HAMILTON CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HAMILTON CENTER INC (EIN 35-1140758)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-03-06
- IRS object ID
- 201210669349301386
- Schema version
- 2010v3.4
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-06T16:58:08-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE & CO LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE AMERICAN SQUARE 2200 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46282 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351140758 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAMI | NameControl |
| Phone | 8122318323 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 EIGHTH AVENUE | AddressLine1 |
| City | TERRE HAUTE | City |
| State | IN | State |
| ZIP Code | 47804 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MEL BURKS | Name |
| Title | CEO | Title |
| Phone | 3179373702 | Phone |
| Date Signed | 2012-03-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANGELA L ZIRKELBACH CPA | Name |
| Phone | 3176334705 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SUE THOMPSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 EIGHTH AVENUE | AddressLine1 |
| City | TERRE HAUTE | City |
| State | IN | State |
| ZIP Code | 47804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 32303921 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HAMILTONCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1966 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | HAMILTON CENTER PROVIDES OUTPATIENT AND DAY SERVICES TO MENTALLY ILL AND CHRONICALLY ADDICTED CHILDREN AND ADULTS, RESIDENTIAL AND INPATIENT SERVICES TO MENTALLY ILL ADULTS, PREVENTION AND EARLY INTERVENTION SERVICES TO CHILDREN AND FAMILIES AND REHABILITATION SERVICES TO DEVELOPMENTALLY DISABLED ADULTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 860 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 14306560 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 14157766 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19935339 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17417746 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 381789 | InvestmentIncomePriorYear |
| Investment Income Current Year | 317760 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 265421 | OtherRevenuePriorYear |
| Other Revenue Current Year | 161888 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 34889109 | TotalRevenuePriorYear |
| Total Revenue Current Year | 32055160 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 77764 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 80866 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 27157690 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 26404364 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7084962 | OtherExpensePriorYear |
| Other Expenses Current Year | 7246488 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 34320416 | TotalExpensesPriorYear |
| Total Expenses Current Year | 33731718 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 568693 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1676558 | RevenuesLessExpensesCY |
| Total Assets BOY | 45566646 | TotalAssetsBOY |
| Total Assets EOY | 43212291 | TotalAssetsEOY |
| Total Liabilities BOY | 7114970 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6406591 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 38451676 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36805700 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HAMILTON CENTER EXISTS TO PROVIDE QUALITY BEHAVIORAL HEALTHCARE, WELLNESS, AND HUMAN DEVELOPMENT SERVICES TO OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 17502151 | Expense |
| Grants | 80866 | Grants |
| Revenue | 12863864 | Revenue |
| Description | HAMILTON CENTER PROVIDES OUTPATIENT COUNSELING SERVICES IN TEN COUNTIES THROUGHOUT CENTRAL AND WEST CENTRAL INDIANA INCLUDING VIGO, SULLIVAN, OWEN, GREENE, PUTNAM, CLAY, PARKE, VERMILLION, HENDRICKS AND MARION. SERVICES ARE PROVIDED BY A VARIETY OF PROFESSIONAL STAFF WITH VARIOUS SPECIALTY AREAS SOME OF WHOM INCLUDE: PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, LICENSED MENTAL HEALTH COUNSELORS, ADDICTION THERAPISTS, AND LICENSED MARRIAGE AND FAMILY THERAPISTS. TREATMENT IS INDIVIDUALIZED, PERSON CENTERED AND RECOVERY BASED. TREATMENT IS TAILORED TO BE AS BRIEF AS NECESSARY AND IS ORIENTED TOWARD IMPROVING THE PATIENT'S QUALITY OF LIFE AND FUNCTIONING - WORK, SCHOOL AND FAMILY ACTIVITIES. SERVICES INCLUDE INDIVIDUAL, MARITAL, GROUP AND FAMILY THERAPY, AS WELL AS PSYCHOLOGICAL TESTING, PSYCHIATRIC EVALUATION/TREATMENT AND ADDICTION SERVICES. DURING THE CURRENT YEAR, HAMILTON CENTER PROVIDED 341,620 OUTPATIENT VISITS TO 10,682 CLIENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2792470 | Expense |
