT THE NEEDS OF THEIR FAMILIES FIRST. MANY MORE WOMEN ARE CONCERNED THAT IF A PROBLEM IS FOUND IT WILL PUT TERRIBLE FINANCIAL BURDENS ON THEIR FAMILIES. PARTNERSHIPS WITH THE STATE OF INDIANA AND THE SUSAN G. KOMEN FOUNDATION HAVE ALLOWED THE CLARA FAIRBANKS CENTER FOR WOMEN TO PROVIDE SCREENING AND DIAGNOSIS AS WELL AS FOLLOW-UP CARE TO AREA WOMEN IN NEED, PROVIDING PEACE OF MIND AND DETECTING BREAST CANCERS EARLY. A WOMAN RECENTLY SERVED EXCLAIMED, "YOU SAVED MY LIFE AND MY HOUSE!" ENCOURAGING ACTIVE, HEALTHY LIFESTYLES AND PROVIDING ROLE MODELS IS THE GOAL BEHIND THE PERFECT PARTNERS PROGRAM, A PARTNERSHIP BETWEEN UNION AND BENJAMIN FRANKLIN ELEMENTARY SCHOOL. THIS LOW-COST, HIGH-IMPACT PROGRAM SERVES THE AREA'S POOREST INNER-CITY SCHOOL WITH FITNESS AND NUTRITION PROGRAMS, HEALTH FAIRS AND CAREER DAYS. | Desc |
| Total Program Service Expenses | $340,978,393 | 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 | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 170 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2459 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wayne Hutson CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8122387000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1606 N Seventh Street | AddressLine1Txt |
| City | Terre Haute | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47804 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MOLLY CALLAHAN | ||||||||||
| Chair | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Dan Bradley | ||||||||||
| Vice Chair | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Mark Fuson | ||||||||||
| Secretary | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Dan DeBard | ||||||||||
| Treasurer | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| William G Grimes | ||||||||||
| Asst. Secretary | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Ward Hubbard | ||||||||||
| Asst. Treasurer | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Ken Baker | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Curtis Brighton | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Coons | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Grant Hammons MD | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $536,362 | $49,371 | ||||
| Jacqueline Holder MD | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $268,963 | $38,771 | ||||
| Janis Ingebrigtsen MD | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $401,744 | $0 | $12,475 | ||||
| John Lukens | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Lynch MD | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cindy Martin | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Krishna Namburi MD | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $893,851 | $23,600 | ||||
| Venkat Reddy MD | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $420,373 | $0 | $13,530 | ||||
| Don Scott | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sara Smith | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Steve Witt | ||||||||||
| Member | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Steven HOLMAN | ||||||||||
| President & CEO | 40.00 | 4.00 | Yes (X) | $671,749 | $0 | $23,172 | ||||
| Wayne Hutson | ||||||||||
| SR VP Finance/CFO | 40.00 | 5.00 | Yes (X) | $545,334 | $0 | $16,080 | ||||
| Jack Hill | ||||||||||
| Vice Pres./COO | 40.00 | 0.00 | Yes (X) | $290,535 | $0 | $6,643 | ||||
| JOHN BOLINGER | ||||||||||
| Vice President Med Affairs | 40.00 | 0.00 | Yes (X) | $505,108 | $0 | $25,285 | ||||
| Rhonda Smith | ||||||||||
| Vice President | 40.00 | 0.00 | Yes (X) | $272,924 | $0 | $21,538 | ||||
| Sally Zuel | ||||||||||
| Vice President | 40.00 | 0.00 | Yes (X) | $274,773 | $0 | $20,575 | ||||
| Pamela Deeter | ||||||||||
| vice president | 40.00 | 0.00 | Yes (X) | $186,995 | $0 | $15,678 | ||||
| Terri Hill | ||||||||||
| vice president | 40.00 | 0.00 | Yes (X) | $265,781 | $0 | $20,628 | ||||
| KRISTI WILLIAMS | ||||||||||
| System Director - Pharmacy | 40.00 | 0.00 | $175,629 | $0 | $23,593 | Yes (X) | ||||
| Tamim Antaki | ||||||||||
| Thorasic Surgeon | 40.00 | 0.00 | $1,167,485 | $0 | $23,451 | Yes (X) | ||||
| Erick Stephanian | ||||||||||
| Neurosurgeon | 40.00 | 0.00 | $967,572 | $0 | $26,910 | Yes (X) | ||||
| Rita Ratani | ||||||||||
| RAdiologist | 40.00 | 0.00 | $925,288 | $0 | $22,302 | Yes (X) | ||||
| Nabil Mnayarji | ||||||||||
| Thorasic Surgeon | 40.00 | 0.00 | $847,964 | $0 | $27,493 | Yes (X) | ||||
| Lingan Sidda | ||||||||||
| RAdiologist | 40.00 | 0.00 | $846,673 | $0 | $17,850 | Yes (X) | ||||
| Kym Pfrank | ||||||||||
| Former Vice Pres & COO | 0.00 | 0.00 | $231,341 | $0 | $19,124 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,997,268 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,699,176 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $448,069 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 127 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| Cardiovascular Management LLC | |||||
| 2723 S 7th st | Terre Haute | IN | 47802 | Medical Management Services | $14,942,283 |
| PROVIDENCE MEDICAL GROUP | |||||
| 2723 S 7th St | Terre Haute | IN | 47802 | Medical Services and Rent | $9,558,033 |
| Union Hospital Therapy | |||||
| 1606 N 7th St | Terre Haute | IN | 46804 | Medical Services | $8,133,973 |
| Ambulatory Surgery Management | |||||
| 221 S 6th St | Terre Haute | IN | 47802 | Medical Management Services | $6,530,144 |
| Oncology Services Group LLC | |||||
| 6100 West 96th St | Indianapolis | IN | 46278 | Medical Management Services | $2,823,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $45,092 | RelatedOrganizationsAmt |
| Government Grants | $1,301,786 | GovernmentGrantsAmt |
| All Other Contributions | $471,227 | AllOtherContributionsAmt |
| Total Contributions | $1,818,105 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $408,991,967 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $408,991,967 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $408,991,967 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,716,343 | TotalRevenueColumnAmt |
| Exclusion | $1,716,343 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,335,601 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,006,612 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$671,011 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$671,011 | TotalRevenueColumnAmt |
| Exclusion | -$671,011 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,703,212 | SecuritiesAmt |
| Other | $184,702 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,865,324 | SecuritiesAmt |
| Other | $66,520 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$162,112 | SecuritiesAmt |
| Other | $118,182 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$43,930 | TotalRevenueColumnAmt |
| Exclusion | -$43,930 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Cafeteria Revenue | 900099 | $1,894,961 | $1,894,961 | |
| AP & S PURCHASE SERVICES | 900099 | $929,526 | $929,526 | |
| Child Development Revenue | 624410 | $324,380 | $324,380 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,332,302 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $203,720 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,128,582 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,481,169 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $420,292,643 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $408,991,967 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $528,100 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,954,471 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,499 | TotalAmt |
| Program Services | $142,499 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,188,828 | TotalAmt |
| Program Services | $2,747,175 | ProgramServicesAmt |
| Management And General | $441,653 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,251,211 | TotalAmt |
| Program Services | $104,600,037 | ProgramServicesAmt |
| Management And General | $17,651,174 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,803,197 | TotalAmt |
| Program Services | $7,583,954 | ProgramServicesAmt |
| Management And General | $1,219,243 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,010,416 | TotalAmt |
| Program Services | $2,593,473 | ProgramServicesAmt |
| Management And General | $416,943 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,159,851 | TotalAmt |
| Program Services | $7,029,712 | ProgramServicesAmt |
| Management And General | $1,130,139 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,000 | TotalAmt |
| Program Services | $20,676 | ProgramServicesAmt |
| Management And General | $3,324 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,531 | TotalAmt |
| Program Services | $201,187 | ProgramServicesAmt |
