COMMUNITY LTC INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY LTC INC (EIN 35-1877441)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-10
- IRS object ID
- 201503159349300400
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-10T21:38:32-08:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GORDON & GORDON PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9850 N 950 E | AddressLine1Txt |
| City | BROWNSBURG | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351877441 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community LTC Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 7652982532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1031 Monticello Drive | AddressLine1Txt |
| City | Anderson | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46011 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANA SMITH | PersonNm |
| Person Title | DIRECTOR OF FINANCE | PersonTitleTxt |
| Phone | 7652982532 | PhoneNum |
| Signature | 2015-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DON M GATLIN CPA | PreparerPersonNm |
| Phone | 3178525292 | PhoneNum |
| Preparation | 2015-11-11 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Betty Crum | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1031 Monticello Drive | AddressLine1Txt |
| City | Anderson | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,421,616 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | To provide room, board, and nursing care services as well as assisted living services to elderly citizens of Madison and surrounding counties. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 390 | TotalEmployeeCnt |
| Total Volunteers | 117 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,626 | PYContributionsGrantsAmt |
| CY Contributions Grants | $202,565 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,047,582 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,215,973 | CYProgramServiceRevenueAmt |
| PY Investment Income | $152 | PYInvestmentIncomeAmt |
| CY Investment Income | $197 | CYInvestmentIncomeAmt |
| PY Other Revenue | $857 | PYOtherRevenueAmt |
| CY Other Revenue | $2,881 | CYOtherRevenueAmt |
| PY Total Revenue | $14,052,217 | PYTotalRevenueAmt |
| CY Total Revenue | $14,421,616 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,360,329 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,042,537 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,627,579 | PYOtherExpensesAmt |
| CY Other Expenses | $1,074,894 | CYOtherExpensesAmt |
| PY Total Expenses | $10,987,908 | PYTotalExpensesAmt |
| CY Total Expenses | $11,117,431 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,064,309 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,304,185 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,539,191 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,394,837 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,636,037 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,187,498 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,903,154 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,207,339 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide room, board, and nursing care services as well as | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,132,146 | ExpenseAmt |
| Revenue | $14,421,616 | RevenueAmt |
| Desc | COMMUNITY LONG TERM CARE, INC. ("CLTC") OPERATES 3 NURSING FACILITIES WITH A TOTAL OF 254 LICENSED BEDS OF WHICH 193 ARE LICENSED AS SKILLED NURSING BEDS AND 2 ASSISTED LIVING FACILITIES, ONE OF WHICH PROVIDES SPECIALLIZED SERVICES FOR RESIDENTS WITH ALZHEIMERS. THE FACILITIES PROVIDE LONG TERM NURSING CARE OR ASSISTED LIVING TO AREA RESIDENTS WHO NEED SUCH SERVICES. CLTC PARTICIPATES IN THE MEDICARE, MEDICAID, TRI-CARE, AND/OR OTHER GOVERNMENT SPONSORED HEALTH CARE PROGRAMS AS WELL AS PRIVATE MANAGED CARE AND OTHER HEALTH INSURANCE PROGRAMS. THE STAFF AT CLTC MAKE EVERY EFFORT TO PROVIDE QUALITY SERVICES TO THE RESIDENTS. OUR GOALS ARE TO 1) MEET OR EXCEED EXPECTATIONS, 2) DISPLAY A POSITIVE AND ENERGETIC ATTITUDE, 3) HONOR THE DIGNITY, VALUE AND INVOLVEMENT OF OTHERS, 4) PROVIDE HIGH QUALITY SERVICES AT A REASONABLE COST, AND 5) CONTINOUSLY IMPROVE OUR SERVICES. AND FINALLY, CLTC HAS A GOVERNING BODY WHICH INCLUDES INDEPENDENT MEMBERS OF THE COMMUNITY. | Desc |
| Total Program Service Expenses | $10,132,146 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 390 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | 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 | Diana Smith | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7652982532 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1031 Monticello | AddressLine1Txt |