| Grants | 0 | Grants |
| Revenue | 1869575 | Revenue |
| Description | HAMILTON CENTER'S RESIDENTIAL SERVICES ARE ROOTED IN THE BELIEF THAT THE TREATMENT OF PERSONS IN NEED OF LONGER TERM CARE BE BASED IN AN AUTHENTIC AND LEAST RESTRICTIVE ENVIRONMENT WHICH IS COMMUNITY-BASED AND ENCOURAGES INTERACTION WITH OTHERS. OUR GOAL IS TO ASSIST CLIENTS IN LIVING IN THE COMMUNITY WITH INDEPENDENCE, SELF-WORTH AND DIGNITY. RESIDENTIAL SERVICES INCLUDE 24-HOUR SUPERVISED GROUP HOMES, SEMI-INDEPENDENT LIVING, AND SUPPORTED LIVING ARRANGEMENTS WHERE A CLIENT OBTAINS HIS/HER OWN HOUSING AND RECEIVES SUPERVISION FROM HAMILTON CENTER'S STAFF. RESIDENTIAL SERVICES ARE PROVIDED IN VIGO AND MARION COUNTIES. DURING THE CURRENT YEAR, HAMILTON CENTER PROVIDED 21,080 RESIDENTIAL DAYS TO 113 CLIENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2137326 | Expense |
| Grants | 0 | Grants |
| Revenue | 2040666 | Revenue |
| Description | HAMILTON CENTER OPERATES A 24-HOUR ADULT PSYCHIATRIC INPATIENT UNIT WHICH IS LICENSED BY THE INDIANA DIVISION OF MENTAL HEALTH AND ADDICTION. OUR 16-BED UNIT PROVIDES SHORT-TERM STABILIZATION AND TREATMENT FOR BEHAVIORAL AND ADDICTION DISORDERS. INPATIENT TREATMENT USUALLY BEGINS WITH A HOLISTIC ASSESSMENT OF THE INDIVIDUAL'S PHYSICAL HEALTH, EMOTIONAL HEALTH, FAMILY LIFE, SOCIAL INTERACTION AND EMPLOYMENT HISTORY. TREATMENT IS CONDUCTED BY A TEAM OF PROFESSIONALS WHICH INCLUDES PHYSICIANS, PSYCHIATRISTS, SOCIAL WORKERS, NURSES, ACTIVITY THERAPISTS, PSYCHIATRIC TECHNICIANS, PSYCHOLOGISTS, CASE MANAGERS AND OTHER SPECIALISTS. STAFF PSYCHIATRISTS MAKE PSYCHIATRIC EVALUATIONS AND DIAGNOSES, PROVIDE DIRECT TREATMENT AND MONITOR INDIVIDUAL PROGRESS. TREATMENT GOALS ARE INDIVIDUALIZED AND DEVELOPED BY THE CLIENT AND THE TREATMENT TEAM. SERVICES TAKE PLACE IN A SUPPORTIVE ENVIRONMENT, WHICH PROMOTES UNDERSTANDING OF THE ILLNESS, IMPROVES SELF-ESTEEM AND COMMUNICATION SKILLS, AND HELPS THE CLIENT'S SUPPORT SYSTEM UNDERSTAND THE ILLNESS AND ASSIST IN CARE. THE OBJECTIVE DURING A CLIENT'S STAY IS TO ACHIEVE STABILIZATION SO THAT HE/SHE CAN RETURN TO A LESS RESTRICTIVE ENVIRONMENT AS SOON AS POSSIBLE WITH FOLLOW-UP OUTPATIENT CARE. DURING THE CURRENT YEAR, HAMILTON CENTER PROVIDED 4,880 INPATIENT DAYS TO 546 CLIENTS. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 2121128 | 0 | 0 | INFANT AND TODDLER SERVICES PROGRAMS ARE EARLY CHILDHOOD PROGRAMS FOR FAMILIES WITH CHILDREN FROM BIRTH TO THREE YEARS OF AGE. THEIR FOCUS IS TO PROVIDE EXCELLENT SUPPORTIVE, EDUCATIONAL AND THERAPEUTIC SERVICES TO ENHANCE THE LIVES OF INFANTS, YOUNG CHILDREN AND THEIR FAMILIES. ADMISSION CRITERIA IS DIFFERENT FOR EACH PROGRAM, BUT ALL SERVICES ARE FREE OF CHARGE TO FAMILIES. INFANT AND TODDLER SERVICES PROGRAMS ARE PREVENTATIVE IN NATURE AND WORK WITH CHILDREN AND FAMILIES TO BUILD ON THEIR STRENGTHS. WE RECOGNIZE THAT FAMILIES WITH YOUNG CHILDREN DEAL WITH CHALLENGING AND OFTEN STRESSFUL SITUATIONS. OUR PROGRAMS ARE DESIGNED TO MEET EACH FAMILY'S INTERESTS AND PRIORITIES AS RELATED TO THEIR CHILD'S GROWTH AND DEVELOPMENT. SERVICES INCLUDE WRITTEN INFORMATION, ASSISTANCE IN CONNECTING WITH COMMUNITY SERVICES AND/OR EXTENDED SUPPORT THROUGH HOME VISITS OR GROUP ACTIVITIES. INFANT AND TODDLER SERVICES CONSISTS OF THREE MAJOR PROGRAMS INCLUDING FIRST STEPS, EARLY HEAD START AND HEALTHY FAMILIES. EARLY HEAD START IS OFFERED IN VIGO COUNTY. HEALTHY FAMILIES IS OFFERED IN GREENE, VERMILLION, VIGO AND SULLIVAN COUNTIES IN INDIANA. FIRST STEPS IS OFFERED IN CLAY, DAVIESS, GREENE, KNOX, MARTIN, OWEN, PARKE, PUTNAM, SULLIVAN, VERMILLION AND VIGO COUNTIES. DURING THE CURRENT YEAR, FIRST STEPS SERVED 2618 CHILDREN, EARLY HEAD START SERVED 128 CHILDREN, AND HEALTHY FAMILIES SERVED 325 CHILDREN. |
| 1017085 | 0 | 734511 | SPECTRUM SERVICES IS THE NAME OF HAMILTON CENTER'S REHABILITATION DIVISION. THIS DIVISION PROVIDES SERVICES FOR PERSONS WITH DISABILITIES IN THE FORM OF COMMUNITY AND FACILITY HABILITATION, MUSIC THERAPY, PRE-VOCATIONAL AND SUPPORTED EMPLOYMENT. THE ULTIMATE GOAL FOR THIS PROGRAMMING IS TO MAXIMIZE INDEPENDENT LIVING AND FULL COMMUNITY INCLUSION. SPECTRUM SERVICES IS ACCREDITED BY CARF, THE REHABILITATION ACCREDITATION COMMISSION. DURING THE CURRENT YEAR, HAMILTON CENTER REHABILITATION SERVICES SERVED 180 CLIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 3138213 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 734511 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 25570160 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 1 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 81 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 860 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUE THOMPSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8122318323 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 EIGHTH AVENUE | AddressLine1 |