| Management And General | $32,344 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,162 | TotalAmt |
| Program Services | $2,724 | ProgramServicesAmt |
| Management And General | $438 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,787,869 | TotalAmt |
| Program Services | $5,847,749 | ProgramServicesAmt |
| Management And General | $940,120 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,322 | TotalAmt |
| Program Services | $199,284 | ProgramServicesAmt |
| Management And General | $32,038 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,817,370 | TotalAmt |
| Program Services | $10,180,664 | ProgramServicesAmt |
| Management And General | $1,636,706 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,669,988 | TotalAmt |
| Program Services | $9,192,195 | ProgramServicesAmt |
| Management And General | $1,477,793 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,549 | TotalAmt |
| Program Services | $340,765 | ProgramServicesAmt |
| Management And General | $54,784 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,881,579 | TotalAmt |
| Program Services | $13,681,980 | ProgramServicesAmt |
| Management And General | $2,199,599 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,375,545 | TotalAmt |
| Program Services | $9,800,032 | ProgramServicesAmt |
| Management And General | $1,575,513 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,653,684 | TotalAmt |
| Program Services | $16,931,649 | ProgramServicesAmt |
| Management And General | $2,722,035 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,972,458 | TotalAmt |
| Program Services | $11,175,773 | ProgramServicesAmt |
| Management And General | $1,796,685 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $68,631,837 | $59,812,591 | $8,819,246 |
| Medical Supplies | $58,338,774 | $50,258,854 | $8,079,920 |
| HAF Fee | $13,107,733 | $11,292,312 | $1,815,421 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,131,292 | TotalAmt |
| Program Services | $17,343,108 | ProgramServicesAmt |
| Management And General | $2,788,184 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,811,695 | TotalAmt |
| Program Services | $340,978,393 | ProgramServicesAmt |
| Management And General | $54,833,302 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,503,001 | BOYAmt |
| EOY | $42,055,995 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,929,387 | BOYAmt |
| EOY | $52,915,544 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,194,640 | BOYAmt |
| EOY | $4,550,182 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,205,614 | BOYAmt |
| EOY | $6,858,581 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $520,195,935 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $259,006,179 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,856,426 | BOYAmt |
| EOY | $261,189,756 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,070,086 | BOYAmt |
| EOY | $84,933,168 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,575,475 | BOYAmt |
| EOY | $5,426,092 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $746,695 | BOYAmt |
| EOY | $4,206,301 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,869,080 | BOYAmt |
| EOY | $2,696,320 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,950,404 | BOYAmt |
| EOY | $464,831,939 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,581,165 | BOYAmt |
| EOY | $48,279,893 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,033 | BOYAmt |
| EOY | $150 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,030,000 | BOYAmt |
| EOY | $245,100,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,755,241 | BOYAmt |
| EOY | $26,069,091 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,532,197 | BOYAmt |
| EOY | $10,286,133 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $322,965,636 | BOYAmt |
| EOY | $329,735,267 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,517,636 | BOYAmt |
| EOY | $130,138,208 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,894,036 | BOYAmt |
| EOY | $3,410,355 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,573,096 | BOYAmt |
| EOY | $1,548,109 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,984,768 | BOYAmt |
| EOY | $135,096,672 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,950,404 | BOYAmt |
| EOY | $464,831,939 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $24,480,948 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,921,041 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,448,003 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $16,353 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,353 | 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 | Percentage of Indiana Hospital Assocation and American Hospital Association dues paid attributable to lobbying expenses as defined in federal law. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,573,096 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$24,987 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,548,109 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,558,349 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $14,747 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,573,096 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,403,823 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $154,526 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,558,349 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $976,358 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $427,465 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,403,823 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $958,444 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,914 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $976,358 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,771,294 | OtherCostOrOtherBasisAmt |
| Book Value | $17,771,294 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $359,696,354 | OtherCostOrOtherBasisAmt |
| Depreciation | $143,783,642 | DepreciationAmt |
| Book Value | $215,912,712 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,252,916 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,410,900 | DepreciationAmt |
| Book Value | $842,016 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $132,517,988 | OtherCostOrOtherBasisAmt |
| Depreciation | $112,811,637 | DepreciationAmt |
| Book Value | $19,706,351 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,957,383 | OtherCostOrOtherBasisAmt |
| Book Value | $6,957,383 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $261,189,756 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $7,110,306 |
| Estimated Third Party Settlements | $3,175,827 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,286,133 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The Corporation's endowment consists of individual funds established for a variety of purposes which were donor-restricted. Net assets associated with endowment funds, including funds designated by the Corporation to function as endowments, are classified and reported based on the existence or absence of donor-imposed restrictions. |
| Part X, Line 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION 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 CORPORATION, AND HAS CONCLUDED THAT AS OF December 31, 2015 AND 2014, 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 CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FILINGS ARE CURRENT THROUGH 2014. THE IMPACT OF THE SUBSIDIARIES TAX CONSEQUENCES IS IMMATERIAL TO THESE FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,445,030 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,445,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,241,695 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $55,555,356 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,686,339 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05730 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $172,192,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $151,642,491 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,550,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05190 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $256,879,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $207,197,847 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,681,519 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12550 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,205,481 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,205,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,084,834 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,800,099 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,284,735 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,346,357 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,522,609 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,823,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01720 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $146,982 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $146,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $142,993 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $142,993 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,926,647 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,322,708 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,603,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04450 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $280,806,013 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $213,520,555 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,285,458 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $30,970,409 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $127,483,161 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $128,199,314 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$716,153 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNION HOSPITAL INC | ||||||||||||
