2017-04-27T23:08:39-05:00 2016-06-30 351178661 Blue & Co LLC 500 N Meridian St Suite 200 Indianapolis IN 46204 990 2015-07-01 350811197 Fairbanks Hospital Inc FAIR 3178498222 8102 Clearvista Parkway Indianapolis IN 46256 Janine R Shopp Vice President and CFO 3178498222 2017-04-27 1 Amber Kocher CPA P01286298 3176334705 2017-04-26 2015 2021-01-29 14:40:06Z BARBARA ELLIOTT 8102 Clearvista Parkway Indianapolis IN 46256 24511856 0 X www.fairbankscd.org X 1946 IN NONPROFIT ORGANIZATION FOCUSED ON RECOVERY FROM ALCOHOL AND OTHER DRUG PROBLEMS. 15 14 398 268 0 0 838774 525943 21402252 22000186 153924 126046 1537192 1755232 23932142 24407407 385709 360000 0 0 15059101 16200484 0 0 234479 7248761 7825336 22693571 24385820 1238571 21587 28648402 28161251 2436725 2118484 26211677 26042767 X FAIRBANKS IS A NONPROFIT ORGANIZATION FOCUSED ON RECOVERY FROM ALCOHOL AND OTHER DRUG PROBLEMS, SERVING AS A RESOURCE TO IMPROVE THE WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITIES BY OFFERING HOPE AND SUPPORT THROUGH ITS PROGRAMS AND SERVICES. 0 0 9456421 0 10581686 ADULT INPATIENT SERVICES CONSISTING OF DETOXIFICATION, REHABILITATION AND RESIDENTIAL SERVICES. THE DETOXIFICATION PHASE IS A MEDICALLY MANAGED LEVEL OF CARE WHERE THE EXTENT OF THE PATIENT'S ADDICTION IS DETERMINED AND THE PHYSICAL AND PSYCHOLOGICAL IMPACT OF THAT ADDICTION IS ASSESSED AND THE APPROPRIATE TREATMENT COURSE IS INITIATED. FOR THE CURRENT FISCAL YEAR, FAIRBANKS HOSPITAL HAD 10,464 ADULT DETOX PATIENT DAYS.THE REHABILITATION PHASE OCCURS WHEN FURTHER INPATIENT STABILIZATION/TREATMENT IS NEEDED AND REQUIRES CONTINUED MEDICAL SUPERVISION. THE TREATMENT PROCESS IS MULTI-DISCIPLINARY AND GROUP ORIENTED. FOR THE CURRENT FISCAL YEAR, THE HOSPITAL HAD 2,241 ADULT REHAB PATIENT DAYS. THE RESIDENTIAL PROGRAM IS FOR THE PATIENT WHO REQUIRES A RESTRICTIVE ENVIRONMENT TO ABSTAIN FROM USING BUT WHO IS MEDICALLY STABLE. THE PATIENT PARTICIPATES IN NO LESS THAN FOUR HOURS OF THERAPY DAILY AND NURSING CARE IS PROVIDED, IF NEEDED. FOR THE CURRENT FISCAL YEAR, THE HOSPITAL HAD 1,976 ADULT RESIDENTIAL PATIENT DAYS. 3022572 0 3382243 Adult Outpatient Services Program consisting of Partial Hospitalization (PHP) and Intensive Outpatient Program (IOP). The PHP program is six to seven hours per day Monday through Friday and is a multi-disciplinary and group oriented treatment program. It will contain evaluation and education. It allows the patient to experience life on the "outside" while being involved in a very intense level of treatment. For the current fiscal year, the Hospital had 7,663 PHP visits.IOP is available to those whose addiction is not so severe as to require inpatient or PHP services. The patients must demonstrate the ability to remain drug-free during the entire treatment course and indicate a willingness to become involved in a 12-step program. IOP patients generally meet for three hours, three times per week. IOP offers education and group therapy. For the current fiscal year, the Hospital had 10,068 visits. 982526 0 1099441 Adolescent Inpatient Services consisting of Detoxification, Rehabilitation, and Residential Services. The Detoxification phase is a medically managed level of care where the extent of the patient's addiction is determined and the physical and psychological impact of that addiction is assessed and the appropriate treatment course is initiated. Adolescent guidance specialists are members of the treatment team. During this phase of care, various multi-disciplinary evaluations are completed. Families and other support individuals (school, probation, caseworkers, etc) are involved. For the current fiscal year, Fairbanks Hospital had 348 Adolescent Detox Patient Days.The Adolescent Rehab Phase is for patients needing further inpatient stabilization/treatment and requires medical supervision. This treatment process is multi-disciplinary and group oriented. An important part of the program includes family members of the patient. For the current fiscal year, the Hospital had 504 adolescent rehab patient days.The Residential Phase is for adolescents in need of stabilization and treatment. Treatment is multi-disciplinary and group-oriented. Adolescents receive information on developing social skills, communication, how to gain internal control over feeling, how to deal with anger, how to deal with peer pressure, and other development needs. For the current fiscal year, the Hospital had 1,536 adolescent residential patient days. 6395995 