Civic Intelligence

Community Howard Regional Health Inc.

990 • Fiscal year 2020 • EIN 35-1865344

Jan 01, 2020 to Dec 31, 2020 • Filed on Oct 26, 2021

Refreshing map…

3500 S Lafountain StreetKokomo, IN 46902

(765) 453-8371

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

22nd percentile

0.09x

Higher debt load relative to assets than 22% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Liabilities / Revenue

11th percentile

0.13x

Higher debt load relative to revenue than 11% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Net Margin

68th percentile

9.4%

Higher net margin than 68% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Top Officer Pay

63rd percentile

$1,155,970

Higher top officer pay than 63% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2020

Asset Growth

82nd percentile

20%

Faster asset growth than 82% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Revenue Growth

45th percentile

0.6%

Faster revenue growth than 45% of similar nonprofits.

2020 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2019 to 2020

Assets

Up

$259,350,623

Up $43,719,051 (+20%) from 2019

Net Assets

Up

$235,029,785

Up $27,083,584 (+13%) from 2019

Liabilities

Up

$24,320,838

Up $16,635,467 (+216%) from 2019

Revenue

Up

$183,340,636

Up $1,067,862 (+0.6%) from 2019

Expenses

Up

$166,070,904

Up $19,100,266 (+13%) from 2019

Net Income

Down

$17,269,732

Down $18,032,404 (-51%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600M$400M$200M$0Assets 2013: $182,696,536Liabilities 2013: $107,136,442Net Assets 2013: $75,560,0942013Assets 2014: $184,512,110Liabilities 2014: $96,436,435Net Assets 2014: $88,075,6752014Assets 2015: $196,697,063Liabilities 2015: $93,187,170Net Assets 2015: $103,509,8932015Assets 2017: $160,385,763Liabilities 2017: $31,719,076Net Assets 2017: $128,666,6872017Assets 2018: $176,077,603Liabilities 2018: $6,045,795Net Assets 2018: $170,031,8082018Assets 2019: $215,631,572Liabilities 2019: $7,685,371Net Assets 2019: $207,946,2012019Assets 2020: $259,350,623Liabilities 2020: $24,320,838Net Assets 2020: $235,029,7852020Assets 2021: $314,937,955Liabilities 2021: $19,013,138Net Assets 2021: $295,924,8172021Assets 2022: $348,559,048Liabilities 2022: $11,695,102Net Assets 2022: $336,863,9462022Assets 2024: $424,346,148Liabilities 2024: $11,307,461Net Assets 2024: $413,038,6872024

Highlighted filing

2020

Assets$259,350,623
Liabilities$24,320,838
Net Assets$235,029,785

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MRevenue 2013: $122,168,918Expenses 2013: $137,579,425Net Income 2013: -$15,410,5072013Revenue 2014: $131,220,083Expenses 2014: $117,511,827Net Income 2014: $13,708,2562014Revenue 2015: $123,266,239Expenses 2015: $109,135,881Net Income 2015: $14,130,3582015Revenue 2017: $145,988,651Expenses 2017: $121,084,517Net Income 2017: $24,904,1342017Revenue 2018: $172,345,809Expenses 2018: $127,496,199Net Income 2018: $44,849,6102018Revenue 2019: $182,272,774Expenses 2019: $146,970,638Net Income 2019: $35,302,1362019Revenue 2020: $183,340,636Expenses 2020: $166,070,904Net Income 2020: $17,269,7322020Revenue 2021: $226,466,776Expenses 2021: $168,224,351Net Income 2021: $58,242,4252021Revenue 2022: $208,002,339Expenses 2022: $184,512,533Net Income 2022: $23,489,8062022Revenue 2024: $237,510,265Expenses 2024: $206,086,612Net Income 2024: $31,423,6532024

Highlighted filing

2020

Revenue$183,340,636
Expenses$166,070,904
Net Income$17,269,732
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Oct 26, 2021
Return Version
2020v4.1
Gross Receipts
$193,879,202
Mission and Program Overview