| City | TERRE HAUTE | City |
| State | IN | State |
| ZIP Code | 47804 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| LOUISE ANDERSON | ||||||||
| BOARD PRESIDENT | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD PITTELKOW | ||||||||
| BOARD VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | |||
| CARY SPARKS | ||||||||
| BOARD TREASURER | 1.00 | X | 0 | 0 | 0 | |||
| REBECCA PORTER | ||||||||
| BOARD SECRETARY | 1.00 | X | 0 | 0 | 0 | |||
| TERRY BARR | ||||||||
| BOARD MEMBER 7.1-8.1.10 | 1.00 | X | 0 | 0 | 0 | |||
| TONY BREWER | ||||||||
| BOARD MEMBER 7.1-1.1.11 | 1.00 | X | 0 | 0 | 0 | |||
| JAMES CLAYTON | ||||||||
| BOARD MEMBER 7.1-11.1.10 | 1.00 | X | 0 | 0 | 0 | |||
| MICHAEL HAGEMEYER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOHN HANCEWICS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARJORIE HAYS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JAMES JENKINS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JIM LUZAR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SHARON MELLOH | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MAX MILLER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| BOBBY MOORE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| RYAN OILAR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT RENDACI | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT RHODES | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SARAH THOMAS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DONNA WILSON | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| GALEN GOODE | ||||||||
| CEO | 40.00 | 218624 | 0 | 34698 | X | |||
| SUE THOMPSON | ||||||||
| EXECUTIVE DIRECTOR OF FISCAL SERVICES | 40.00 | 98172 | 0 | 10157 | X | |||
| MEL BURKS | ||||||||
| CEO AS OF JANUARY 2012 | 0.00 | 0 | 0 | 0 | X | |||
| DAVID K HILTON | ||||||||
| MEDICAL DIRECTOR | 40.00 | 223271 | 0 | 23129 | X | |||
| ABDUL SUBHAN | ||||||||
| PSYCHIATRIST | 40.00 | 185962 | 0 | 18528 | X | |||
| SHASHIKANT S PATEL | ||||||||
| PSYCHIATRIST | 40.00 | 185674 | 0 | 26973 | X | |||
| MATHEWS JOHN | ||||||||
| PSYCHIATRIST | 40.00 | 183391 | 0 | 36276 | X | |||
| RUTHGAYLE STITH | ||||||||
| PSYCHIATRIST | 40.00 | 180850 | 0 | 21391 | X | |||
| DAVID M THOMAS | ||||||||
| PSYCHIATRIST | 40.00 | 171230 | 0 | 17388 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1447174 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 188540 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NETECH CORPORATION | |||||
| 12272 HANCOCK ST | CARMEL | IN | 46032 | CONTRACTED PHONE SYSTEM SERVICES | 558481 |
| JR SCRIPTS PHARMACY NO 1 LLC | |||||
| 13 MEADOWS CT | TERRE HAUTE | IN | 47803 | PHARMACY SERVICES | 189584 |
| UNION HOSPITAL | |||||
| 1606 N 7TH ST | TERRE HAUTE | IN | 47804 | DIETARY, LAUNDRY AND PHARMACY SERVICES | 133957 |
| ADVANTAGE COUNSELING | |||||
| 1005 E MAIN ST | PLAINFIELD | IN | 46168 | CONTRACTED DIRECT SERVICE PROVIDER | 127032 |
| UNICARE SYSTEMS | |||||
| 540 NORTH TAMIAMI TRRAIL | SARASOTA | FL | 34236 | CONTRACTED COMPUTER MAINTENANCE | 111404 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 13999829 | GovernmentGrants |
| All Other Contributions | 157937 | AllOtherContributions |
| Total Contributions | 14157766 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 17417746 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17417746 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17417746 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 363500 | TotalRevenueColumn |
| Exclusion | $363,500 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 152057 | Securities |
| Other | 40800 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 135102 | Securities |
| Other | 103495 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16955 | Securities |
| Other | -62695 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -45740 | TotalRevenueColumn |
| Exclusion | -$45,740 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 17566 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 10164 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7402 | TotalRevenueColumn |
| Exclusion | $7,402 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | REPREST. PAYEE FEES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 90870 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90870 | RelatedOrExemptFunctionIncome |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63616 | TotalRevenueColumn |
| Exclusion | $63,616 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 154486 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32055160 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17508616 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $388,778 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80866 | Total |