360000 7157084 Other Program Services include: Young Adult Inpatient Services and Adolescent Outpatient Services.Young Adult inpatient services consisting of detoxification, rehabilitation, and residential services for males between the ages of 19-23. The detoxification phase is a medically managed level of care where the extent of the patient's addiction is determined and the physical and psychological impact of that addiction is assessed and the appropriate treatment course is initiated. Young Adult guidance specialists are members of the treatment team. During this phase of care, various multi-disciplinary evaluations are completed. Families and other support individuals (school, probation, caseworkers, etc) are involved. For the current fiscal year, Fairbanks Hospital had 1,511 Young Adult detox patient days.The Young Adult rehab phase is for patients needing further inpatient stabilization/treatment and require medical supervision. This treatment process is multi-disciplinary and group oriented. An important part of the program includes family members of the patient. For the current fiscal year, the Hospital had 426 Young Adult rehab patient days.The residential phase is for Young Adults in need of stabilization and treatment. Treatment is multi-disciplinary and group oriented. Young Adults receive information on developing social skills, communication, how to gain internal control over feeling, how to deal with anger, how to deal with peer pressure, and other development needs. For the current fiscal year, the Hospital had 1,575 Young Adult residential patient days.Adolescent outpatients services program served 931 PHP visits and 1,591 IOP visits during the current fiscal year. Young Adult outpatient services program served 1,606 PHP visits and 1,643 IOP visits during the current fiscal year. Adult halfway house served 583 patient days during the current fiscal year. Fairbanks Hospital provided 3,356 patient days at Laverna Lodge for Men,1,645 patient days at Laverna Lodge for Women, and 32,035 patient days at supported living facilities during the current fiscal year. 6395995 360000 7157084 19857514 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 45 0 1 398 1 0 0 0 0 0 1 1 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IN X Janine R Shopp 3175729387 8102 Clearvista Parkway Indianapolis IN 46256 X Faraz Abbasi Chairman 1.00 0.00 X X 0 0 0 Tom Flowers Vice Chair 1.00 0.00 X X 0 0 0 Kevin Murphy Treasurer 1.00 0.00 X X 0 0 0 Carol Brown Lukemeyer Secretary 1.00 0.00 X X 0 0 0 Patrick Carr Board Member 1.00 0.00 X 0 0 0 David Corbitt Board Member 1.00 0.00 X 0 0 0 Marissa Manlove Board Member 1.00 1.00 X 0 0 0 William McKay II Board Member 1.00 1.00 X 0 0 0 Ann Merkel Board Member 1.00 0.00 X 0 0 0 Beverly Pitts Board Member 1.00 0.00 X 0 0 0 John Ryan Board Member 1.00 0.00 X 0 0 0 Karl Stout Board Member 1.00 0.00 X 0 0 0 Adrienne Takacs Board Member 1.00 0.00 X 0 0 0 Ronda Shrewsbury Weybright Board Member 1.00 0.00 X 0 0 0 Senator Pat Miller Board Member Term End Sept 2015 1.00 0.00 X 0 0 0 John Wantz Board Member Term End May 2016 1.00 0.00 X 0 0 0 Kent Brown President/CEO 38.40 1.60 X X 159072 0 5251 Barbara Elliot Vice President/CFO 36.00 4.00 X 191473 0 34392 Dr Darrin Mangiacarne Medical Director 40.00 0.00 X 145654 0 10169 Dr Andrew Sonderman Physician 40.00 0.00 X 241613 0 37700 Deborah Redd Physician 40.00 0.00 X 149279 0 18054 SHARON BAKER Director of Support Servic 40.00 0.00 X 118484 0 15784 Robin Parsons CCO 40.00 0.00 X 106041 0 24169 Mark Monson Former CEO 0.00 0.00 X 150487 0 0 1262103 0 145519 8 1 1 0 Sodexo Inc & Affiliates 4880 Paysphere Circle Chicago IL 60674 Food Service Management and staffing 1030215 Abbaspour Inc 7320 E 82nd St Indianapolis IN 46256 Pharmacy Services 353542 South Bend Medical Foundation PO Box 2030 Mishawaka IN 46546 Lab Services 327246 Community Health Network 8180 Clearvista Pkwy Indianapolis IN 46256 IT Services 316508 FA Wilhelm Construction Compabny PO Box 516 Indianapolis IN 46206 Construction Services 279488 6 64722 461221 525943 Patient Service Revenue 621300 22000186 22000186 22000186 136451 136451 144600 0 144600 144600 144600 10405 -10405 -10405 -10405 118154 64722 94044 24110 24110 Assisted Living Program 624229 868448 868448 Gift Shop & Cafeteria Revenue 624100 70913 70913 647161 75668 571493 1586522 24407407 22220454 0 1661010 X 360000 360000 735053 250031 485022 11455345 9694680 1616159 144506 363615 307728 51300 4587 2698576 