| 1 | 1606 North Seventh Street | Terre Haute | IN | 47804 | http://www.myunionhospital.org | 16-005022-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Physician practices, off campus therapy, radiology | |
| Union Hospital Clinton | ||||||||||||
| 2 | 801 S Main St | Clinton | IN | 47842 | http://www.myunionhospital.org | 16-005055-1 | Yes (X) | Yes (X) | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNION HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | See Part V, Section C, Supplemental Info | Yes (X) | Yes (X) | Yes (1) | 15 | Yes (1) | SEE PART V, SECTION C, SUPPLEMENTAL INFO | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Page 7 | Yes (X) | http://www.myunionhospital.org/unionhospital/images/faapplication.pdf | Yes (X) | http://www.myunionhospital.org/unionhospital/billing-financial-assistance | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| UNION HOSPITAL CLINTON | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | See Part V, Section C, Supplemental Info | Yes (X) | Yes (X) | Yes (1) | 15 | Yes (1) | SEE PART V, SECTION C, SUPPLEMENTAL INFO | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | See Part V, Page 7 | Yes (X) | http://www.myunionhospital.org/unionhospital/images/faapplication.pdf | Yes (X) | http://www.myunionhospital.org/unionhospital/billing-financial-assistance | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| UNION HOSPITAL | Part V, Section B, Line 5: An online survey was developed for the community to rank needs based on the area code in which they reside. This data has been taken into consideration and will help us plan and implement programs for community health improvement. Also, public input was sought in various stakeholder meetings that take place at the hospital on a bi-monthly basis. Those stakeholder meetings consist of; Community Impact Committee, Patient Family Advisory, Board of Directors Advisory and Vendor Advisory. These advisory committees were formed to help the hospital perform a SWOT analysis and gain different perspective from different individuals that the hospitals come in contact with on a daily basis. This analysis has been compiled to help with our strategic planning process. |
| UNION HOSPITAL CLINTON | Part V, Section B, Line 5: An online survey was developed for the community to rank needs based on the area code in which they reside. This data has been taken into consideration and will help us plan and implement programs for community health improvement. Also, public input was sought in various stakeholder meetings that take place at the hospital on a bi-monthly basis. Those stakeholder meetings consist of; Community Impact Committee, Patient Family Advisory, Board of Directors Advisory and Vendor Advisory. These advisory committees were formed to help the hospital perform a SWOT analysis and gain different perspective from different individuals that the hospitals come in contact with on a daily basis. This analysis has been compiled to help with our strategic planning process. |
| UNION HOSPITAL | Part V, Section B, Line 6a: Union Hospital ClintonTerre Haute Regional HospitalSullivan County Community Hospital |
| UNION HOSPITAL CLINTON | Part V, Section B, Line 6a: Union Hospital Terre Haute Regional HospitalSullivan County Community Hospital |
| UNION HOSPITAL | Part V, Section B, Line 7d: Location of CHNA: http://www.myunionhospital.org/unionhospital/health-needs-assessment-cbAdditionally, access report at www.myunionhospital.org > click on "Community Benefits" from the drop down menu under "about us" > click on "health needs assessment" linkLocation of IS: http://myunionhospital.org/unionhospital/images/communityhealthneedsimplementationplan-final.pdfAdditionally, access implementation strategy at www.myunionhospital.org > click on "Community Benefits" from the drop down menu under "about us" > click on "implementation plan" link. |
| UNION HOSPITAL CLINTON | Part V, Section B, Line 7d: Location of CHNA: http://www.myunionhospital.org/unionhospital/health-needs-assessment-cbAdditionally, access report at www.myunionhospital.org > click on "Community Benefits" from the drop down menu under "about us" > click on "health needs assessment" linkLocation of IS: http://myunionhospital.org/unionhospital/images/communityhealthneedsimplementationplan-final.pdfAdditionally, access implementation strategy at www.myunionhospital.org > click on "Community Benefits" from the drop down menu under "about us" > click on "implementation plan" link. |
| UNION HOSPITAL | Part V, Section B, Line 16i: FAP Website: http://www.myunionhospital.org/unionhospital/images/fapboardapprovedunionhospital011916.pdfAdditionally, access the Financial Assistance Policy, Application, and Plain Language Summary at www.myunionhospital.com > click on "Pay Your Bill" from the drop down menu under "Services" > click on "Financial Assistance" link on the right hand side of the webpage. |
| UNION HOSPITAL CLINTON | Part V, Section B, Line 16i: FAP Website: http://www.myunionhospital.org/unionhospital/images/fapboardapprovedunionhospital011916.pdfAdditionally, access the Financial Assistance Policy, Application, and Plain Language Summary at www.myunionhospital.com > click on "Pay Your Bill" from the drop down menu under "Services" > click on "Financial Assistance" link on the right hand side of the webpage. |
| UNION HOSPITAL | Part V, Section B, Line 22d: ALL PATIENTS ARE BILLED AT THE HOSPITAL'S ESTABLISHED RATES. ONCE AN INDIVIDUAL HAS SUBMITTED AN APPLICATION AND IS APPROVED FOR FINANCIAL ASSISTANCE A FAP-ELIGIBLE APPLICANT WOULD RECEIVE 100% ASSISTANCE WITH THE HOSPITAL OBLIGATION. If the Hospital has billed an amount to an individual who has not submitted an application for Financial Assistance as of the date of the charge and is later determined to be eligible for Financial Assistance, the Hospital will make appropriate adjustments to the amounts charged and issue a refund to the patient, if necessary. The Hospital will not charge any Eligible Individuals more than the AGB amount for Emergency Medical Services or other Medically Necessary Care, and in all cases, the charge to an Eligible Individual will be less than the Hospital's gross charges. |
| UNION HOSPITAL CLINTON | Part V, Section B, Line 22d: ALL PATIENTS ARE BILLED AT THE HOSPITAL'S ESTABLISHED RATES. ONCE AN INDIVIDUAL HAS SUBMITTED AN APPLICATION AND IS APPROVED FOR FINANCIAL ASSISTANCE A FAP-ELIGIBLE APPLICANT WOULD RECEIVE 100% ASSISTANCE WITH THE HOSPITAL OBLIGATION. If the Hospital has billed an amount to an individual who has not submitted an application for Financial Assistance as of the date of the charge and is later determined to be eligible for Financial Assistance, the Hospital will make appropriate adjustments to the amounts charged and issue a refund to the patient, if necessary. The Hospital will not charge any Eligible Individuals more than the AGB amount for Emergency Medical Services or other Medically Necessary Care, and in all cases, the charge to an Eligible Individual will be less than the Hospital's gross charges. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 19 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|---|
| 1 - Clara Fairbanks Center for Women | |||||
| 1711 N 6 1/2 St Hux Cancer Ctr 3rd | Floor | Terre Haute | IN | 47804 | Mammography Center |
| 2 - Clay City Center for family Medicine | |||||
| 315 Lankford St Po Box 96 | clay City | IN | 47841 | family Medicine Center | |
| 3 - Cork Medical Center | |||||
| 408 N 2nd ST | Marshall | IL | 62441 | Family Medical Services | |
| 4 - Dr Waltz MD | |||||
| 727 N Lincoln Rd | Rockville | IN | 47872 | Family Medical Services | |