| Program Services | 80866 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 537705 | Total |
| Program Services | 261928 | ProgramServices |
| Management And General | 275777 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19430677 | Total |
| Program Services | 14836308 | ProgramServices |
| Management And General | 4594369 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1042342 | Total |
| Program Services | 745136 | ProgramServices |
| Management And General | 297206 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3869517 | Total |
| Program Services | 3134858 | ProgramServices |
| Management And General | 734659 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1524123 | Total |
| Program Services | 1195207 | ProgramServices |
| Management And General | 328916 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49437 | Total |
| Program Services | 22022 | ProgramServices |
| Management And General | 27415 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79858 | Total |
| Program Services | 35573 | ProgramServices |
| Management And General | 44285 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31191 | Total |
| Program Services | 13894 | ProgramServices |
| Management And General | 17297 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159076 | Total |
| Program Services | 70862 | ProgramServices |
| Management And General | 88214 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154482 | Total |
| Program Services | 70987 | ProgramServices |
| Management And General | 83495 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 965599 | Total |
| Program Services | 795727 | ProgramServices |
| Management And General | 169872 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1318556 | Total |
| Program Services | 952954 | ProgramServices |
| Management And General | 365602 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 620123 | Total |
| Program Services | 519961 | ProgramServices |
| Management And General | 100162 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 207711 | Total |
| Program Services | 94979 | ProgramServices |
| Management And General | 112732 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1291854 | Total |
| Program Services | 979164 | ProgramServices |
| Management And General | 312690 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 594063 | Total |
| Program Services | 410077 | ProgramServices |
| Management And General | 183986 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 513025 | 489234 | 23791 |
| DUES AND SUSBSRIPT | 463368 | 254129 | 209239 |
| BAD DEBTS | 450913 | 405386 | 45527 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 347232 | Total |
| Program Services | 200908 | ProgramServices |
| Management And General | 146324 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33731718 | Total |
| Program Services | 25570160 | ProgramServices |
| Management And General | 8161558 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24552575 | BOY |
| EOY | 22536134 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49629 | BOY |
| EOY | 379049 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2864097 | BOY |
| EOY | 2484360 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 329131 | BOY |
| EOY | 233767 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 28345385 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 14286402 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14688735 | BOY |
| EOY | 14058983 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 824066 | BOY |
| EOY | 1216924 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2258413 | BOY |
| EOY | 2303074 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45566646 | BOY |
| EOY | 43212291 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4239780 | BOY |
| EOY | 3660502 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43521 | BOY |
| EOY | 57670 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2831669 | BOY |
| EOY | 2688419 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7114970 | BOY |
| EOY | 6406591 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36911350 | BOY |
| EOY | 35267166 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1540326 | BOY |
| EOY | 1538534 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38451676 | BOY |
| EOY | 36805700 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45566646 | BOY |
| EOY | 43212291 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1676558 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 30582 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $4,892 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 4892 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | PORTION OF DUES ATTRIBUTED TO LOBBYING PAID TO THE FOLLOWING ORGANIZATIONS: IN ASSOCIATION OF REHABILITATION FACILITIES, INDIANA HEALTH AND HOSPITAL, IN COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS AND THE TERRE HAUTE CHAMBER OF COMMERCE. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 1 | AgentTrusteeEtc |