2254855 410131 33590 947895 802206 133732 11957 101832 101832 66565 66565 32865 32865 2834159 1992724 829895 11540 424914 395707 29091 116 252634 195628 56212 794 1296428 1235437 60991 51066 48117 2074 875 99430 70282 24298 4850 14137 13040 1097 1153734 1067432 86302 313941 246203 67738 Supplies 665859 635140 26349 4370 Equipment Maintenance a 151966 140803 11163 Printing and Publicatio 41567 10696 21769 9102 Postage and Shipping 22402 11354 8741 2307 301837 92586 204463 4788 24385820 19857514 4293827 234479 610552 722783 4869137 4945166 532 5565 4166705 3915994 620281 644123 24276115 11282758 13279830 12993357 4978544 4741793 122821 192470 28648402 28161251 1661531 1462824 121878 23050 408211 361500 245105 271110 2436725 2118484 X 26000614 25803519 211063 239248 26211677 26042767 28648402 28161251 X 21587 65156 -255653 X X 0 1 X 1 0 X SCHEDULE A, PART I, LINE 3: Fairbanks Hospital, Inc. has been determined by the IRS to be a public charity under IRS code section 170(b)(1)(A)(iii). Per Schedule H instructions only organizations that operate at least one facility that is, or is required to be, licensed, registered, or similarly recognized by a state as a hospital is required to complete this schedule. Fairbank Hospital, Inc. is a private mental health institution and certified as an addictions service provider. Fairbanks Hospital is not licensed by the Indiana State Department of Health as a hospital, but is recognized by the Centers for Medicaid and Medicare as an acute care hospital. The completion of Schedule H is not required; however, Fairbanks' management has decided to complete Schedule H to provide information to the community regarding its financial assistance, community benefits, and facility information. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 949663 324621 260850 1013434 861341 434001 345679 949663 898546 405239 442444 861341 924344 2368777 2394575 898546 873382 440636 429 390103 924344 0.76390 0.23610 0 0 781388 781388 15562839 6556853 9005986 7931888 4725905 3205983 12993357 Estimated third party settlements 271110 271110 X 24566607 65156 94044 159200 24407407 0 24407407 24479864 94044 94044 24385820 0 24385820 Part V, Line 4: Temporarily restricted net assets are those assets whose use has been limited by donors for a specific operating or capital purpose. Board designated funds are set aside by the Board for specific purposes including charity care. Part X, Line 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by Fairbanks and the School and recognize a tax liability if Fairbanks or the School 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 Fairbanks and the School, and has concluded that as of June 30, 2016 and 2015, 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. Part XI, Line 2d - Other Adjustments: Fundraising Event Activity 94,044. Part XII, Line 2d - Other Adjustments: Fundraising Event Activity 94,044. Circle of Hope Dinner 156285 46931 109354 1596 20954 35216 5691 17869 Alumni Golf Outing 26591 17791 8800 50 9911 2757 182876 64722 118154 1646 30865 35216 5691 20626 94044 24110 1 1 0 1 X 0 1 0 1 0 1140720 1140720 0.04680 3694527 3463415 231112 0.00950 4835247 3463415 1371832 0.05630 1169595 6324 1163271 0.04770 3009 3009 0.00010 1172604 6324 1166280 0.04780 6007851 3469739 2538112 0.10410 1 2457463 0 3018626 2412860 605766 X 1 1 1 1 FAIRBANKS HOSPITAL INC 8102 Clearvista Parkway Indianapolis IN 46256 www.fairbankscd.org X Licensed Private Mental Health Institution FAIRBANKS HOSPITAL INC 1 0 0 1 X X X X X X X X 15 1 0 0 1 X http://www.fairbankscd.org X X 1 12 1 See Part V, Page 7 0 0 1 X 0.000000000000 250.000000000000 X X X 1 1 X X X X 1 X http://www.fairbankscd.org/wp-content/uploads/f-7-charity-care.pdf X http://www.fairbankscd.org/wp-content/uploads/f-7-charity-care.pdf X http://www.fairbankscd.org/programs/category/cost-and-insurance/ X X X X 1 X 0 X X X X 0 X X X 0 0 FAIRBANKS HOSPITAL, INC Part V, Section B, Line 5: In conducting its most recent CHNA the hospital took into account input from persons who represented the community it served including those with special knowledge through four focus groups. The groups were determined through discussion with academic and healthcare experts who have knowledge of the substance impacted population in the Indianapolis metropolitan area. The first group consisted of addiction service providers for low income and minority populations and community stakeholders from the state criminal justice department, task