| 5 - Heritage Family Medicine | |||||
| 7500 State Road 46 | Riley | IN | 47871 | Family Medical Services | |
| 6 - Illiana Internal Medicine LLC | |||||
| 1332 N 7th St | Terre Haute | IN | 47807 | Internal Medicine | |
| 7 - Imaging Services - Thomas Prof Plaza | |||||
| 5500 S US HWY 41 | Terre Haute | IN | 47802 | Outpatient Therapy & Imaging Center | |
| 8 - Pediatric Therapy Services | |||||
| 450 8th Ave | Terre Haute | IN | 47804 | Outpatient Therapy Center | |
| 9 - Professional Office Building | |||||
| 1530 N 7th St | Terre Haute | IN | 47807 | P.E.T. Scans | |
| 10 - Providence Medical Group Cath Lab | |||||
| 2723 S 7th St | Terre Haute | IN | 47802 | Outpatient Cath lab | |
| 11 - Providence Medical Group Chemo Therapy | |||||
| 2723 S 7th St | Terre Haute | IN | 47802 | Chemo Therapy/Infusion Center | |
| 12 - Richard G Lugar Center for Rural Health | |||||
| 1433 North 6 1/2 St | Terre Haute | IN | 47807 | Center for Medical Education | |
| 13 - Therapy Services - Professional Plaza | |||||
| 4001 E Wabash Avenue | Terre Haute | IN | 47803 | Outpatient Therapy Center | |
| 14 - Therapy Services - St Mary of the Woods | |||||
| One sister of Providence | St Mary of the Wood | IN | 47876 | Outpatient Therapy Center | |
| 15 - Therapy Services (UAP Bone & Joint) | |||||
| 1725 N 5th St | Terre Haute | IN | 47804 | Outpatient Therapy Center | |
| 16 - Union Family Medicine East | |||||
| 4001 E Wabash Avenue | Terre Haute | IN | 47803 | Therapy Services | |
| 17 - Union Hospital Family Medicine Center | |||||
| 1530 N 7th ST Ste 200 | Terre Haute | IN | 47807 | Family Medicine Center | |
| 18 - Union Hosptial Hux Cancer Center | |||||
| 1711 N 6 1/2 St | Terre Haute | IN | 47804 | Cancer Care Center | |
| 19 - Wabash Valley Surgery Center | |||||
| 1421 N 7th St | Terre Haute | IN | 47807 | Surgery Center | |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Description of Family Income Limit for EligibilityThe organization provides full financial assistance for income levels below 200% of Federal Poverty Income Guidelines (FPIG), provided they have no other sources for payment [such as health insurance, Medicaid eligibilty, or liability claims], and grants partial financial assistance to individuals and families with an annual household income levels between 201% and 300% of FPIG. Individuals and families with an annual Household income exceeding 301% of FPIG shall not be eligible for financial assistance, absent unusual circumstances as approved by the financial assistance committee. All uninsured patients, regardless of financial need, will be eligible for an initial automatic discount to the AGB, as calculated consistently with the Credit and Collection Policy. Additionally, an uninsured individual, eligible for the automatic discount, may also be an eligible individual for purpose of receiving additional financial assistance. |
| Part II, Community Building Activities: | TO BETTER MEET THE NEEDS OF OUR COMMUNITIES Union Hospital PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES TO IMPROVE THE HEALTH IN THE COMMUNITY. PROGRAMS HAVE BEEN DEVELOPED TO SPECIFICALLY HELP MEET THE NEEDS AS DEFINED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT. MANY OF THE PROGRAMS OR SERVICES DEVELOPED MEET SEVERAL DEFINED NEEDS AND SOME OF THEM ARE MORE FOCUSED ON A CENTRAL IDEA. Access to health care has also been identified as a need in our community. In 1993 the Richard G. Lugar Center for Rural Health was established to help recruit and educate physicians to practice health care in our rural communities. Since its inception the Lugar Center has worked to develop programs and services that make healthcare more accessible to those individuals living in rural communities. The establishment of clinics such as the Clay City Center for Family Medicine that serves as a medical home for approximately 3,500 area residents, delivering over 8,000 visits annually, in addition to house calls. In 2001, the Lugar Center developed and implemented a chronic disease management program at the clinic that is still being integrated into care plans for patients as appropriate. This evidence-based program includes five chronic diseases-hypertension, diabetes mellitus, chronic obstructive pulmonary disease, congestive heart failure, and asthma. The Lugar Center in coordination with the Family Medicine Residency has expanded training capacity for future rural health care providers through collaborative efforts with rural partners around the Wabash Valley. The Rural Health Innovation Collaborative is another program that has been developed to help improve access to healthcare among other community building activities. In 2008 Union Hospital's Lugar Center helped launch a rural health collaborative aimed at improving and expanding health care in our community. What began as an informal exercise in creative problem-solving has become the RHIC. Founding partners include Indiana State University (ISU), Indiana University School of Medicine (IUSM), Union Hospital and it's Richard G. Lugar Center for Rural Health (UH), the Terre Haute Economic Development Corporation (THEDC), the City of Terre Haute (the City), and Ivy Tech Community College Wabash Valley (Ivy Tech). The mission of the Rural Health Innovation Collaborative (RHIC) is to improve and expand education and training of health care professionals and future health care professionals, especially for those committed to serving rural and underserved populations. Key components of this mission include: To promote the retention of health care professionals to serve rural and underserved populations; To invite community revitalization by promoting the enhancement of opportunities for education, training, and experience in health-related professions and fields; To promote social welfare and to encourage and coordinate community initiatives to address challenges affecting health care delivery; To promote the efficient use of public and private resources and collaborate with other entities with similar or complementary purposes; To design and implement innovative best practices and strategies that are capable of replication in other areas of the United States; and to disseminate educational information, thereby potentially or actually benefiting those other areas. |
| Part III, Line 4: | Footnote to organization's financial statements that describes bad debt expenses can be found on page 10 through 14 of the attached audited financial statements under the financial footnote "Patient Accounts Receivable, Estimated Third Party Settlment, and Net Patient Service Revenue". |
| Part III, Line 8: | The source used to determine the amount of Medicare allowable costs reported for Part III, Section B, Medicare has been provided from the Year Ended December 31, 2015 report: Hospital Statement of Reimbursable Cost. |
| Part III, Line 9b: | If the patient does not qualify for charity, but qualifies for limited means assistance, a reduction in charges will be made to the account and the patient will be notified via mail. At the patient's request, payment arrangements will be made for the remaining balance. |
| Part VI, Line 2: | AT UNION HOSPITAL, ASSESSING THE NEEDS OF OUR COMMUNITY IS AN ONGOING ACTIVITY. ON FEBRUARY 7, 2012, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS OFFICIALLY LAUNCHED AND MADE AVAILABLE FOR PUBLIC USE. THE CHNA REPRESENTS A UNIQUE COLLABORATION BETWEEN THE TWO LARGEST HEALTHCARE PROVIDERS IN THE WABASH VALLEY (UNION HOSPITAL AND REGIONAL HOSPITAL), ALONG WITH THE TERRE HAUTE CHAMBER OF COMMERCE (THCC) AND ITS BETTER HEALTH WABASH VALLEY (BHWV) INITIATIVE. THE SIX COUNTIES ASSESSED INCLUDE CLAY, GREENE, PARKE, SULLIVAN, VERMILLION AND VIGO COUNTIES. HEALTHY COMMUNITY INSTITUTE (HCI) USES DATA FROM SECONDARY SOURCES BY COMPILING THE DATA INTO ONE CHNA REPORT PROVIDING NEARLY 100 INDICATORS MEASURING HEALTH AND WELLNESS, ECONOMIC FACTORS, EDUCATION, PUBLIC SAFETY AND SOCIAL ENVIRONMENT. THIS TOOL CAN BE USED BY MANY DIFFERENT SEGMENTS OF THE COMMUNITY. THE DATA IS AUTOMATICALLY UPDATED BY HCI REPRESENTATIVES AS NEW DATA IS MADE PUBLIC BY OTHER SECONDARY DATA SOURCES. THE CHNA INDICATORS EACH FEATURE A "DASHBOARD" REPRESENTING DATA THAT HAS BEEN COLLECTED FROM ROUGHLY 40 DIFFERENT SOURCES. EACH "DASHBOARD" HAS A NEEDLE POINTING TO ONE OF THREE COLORS REPRESENTING THE GOOD (GREEN), THE CAUTIONARY (YELLOW) AND THE SERIOUS CONDITION (RED) OF A PARTICULAR INDICATOR. SIDE-BY-SIDE COMPARISONS OF THE FIVE COUNTIES FEATURED ON THE WEBSITE, ALONG WITH STATEWIDE AND NATIONWIDE COMPARISONS ARE ALSO AVAILABLE. THE CHNA IS HOUSED ON THE THCC WEBSITE, TERREHAUTECHAMBER.COM AND CAN BE ACCESSED THROUGH BOTH THE TERRE HAUTE REGIONAL HOSPITAL AND UNION HOSPITAL WEBSITES. THE BHWV