| Beginning Balance | 123743 | BeginningBalance |
| Additions During Year | 2140340 | AdditionsDuringYear |
| Distributions During Year | 1819589 | DistributionsDuringYear |
| Ending Balance | 444493 | EndingBalance |
| Included On FS | 0 | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1553224 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 142333 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 331 | GrantsOrScholarships |
| Other Expenditures | 141481 | OtherExpenditures |
| Administrative Expenses | 148 | AdministrativeExpenses |
| End Of Year Balance | 1553597 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1539336 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 111145 | InvestmentEarningsOrLosses |
| Other Expenditures | 97225 | OtherExpenditures |
| Administrative Expenses | 32 | AdministrativeExpenses |
| End Of Year Balance | 1553224 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1758265 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -98725 | InvestmentEarningsOrLosses |
| Other Expenditures | 120204 | OtherExpenditures |
| End Of Year Balance | 1539336 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.00970 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.99170 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2491572 | OtherCostOrOtherBasis |
| Book Value | 2491572 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20396412 | OtherCostOrOtherBasis |
| Depreciation | 10554187 | Depreciation |
| Book Value | 9842225 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21263 | OtherCostOrOtherBasis |
| Depreciation | 21263 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5395758 | OtherCostOrOtherBasis |
| Depreciation | 3710952 | Depreciation |
| Book Value | 1684806 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 40380 | OtherCostOrOtherBasis |
| Book Value | 40380 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14058983 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HCI PROPERTY DEV RELATED PARTY RECEIVABLE | Description |
| Book Value | 2303074 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2303074 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ESTIMATED THIRD-PARTY SETTLEMENT | Description |
| Amount | $2,688,419 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2688419 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART IV, LINE 1B: | HELD FUNDS FOR PATIENTS - REPRESENTATIVE PAYEE ACCOUNTS | |
| PART V, LINE 4: | THE MAJORITY OF ENDOWMENT FUNDS ARE TEMPORARILY RESTRICTED NET ASSETS. THESE FUNDS ARE LIMITED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. RESTRICTIONS PRIMARILY RELATE TO UTILIZING ASSETS FOR SPECIFIC BEHAVIORAL HEALTH AND EDUCATION PROGRAMS. THE REMAINDER OF THE ENDOWMENT FUNDS ARE HELD BY A COMMUNITY FOUNDATION TRUST ON BEHALF OF HAMILTON CENTER WITH ONLY THE INVESTMENT INCOME AVAILABLE FOR THE CENTER'S CHARITABLE PURPOSE. | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: |
| PART X: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER, AND HAS CONCLUDED THAT AS OF JUNE 30, 2011 AND 2010, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| PARTS XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HAMILTON CENTER GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 17366 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 17366 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 300 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 2740 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 5775 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 1349 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 17366 | GrossReceiptsTotal |
| Gross Revenue Total Events | 17366 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 300 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 2740 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 5775 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 1349 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 10164 | DirectExpenseSummaryEvents |