force on drug free Marion County, halfway houses, primary medical care coalition, and Employee Assistance Programs. Adolescents attending the recovery high school comprised the second group; family members of those who received addiction treatment services were in the third group, and the fourth group consisted of adult patients who had successfully completed inpatient treatment. Focus group questions included identification of strengths and weaknesses in the addiction treatment system, barriers to services, gaps in services, and recommendations for the system of care. FAIRBANKS HOSPITAL, INC Part V, Section B, Line 7d: THE HOSPITAL FACILITY'S CHNA IS AVAILABLE TO THE PUBLIC ON THE HOSPITAL'S WEBSITE AT WWW.FAIRBANKSCD.ORG UNDER "ABOUT US AND CLICK ON "COMMUNITY NEEDS ASSESSMENT OR ENTER THE FOLLOWING WEB ADDRESS INTO THE BROWSER: https://www.fairbankscd.org/wp-content/uploads/community-needs-assessment-ppt.pdf FAIRBANKS HOSPITAL, INC Part V, Section B, Line 11: The hospital facility identified nine significant needs in its 2012 implementation strategy. The hospital facility has addressed all nine of the needs during the three tax years 2013 - 2015. See additional information posted to the website address: http://www.fairbankscd.org/wp-content/uploads/community-needs-assessment-2013.pdfThe hospital facility completed a CHNA as of 6/30/16 and has identified six significant needs it will address in its next three year implementation strategy that will cover the tax years 2016 - 2018. FAIRBANKS HOSPITAL, INC Part V, Section B, Line 16i: Financial Assistance Policy can be found at www.fairbankscd.org under "Cost and Insurance" under "Our Programs". FAIRBANKS HOSPITAL, INC Part V, Section B, Line 22d: INDIVIDUALS QUALIFYING FOR CHARITY CARE WILL RECEIVE A REDUCTION TO CHARGES CALLED A CHARITY CARE WRITE-OFF DETERMINED BY CRITERIA LISTED IN THE CHARITY CARE POLICY WHICH PROVIDES FOR A 50%, 60%, OR 70% REDUCTION IN CHARGES. 3 1 - LAVERNA LODGE 8102 Clearvista Parkway Indianapolis IN 46256 Drug & Alcohol Residential Rehab - Separate LOCATION FOR MEN & WOMEN 2 - Supported Living Program 8102 Clearvista Parkway Indianapolis IN 46256 Adult Halfway House & Drug & Alcohol Supported Living 3 - PlainField Addictions Treatment Facility 6100 Clarks Creek Rd Ste 102 104 Plainfield IN 46168 outpatient Center Part I, Line 7: Fairbanks uses the IRS Worksheets provided in the Instructions for Form 990, Schedule H to calculate a single cost to charge ratio which is applied to the charges for financial assistance and other benefits to provide amounts at cost. Part I, Ln 7 Col(f): Effective July 1, 2012, Fairbanks adopted Accounting Standards Update (ASU)2011-07, Healthcare Entities (Topic 954), "Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Healthcare Entities," which requires certain healthcare entities to present the provision for bad debts relating to patient service revenue as a deduction from patient service revenue in the consolidated statements of operations and changes in net assets rather than as an operating expense. Adoption of this standard has no impact on its financial position, results of operations, or cash flows. Part III, Line 4: Bad Debt Expense Footnote to audited financial statements is located on pages 7 and 8 of the attached audited financial statements under the heading "Allowance for Doubtful Accounts". Part III, Line 8: Medicare allowable costs are calculated by using the ratio of cost to charges. 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, 2016: Hospital Statement of Reimbursable Cost. Part III, Line 9b: When an account is identified as uncollectible, it becomes bad debt. If the financial position of the identified individual's account has been verified as being in a financial position of 250% Federal Poverty Level, the account will be reclassed as charity care. Part VI, Line 2: Fairbanks engaged the services of the Indiana University Center for Health Policy to conduct community focus groups. The groups were determined through discussion with academic and healthcare experts who have knowledge of the substance impacted population in the Indianapolis metropolitan area. Five separate focus groups were developed. The first group consisted of addiction service providers for low income and minority populations; the second group was composed of community stakeholders from the state criminal justice department, task force on drug free Marion County, halfway houses, primary medical