IMPLEMENTATION PLAN WAS DEVELOPED BY A SUB-COMMITTEE OF BHWV. MEMBERS OF THIS SUB-COMMITTEE HAVE KNOWLEDGE OF PUBLIC HEALTH AND REPRESENT THE COMMUNITY AS A WHOLE. THIS IMPLEMENTATION PLAN IS INTENDED TO BE A "COMMUNITY PLAN". NO SINGLE ORGANIZATION CAN IMPACT THE HEALTH OF THE COMMUNITY ALONE. IT IS BHWV VISION THAT EACH COMMUNITY INCLUDED IN THE CHNA SHOULD HAVE A SAY NOT ONLY IN WHAT NEEDS THEY WILL FOCUS ON BUT HOW THEY WILL GO ABOUT POSITIVELY IMPACTING THOSE NEEDS. THE EXPECTATION IS THAT MANY OF THE COUNTIES INCLUDED IN THE CHNA WILL HAVE SIMILAR NEEDS AND PROJECTS, PROGRAMS AND EDUCATION WILL BE DEVELOPED FOR IMPLEMENTATION ACROSS THE ENTIRE "REGION". THE IMPLEMENTATION PLAN WENT INTO EFFECT IN MAY 2013 AND WILL BE UPDATED/REVIEWED ON AN ANNUAL BASIS. THE PLAN IS A THREE YEAR PLAN WITH ANNUAL REVIEW OF EFFECTIVENESS, BENCHMARKS, PROGRAMS AND COMMUNITY HEALTH NEEDS. BHWV ORGANIZATIONS MAY FORMALLY CHOOSE TO ADOPT THE INITIATIVES OUTLINED IN THIS DOCUMENT. THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) REQUIRES ALL NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT PRIOR TO MARCH 2012 AND ALSO COMPLETE AN IMPLEMENTATION PLAN, SEEKING INPUT FROM THE COMMUNITY AND BOARD APPROVAL OF THE PLAN IS REQUIRED. FAILURE TO COMPLY WITH THE PPACA COULD RESULT IN FORFEITURE OF TAX EXEMPT STATUS OR A $50,000 FINE UNTIL THE REQUIREMENTS ARE MET. UNION HOSPITAL, SULLIVAN COUNTY COMMUNITY HOSPITAL, GREENE COUNTY GENERAL HOSPITAL AND ST. VINCENT CLAY HOSPITAL ARE ALL PARTNERS IN THE BHWV INITIATIVE THAT HAVE REQUIREMENTS THEY HAVE TO FULFILL TO BE IN COMPLIANCE WITH THE PPACA. TO HELP SUPPLEMENT OUR INVOLVEMENT IN BHWV, UNION HOSPITAL OFFICIALS HAVE FORMED THE UNION HOSPITAL COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION PLAN WHICH INCORPORATES DATA FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, INPUT FROM COMMUNITY LEADERS HAVING INTEREST AND KNOWLEDGE IN PUBLIC HEALTH THAT ARE MEMBERS OF BHWV, THE UNION HOSPITAL BOARD OF DIRECTORS AND THE COMMUNITY AS A WHOLE. ADDITIONALLY, TO HELP SUPPLEMENT OUR FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, AN ONLINE SURVEY WAS DEVELOPED FOR THE COMMUNITY TO RANK NEEDS BASED ON THE AREA CODE IN WHICH THEY RESIDE. THIS DATA HAS BEEN TAKEN INTO CONSIDERATION AND WILL HELP US PLAN AND IMPLEMENT PROGRAMS FOR COMMUNITY HEALTH IMPROVEMENT. UNION HOSPITAL ALSO SEEKS PUBLIC INPUT IN VARIOUS STAKEHOLDER MEETINGS THAT TAKE PLACE AT THE HOSPITAL ON A BI-MONTHLY BASIS. THOSE STAKEHOLDER MEETINGS CONSIST OF; COMMUNITY IMPACT COMMITTEE, PATIENT FAMILY ADVISORY, BOARD OF DIRECTORS ADVISORY AND VENDOR ADVISORY. THESE ADVISORY COMMITTEES WERE FORMED TO HELP THE HOSPITAL PERFORM A SWOT ANALYSIS AND GAIN DIFFERENT PERSPECTIVE FROM DIFFERENT INDIVIDUALS THAT THE HOSPITALS COME IN CONTACT WITH ON A DAILY BASIS. THIS ANALYSIS HAS BEEN COMPILED TO HELP WITH OUR STRATEGIC PLANNING PROCESS. UNION EMPLOYS A FULL-TIME POSITION (COMMUNITY BENEFIT SPECIALIST) DEDICATED TO COMMUNITY BENEFIT ACTIVITIES FOR THE ORGANIZATION. THE COMMUNITY BENEFIT SPECIALIST TAKES ON THE LEAD ROLE IN COLLECTING DATA TO ASSIST IN ASSESSING THE NEEDS OF OUR COMMUNITY. THE WEB SITE STATSINDIANA.EDU HAS A WEALTH OF HEALTH, DEMOGRAPHIC AND INCOME DATA PROVIDING UNION WITH AN ASSESSMENT OF ALL INDIANA COUNTIES IN OUR SERVICE AREA. THE U.S. CENSUS BUREAU AND COUNTYHEALTHRANKINGS.ORG PROVIDED US MORE DATA THAT CAN BE DRILLED DOWN TO THE STATE, COUNTY AND CITY LEVELS TO HELP UNION OFFICIALS ACCURATELY ASSESS COMMUNITY HEALTH NEEDS. UNION ALSO WORKS CLOSELY WITH INDIANA STATE UNIVERSITY HEALTH AND HUMAN SERVICES AND THE VIGO COUNTY HEALTH DEPARTMENT. THE HOSPITAL UTILIZES NATIONAL RESEARCH CORPORATION (NRC) TO CONDUCT ITS PATIENT SATISFACTIONS SURVEY PROCESS, THE NRC PRODUCT PROVIDES UNION WITH COMMUNITY HEALTH NEEDS ASSESSMENT AND PROGRAM INDICATORS. |
| Part VI, Line 3: | UHI uses a variety of tools to educate patients about their eligibility for finical assistance. Signs are displayed in the Admitting areas, brochures and the financial assistance policy is attained on our statements. ClaimAid is available of point of service onsite Medicaid eligibility advisor that assists our patients in qualifying for any Medicaid programs. All of our financial counselors are trained and scripted to communicate finical assistance programs and assist in setting up meetings for the ClaimAid staff. Financial counselors are located in the Admitting in both Union Hospital East and West facilities to assist our patients. This includes staff that can speak Spanish to assist in any interpretation for a Spanish-speaking patient. |
| Part VI, Line 4: | THE ORGANIZATION SERVES A SIX COUNTY "REGION" LOCATED IN WABASH VALLEY INCLUDING CLAY, GREEN, PARKE, SULLIVAN, VERMILLION, AND VIGO COUNTIES. FOLLOWING IS A DESCRIPTION OF THE COMMUNITY BY COUNTY.Clay County - THE TOTAL POPULATION OF CLAY COUNTY IS 26,562, WHICH RANKS CLAY COUNTY AS 59TH IN INDIANA. THE LARGEST CITY IN CLAY COUNTY - CLAY COUNTY IS BRAZIL, WITH A POPULATION OF 8,114. THE COUNTY IS 357.50 SQUARE MILES, WHICH MAKES THE POPULATION PER SQUARE MILE 74.30. THERE ARE 1,623 PRESCHOOL CHILDREN AGES 0 TO 4, 4,507 SCHOOL CHILDREN AGES 5 TO17, 2,151 COLLEGE AGES 18 TO 24, 6,424 YOUNG ADULTS AGES 25 TO 44, 7,437 OLDER ADULTS AGES 45 TO 64, AND 4,420 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE OF PEOPLE IN CLAY COUNTY IS 40.9 YEARS OLD. IN CLAY COUNTY THERE ARE 26,959 WHITES, 356 HISPANICS, 157 BLACKS, 108 ASIANS, 7 AMERICAN INDIAN AND ALASKA NATIVE, 10 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 258 WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN 2013 WAS $47,030, WHICH RANKED 44TH IN THE STATE. THE POVERTY RATE IS 15.0%, WHICH RANKS 35TH IN THE STATE. THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 22.7%, WHICH RANKS 33RD IN THE STATE. IN 2013, THERE WAS AN AVERAGE OF 46 FAMILIES ON WELFARE EACH MONTH, WHICH IS 47TH IN THE STATE. THERE WERE 4,049 PEOPLE HAD FOOD STAMPS IN 2013, WHICH RANKS 50ND IN THE STATE. THERE WERE 2,288 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2013, WHICH RANKS 53RD IN THE STATE. IN CLAY COUNTY, 11,626 PEOPLE ARE EMPLOYED, WHICH RANKS 63ND IN THE STATE AND 856 PEOPLE ARE UNEMPLOYED, WHICH RANKS 54TH IN THE STATE. GREENE COUNTY - THE POPULATION IN GREENE COUNTY IS 32,726, WHICH RANKS THEM AS 52ND IN INDIANA. THE LARGEST CITY IN GREENE COUNTY IS LINTON, WITH A POPULATION OF 5,331. THE COUNTY IS 542.50 SQUARE MILES, WHICH MAKES THE POPULATION PER SQUARE MILE 60.32. THERE ARE 1,772 PRESCHOOL CHILDREN AGES 0 TO 4; 5,625 SCHOOL CHILDREN AGES 5 TO 17; 2,518 COLLEGE AGES 18 TO 24; 7,470 YOUNG ADULTS AGES 25 TO 44; 9,453 OLDER ADULTS AGES 45 TO 64; AND, 5,888 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE IN GREENE COUNTY IS 42.7 YEARS OLD. IN GREENE COUNTY THERE ARE 32,045 WHITES, 426 HISPANICS, 102 BLACKS, 115 ASIANS, 123 AMERICAN INDIAN OR ALASKA NATIVE, 9 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 332 WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN 2013 WAS $43,786, WHICH IS RANKED 66TH IN THE STATE. THE POVERTY RATE IS 13.7%, WHICH RANKS 47TH IN INDIANA. THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 20.8%, WHICH RANKS 39TH IN THE STATE. IN 2013 THERE WAS AN AVERAGE OF 47 FAMILIES ON WELFARE EACH MONTH, WHICH IS 46TH IN THE STATE. THERE WERE 4,796 PEOPLE RECEIVING FOOD STAMPS IN 2013, WHICH RANKS 38TH IN THE STATE. THERE WERE 2,595 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2013; THIS IS 43RD IN THE STATE. IN GREENE COUNTY 13,788 PEOPLE ARE EMPLOYED, WHICH RANKS 56TH IN THE STATE. 1,100 PEOPLE ARE UNEMPLOYED, WHICH RANKS 35TH IN INDIANA. SULLIVAN COUNTY - SULLIVAN COUNTY HAS A POPULATION JUST OVER 21,050, WHICH RANKS SULLIVAN 69TH IN INDIANA. THE LARGEST CITY IS SULLIVAN, WITH A POPULATION OF 4,171. THE COUNTY IS 447.10 SQUARE MILES, WHICH MAKES THE POPULATION PER SQUARE MILE 47.08. THERE ARE 1,079 PRESCHOOL CHILDREN AGES 0 TO 4; 3,188 SCHOOL CHILDREN AGES 5 TO 17; 1,828 COLLEGE AGES 18 TO 24; 5,743 YOUNG ADULTS AGES 25 TO 44; 5,779 OLDER ADULTS AGES 45 TO 64; AND, 3,433 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE OF PEOPLE IN SULLIVAN COUNTY IS 40.6 YEARS OLD. IN SULLIVAN COUNTY THERE ARE 19,687 WHITES, 371 HISPANICS, 992 BLACKS, 53 ASIANS, 67 AMERICAN INDIAN AND ALASKA NATIVE, 1 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 250 WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN 2013 WAS $41,978, WHICH RANKED 75TH IN THE STATE. THE POVERTY RATE IS 18.30%, WHICH RANKS 14TH IN THE STATE. THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 23.8%, WHICH RANKS 29TH IN THE STATE. IN 2013, THERE WAS AN AVERAGE OF 31 FAMILIES ON WELFARE EACH MONTH, WHICH IS 60TH IN THE STATE. THERE WERE 3,060 PEOPLE RECEIVING FOOD STAMPS IN 2013, WHICH RANKS 66TH IN THE STATE. THERE WERE 1,613 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2013, WHICH RANKS 67TH IN THE STATE. IN SULLIVAN COUNTY 8,045 PEOPLE ARE EMPLOYED, WHICH RANKS 75TH IN THE STATE. 