2024-05-14T17:11:24+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2022-07-01 454158203 Community Care Network Inc COMM 2198361600 901 MACARTHUR BOULEVARD MUNSTER IN 46321 GREGG FERLIN SR VP FINANCE & CFO 2024-05-14 false GREGG FERLIN 999009999 JESSICA A WAGENER P01622613 3128792000 2023-05-12 2022 2023-04-26 12:10:37Z GREGG FERLIN 10010 DONALD S POWERS DR 201 MUNSTER IN 46321 152910119 false X WWW.COMHS.ORG X 2012 IN TO SUPPORT AND ADVANCE THE CHARITABLE MISSION OF FOUR INDIANA NON-PROFIT HOSPITALS. 7 0 1482 0 796992 490823 289196 411645 146099199 151196439 33029 19179 947873 1282856 147369297 152910119 9263 0 0 142175941 150464293 0 0 5167773 2784036 147352977 153248329 16320 -338210 29060110 31429073 25950807 22858536 3109303 8570537 TO SUPPORT AND ADVANCE THE CHARITABLE MISSION OF FOUR INDIANA NON-PROFIT HOSPITALS, BY PROMOTING THE HEALTH OF A BROAD CROSS SECTION OF THE COMMUNITY AND PROVIDING UNCOMPENSATED CARE TO MEMBERS OF THE COMMUNITY. false false 140430037 0 151403360 COMMUNITY CARE NETWORK, INC. IS A HOSPITAL OWNED PHYSICIAN NETWORK OFFERING A BROAD RANGE OF SERVICES AND SPECIALTIES TO CARE FOR ITS PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. COMMUNITY CARE NETWORK, INC. PROVIDES LEADING-EDGE CARE TO PATIENTS IN NORTHWEST INDIANA. THROUGH ITS DEDICATION TO QUALITY AND INNOVATION, COMMUNITY CARE NETWORK, INC. CONTINUES IN ITS PURSUIT OF IMPROVING THE HEALTH OF ITS PATIENTS AND COMMUNITY. AS A DIRECT RESULT OF THE HOSPITALS LATEST CHNA IMPLEMENTATION PLAN, COMMUNITY CARE NETWORK, INC. HAS ADDED A NET OF 3 NEW PHYSICIANS TO PROVIDE BETTER ACCESS TO CARE, WITH NEW LOCATIONS IN UNDERSERVED AREAS, EXPANDING HOURS IN CURRENT AREAS, AND ADDING SPECIALISTS IN DEFICIENT AREAS. 140430037 true true false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 0 0 1482 true true true false false false false false false false false false false false X 7 0 true false false false true true true true true false false true true true true true true false false false IN X Gregg Ferlin 2199348249 10010 Donald S Powers Dr 201 Munster IN 46321 Alan Kumar MD Director, Administrator 1.0 42.0 X X 0 815078 28461 Donald P Fesko Vice President 1.0 46.0 X X 0 1730872 57509 Frankie L Fesko President 1.0 13.0 X X 0 101917 0 Gregg Ferlin Treasurer 1.0 44.0 X X 0 722834 39131 Janice Ryba Secretary 1.0 43.0 X X 0 752036 32544 Leo Correa Director 1.0 44.0 X 0 568985 55458 Luis Molina Director (Term 7/8/2022) 1.0 44.0 X 0 654878 41492 Randy Neiswonger Director (START 7/11/2022) 1.0 43.0 X 0 279319 14479 Aamir Badruddin Physician 40.0 0.0 X 1217490 0 48185 Jason Michael Frazier Physician 40.0 0.0 X 1222667 0 45435 Michael Eng MD Physician 40.0 0.0 X 1236054 0 45435 Mohammad Said Shukairy MD Physician 40.0 0.0 X 1164168 0 38651 Wayel Kaakaji MD Physician 40.0 0.0 X 1205767 0 43261 6046146 5625919 490041 254 false true false 0 0 0 0 0 411645 0 0 411645 NET PATIENT SERVICE REVENUE 621110 136981112 136981112 0 0 PHYSICIAN LEASE TO FQHC 621110 10151992 10151992 0 0 Intercompany Insurance Revenue 524126 1970383 1970383 0 0 OCC HEALTH 621110 1677230 1677230 0 0 INTERCOMPANY CALL COVERAGE 621300 365000 365000 0 0 50722 50722 0 0 151196439 18679 0 0 18679 0 0 0 0 0 0 