Mission

Our mission is to provide exceptional quality, patient-centered care. In keeping with our mission, we embrace the following values: compassion and understanding; customer service; dedication and commitment to provide the highest quality services and to meet the needs of our community; respect for our patients, visitors, physicians, and staff; safety; a safe and positive working environment; and truth and integrity in all encounters and services offered.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$97,822,836$96,675,334▼ $1,147,502
Investments in Publicly Traded Securities$42,239,423$48,041,296▲ $5,801,873
Accounts Receivable$21,353,573$28,222,543▲ $6,868,970
Investments Program Related$6,531,158$0▼ $6,531,158
Inventories for Sale or Use$3,853,600$5,073,582▲ $1,219,982
Savings and Temporary Cash Investments$28,956$3,949,344▲ $3,920,388
Prepaid Expenses and Deferred Charges$207,723$676,392▲ $468,669
Other Notes and Loans Receivable, Net-$42,949-
Intangible Assets-$30,688-
Cash and Non-Interest-Bearing Accounts$1,790$2,640▲ $850
Total Assets$215,631,572$259,350,623▲ $43,719,051
Other Assets Total$43,592,513$76,635,855▲ $33,043,342
Liabilities
Other Liabilities$5,944,995$21,985,679▲ $16,040,684
Accounts Payable and Accrued Expenses$1,740,376$2,335,159▲ $594,783
Total Liabilities$7,685,371$24,320,838▲ $16,635,467
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$207,946,201$235,029,785▲ $27,083,584
Total Net Assets Fund Balance$207,946,201$235,029,785▲ $27,083,584
Total Liabilities and Net Assets / Fund Balance$215,631,572$259,350,623▲ $43,719,051

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$76,942,525$29,532,681$106,475,206
Equipment$13,847,873$25,966,106$39,813,979
Land$4,583,000-$4,583,000
Other Land Buildings$1,091,790$3,466,308$4,558,098
Leasehold Improvements$210,146$364,163$574,309
Other Assets Org$1,796,851--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joseph T HooperPresident - Howard RegionFT$392,638$198,407$591,045
John Schiltz MdPsychiatristFT$284,676$176,621$461,297
Carl Ratliff MdPsychiatristFT$274,050$104,820$378,870
Laxeshkumar Patel MdPsychiatristFT$259,490$113,699$373,189
Charles Evans MdPsychiatristFT$250,292$78,007$328,299
Jennifer HindmanVP COO - Howard RegionFT$219,294$65,491$284,785
Nino Voskuhl Rph MhaDirector of PharmacyFT$179,505$28,887$208,392
Michael Stennis MdSVP Physician ExecutiveFT$141,770$61,220$202,990

Board Members and Trustees

NameTitle
Lynette Hazelbaker MdChairman
Benjamin Chiu MdVice Chairman
Diane CogdellDirector
Jason FahrlanderDirector
Rebecca VentDirector
Robert HayesDirector
John Kunzer MdDirector Jan - Feb
John BiloExecutive Director of Finance
Deshini Moonesinghe MdFormer SVP Physician Executive
Bridget WhitmoreSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Mid America Clinical LaboratoriesLaboratory Services2560 N SHADELAND AVE, Indianapolis, IN 46219$3,254,892
Aramark Food And Support Services INCFood, Clothing, Facilities,clncl Engr27310 NETWORK PLACE, Chicago, IL 60673$788,916
Medical AssociatesEmergency Medicine, Physician Assistance7150 CLEARVISTA DRIVE, Indianapolis, IN 46256$686,215
Hayes Brothers INCMaintenance1241 EAST 400 SOUTH, Kokomo, IN 46902$642,112
Aya Healthcare INCTemp Staffing5930 CORNERSTONE COURT WEST SUITE, San Diego, CA 92121$526,346
Revenue and Support

Revenue Composition

Contributions and Grants
$10,933,235
Program Service Revenue
$170,680,145
Investment Income
$1,082,400
Other Revenue
$644,856
Change in Net Assets
$17,269,732
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$99,217,810
Salaries, Compensation, and Employee Benefits$66,826,639
Grants and Similar Amounts Paid$26,455
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$41,338,720$11,702,789-$53,041,509
Fees for Services Other$9,728,144$31,084,753-$40,812,897
Depreciation Depletion$5,127,480$2,623,710-$7,751,190
Other Employee Benefits$5,919,320$1,826,404-$7,745,724
Occupancy$4,999,998$1,542,748-$6,542,746
Payroll Taxes$2,910,466$883,366-$3,793,832
Office Expenses$1,356,242$1,039,263-$2,395,505
Pension Plan Contributions$990,480$176,274-$1,166,754
Current Officers, Directors, Trustees, and Key Employees$20,299$1,058,521-$1,078,820
Insurance$46,593$886,850-$933,443
Other Expenses$122,582$204,212-$326,794
All Other Expenses$60,500$185,682-$246,182
Information Technology$92,493$64,509-$157,002
Fees for Services Legal-$121,674-$121,674
Travel$74,780$34,870-$109,650
Advertising$12,347$38,144-$50,491
Fees for Service Investment Mgmnt Fees-$34,543-$34,543
Grants to Domestic Orgs$26,455--$26,455
Interest$10,153$8,487-$18,640
Conferences and Meetings$9,624$50-$9,674
Fees for Services Accounting-$685-$685
Total Functional Expenses$112,553,370$53,517,534$0$166,070,904
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
United Way of Howard CountyKokomo, IN501(c)(3)Buddy Bag Program$20,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Cms Accelerated Payments$15,000,001
Third Party Settlements$4,963,429
Right-of-use Operating Liab$1,797,567
Asbestos Liability$174,682
Other Lt Pay Liability$50,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Related party information among officers jason farhlander and john kunzer, m.d. Served as officers of community health network ("chnw"). Jason fahrlander and john bilo received compensation from chnw.