| City | Dr | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46011 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| ELIZABETH THARP | ||||||
| Director & Pres/CEO | 0.50 | Yes (X) | $0 | $473,508 | $166,178 | |
| JOHN HARRIS | ||||||
| Secretary/Treasurer | 0.50 | Yes (X) | $0 | $286,743 | $148,622 | |
| MARY JO LEE | ||||||
| Chairman | 0.50 | Yes (X) | $0 | $0 | $0 | |
| GARLAND ANTRIM | ||||||
| Member-Board of Directors | 0.50 | Yes (X) | $0 | $0 | $0 | |
| JEANNE STEWART | ||||||
| Member-Board of Directors | 0.50 | Yes (X) | $0 | $0 | $0 | |
| BETTY CRUM | ||||||
| Director of Senior Services | 40.00 | $133,779 | $0 | $12,911 | Yes (X) | |
| DIANA SMITH | ||||||
| Director of Finance | 40.00 | $92,956 | $0 | $20,684 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $226,735 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $760,251 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $348,395 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Related Organizations | $202,565 | RelatedOrganizationsAmt |
| Total Contributions | $202,565 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Program Service Revenue | Desc |
| Business | 623110 | BusinessCd |
| Total Revenue Column | $14,215,973 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,215,973 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $197 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Misc. Income | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $2,881 | TotalRevenueColumnAmt |
| Exclusion | $2,881 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,881 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,421,616 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,216,170 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,881 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,735 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $226,735 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,840,891 | TotalAmt |
| Program Services | $7,404,234 | ProgramServicesAmt |
| Management And General | $436,657 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,446,844 | TotalAmt |
| Program Services | $1,331,096 | ProgramServicesAmt |
| Management And General | $115,748 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,067 | TotalAmt |
| Program Services | $485,822 | ProgramServicesAmt |
| Management And General | $42,245 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,988 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $4,988 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,482 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $11,482 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,297 | TotalAmt |
| Program Services | $3,297 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,668 | TotalAmt |
| Program Services | $143 | ProgramServicesAmt |
| Management And General | $6,525 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,720 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,720 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,540 | TotalAmt |
| Program Services | $320,398 | ProgramServicesAmt |
| Management And General | $2,142 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $768 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,090 | TotalAmt |
| Program Services | $85,090 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,497 | TotalAmt |
| Program Services | $335,067 | ProgramServicesAmt |
| Management And General | $38,430 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,715 | TotalAmt |
| Program Services | $867 | ProgramServicesAmt |
| Management And General | $2,848 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $3,135 | $3,135 | $0 | $0 |
| Raw Food & Supplements | $12,070 | $12,070 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,924 | TotalAmt |
| Program Services | $150,927 | ProgramServicesAmt |
| Management And General | $94,997 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,117,431 | TotalAmt |
| Program Services | $10,132,146 | ProgramServicesAmt |
| Management And General | $985,285 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,077,964 | BOYAmt |
| EOY | $3,781,209 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,208,218 | BOYAmt |
| EOY | $5,114,882 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,498 | BOYAmt |
| EOY | $67,089 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,250,362 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,818,705 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,102,511 | BOYAmt |
| EOY | $4,431,657 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,539,191 | BOYAmt |
| EOY | $13,394,837 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,778 | BOYAmt |