| Net Income Summary | 7202 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 0 | FPGReferenceFreeCare |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4989169 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4989169 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14790 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20920652 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12282139 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8638513 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.25610 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 118969 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 61564 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 57405 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26028790 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12343703 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13685087 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.40570 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 218868 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 49760 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 169108 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 81766 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 900 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 80866 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 300634 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50660 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 249974 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26329424 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12394363 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13935061 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.41310 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $532,558 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 891018 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 949005 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -57987 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON CENTER INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 EIGHTH AVENUE | AddressLine1 |
| City | TERRE HAUTE | City |
| State | IN | State |
| ZIP Code | 47804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | INPATIENT UNIT | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON CENTER - SECTION NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 24 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (24 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| HAMILTON CENTER | ||||
| 620 EIGHTH AVENUE | TERRE HAUTE | IN | 47804 | ADMINISTRATIVE/OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 1175 FT HARRISON RD | TERRE HAUTE | IN | 47805 | COMMUNITY BASED RESIDENTIAL HOME |
| HAMILTON CENTER | ||||
| 1636 KESSLER BLVD N DRIVE | INDIANAPOLIS | IN | 46222 | COMMUNITY BASED RESIDENTIAL HOME |
| HAMILTON CENTER | ||||
| 2701 CRAWFORD ST | TERRE HAUTE | IN | 47802 | COMMUNITY BASED RESIDENTIAL HOME |
| HAMILTON CENTER | ||||
| 9221 E US 40 | TERRE HAUTE | IN | 47803 | COMMUNITY BASED RESIDENTIAL HOME |
| HAMILTON CENTER | ||||
| 1410 E CROSSING BLVD | TERRE HAUTE | IN | 47802 | SUB-ACUTE UNIT |
| HAMILTON CENTER | ||||
| 3911 E LEE DRIVE | ROCKVILLE | IN | 47872 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 6919 E 10TH STREET STE B1 | INDIANAPOLIS | IN | 46219 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 1616 WABASH AVE | TERRE HAUTE | IN | 47807 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 18 N 1ST STREET | TERRE HAUTE | IN | 47807 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 5621 NORTH TACOMA AVE A | INDIANAPOLIS | IN | 46220 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 500 EIGHTH AVENUE | TERRE HAUTE | IN | 47804 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 2134 MARY SHERMAN DR | SULLIVAN | IN | 47882 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 510 S MAIN ST | CLINTON | IN | 47842 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| PO BOX 553 | LINTON | IN | 47441 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 66 WABASH CT | TERRE HAUTE | IN | 47807 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 1211 E NATIONAL AVE | BRAZIL | IN | 47834 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 215 N JEFFERSON ST | ROCKVILLE | IN | 47872 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 239 HILLSDALE AVE | GREENCASTLE | IN | 46135 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 431 E MAIN | BLOOMFIELD | IN | 47424 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 900 SOUTHFIELD DR | PLAINFIELD | IN | 46168 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 909 W HILLSIDE AVE | SPENCER | IN | 47460 | OUTPATIENT CLINICAL SERVICE CLINIC |
| HAMILTON CENTER | ||||
| 36 S 14TH STREET | TERRE HAUTE | IN | 47807 | EARLY HEAD START DAYCARE |
| HAMILTON CENTER | ||||
| 42 S 15TH STREET | TERRE HAUTE | IN | 47807 | EARLY HEAD START DAYCARE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 3C: CHARITY CARE APPLICATION PROCESS WILL DETERMINE A PERSON'S ELIGIBILITY. CHARITY CARE REVIEW COMMITTEE REVIEWS HEALTH AND MEDICAL INSURANCE COVERAGE, AVAILABLILITY OF PAYMENT UNDER FEDERAL, STATE OR OTHER REIMBURSMENT PROGRAM, CURRENT FEDERAL POVERTY INCOME GUIDELINES, TOTAL HOUSEHOLD INCOME, HOUSEHOLD SIZE, MEDICAL/FINANCIAL OBLIGATIONS AND LIVING EXPENSES, AND AVAILABLILTY OF ALL OTHER ASSETS WHEN DETERMINING AN INDIVIDUALS ELIGIBILY FOR CHARITY CARE. |
| PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES ARE FOR THE ACCESS CENTER THAT PROVIDES 24 HOUR CRISIS RESPONSE AND REFERRAL ASSISTANCE. THE ORGANIZATION DOES NOT PROVIDE ANY SUBSIDIZED HEALTH SERVICES ATTRIBUTABLE TO PHYSICIAN CLINICS. |
| PART III, LINE 4: SECTION A. BAD DEBT EXPENSE. LINE 2 FOOTNOTE TO ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES: MANAGEMENT ESTIMATES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE BASED ON AN EVALUATION OF HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS CUSTOMER BASE.PART III, LINE 4: SECTION A. BAD DEBT EXPENSE. LINE 3 EXPLANATION FOR RATIONAL FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT: NO OTHER BAD DEBT AMOUNTS HAVE BEEN INCLUDED AS COMMUNITY BENEFIT. THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. |
| 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 JUNE 30, 2011 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. |
| PART III, LINE 9B: INSTALLMENT ARRANGEMENTS ARE AVAILABLE TO PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE. COLLECTION OF DELINQUENT ACCOUNTS START AFTER 90 DAYS UNLESS FINANCIAL ARRANGEMENTS ARE MADE. ANY EXTENUATING CIRCUMSTANCES ARE EVALUATED BY THE CHIEF FISCAL OFFICER PROCEEDING ANY LEGAL OR WRITE-OFF ACTION. |
| PART VI, LINE 2: THE ORGANIZATION ASSESS COMMUNITY NEEDS THROUGH VOLUNTEER BOARDS, COMMUNITY INVOLVEMENT, VOLUNTEERING, CUSTOMER SATISFACTION SURVEYS, AND BOARD SERVICE. |
| PART VI, LINE 3: THE ORGANIZATION INFORMS AND EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE DURING THE INITIAL CONTACT BY PHONE OR DURING THE FIRST "INTAKE" MEETING. DURING THE INITIAL MEETING THE INDIVIDUAL RECEIVES AN "AFFIDAVIT FOR FINANCIAL ELIGIBILITY" FORM TO COMPLETE WHICH HELPS THE ORGANIZATION DETERMINE ELIGIBILITY FOR FEE REDUCTIONS. ALSO, INDIVIDUALS CAN OBTAIN A BROCHURE FROM THE ORGANIZATION'S WEBSITE PROVIDING INFORMATION ABOUT SERVICES, FEES, AND FEE ADJUSTMENT ELIGIBILITY. |
| PART VI, LINE 4: GEOGRAPHIC AREA:THE ORGANIZATION COMMUNITY INCLUDES THE FOLLOWING COUNTIES SERVED: CLAY, GREEN, MARION, OWEN, PARKE, PUTNAM, SULLIVAN, VERMILLION, VIGO, AND HENDRICKS. DEMOGRAPHICS:POPULATION SERVED BASED ON INCOMELESS THAN $8,000 64%$8,000 - 9,999 3%$10,000 - 14,999 5%$15,000 - 19,999 4%$20,000 - 29,999 4%$30,000 + 9%UNKNOWN 11%POPULATION SERVED BASE ON AGELESS THAN 3 11%4 - 17 27%18 - 24 12%25 - 44 28%45 - 64 19%65 + 3% |
| PART VI, LINE 6: THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSE BY PROMOTING HEALTH OF THE COMMUNITY THROUGH THE FOLLOWING: THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THESE VOLUNTEERS ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. ANY SURPLUS FUNDS ARE APPLIED DIRECTLY OR INDIRECTLY TO IMPROVE SERVICES.THE ORGANIZATION HAS A PRESENCE ON MANY COMMUNITY COLLABORATIVE COMMITTEES AND GROUPS SUCH AS THE TERRE HAUTE HOMELESS COALITION, LOCAL COORDINATING COUNCILS ON DRUG ABUSE IN SEVERAL COMMUNITIES, THE STATEWIDE COMMITTEE FOR DISASTER RELIEF AND EMERGENCY RESPONSE, A SPONSOR AND CONTRIBUTOR FOR TERRE HAUTE'S MINI MEDICAL SCHOOL, AND AN ACTIVE PARTICIPANT IN DISABILITIES AWARENESS MONTH TO NAME A FEW. THE ORGANIZATION ALSO FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY PROVIDING INFORMATION BOOTHS AT COUNTY FAIRS, HEALTH FAIRS AND OTHER "HEALTH FUNCTIONS" IN OUR COMMUNITY. THE ORGANIZATION ALSO ORGANIZED A CONSUMER HEALTH FAIR FOR THE COMMUNITY. |
| PART VI, LINE 7: NOT APPLICABLE. THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.PART VI, LINE 8: NOT APPLICABLE. THE ORGANIZATION DOES NOT FILE A COMMUNITY BENEFIT REPORT. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| ST ANN'S CLINIC | ||||||||||
| 1436 LOCUST STREET | TERRE HAUTE | IN | 47804 | 351947580 | 501C3 | 12383 | COST | PAYMENT OF OFFICE SPACE | PAYMENT OF OFFICE SPACE TO SERVE CLIENTS AT THE CLINIC. | |
| ST ANN'S CLINIC | ||||||||||
| 1436 LOCUST STREET | TERRE HAUTE | IN | 47804 | 351947580 | 501C3 | COST | STAFF THERAPY TIME | STAFF ARE PROVIDED TO ASSIST THE CLINIC WITH THERAPY TIME A COUPLE HOURS EACH WEEK. | 23667 | |
| MENTAL HEALTH ASSOCIATION IN VIGO COUNTY INC | ||||||||||
| 620 8TH AVENUE | TERRE HAUTE | IN | 47804 | 208762173 | 501C3 | 44816 | COST | OFFICE SPACE & COPY MACHINE | TO MAKE ASSETS AVAILABLE FOR THE USE BY THE ASSOCIATION. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: NO GRANT FUNDS WERE AWARDED TO THE RECIPIENTS INCLUDED ON SCHEDULE I. THE ASSISTANCE PROVIDED WERE ONE TIME CONTRIBUTIONS TO OTHER ORGANIZATIONS THAT DO NOT REQUIRE MONITORING OF THE RECIPIENT'S USE BY HAMILTON CENTER. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GALEN GOODE | |||||||||||||
| 212173 | 0 | 0 | 0 | 6451 | 0 | 15461 | 0 | 19237 | 0 | 253322 | 0 | 0 | 0 |