642 PEOPLE ARE UNEMPLOYED, WHICH RANKS 70TH IN THE STATE.PARKE/VERMILLION COUNTY - THE POPULATION IN PARKE COUNTY IS 17,233, WHICH RANKS 76TH IN THE STATE OF INDIANA. THE LARGEST CITY IS ROCKVILLE WITH A POPULATION OF 2,596 PEOPLE. PARKE COUNTY HAS 444.70 SQUARE MILES WITH 38.75 PEOPLE PER SQUARE MILE. THERE ARE 1,042 PRESCHOOL AGES 0 TO 4; 2,675 SCHOOL CHILDREN AGES 5 TO 17; 1,432 COLLEGE AGES 18 TO 24; 4,254 YOUNG ADULTS AGES 25 TO 44; 4,875 OLDER ADULTS AGES 45 TO 64; AND, 2,955 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE IN PARKE COUNTY IS 41.4 YEARS OLD. THERE ARE 16,527 WHITES, 447 BLACKS, 230 HISPANICS, 73 AMERICAN INDIAN OR ALASKA NATIVE, 42 ASIAN, 4 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 140 PEOPLE WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN PARKE COUNTY IS $41,964, WHICH RANKS 76TH IN THE STATE. THE POVERTY RATE IS 17.2%, WHICH RANKS 19TH IN THE STATE, AND THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 28.5%, WHICH RANKS 10TH IN THE STATE. IN 2013, AN AVERAGE OF 35 FAMILIES EACH MONTH WAS ON WELFARE. THIS RANKS AS 56TH IN THE STATE OF INDIANA. THERE WERE 2,237 PEOPLE ON FOOD STAMPS IN 2013, WHICH IS 74TH IN THE STATE. THERE WERE 1,299 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2013, WHICH IS 74TH IN THE STATE OF INDIANA. THERE ARE 6,465 EMPLOYED PEOPLE IN PARKE COUNTY, WHICH RANKS 81ST IN THE STATE. THERE ARE 486 UNEMPLOYED PEOPLE, WHO RANKS 81ST IN THE STATE. THE POPULATION IN VERMILLION COUNTY IS 15,693, WHICH RANKS 79TH IN THE STATE. THE LARGEST CITY IN VERMILLION COUNTY IS CLINTON WITH A POPULATION OF 4,812 PEOPLE. VERMILLION COUNTY HAS 256.90 SQUARE MILES AND A POPULATION PER SQUARE MILE OF 61.09. THERE ARE 837 PRESCHOOL AGES 0 TO 4; 2,647 SCHOOL CHILDREN AGES 5 TO 17; 1,161 COLLEGE AGES 18 TO 24; 3,630 YOUNG ADULTS AGES 25 TO 44; 4,500 OLDER ADULTS AGES 45 TO 64; AND, 2,918 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE IN VERMILLION COUNTY IS 43.2 YEARS OLD. IN VERMILLION COUNTY THERE ARE 15,397 WHITES, 170 HISPANICS, 61 BLACKS, 44 AMERICAN INDIAN OR ALASKA NATIVE, 37 ASIANS, 6 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 148 WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN 2013 IS $40,813, WHICH RANKS 83RD IN INDIANA. THE POVERTY RATE IN 2013 WAS 13.9%, WHICH RANKS 42ND IN THE STATE. THE POVERTY RATE AMONG CHILDREN FEWER THAN 18 IS 20.3%, WHICH RANKS 42ND IN INDIANA. IN 2013, THE AVERAGE NUMBER OF FAMILIES ON WELFARE EACH MONTH WAS 36, THIS IS 55TH IN THE STATE. THERE WERE 2,408 PEOPLE ON FOOD STAMPS IN 2013, WHICH RANKS 69TH IN INDIANA. THERE WERE 1,273 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2013. IN VERMILLION COUNTY, THERE ARE 6,642 PEOPLE EMPLOYED, WHICH RANKS 80TH IN THE STATE OF INDIANA AND THERE ARE 635 PEOPLE UNEMPLOYED, WHO RANKS 71ST IN THE STATE. VIGO COUNTY - The total population of Vigo County was 108,175 for 2014. Vigo County is ranked 17th in the state of Indiana according to population. There are 6,340 preschool ages 0 to 4; 16,092 school age children ages 5 to 17; 16,864 college age adults ages 18 to 24; 26,347 young adults ages 25 to 44; 26,794 older adults ages 45 to 64; and 15,738 seniors ages 65 and over. The median age for Vigo County is 35.9 years old. The largest city in Vigo County is Terre Haute, which has a population of 60,956 people. The county's population majority is white with 95,378 people. There are 7,795 Blacks, 2,130 Asians, 2,776 Hispanics, 405 American Indian or Alaska Native, 45 Native Hawaiian and other Pacific Island, and 2,422 people with two or more racial groups. The average household income for Vigo County is $39,014, which ranks 89th in the state of Indiana. The poverty rate is 23.9%, which is 2nd in Indiana and the poverty rate among children under 18 years old is 29.7%, which is 6th in Indiana. In 2013, there were 18,596 people who received food stamps, which is 10th in the state of Indiana. There were 8,451 children on free and reduced fee lunches in Vigo County, which is 14th in Indiana. In 2013, there was an average of 217 families on welfare each month, which is 11th in the state of Indiana. There are 45,461 people employed in Vigo County, which ranks 16th in the state and 3,845 people unemployed, which ranks 12th in the state. |
| Part VI, Line 5: | UNION HOSPITAL, ALONG WITH TERRE HAUTE REGIONAL HOSPITAL ARE FOUNDING MEMBERS OF THE TERRE HAUTE CHAMBER OF COMMERCE BETTER HEALTH WABASH VALLEY INITIATIVE (BHWV). THE ORIGINAL COMMITMENT WAS TO ASSIST IN THE PURCHASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT DATA AND TO MAKE THAT DATA WIDELY AVAILABLE TO THE PUBLIC. BETTER HEALTH WABASH VALLEY NOW HAS ADDITIONAL SUPPORTING MEMBERS INCLUDING SULLIVAN COUNTY COMMUNITY HOSPITAL, HAMILTON CENTER AND UNITED WAY OF THE WABASH VALLEY. THESE ORGANIZATIONS HAVE MADE A FINANCIAL CONTRIBUTION TO BETTER HEALTH WABASH VALLEY. ALL MONIES CONTRIBUTED TO BETTER HEALTH WABASH VALLEY GO THROUGH THE TERRE HAUTE CHAMBER OF COMMERCE FOUNDATION WHICH IS A 501(C)(3) ORGANIZATION. BETTER HEALTH WABASH VALLEY'S MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY WHILE MAKING THE WABASH VALLEY A HEALTHIER COMMUNITY TO LIVE, WORK AND PLAY. BETTER HEALTH WABASH VALLEY IS REPRESENTED BY SEVERAL DIFFERENT ORGANIZATIONS IN THE COMMUNITY INCLUDING, HEALTHCARE AND MENTAL HEALTH ORGANIZATIONS, SCHOOL CORPORATIONS, UNIVERSITIES, NOT-FOR-PROFITS AND BUSINESSES. UNION HOSPITAL WILL REMAIN HEAVILY INVOLVED AND COMMITTED TO THE BETTER HEALTH WABASH VALLEY INITIATIVE OVER THE NEXT SEVERAL YEARS. AS EMPLOYERS IN THE WABASH VALLEY LOOK FOR WAYS TO KEEP HEALTH INSURANCE CLAIMS AT A MINIMUM WE WILL WORK WITH THEM ON EMPLOYEE WELLNESS STRATEGIES, ADDITIONALLY WE WILL ASSIST IN PROGRAM DEVELOPMENT THAT COULD BE IMPLEMENTED ON AN ORGANIZATIONAL LEVEL AT LITTLE TO NO COST TO THE EMPLOYER. AN EXAMPLE OF THIS MIGHT BE PROVIDING MATERIALS OR ONLINE RESOURCES FOR A WALKING PROGRAM. BETTER HEALTH WABASH VALLEY AND ITS MEMBERS HAVE DECIDED TO FOCUS ON CARDIOVASCULAR DISEASE, OBESITY AND CHILDHOOD OBESITY AS TOP ISSUES THAT THEY WILL FOCUS ON OVER THE NEXT THREE YEARS. |
| Part VI, Line 6: | The organization is part of an affilated health care system to provide vision and strategic direction in the formation of a regional health care system to expand and improve the delivery of health care servcies in order to meet the health care needs of residents in the System's service area. |
| Part VI, Line 7, Reports Filed With States | IN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| American Cancer Society | |||||||
| 5635 W 96th St Ste 100 | Indianapolis | IN | 46278 | 131788491 | 501c3 | $5,000 | Relay for Life Sponsorship |
| Chances and Services for Youth | |||||||
| 1101 South 13th St | Terre Haute | IN | 47802 | 310931817 | 501c3 | $10,000 | Car Seat Program |
| Downtown Terre Haute Inc | |||||||
| PO Box 9445 | Terre Haute | IN | 47808 | 352075017 | 501c3 | $5,000 | Charitable Contribution |
| IVY Tech Community College | |||||||
| 8000 South Education Drive | Terre Haute | IN | 47802 | 237073977 | 501c3 | $5,000 | Charitable Contribution |
| March of Dimes | |||||||
| 1345 Ohio Street | Terre Haute | IN | 47807 | 131846366 | 501c3 | $7,500 | Charitable Contribution |
| Marian University | |||||||
| 3200 Cold Spring Rd | INdianapolis | IN | 46222 | 350868175 | 501c3 | $20,000 | Charitable Contribution |
| Susan G Komen for the Cure | |||||||
| PO Box 3162 | Terre Haute | IN | 47803 | 751835298 | 501c3 | $5,000 | Charitable Contribution |
| Terre Haute Parks & Recreation | |||||||
| 500 South Fruitridge Ave | Terre Haute | IN | 47803 | Gov't | $5,000 | Charitable Contribution | |
| United Way of the Wabash Valley | |||||||
| 2901 Ohio Boulevard Ste 215 | Terre Haute | IN | 47803 | 351008531 | 501c3 | $20,000 | CHARITABLE CONTRIBUTION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS TO ENTITIES IN THE UNITED STATES AND SCHOLARSHIPS PROVIDED: GRANTS AND ASSISTANCE ARE PROVIDED TO ELIGIBLE 501(C)(3) PULIC CHARITIES, LOCAL SCHOOL CORPORATION FOR GENERAL SUPPORT, AND SCHOLARSHIPS FOR ELIGIBLE INDIVIDUALS. UNION HOSPITAL DOES NOT MONITOR THE USE OF THESE FUNDS BY THE ORGANIZATIONS OR INDIVIDUALS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Grant Hammons MD | ||||||||||||||
| Member | $0 | $536,362 | $0 | $0 | $0 | $0 | $0 | $23,600 | $0 | $25,771 | $0 | $585,733 | $0 | $0 |
| Jacqueline Holder MD | ||||||||||||||
| Member | $0 | $268,963 | $0 | $0 | $0 | $0 | $0 | $13,000 | $0 | $25,771 | $0 | $307,734 | $0 | $0 |
| Janis Ingebrigtsen MD | ||||||||||||||
| Member | $264,579 | $0 | $0 | $0 | $137,165 | $0 | $12,292 | $0 | $183 | $0 | $414,219 | $0 | $0 | $0 |