| EOY | $97,948 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,493,084 | BOYAmt |
| EOY | $2,086,018 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,175 | BOYAmt |
| EOY | $3,532 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,636,037 | BOYAmt |
| EOY | $2,187,498 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,903,154 | BOYAmt |
| EOY | $11,207,339 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,903,154 | BOYAmt |
| EOY | $11,207,339 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,539,191 | BOYAmt |
| EOY | $13,394,837 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,304,185 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $523 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $235 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $3,626 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1 | CurrentTaxYearAmt |
| Total | $4,385 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,205,008 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,095,484 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,282,773 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,047,582 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,215,972 | CurrentTaxYearAmt |
| Total | $74,846,819 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,205,531 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,095,719 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,282,773 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,051,208 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,215,973 | CurrentTaxYearAmt |
| Total | $74,851,204 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $74,851,204 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,027 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,141 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,505 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $197 | CurrentTaxYearAmt |
| Total | $7,022 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,027 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,141 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,505 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $197 | CurrentTaxYearAmt |
| Total | $7,022 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $49,861 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,433 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $290,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $858 | CurrentTaxYearMinus1YearAmt |
| Total | $388,923 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,247,149 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99470 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99430 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt II Ln 10 | FormAndLineReferenceDesc |
| Explanation | Other Income Part III, Line 12 Description: Other Income 2010: 49861. 2011: 47433. 2012: 290771. 2013: 858. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $279,072 | InvestmentCostOrOtherBasisAmt |
| Book Value | $279,072 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,182,672 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,919,952 | DepreciationAmt |
| Book Value | $2,262,720 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,299,056 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,171,356 | DepreciationAmt |
| Book Value | $1,127,700 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,122,687 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $727,397 | DepreciationAmt |
| Book Value | $395,290 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $366,875 | InvestmentCostOrOtherBasisAmt |
| Book Value | $366,875 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,431,657 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Resident Funds | Desc |
| Amt | $3,532 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,532 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|
| ELIZABETH THARP | ||||||
| $318,810 | $152,404 | $2,294 | $164,107 | $2,071 | $639,686 | $113,404 |
| JOHN HARRIS | ||||||
| $211,039 | $58,251 | $17,453 | $130,200 | $18,422 | $435,365 | $58,251 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (50 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 7a | Three members of the Board of Directors are designated |
| Pt VI, Line 7a | directors. These designated directors are (1) a member |
| Pt VI, Line 7a | of the Board of Directors, (2) the President and Chief |
| Pt VI, Line 7a | Executive Officer and (3) the Vice President and Chief |
| Pt VI, Line 7a | Financial Officer of Community Hospital of Anderson and |
| Pt VI, Line 7a | Madison County, Inc. The remaining two or more directors are |