| DAVID K HILTON | |||||||||||||
| 218627 | 0 | 4230 | 0 | 414 | 0 | 15648 | 0 | 7481 | 0 | 246400 | 0 | 0 | 0 |
| ABDUL SUBHAN | |||||||||||||
| 179800 | 0 | 6000 | 0 | 162 | 0 | 0 | 0 | 18528 | 0 | 204490 | 0 | 0 | 0 |
| SHASHIKANT S PATEL | |||||||||||||
| 184455 | 0 | 0 | 0 | 1219 | 0 | 13445 | 0 | 13528 | 0 | 212647 | 0 | 0 | 0 |
| MATHEWS JOHN | |||||||||||||
| 183211 | 0 | 0 | 0 | 180 | 0 | 13218 | 0 | 23058 | 0 | 219667 | 0 | 0 | 0 |
| RUTHGAYLE STITH | |||||||||||||
| 180436 | 0 | 0 | 0 | 414 | 0 | 12741 | 0 | 8650 | 0 | 202241 | 0 | 0 | 0 |
| DAVID M THOMAS | |||||||||||||
| 164816 | 0 | 6000 | 0 | 414 | 0 | 0 | 0 | 17388 | 0 | 188618 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 6 | ReturnReference |
| Explanation | HAMILTON CENTER HAS A PERFORMANCE BASED EVALUATION SYSTEM THAT INCLUDES INDIVIDUAL GOAL SETTING AND EVALUATION ANNUALLY. IF THRESHOLDS FOR PERFORMANCE ARE MET AND HCI HAS INCOME IN EXCESS OF BUDGETED LEVELS EMPLOYEES SHARE IN THE EXCESS AND ARE PAID AS A PERCENTAGE OF SALARY. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST FINANCIAL BANK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | ENTITY OF WHICH CURRENT BOARD MEMBER SERVES AS VICE PRESIDENT | Relationship |
| Amount Of Transaction | 35855 | AmountOfTransaction |
| Description Of Transaction | TRUST AND PENSION SERVICES.BOARD MEMBER, CARY SPARKS, SERVES AS VICE PRESIDENT FOR FIRST FINANCIAL BANK'S TRUST DEPARTMENT. FIRST FINANCIAL PROVIDES TRUST AND PENSION SERVICES WITH APPROXIMATELY $11.5 MILLION IN PENSION DEPOSITS. IN ADDITION FIRST FINANCIAL ALSO HOLDS THE CENTER'S PRIMARY OPERATING CHECKING AND PAYROLL ACCOUNTS. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE ADMINISTRATIVE COMMITTEE OF THE BOARD OF DIRECTORS WERE PROVIDED WITH A COPY AND REVIEWED THE COMPLETED FORM 990 AS PRESENTED BY BLUE AND CO., LLC. THE ADMINISTRATIVE COMMITTEE REPORTED TO THE FULL BOARD THEIR UNDERSTANDING AND ACCEPTANCE OF THE DOCUMENTED INFORMATION. THE REVIEW IS RECORDED IN THE ADMINISTRATIVE COMMITTEE MEETING MINUTES. | |
| HAMILTON CENTER REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY AS FOLLOWS: 1. COMPLETION OF A UNIFORM CONFLICT OF INTEREST DISCLOSURE STATEMENT AS DESIGNATED IN THE CORPORATE POLICY. 2. NOTIFICATIONS TO SUPERVISORS AND BOARD PRESIDENT AS CONFLICTS ARE DETERMINED. 3. BARRING ACTION BY THE EMPLOYEE OR RECUSING FROM ACTIVITIES BOARD MEMBERS UNTIL THE CONFLICT IS RESOLVED. 4. ALTERNATIVES ARE INVESTIGATED AND DECISIONS ARE MADE TO SATISFACTORILY RESOLVE THE CONFLICT UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR BOARD RESIGNATION. THE CHIEF EXECUTIVE OFFICER HAS FINAL DECISION AUTHORITY WHEN EMPLOYEES ARE INVOLVED AND THE BOARD PRESIDENT HAS FINAL DECISION AUTHORITY WHEN BOARD MEMBERS ARE INVOLVED. | FORM 990, PART VI, SECTION B, LINE 12C | |
| COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, EXECUTIVE DIRECTORS, AND MEDICAL DIRECTOR ARE DETERMINED BY A COMMITTEE OF THE BOARD OF DIRECTORS AS FOLLOWS: 1. COMPARABILITY DATA IS GATHERED BASED ON SIMILAR ORGANIZATIONS, SIMILAR CIRCUMSTANCES, GEOGRAPHICAL APPLICABILITY, EDUCATION, AND EXPERIENCE. 2. ONLY INDEPENDENT MEMBERS OF THE BOARD ARE ALLOWED TO REVIEW AND ESTABLISH COMPENSATION. 3. COMPENSATION DECISIONS ARE DOCUMENTED CONCURRENTLY DURING THE DECISION MAKING PROCESS AND ARE REFLECTED IN THE BOARD MINUTES. | FORM 990, PART VI, SECTION B, LINE 15 | |
| UPON WRITTEN REQUEST RECEIVED VIA U.S. MAIL TO 620 EIGHTH AVENUE, TERRE HAUTE, IN 47804, HAMILTON CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY RETURN MAIL. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 30,582. | FORM 990, PART XI, LINE 5: |
| OVERSIGHT OF AUDIT | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCI PROPERTY DEVELOPMENT LANGE APARTMENTS | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 EIGHTH AVENUE | AddressLine1 |
| City | TERRE HAUTE | City |
| State | IN | State |
| ZIP Code | 47804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800077891 | EIN |
| Primary Activity | LOW INCOME HOUSING | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCI PROPERTY DEVELOPMENT ORGANIZATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of EOY Assets | -52527 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCI PROPERTY DEVELOPMENT ORGANIZATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 620 EIGHTH AVENUE | AddressLine1 |
| City | TERRE HAUTE | City |
| State | IN | State |
| ZIP Code | 47804 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562396950 | EIN |
| Primary Activity | REAL ESTATE | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | -5710 | ShareOfTotalIncome |
| Share Of EOY Assets | -51543 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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