| Krishna Namburi MD | ||||||||||||||
| Member | $0 | $893,851 | $0 | $0 | $0 | $0 | $0 | $23,600 | $0 | $0 | $0 | $917,451 | $0 | $0 |
| Venkat Reddy MD | ||||||||||||||
| Member | $272,333 | $0 | $0 | $0 | $148,040 | $0 | $12,292 | $0 | $1,238 | $0 | $433,903 | $0 | $0 | $0 |
| Steven HOLMAN | ||||||||||||||
| President & CEO | $512,298 | $0 | $0 | $0 | $159,451 | $0 | $5,650 | $0 | $17,522 | $0 | $694,921 | $0 | $0 | $0 |
| Wayne Hutson | ||||||||||||||
| SR VP Finance/CFO | $311,433 | $0 | $102,384 | $0 | $131,517 | $0 | $12,292 | $0 | $3,788 | $0 | $561,414 | $0 | $0 | $0 |
| Jack Hill | ||||||||||||||
| Vice Pres./COO | $267,883 | $0 | $0 | $0 | $22,652 | $0 | $1,288 | $0 | $5,355 | $0 | $297,178 | $0 | $0 | $0 |
| JOHN BOLINGER | ||||||||||||||
| Vice President Med Affairs | $356,460 | $0 | $24,923 | $0 | $123,725 | $0 | $12,292 | $0 | $12,993 | $0 | $530,393 | $0 | $0 | $0 |
| Rhonda Smith | ||||||||||||||
| Vice President | $215,597 | $0 | $0 | $0 | $57,327 | $0 | $11,577 | $0 | $9,961 | $0 | $294,462 | $0 | $0 | $0 |
| Sally Zuel | ||||||||||||||
| Vice President | $185,131 | $0 | $16,600 | $0 | $73,042 | $0 | $11,043 | $0 | $9,532 | $0 | $295,348 | $0 | $0 | $0 |
| Pamela Deeter | ||||||||||||||
| vice president | $142,178 | $0 | $0 | $0 | $44,817 | $0 | $8,535 | $0 | $7,143 | $0 | $202,673 | $0 | $0 | $0 |
| Terri Hill | ||||||||||||||
| vice president | $174,134 | $0 | $17,311 | $0 | $74,336 | $0 | $10,879 | $0 | $9,749 | $0 | $286,409 | $0 | $0 | $0 |
| KRISTI WILLIAMS | ||||||||||||||
| System Director - Pharmacy | $149,613 | $0 | $0 | $0 | $26,016 | $0 | $8,272 | $0 | $15,321 | $0 | $199,222 | $0 | $0 | $0 |
| Tamim Antaki | ||||||||||||||
| Thorasic Surgeon | $560,465 | $0 | $0 | $0 | $607,020 | $0 | $12,292 | $0 | $11,159 | $0 | $1,190,936 | $0 | $0 | $0 |
| Erick Stephanian | ||||||||||||||
| Neurosurgeon | $789,664 | $0 | $90,000 | $0 | $87,908 | $0 | $12,292 | $0 | $14,618 | $0 | $994,482 | $0 | $0 | $0 |
| Rita Ratani | ||||||||||||||
| RAdiologist | $420,691 | $0 | $0 | $0 | $504,597 | $0 | $6,601 | $0 | $15,701 | $0 | $947,590 | $0 | $0 | $0 |
| Nabil Mnayarji | ||||||||||||||
| Thorasic Surgeon | $665,831 | $0 | $0 | $0 | $182,133 | $0 | $12,292 | $0 | $15,201 | $0 | $875,457 | $0 | $0 | $0 |
| Lingan Sidda | ||||||||||||||
| RAdiologist | $296,706 | $0 | $0 | $0 | $549,967 | $0 | $12,292 | $0 | $5,558 | $0 | $864,523 | $0 | $0 | $0 |
| Kym Pfrank | ||||||||||||||
| Former Vice Pres & COO | $23,750 | $0 | $0 | $0 | $207,591 | $0 | $11,419 | $0 | $7,705 | $0 | $250,465 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4a | Severance payment was made to former vice president and COO. |
| Part I, Line 7 | The organization provides non-fixed payments to several individuals listed on Form 990, Part VII, Section A, line 1a. These non-fixed payments are based on the organization's ability to pay and are not construed as a contract between Union and its executives. The Executive Bonus Plan is a mixture of objectives, standards and subjective standards that both the policy and the implementation of the policy by the Personnel Committee and the Board of Directors approves and awards depending on Union's ability to pay. There is no automatic right to a bonus or a specific bonus amount even if all criteria are met. The performance measure plan is linked to the Union strategic and fiscal-year business planning process. The plan is intended to focus participants' attention on mission-critical goals and key strategic priorities. The plan is also intended to enhance the performance of Union executives and the organization. Prior to the start of the fiscal year and as part of the business planning process, the Union President and CEO will finalize a list of goals, weights and measures to be used to assess performance during the fiscal year. The list is presented to and discussed with the committee. The committee reviews and approves the bonus plan goals, weights, and measures. Organization goals will be assigned to each participant hospital-wide. In addition to hospital-wide goals individual and/or functional/department goals may or may not be included. After the conclusion of each fiscal year, the President and CEO will prepare an annual Bonus plan report for the committee. The report contains: an appraisal of Union and hospital/operating unit performance during the recently-completed fiscal year; and the president and CEO's recommended payout for each plan participant. The bonus recommendations for all sr. management are received and reviewed first by the personnel committee who then make decisions and submits to the board to vote. The committee will determine and submit the payout for the President and CEO to the board of directors who, absent the President and CEO, will vote on approval. Award determinations are calculated as percentages of participant's salaries paid for time worked during the fiscal year. Payout for the president is 0% to 30%; CFO and COO are 0% to 25%; and Other executives are 0% to 20%. The executive bonus plan payouts are to be paid when determined by the personnel committee, subject to the approval of the board of directors. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| HOSPITAL AUTHORITY OF VIGO COUNTY (REVENUE BONDS SERIES 2007) | ||||||||
| A | 351656988 | 926742BY2 | 2007-07-12 | $176,052,475 | Construct new hospital building | 0 | 0 | 0 |
| HOSPITAL AUTHORITY OF VIGO COUNTY (REVENUE BONDS SERIES 2011) | ||||||||
| B | 351656988 | 926742CF2 | 2011-03-02 | $53,989,054 | Capital Asset Renovation/Construction, Refunding of Bonds | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $176,052,475 | $15,716,590 | $2,151,525 | $158,184,360 | 2010 | Yes (1) | Yes (1) | Yes (1) | 0 | |
| B | $53,989,054 | $5,504,000 | $1,078,426 | $17,009,396 | 2014 | Yes (1) | 0 | 0 | Yes (1) | $30,397,232 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SERIES 2011 BONDS Purpose Detail | FormAndLineReferenceDesc |
| Explanation | The proceeds from the sale of the Series 2011 Bonds, together with certain other moneies, will be used to (i) finance the cost of constructing, acquiring, equipping or renovating certain capital assets of the Corporation,(ii) refund the Indiana Health Facility Financing Authority Variable Rate Demand Revenue Bonds, Series 2002 and the Indiana Health and Educational Facility Financing Authority Variable Rate Demand Revenue Bonds, Series 2006A, (iii) fund a Debt Service Reserve Fund for the Series 2011 Bonds, and (iv) pay a portion of the cost of issuance of the Series 2011 Bonds. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| FORREST SHERER INC | |||
| See Part V below | $896,997 | See Part V | 0 |
| AP&S Clinic North Side | |||
| See Part V below | $2,232,936 | See Part V | 0 |
| BUNCH NURSERIES INC | |||
| See Part V below | $70,132 | See Part V | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV | FormAndLineReferenceDesc |
| Explanation | (A) NAME OF PERSON: FORREST SHERER, INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOHN LUKENS IS THE UNION HOSPITAL BOARD CHAIRMAN AND PRESIDENT OF FOREST SHERER, INC.(D) DESCRIPTION OF TRANSACTION: THE HOSPITAL PURCHASES INSURANCE FROM THE INDEPENDENT INSURANCE AGENCY ON AN ARMS LENGTH BASIS.(A) NAME OF PERSON: AP&S CLINIC NORTHSIDE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JACQUELINE HOLDER IS A UNION HOSPITAL BOARD MEMBER AND MEDICAL DOCTOR FOR AP&S CLINIC NORTHSIDE(D) DESCRIPTION OF TRANSACTION: THE HOSPITAL HAS A CONTRACTUAL ARRANGEMENT FOR SERVICES WHICH ARE PROVIDED ON AN ARMS LENGTH BASIS.A) NAME OF PERSON: BUNCH NURSERIES, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ENTITY IS MORE THAN 35% OWNED BY HUSBAND OF CINDY MARTIN, UNION BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: ENTITY PROVIDED SERVICES TO THE HOSPITAL. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Doing Business AS: | Cardiac Rehab Group of Union Hospital CLARA FAIRBANKS CENTER FOR WOMEN CLAY CITY CENTER FOR FAMILY MEDICINE HEARTLAND MIDWIVES HUX CANCER CENTER RICHARD G. LUGAR CENTER FOR RURAL HEALTH UH REGISTERED DIETITIAN GROUP UNION CENTER FOR JOINT REPLACEMENT UNION CENTER FOR SPORTS MEDICINE UNION HOSPITAL CLINTON UNION HOSPITAL CLINTON WESTERN INDIANA RURAL MEDICINE UNION HOSPITAL CVT/NEURO GROUP UNION HOSPITAL FAMILY MEDICINE CENTER Union Hospital Health Group UNION HOSPITAL HUX HEART CENTER UNION HOSPITAL MEDICAL GROUP UNION HOSPITAL NEUROSCIENCE UNION HOSPITAL TERRE HAUTE UNION HOSPITALISTS GROUP WABASH VALLEY SURGERY CENTER WEST CENTRAL COMMUNITY HOSPITAL |
| Form 990, Part VI, Section A, line 6 | Union Hospital has one member, Union Health System, Inc., an Indiana nonprofit, tax exempt corporation. |
| Form 990, Part VI, Section A, line 7a | The organization's member may appoint the hospital board directors with the recommendation of the hospital's board of directors. |