| Pt VI, Line 7a | independent members of the community and are elected by the |
| Pt VI, Line 7a | Community LTC, Inc. Board of Directors. |
| Pt VI, Line 12c | The board of directors and key employees are required to |
| Pt VI, Line 12c | sign the conflict of interest policy and disclose any |
| Pt VI, Line 12c | conflicts on an annual basis. |
| Pt VI, Line 15a | Top management compensation of Community Long Term Care |
| Pt VI, Line 15a | is determined by related organization Community Hospital of |
| Pt VI, Line 15a | Anderson and Madison County, Inc. |
| Pt VI, Line 15a | Community LTC, Inc. participates in a state and national |
| Pt VI, Line 15a | industry trade association which conducts an annual wage |
| Pt VI, Line 15a | survey - this survey is utilized for evaluation of salaries |
| Pt VI, Line 15a | and wages. |
| Pt VI, Line 15b | Other officers compensation of Community Long Term care |
| Pt VI, Line 15b | is determined by related organization Community Hospital of |
| Pt VI, Line 15b | Anderson and Madison County, Inc. |
| Pt VI, Line 15b | Community LTC, Inc. participates in a state and national |
| Pt VI, Line 15b | industry trade association which conducts an annual wage |
| Pt VI, Line 15b | survey - this survey is utilized for evaluation of salaries |
| Pt VI, Line 15b | and wages. |
| Pt VI, Line 19 | A) The articles of incorporation and certificate of |
| Pt VI, Line 19 | existence are on file with the Indiana Secretary of State |
| Pt VI, Line 19 | and are available to the public upon request to the Indiana |
| Pt VI, Line 19 | Secretary of State. |
| Pt VI, Line 19 | B) Community LTC, Inc. conflict of interest policy is |
| Pt VI, Line 19 | available to the public upon request. |
| Pt VI, Line 19 | C) Community LTC, Inc. does not have individually audited |
| Pt VI, Line 19 | financial statements. Its financial results are included |
| Pt VI, Line 19 | in the consolidated financial statements of Community |
| Pt VI, Line 19 | Health Network, Inc. and Affiliates, which are |
| Pt VI, Line 19 | audited by an independent accounting firm. As a result there are no |
| Pt VI, Line 19 | individual financial statements available to post. |
| Pt VI, Line 19 | Community LTC, Inc. does file the Form 990 tax return, |
| Pt VI, Line 19 | Medicaid and Medicare Cost Reports with the appropriate |
| Pt VI, Line 19 | agencies on an annual basis. The Form 990 tax return is |
| Pt VI, Line 19 | available upon request and/or available on a delayed |
| Pt VI, Line 19 | basis on GuideStar.com. The Medicaid and Medicare |
| Pt VI, Line 19 | Cost Reports are available via Freedom of Information |
| Pt VI, Line 19 | Request filed with the applicable agencies. |
| Pt VI, Line 11b | A complete copy of the Form 990 is provided to the members |
| Pt VI, Line 11b | of the board of directors of the organization. The Form 990 |
| Pt VI, Line 11b | is reviewed and discussed by the governing body at a meeting |
| Pt VI, Line 11b | before finalization and filing. |
| Form 990, Part VI, Line 9 | ELIZABETH THARP 1515 N. MADISON AVE ANDERSON IN 46011 JOHN HARRIS 1515 N. MADISON AVE ANDERSON IN 46011 MARY JO LEE P.O. BOX 1302 ANDERSON IN XXX-XX-XXXX GARLAND ANTRIM 8562 N 700 W FRANKTON IN 46044 JEANNE STEWART 1831 E TUMBLEWEED LANE ALEXANDRIA IN 46001 |
| Form 990, Part IX, Line 24f | BAD DEBT 148947. 148947. DUES & SUBSCRIPTIONS 1365. 1365. RESIDENT ACTIVITIES -415. -415. BANK FEES 6671. 6671. MISCELLANEOUS EXPENSE 2961. 2961. REPAIRS AND MAINTENANCE 2395. 2395. DONATIONS 84000. 84000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Auxiliary of Community Hospital | ||||||||||
| 1515 North Madison Avenue | Anderson | IN | 46011 | 356065606 | SUPPORT | IN | 501C3 | 11A | NA | false |
| Community Hosp Anderson FDN Inc | ||||||||||
| 1515 North Madison Avenue | Anderson | IN | 46011 | 861053152 | CHARITY | IN | 501C3 | 11B | CHA | Yes (true) |
| Community Hosp of Anderson and Madison County Inc | ||||||||||
| 1515 North Madison Avenue | Anderson | IN | 46011 | 351069822 | HOSPITAL | IN | 501C3 | 3 | NA | false |
| Community Home Health Services Inc | ||||||||||
| 9894 East 121st Street | Fishers | IN | 46037 | 350953467 | HLTH CARE | IN | 501C3 | 9 | CHNW | Yes (true) |
| Community Health Network Inc | ||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 350983617 | HOSPITAL | IN | 501C3 | 3 | NA | false |
| Community Health Network Foundation | ||||||||||
| 7240 Shadeland Station Suite 125 | Indianapolis | IN | 46256 | 510181688 | CHARITY | IN | 501C3 | 11B | CHNW | Yes (true) |
| Community HLTH Services of Indiana | ||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 454817436 | HLTH CARE | IN | 501C3 | 3 | CHNW | Yes (true) |