Form 990, Part VI, Section A, Line 3

Management delegated chrh has delegated exclusive authority to community health network ("chnw"), acting through chnw's board of directors, in the following substantive areas: strategic planning, capital access, budgeting and allocation, audit and compliance, executive compensation, and dispute resolution. In addition, chnw must approve any modification, repeal amendment, or restatement of chrh's articles of incorporation. Finally, chnw must approve any material sale or disposition of the assets of chrh.

Form 990, Part VI, Section A, Line 6

Classes of members or stockholders community health network, inc. Is the sole member of chrh. Chnw is an exempt organization pursuant to section 501(c)(3).

Form 990, Part VI, Section A, Line 7A

Election of members and their rights community health network, inc. As the sole member of chrh appoints a majority of the board of directors.

Form 990, Part VI, Section A, Line 7B

Decisions subject to approval of members the following governance items require the written approval of chnw: a) amendment of organizational documents; b) the incurrence of any unbudgeted indebtedness or loans above $750,000; c) the formation of legal entities, the sale, transfer or substantial change in use of all or substantially all of the assets of chrh, or the divesture, dissolution, closure, merger, consolidation or reorganization of chrh; d) the acquisition, sale, lease, transfer or other alienation of property when such transaction is above $1,000,000, during any fiscal year; e) disposition of assets on dissolution; f) approval of the annual capital and operating budgets, plans, or forecasts approved by the board; g) the selection of the independent auditing firm either directly or through chnw's audit and compliance committee; h) the determination of physician and ceo compensation either directly or through chnw's compensation committee; i) all unbudgeted capital improvements, additions and structural changes to the property greater than the budgeted amount by $500,000 per fiscal year in the aggregate; j) strategic plans, including the regional plan; and k) the hiring and firing of the ceo subject to the prior opportunity for the board to review and comment.

Form 990, Part VI, Section B, Line 11B

Organization's process to review form 990 chnw has assumed responsibility for chrh's audit, compliance, finance and executive compensation matters. Chnw's board of directors has delegated authority for the review of chrh's form 990 to two committees composed of independent outside directors: a) the network executive compensation committee reviewed the compensation aspects of chrh's form 990, and b) the network finance comittee reviewed the remainder of the chrh's form 990. In addition, chrh's outside accounting firm and law firm reviewed the form 990 prior to filing. Chrh and chnw utilized this process to ensure that chrh's form 990 received substantive review by directors and professionals with specific knowledge of chrh's activities and extensive financial, accounting and tax expertise.

Form 990, Part VI, Section B, Line 12C

Enforcement of conflicts policy chrh has adopted a conflict of interest policy that applies to its directors, officers, managers, material management associates and key employees. The conflict policy requires these individuals to submit an annual written certification of compliance under which these individuals must disclose (i) financial or other interests the individual or any family member has with any entity engaged in the delivery of health care services, biotechnology companies, software companies providing educational or consulting services or any other company or organization that does or contemplates doing business with chrh, and (ii) compensation or gifts received by the individual or any family member that might influence the individual's actions. The disclosures are reviewed by the corporate compliance officer, president/ceo and board of directors, as appropriate. The intent of the policy is to avoid the participation of any interested person in the consideration of a matter or decision which poses a conflict of interest for that interested person.

Form 990, Part VI, Section B, Line 15

Compensation process for top official as a member of the network, chrh is subject to the executive compensation practices and procedures of chnw, the network parent. Chnw has adopted an executive compensation and intermediate sanctions policy that applies to chrh. The purpose of the policy is to ensure that chrh's compensation arrangements with related parties are evaluated and entered at arms length and that any compensation that is paid to a related party is reasonable and reflects fair market value. This policy encourages the application of the rebuttable presumption standard of code section 4958 and the related treasury regulations by: a) excluding any interested party from the decision making process, b) requiring disinterested board or committee members to obtain and rely upon comparability data when setting the proposed compensation terms, c) requiring approval of the transaction in advance by disinterested directors or committe members, and d) requiring contemporaneous documentation (i.e. Minutes) reflecting the decision and the process by which it was made. Chnw has delegated authority regarding chrh's executive compensation to a) the network executive compensation committee, composed of independent outside directors, which is responsible for applying the terms and process of the executive compensation and intermediate sanctions policy as outlined above, and b) the network vice president of human resources who is responsible for obtaining comparative salary market data for the chief executive officer, officers, and key employees, periodically engaging an independent compensation consultant to establish reasonable compensation, and providing staff support to the network executive compensation committee. During 2020, the network executive compensation committee followed this process for all senior executive leaders. Form 990, part vi, section b, line 15b - compensation process for officers see line 15a above form 990, part vi, line 16b - joint venture procedure joint venture operating agreements involving chrh include provisions to protect chrh's tax-exempt status. Each agreement contains specific requirements related to the provision of health care services with focus on community health benefit and must follow a formal review process prior to contract execution. Chrh continually ensures that its tax-exempt status is protected by actively participating in the governance of all joint ventures.