| Form 990, Part VI, Section A, line 7b | Governing Body Decisions Subject to Approval by the member include: 1. Mission and vision statement changes; 2. Changes to the governing document; 3. Approval and Removal of board directors; 4. Incurring debt; 5. Approval, sale, transfer or substantial change in use of all or substantially all of the assets; 6. Formation of a subsidiary; 7. Transfer or encumbrance of the assets; 8. Approval of annual operating budget, capital plan, strategic plan, and business plan; 9. Appointment of the CEO; 10. Transactions over $250,000; and 11. Approval of any management agreements. |
| Form 990, Part VI, Section B, line 11 | The process of reviewing the Form 990 entails a detailed review of the Form 990 by the organization's management. The governing body reviews and approves the Form 990 and the final Form 990 including requested schedules, as ultimately filed with the IRS, are provided to each voting member of the organization's governing body. |
| Form 990, Part VI, Section B, line 12c | The written conflict of interest policy is regularly and consistently monitored and compliance enforced by the Corporate Compliance Officer. The scope of this policy includes directors, officers, management, and employees. The policy is in place to avoid personal interests that conflict, or may appear to conflict, with the best interests of Union and its affiliates and the communities they serve. The covered persons are to refrain from personal interests, direct or indirect with any third parties. It is the responsibility of officers, management, and employees to scrutinize their transactions and outside business interests and relationships for potential conflicts and to immediately make such disclosures and act accordingly. A self-disclosure from covered persons to the Corporate Compliance Officer is required on any potential conflicts of interest. The covered persons are to refrain from participating in any deliberation or decisions on such transactions. The conflicts disclosed are reviewed and resolved by the Corporate Compliance Officer. |
| Form 990, Part VI, Section B, line 15 | The process for determining compensation under the By-Laws of Union Hospital includes a Board of Directors Personnel Committee whose responsibilities include in charge of doing the appropriate review of compensation for the Sr. Management Team, including the CEO. They gather information and follow the steps set forth below and in turn submit to the full Board of Directors the recommendations in terms of compensation and benefits for the CEO and Sr. Management. The Personnel Committee consists of individuals who are disinterested. The CEO is excused from the meeting when his compensation/benefits are reviewed both at the Personnel Committee level and the Board level. Note: During the current Fiscal Year, salary increases were not given to the Sr. Management team including the CEO, and thus, an analysis of compensation was not completed. In future periods, this procedure will resume as stated in this policy. The Steps include: 1. The Personnel Committee retains an outside independent consultant to (1) provide the committee with information, and (2) to review the actions and compensation/benefits to be sure that there is not excessive compensation. The consultant that has been used the past three (3) years is Sullivan Cotter & Associates, Inc. Under the process, Sullivan Cotter first is provided with the names and job descriptions for the Sr. Management Team that is being evaluated. The independent advisor then submits to the Personnel Committee comparable information, specifically: > Five commercially available executive health care compensation surveys prepared by independent firms, were referenced to obtain market data for this review - Integrated healthcare Strategies: 2009 Healthcare Executive Compensation Survey - Indiana Hospital & Health Association: 2009 Compensation Survey Report - Sullivan, Cotter, and Associates: 2009 Survey of Manager and Executive Compensation in Hospitals and Health Systems - Watson Wyatt Data Services: 2009/2010 Hospital and Healthcare Management Compensation Report - Mercer Human Resource Consulting: 2009 Integrated Health Networks Compensation Survey > Market data reflecting functionally-comparable positions were obtained for all seven executive positions > Data were abstracted for comparably-sized organizations as measured by net revenue > The data reported represented the 50th, 75th, and 90th percentiles of base salary and total cash compensation (base salary plus actual annual incentive - abbreviated TCC) > Regional market data were also collected from the published compensation surveys as well as a special cut of the following Indiana hospitals from Sullivan Cotter's 2009 Survey of Manager and Executive Compensation in Hospitals and Health Systems - Ball Memorial Hospital - Reid Hospital & Health Care Services - Bloomington Hospital - Riley Hospital for Children - Elkhart General Hospital - Saint John's Health System - Good Samaritan Hospital - Saint Joseph Regional Medical Center - Memorial Hospital of South Bend - Saint Mary's Medical Center - Methodist Hospitals - Terre Haute Regional Hospital - Parkview Hospital > That data was also reported with national average, regional average and Indiana average. 2. The Personnel Committee of Union Hospital's Board of Directors takes the data provided by the independent consultants and following a review of the performance of each individual submits to the full Board for approval recommendations in terms of salaries, benefits, and bonuses. Final approval is by the Board of Directors. The CEO does not take part in the discussion or action on his salary, benefits and bonus. 3. Minutes of the Personnel Committee and the Board meetings are contemporaneously kept and maintain with the Corporate Minute Books. 4. Following the action of the Board of Directors the new proposed salaries, benefits and bonuses are sent to the independent consultant (Sullivan Cotter) who submits back to the Personnel Committee their opinion in terms of the compensation being reasonable in relation to the market data and market practices. This report is also received and reviewed by the Board Personnel Committee. |
| Form 990, Part VI, Section C, line 19 | The organization does not make the governing documents, conflict of interest policy, or financial statements available to the public. |
| Form 990, Part XI, line 9: | Net Unrealized change in Subsidiaries-COH, IPACS, UAPC, UHT, IHRRRG -3,677,550. Change in Permanetly Restricted Net Assets -24,987. Other change in receivable from Union Hospital Foundation, Inc 45,092. Change in Pension Liability -7,790,558. |
| Part XII, line 2c, oversight of audit: | THE audit committee ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IPACS Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1606 N seventh St | AddressLine1Txt |
| City | Terre Haute | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47804 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351720998 | EIN |
| Primary Activities | Collection Agency | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Total Income | $121,569 | TotalIncomeAmt |
| End Of Year Assets | $1,143,438 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNION HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Union HEALTH SYSTEMS | |||||||||||
| 1606 N Seventh St | Terre Haute | IN | 47804 | 270581133 | mANAGEMENT ORGANIZATION | IN | 501(c)(3) | Line 11b, II | N/A | 0 | |
| Center for Occupational Health | |||||||||||
| 4001 Wabash Ave | Terre Haute | IN | 47803 | 352118417 | Occupational health services | IN | 501(c)(3) | Line 7 | Yes (1) | UNION HOSPITAL | |
| Union Hospital Health Services Inc | |||||||||||
| 1606 N Seventh St | Terre Haute | IN | 47804 | 351642805 | Health Services | IN | 501(c)(3) | Line 9 | Yes (1) | Union HOSPITAL | |
| UNION HOSPITAL FOUNDATION | |||||||||||
| 1659 N Seventh St | Terre Haute | IN | 47804 | 351642823 | Fundraising | IN | 501(c)(3) | Line 11c, III-FI | 0 | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Union Associated Physician Clinic Inc | |||||||||||||
| 1606 N Seventh St | Terre Haute | IN | 47804 | 270581401 | Physician Group | IN | Union Hospital Inc | Investment | -$8,021,800 | -$7,591,181 | 0 | Yes (1) | 0.50000 |
| Union Hospital Therapy LLC | |||||||||||||
| 150 N Rosenberger | Evansville | IN | 47712 | 464357168 | REHABILITATION AND THERAPY SERVICES | IN | Union Hospital Inc | investment | $1,243,090 | $719,079 | 0 | 0 | 0.51000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 | Yes (1) | TransferFromOtherOrgInd |
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