| Community Hospital South Inc | ||||||||||
| 1402 E County Line Road South | Indianapolis | IN | 46227 | 351088640 | HOSPITAL | IN | 501C3 | 3 | CHNW | Yes (true) |
| Community Physicians of IN Inc | ||||||||||
| 7240 Shadeland Station Suite 300 | Indianapolis | IN | 46256 | 205392766 | PHY SRV | IN | 501C3 | 9 | CHNW | Yes (true) |
| Health Institute of Indiana Inc | ||||||||||
| 3660 Guion Road | Indianapolis | IN | 46222 | 352022402 | FITNESS | IN | 501C3 | 9 | CHNW | Yes (true) |
| Indiana Heart Hospital LLC | ||||||||||
| 8075 North Shadeland Avenue | Indianapolis | IN | 46250 | 352123783 | HOSPITAL | IN | 501C3 | 3 | CHNW | Yes (true) |
| Indianapolis Osteopathic Hosp Inc | ||||||||||
| 3630 Guion Road | Indianapolis | IN | 46222 | 351094734 | HOSPITAL | IN | 501C3 | 3 | CHNW | Yes (true) |
| Westview Hospital Foundation Inc | ||||||||||
| 3630 Guion Road | Indianapolis | IN | 46222 | 311036451 | SUPPORT | IN | 501C3 | 11A | CHNW | Yes (true) |
| Community Howard Regional Health | ||||||||||
| 3500 S Lafountain Street | Kokomo | IN | 46902 | 351865344 | HOSPITAL | IN | 501C3 | 3 | CHNW | Yes (true) |
| Comm Howard Regional Health FDN | ||||||||||
| PO Box 9011 | Kokomo | IN | 46904 | 237309596 | SUPPORT | IN | 501C3 | 7 | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Brownsburg Office Center 2 LLP | |||||||||||
| 321 E Northfield | Brownsburg | IN | 46112 | 351929859 | LEASING | IN | NA | NA | |||
| Community Endoscopy Center | |||||||||||
| 1601 N Madison Avenue Suite 300 | Anderson | IN | 46011 | 611464136 | HLTH CARE | IN | NA | Related | false | Yes (true) | 0.41000 |
| East Campus surgery Center LLC | |||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 352028517 | SURGERY | IN | NA | NA | |||
| Hamilton Surgery Center LLC | |||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 352061413 | SURGERY | IN | NA | NA | |||
| Howard Community Surgery CTR LLC | |||||||||||
| 3500 S Lafountain Street | Kokomo | IN | 46902 | 352118748 | SURGERY | IN | NA | NA | |||
| Howard Regional Specialty Care LLC | |||||||||||
| 680 South Fourth Street | Louisville | KY | 40202 | 371501021 | REHAB | IN | NA | NA | |||
| Indiana Specialty Group | |||||||||||
| 7240 Shadeland Station Suite 300 | Indianapolis | IN | 46256 | 351976258 | HLTH CARE | IN | NA | NA | |||
| Indianapolis Endoscopy Center LLC | |||||||||||
| 7353 E 21st Street | Indianapolis | IN | 46219 | 352010874 | HLTH CARE | IN | NA | NA | |||
| Michigan Surgery Investment LLC | |||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 320147008 | SURG CTRS | IN | NA | NA | |||
| North Campus Office Associates LP | |||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 351808625 | RNTL PROP | IN | NA | NA | |||
| CHNJMH Ventures LLC | |||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 462356266 | DIAG/REHAB | IN | NA | NA | |||
| Comm Health Network Rehab Hosp LLC | |||||||||||
| 7343 Clearvista Drive | Indianapolis | IN | 46256 | 453414249 | REHAB | IN | NA | NA | |||
| Northwest Surgery Center LLC | |||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 208754071 | SURGERY | IN | NA | NA | |||
| Pillars Housing LP | |||||||||||
| 3500 S Lafountain Street | Kokomo | IN | 46902 | 161652671 | HOUSING | IN | NA | NA | |||
| South Campus Surgery Center LLC | |||||||||||
| 1550 East County Line Road | Indianapolis | IN | 46227 | 352038072 | SURGERY | IN | NA | NA | |||
| North Campus Surgery Centers LLC | |||||||||||
| 7330 Shadeland Station Suite 200 | Indianapolis | IN | 46256 | 352147088 | SURGERY | IN | NA | NA | |||
| Northpoint Pediatrics LLC | |||||||||||
| 8101 Clearvista Parkway Suite 185 | Indianapolis | IN | 46256 | 351960566 | HLTH CARE | IN | NA | NA | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHN Assurance Company LTD | |||||||||||||
| PO Box 1051 GT | Grand Cayman | CJ | 980418913 | INSURANCE | CJ | NA | C | Yes (true) | |||||
| Midwest Racquetball Inc | |||||||||||||
| 351396016 | HLTH | NA | C | Yes (true) | 3500 South Lafountain Street | Kokomo | IN | 46902 | IN | ||||
| Pillars Community Housing Inc | |||||||||||||
| 161652666 | HOUSING | NA | C | 3500 South Lafountain Street | Kokomo | IN | 46902 | IN | |||||
| Visionary Enterprises Inc | |||||||||||||
| 351538433 | MGMT SRVCS | NA | C | 6626 East 75th Street | Indianapolis | IN | 46250 | IN | |||||
| VEI Michigan Inc | |||||||||||||
| 300097377 | MGMT SRVCS | NA | C | 940 N Main Street | Ann Harbor | MI | 48104 | MI | |||||
| Westview Delivery System Inc | |||||||||||||
| 351910292 | MGMT SRVCS | NA | C | 3630 Guion Road | Indianapolis | IN | 46222 | IN | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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