Form 990, Part VI, Section C, Line 19

Governing documents disclosure explanation a) the articles of incorporation and business entity report are on file with the indiana secretary of state and are available to the public upon request to the indiana secretary of state or free of charge on the secretary of state's website. B) chrh's conflict of interest policy is not available to the public. C) chrh does not have individually audited financial statements. Its financial results are included in the consolidated financial statements of chnw and affiliates. As such, there are no individual financial statements to post. Chrh does file the 990 tax return on an annual basis which is available upon request and/or available on a delayed basis on guidestar.org. D) community health network, inc. And affiliates provide any document open to public inspection upon request.

Form 990, Part VIII, Line 1E - Government Grants

Chrh received provider relief funds of $6,553,785 in 2020 pursuant to the cares act.

Filing and Contact Details

Filer

Filer Name
Community Howard Regional
EIN
35-1865344
Phone
7654538371
Address
3500 S LAFOUNTAIN STREET, KOKOMO, IN 46902

Signing Officer

Name
Joseph T Hooper
Title
President - Howard Region
Phone
7654538547
Signed
2021-10-26
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joseph T Hooper
Formed
1992
Legal Domicile
In
Voting Board Members
8
Independent Board Members
5
Employees
861
Volunteers
60

Preparer

Firm
Ksm Business Services Inc
Address
PO BOX 40857, INDIANAPOLIS, IN 46240
Preparer
Casse Tate
Phone
3175802000
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 1A - Box 3 of Form 1096

Form 1096 was processed under the name and federal identification number of community health network, inc, the parent organization and a 501(c)(3) entity.

Form 990, Part IX, Line 11G

Purchased services: program service expenses 8,994,776. Management and general expenses 27,786,401. Fundraising expenses 0. Total expenses 36,781,177. Professional fees: program service expenses 733,368. Management and general expenses 3,298,352. Fundraising expenses 0. Total expenses 4,031,720.

FORM 990, PART XI, LINE 9:

Inclusion of joint venture equity 5,229,400.

Raw XML AppendixShowing 400 of 1,556 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH") OPERATES AN ACUTE CARE FULL SERVICE HOSPITAL IN KOKOMO, INDIANA WITH 107 STAFFED BEDS. IN 2020, THE MAIN HOSPITAL SERVED 4,454 INPATIENTS WITH A TOTAL OF 18,271 INPATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED 308,438 OUTPATIENT VISITS, WHICH INCLUDED 24,801 EMERGENCY VISITS. CHRH PROVIDES SERVICES INCLUDING WOMEN AND CHILDREN'S HEALTHCARE, CANCER CARE, CARDIOVASCULAR CARE, SURGICAL SERVICES, BEHAVIORAL HEALTH, AND PEDIATRIC SERVICES.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR JAN - FEB
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt3PRESIDENT - HOWARD REGION
IRS990/Form990PartVIISectionAGrp/TitleTxt4FORMER SVP PHYSICIAN EXECUTIVE
IRS990/Form990PartVIISectionAGrp/TitleTxt5PSYCHIATRIST
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IRS990/Form990PartVIISectionAGrp/TitleTxt8PSYCHIATRIST
IRS990/Form990PartVIISectionAGrp/TitleTxt9EXECUTIVE DIRECTOR OF FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt10VP COO - HOWARD REGION
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR OF PHARMACY
IRS990/Form990PartVIISectionAGrp/TitleTxt12SVP PHYSICIAN EXECUTIVE
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
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IRS990/MissionDesc0OUR MISSION IS TO PROVIDE EXCEPTIONAL QUALITY, PATIENT-CENTERED CARE. IN KEEPING WITH OUR MISSION, WE EMBRACE THE FOLLOWING VALUES: COMPASSION AND UNDERSTANDING; CUSTOMER SERVICE; DEDICATION AND COMMITMENT TO PROVIDE THE HIGHEST QUALITY SERVICES AND TO MEET THE NEEDS OF OUR COMMUNITY; RESPECT FOR OUR PATIENTS, VISITORS, PHYSICIANS, AND STAFF; SAFETY; A SAFE AND POSITIVE WORKING ENVIRONMENT; AND TRUTH AND INTEGRITY IN ALL ENCOUNTERS AND SERVICES OFFERED.
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IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1HAF PROGRAM FEES
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IRS990/OtherExpensesGrp/Desc3PROPERTY TAX
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