0 0 278943 0 0 0 278943 0 278943 0 0 278943 0 500 0 0 0 500 500 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Billing Fee Revenue 518210 796992 0 796992 0 Quality Care Incentive 621110 109782 109782 0 0 Bariatric Program Revenue 621300 91896 91896 0 0 5243 5243 0 0 1003913 152910119 151403360 796992 298122 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 131123340 120104318 11019022 0 3142346 2878277 264069 0 9609971 8802392 807579 0 6588636 6034956 553680 0 186250 0 186250 0 657584 0 657584 0 26125 0 26125 0 0 0 0 0 0 0 0 0 0 0 22569780 21298731 1271049 0 349714 258594 91120 0 2044082 1587964 456118 0 61579 49248 12331 0 0 0 0 0 4334044 4067642 266402 0 425295 380440 44855 0 0 0 0 0 102911 91438 11473 0 0 0 0 0 0 0 0 0 868657 721466 147191 0 3986246 3651260 334986 0 ALLOCATION TO SUBS -47556285 -43559866 -3996419 0 Medical Supplies 8515805 8515805 0 0 Bad debt 2946949 2946949 0 0 INSURANCE CLAIMS 1469460 1469460 0 0 1795840 1130963 664877 0 153248329 140430037 12818292 0 0 0 0 0 0 0 14996 4625663 0 0 10892878 9542294 0 0 0 0 0 0 0 0 256483 336389 13479952 8486222 5492037 4993730 0 0 0 0 0 0 12403716 11930997 29060110 31429073 16914311 12864384 0 0 0 -5 0 0 0 0 0 0 0 0 0 0 9036496 9994157 25950807 22858536 X 3109303 8570537 0 0 0 0 0 0 0 0 3109303 8570537 29060110 31429073 X -338210 5799444 X X false true X true true false X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 11598 2121119 931290 289196 411645 3764848 112808953 122193954 137710262 146099199 151196439 670008807 0 0 0 112820551 124315073 138641552 146388395 151608084 673773655 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 673773655 264702 310244 229769 341317 297622 1443654 0 264702 310244 229769 341317 297622 1443654 183535 490823 674358 426728 503537 236123 182079 206921 1555388 113511981 125128854 139107444 147095326 152603450 677447055 0.9946 0.9949 0 0.0 X 0 0 0 0 0 0 Schedule A, Part III, Line 12 Other Income DESCRIPTION - QUALITY CARE INCENTIVE, COLUMN A - 199963.0, COLUMN B - 347394.0, COLUMN C - 148798.0, COLUMN D - 113458.0, COLUMN E - 109782.0, COLUMN F - 919395.0; DESCRIPTION - BARIATRIC PROGRAM REVENUE, COLUMN A - 43930.0, COLUMN B - 41866.0, COLUMN C - 46150.0, COLUMN D - 42916.0, COLUMN E - 91896.0, COLUMN F - 266758.0; DESCRIPTION - ALL OTHER, COLUMN A - 150245.0, COLUMN B - 87047.0, COLUMN C - 34875.0, COLUMN D - 25705.0, COLUMN E - 5243.0, COLUMN F - 303115.0; DESCRIPTION - PHYSICALS, COLUMN A - 32590.0, COLUMN B - 27230.0, COLUMN C - 6300.0, COLUMN D - 0.0, COLUMN E - 0.0, COLUMN F - 66120.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 4091909 1827406 2264503 3422697 2141709 1280988 5958754 4517107 1441647 6592 0 6592 4993730 OA INVESTMENT - INSURANCE CO 2700000 Right of Use Asset 2645329 Legal Claims Receivable 2044579 3rd Party Receivable 1406622 Other AR 3134467 11930997 Legal Claims Liab 5090930 Operating Lease Liab 2645329 Other Liability 2257898 9994157 false false false false false false false true false Alan Kumar MD Director, Administrator 0 609555 0 193213 0 12310 0 13725 0 14736 0 843539 0 0 Donald P Fesko Vice President 0 991881 0 520782 0 218209 0 13725 0 43784 0 1788381 0 0 Gregg Ferlin Treasurer 0 448101 0 239741 0 34992 