2024-11-15T11:13:10-06:00 2023-12-31 351178661 BLUE & CO LLC 500 N MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 834035873 SUBURBAN HOSPICE INC SUBU 3176334878 801 N STATE STREET GREENFIELD IN 46140 JENNIFER STANLEY BOARD TREASURER 3176334878 2024-11-15 1 1 EMILIE M KNIERIEM CPA P01330194 3176334705 2024-11-14 2023 2024-10-15 13:58:12Z JENNIFER STANLEY 801 N STATE STREET GREENFIELD IN 46140 4074820 0 X SUBURBANHOSPICE.ORG X 2019 IN PROVIDE HOSPICE, HOME HEALTH AND OTHER HEALTH SERVICES WITHIN THE COMMUNITIES SERVED BY THE CORPORATION AND THE HOSPITAL. 3 2 43 8 0 0 3302 6104 3394788 4068624 0 0 116 92 3398206 4074820 0 0 0 0 1553721 2055067 0 0 0 1425437 1605047 2979158 3660114 419048 414706 1910861 2485293 2350668 2510394 -439807 -25101 PROVIDE HOSPICE, HOME HEALTH AND OTHER HEALTH SERVICES WITHIN THE COMMUNITIES SERVED BY THE CORPORATION AND THE HOSPITAL. 0 0 3012254 4068624 PROVIDE HOSPICE, HOME HEALTH AND OTHER HEALTH SERVICES WITHIN THE COMMUNITIES SERVED BY THE CORPORATION AND THE HOSPITAL. 3012254 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 43 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X JENNIFER STANLEY 3176334878 801 N STATE STREET GREENFIELD IN 46140 CRAIG FELTY CHAIR AND DIRECTOR - PARTIAL TERM 1.00 40.00 X X 0 274467 59244 TAMMY STRUNK VICE CHAIR AND DIRECTOR 1.00 40.00 X X 0 192270 19860 JENNIFER STANLEY TREASURER AND DIRECTOR 1.00 40.00 X X 0 123530 28753 DIANNE OSBORNE SECRETARY AND DIRECTOR 1.00 X X 0 0 0 JEANNIE CROWE EXECUTIVE DIRECTOR 40.00 1.00 X 150376 0 4215 APRIL STILLINGER HOSPICE DIRECTOR, CLINICAL 40.00 X 115042 0 2313 265418 590267 114385 2 0 1 0 0 6104 6104 NET PATIENT SERVICE RE 623000 4068624 4068624 4068624 MISCELLANEOUS INCOME 900099 92 92 92 4074820 4068716 0 0 X 154590 123671 30919 1576987 1261590 315397 187595 150076 37519 135895 135895 3439 3439 821940 657552 164388 254453 203562 50891 73531 58825 14706 149382 119506 29876 179 179 310 248 62 MEDICAL SUPPLIES 298504 298504 DUES & SUB. 2750 2200 550 559 446 113 3660114 3012254 647860 0 1586923 2052668 323938 432625 1910861 2485293 178599 235310 2172069 2275084 2350668 2510394 X -439807 -25101 -439807 -25101 1910861 2485293 414706 0 X X 0 1 X 1 0 X 710203 251630 4243 3302 6104 975482 265630 1807229 2524795 3394788 4068624 12061066 975833 2058859 2529038 3398090 4074728 13036548 0 0 0 13036548 635 97 116 92 940 975833 2059494 2529135 3398206 4074820 13037488 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2020 AMOUNT: $ 635. 2021 AMOUNT: $ 97. 2022 AMOUNT: $ 116. 2023 AMOUNT: $ 92. 0 DUE TO RELATED PARTY 2275084 2275084 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL 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 HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 0 0 0 0 0 0 CRAIG FELTY CHAIR AND DIRECTOR - PARTIAL TERM 0 272586 0 0 0 1881 0 35951 0 23293 0 333711 0 0 TAMMY STRUNK VICE CHAIR AND DIRECTOR 0 190085 0 0 0 2185 0 10225 0 9635 0 212130 0 0 JEANNIE CROWE EXECUTIVE DIRECTOR 150376 0 0 0 0 0 4215 0 0 0 154591 0 0 0 JENNIFER STANLEY TREASURER AND DIRECTOR 0 123191 0 0 0 339 0 7171 0 21582 0 152283 0 0 SCHEDULE J, PART I, LINE 3: ALL EMPLOYEES ARE EMPLOYED BY A RELATED ORGANIZATION. THAT ORGANIZATION PARTICIPATES IN SALARY SURVEYS TO ANALYZE AND ADJUST PAY RANGES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CORPORATE MEMBER, HANCOCK REGIONAL HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S VOTING DIRECTORS ARE APPOINTED BY THE CORPORATE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ANNUALLY SIGN A STATEMENT STATING THEY HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAVE READ AND UNDERSTAND THE POLICY, AND AGREE TO COMPLY WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 OFFICERS ARE COMPENSATED BY A RELATED ORGANIZATION. THAT ORGANIZATION DETERMINES COMPENSATION USING APPLICABLE COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 657,552. MANAGEMENT AND GENERAL EXPENSES 164,388. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 821,940. FORM 990, PART XII, LINE 2C: THE HANCOCK REGIONAL HOSPITAL'S BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEARS. HANCOCK REGIONAL HOSPITAL 801 N STATE STREET GREENFIELD IN 46140 351092610 FOUNDATION IN 501(C)(3) LINE 3 0 HANCOCK REGIONAL HOSPITAL FOUNDATION 801 N STATE STREET GREENFIELD IN 46140 351543591 COUNTY HOSPITAL IN 501(C)(3) LINE 7 HANCOCK REGIONAL HOSPITAL 0 HANCOCK HEALTH GATEWAY SERVICES INC 6189 W JOHN L MEDGLIN DR GREENFIELD IN 46140 831904165 HEALTH SERVICES IN 501(C)(3) LINE 12A, I HANCOCK REGIONAL HOSPITAL 0 HANCOCK PHYSICIAN NETWORK LLC ONE MEMORIAL SQUARE STE 50 GREENFIELD IN 46140 352051598 HEALTHCARE PROVIDER IN 501(C)(3) LINE 3 HANCOCK REGIONAL HOSPITAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0