0 13725 0 25406 0 761965 0 0 Janice Ryba Secretary 0 440478 0 216895 0 94663 0 13725 0 18819 0 784580 0 0 Leo Correa Director 0 402058 0 152985 0 13942 0 13725 0 41733 0 624443 0 0 Luis Molina Director (Term 7/8/2022) 0 453524 0 147879 0 53475 0 13645 0 27847 0 696370 0 0 Randy Neiswonger Director (START 7/11/2022) 0 252084 0 0 0 27235 0 0 0 14479 0 293798 0 0 Michael Eng MD Physician 1215812 0 0 0 20242 0 11438 0 33997 0 1281489 0 0 0 Mohammad Said Shukairy MD Physician 1142858 0 0 0 21310 0 13725 0 24926 0 1202819 0 0 0 Wayel Kaakaji MD Physician 1168824 0 34621 0 2322 0 13725 0 29536 0 1249028 0 0 0 Jason Michael Frazier Physician 1222127 0 0 0 540 0 11438 0 33997 0 1268102 0 0 0 Aamir Badruddin Physician 1146450 0 50000 0 21040 0 11438 0 36747 0 1265675 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES AND PHYSICIANS. Schedule J, Part I, Line 3 USED TO ESTABLISH COMPENSATION OF ORG. CEO/EXEC. DIR. COMMUNITY CARE NETWORK, INC. FOLLOWS ITS PARENT, (CFNI), COMPENSATION POLICIES. THE CFNI BOARD HAS ADOPTED AN EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS. Form 990, Part VI, Line 15 PROCESS TO DETERMINE OFFICER & KEY PERSON COMPENSATION THE CFNI BOARD HAS ADOPTED EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SOURCES AND UPDATED ANNUALLY. THE MOST RECENT UPDATE OCCURRED IN MAY 2023. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons FRANKIE FESKO - Family relationship, DONALD P. FESKO - Family relationship Form 990, Part VI, Line 6 Classes of members or stockholders MUNSTER MEDICAL RESEARCH FOUNDATION, INC., ST. CATHERINE HOSPITAL, INC., AND ST. MARY MEDICAL CENTER, INC. ARE THE EQUAL MEMBERS OR STOCKHOLDERS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body MUNSTER MEDICAL RESEARCH FOUNDATION, INC., ST. CATHERINE HOSPITAL, INC., AND ST. MARY MEDICAL CENTER, INC. ARE EQUAL MEMBERS OF COMMUNITY CARE NETWORK, INC. AND HAVE CONTROL TO ELECT MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders MUNSTER MEDICAL RESEARCH FOUNDATION, INC., ST. CATHERINE HOSPITAL, INC., AND ST. MARY MEDICAL CENTER, INC. ARE EQUAL MEMBERS OF COMMUNITY CARE NETWORK, INC. AND HAVE RIGHTS TO APPROVE DECISIONS MADE BY COMMUNITY CARE NETWORK, INC. POWER OF MEMBERS THE EXCLUSIVE AND SOLE POWERS OF THE MEMBERS SHALL BE TO: -APPROVE CONTRACTS AND TRANSACTIONS IN WHICH A MEMBER OF THE BOARD OF DIRECTORS HAS A FINANCIAL INTEREST (I.C. 23-17-13-2); -APPROVE ANNUAL BUDGETS; -INDEMNIFY OFFICERS, EMPLOYEES AND AGENTS OF CORPORATION (I.C. 23-17- 16-13); -AMEND THE ARTICLES OF INCORPORATION IF REQUESTED BY RESOLUTION OF THE BOARD OF DIRECTORS AND APPROVE AMENDMENTS TO THE BY-LAWS PROPOSED BY RESOLUTION OF THE BOARD OF DIRECTORS; -APPROVE A PLAN OF MERGER OF CORPORATION WITH ANOTHER CORPORATION; -SELL OR OTHERWISE TRANSFER AND DISPOSE PROPERTY OTHER THAN IN THE USUAL OR REGULAR COURSE OF BUSINESS; AND -DISSOLVE CORPORATION, IF RECOMMENDED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS SUBMITTED TO THE SENIOR VP AND SYSTEM CFO FOR REVIEW, ONCE THIS REVIEW IS COMPLETE THE RETURNS ARE THEN PRESENTED TO SENIOR LEADERSHIP FOR REVIEW. THE 990 IS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM BEFORE IT IS POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy AS PART OF THE ORGANIZATION'S ANNUAL MONITORING & ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VP OF CORPORATE COMPLIANCE AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. RESTRICTIONS ON MEMBERS WITH A CONFLICT - MEMBERS WITH A CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DELIBERATION AND MUST ABSTAIN FROM THE VOTE. Form 990, Part VI, Line 19 Required documents available to the public COMMUNITY CARE NETWORK, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, COMMUNITY CARE NETWORK, INC., THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE. Form 990, Part VIII, Line 2f Other Program Service Revenue COPY FEE - Total Revenue: 50722, Related or Exempt Function Revenue: 50722, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue All Other Revenue - Total Revenue: 5243, Related or Exempt Function Revenue: 5243, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees MEDICAL SERVICES - Total Expense: 19969802, Program Service Expense: 19969802, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER - Total Expense: 2599978, Program Service Expense: 1328929, Management and General Expenses: 1271049, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO/FROM RELATED ORGS - 3617609; INTERCOMPANY TRANSFERS - 2181835; Form 990, Part XII, Line 3b Reason organization did not undergo required audit COMMUNITY CARE NETWORK, INC. WILL UNDERGO A SINGLE AUDIT FOR THE 6/30/23 TAX YEAR DURING THE TAX YEAR ENDING 6/30/24. COMHS RISK RETENTION GROUP LLC IC 5535 WISCONSIN AVE STE 440 Washington DC 20015 871124592 INSURANCE DC 1970383 4705254 CCN COMMUNITY FOUNDATION OF NW INDIANA INC 10010 DONALD S POWERS DR 201 MUNSTER IN 46321 311128781 SUPPORTING ORG IN 501(c)(3) NA false MUNSTER MEDICAL RESEARCH FNDN INC 901 MACARTHUR BOULEVARD MUNSTER IN 46321 351107009 HOSPITAL IN 501(c)(3) 3 CFNI false ST CATHERINE HOSPITAL INC 4321 FIR STREET EAST CHICAGO IN 46312 351738708 HOSPITAL IN 501(c)(3) 3 CFNI false ST MARY MEDICAL CENTER INC 1500 S LAKE PARK AVENUE HOBART IN 46342 352007327 HOSPITAL IN 501(c)(3) 3 CFNI false COMMUNITY CANCER RESEARCH FNDN INC 901 MACARTHUR BOULEVARD MUNSTER IN 46321 352146374 CANCER FUNDR IN 501(c)(3) 7 MMRF true COMMUNITY VILLAGE INC 10000 COLUMBIA AVENUE MUNSTER IN 46321 351956395 RETIREMENT HOME IN 501(c)(3) 10 CFNI false CVPA HOLDING COMPANY 1040 RIDGE ROAD MUNSTER IN 46321 351938136 TITLE HLDG CO IN 501(c)(2) CFNI true THEATRE AT THE CENTER INC 1040 RIDGE ROAD MUNSTER IN 46321 351939427 PLAYS & ARTS IN 501(c)(3) 10 CFNI false COMMUNITY STROKE & REHAB CTR INC 905 RIDGE ROAD MUNSTER IN 46321 820854709 REHAB IN 501(c)(3) 3 CFNI true COMMUNITY HEALTHCARE PTNRS ACO INC 905 RIDGE ROAD MUNSTER IN 46321 821583355 ACO IN 501(c)(3) 10 CFNI false COMMUNITY RESOURCES INC 905 RIDGE ROAD MUNSTER IN 46321 351727711 MANAGEMENT SERVICES IN CFNI C Corporation 0 0 0 true COMMUNITY HEALTHCARE PARTNERS LLC 905 RIDGE ROAD MUNSTER IN 46321 472012011 CLINICAL INTG IN CFNI C Corporation 0 0 0 true false false false false false false false false true false true false false false true true true false false Community Stroke & Rehabilitation Center Inc K 72000 FMV COMMUNITY STROKES & REHABILITATION CENTER INC Q 267327 FMV