care coalition, and Employee Assistance Programs. Adolescents attending the recovery high school comprised the third group; parents of adolescents who had received addiction treatment services were in the fourth, and the fifth group consisted of adult patients who had successfully completed inpatient treatment. Focus group questions included identification of strengths and weaknesses in the addiction treatment system, barriers to services, gaps in services, and recommendations for the system of care. Part VI, Line 3: Those individuals seeking admission to Fairbanks have the opportunity to meet with a financial counselor to determine what resources are available. In addition, an information booklet is given to the families during the admission process which notes that charity care is available. Lastly, signs are visible to patients in the access department where admissions take place. Fairbanks uses the local media to assist in educating the public concerning prevention, intervention and treatment. Also, Fairbanks participates in National Alcohol Awareness Month, Recovery Month community activities, and provides community education through the Susan Li Conference. Part VI, Line 4: FOR THE FISCAL YEAR ENDED JUNE 30, 2016, 20,322 PERSONS WERE SERVED; 59% FROM UNITED WAY OF CENTRAL INDIANA COUNTIES, 24% SURROUNDING COUNTIES, 13% REMAINING INDIANA COUNTIES, AND 4% OUT OF STATE. Part VI, Line 5: The organization furthers its exempt purpose by promoting health of the community through the following: the organization's governing body is comprised of a majority of independent persons who reside in the organization's primary service area. Surplus of funds when available are used to improve the patient care and medical education of the staff; and a percentage of operating income is restricted for patient scholarship funds. Fairbanks uses the local media to assist in educating the public concerning prevention, intervention and treatment. The organization also participates in National Alcohol Awareness Month, Recovery Month community activities and provides community education through the Susan Li Conference. Part VI, Line 6: n/a - organization is not part of an affiliated health care system. 1 HOPE ACADEMY 8102 Clearvista Parkway Indianapolis IN 46256 203094377 360000 Cost Debt Forgiveness General Support 1 Part I, Line 2: There were no cash grant funds greater than $5,000 awarded during the year. Assistance was provided only to a 501(c)(3) public charity for general support. X X X X X 0 0 0 0 0 0 0 0 0 Kent Brown President/CEO 159072 0 0 0 0 0 0 0 5251 0 164323 0 0 0 Barbara Elliot Vice President/CFO 191473 0 0 0 0 0 10335 0 24057 0 225865 0 0 0 Dr Darrin Mangiacarne Medical Director 145654 0 0 0 0 0 0 0 10169 0 155823 0 0 0 Dr Andrew Sonderman Physician 241613 0 0 0 0 0 13660 0 24040 0 279313 0 0 0 Deborah Redd Physician 149279 0 0 0 0 0 0 0 18054 0 167333 0 0 0 Mark Monson Former CEO 150487 0 0 0 0 0 0 0 0 0 150487 0 0 0 Schedule J, Part II Mr. Kent Brown is compensated by Fairbanks Hospital, Inc. for his duties as President/CEO of the Hospital. A portion of his compensation received from Fairbanks Hospital, Inc. is allocated to Hope Academy for duties provided. For FY 2016, 4% of Mr. Brown's hours (83 Annually) or salaries and benefits totaling $6,573 are allocated to Hope Acacdemy. Ms. Barbara Elliott is compensated from Fairbanks Hospital, Inc. for her duties as Vice President and CFO of the Hospital. A portion of her compensation received from Fairbanks Hospital, Inc. is allocated to Hope Academy for duties provided. For FY 2016, 10% of Ms. Elliott's hours (208 Annually) or salaries and benefits totaling $22,587 are allocated to Hope Acacdemy. Form 990, Part VI, Section B, line 11 THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM 990 AND REQUIRED SCHEDULES BY THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND BOARD FINANCE COMMITTEE. EACH VOTING MEMBER OF THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 AT THE BOARD OF DIRECTOR MEETING PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Section B, line 12c The Board members must complete a conflict of interest form annually. Board members who have a potential for conflict must recuse themselves from voting on subjects that might pose a conflict. The Corporate Compliance Officer reviews any potential conflicts that are reported. Form 990, Part VI, Section B, line 15a All current members of the Board of Directors are given a written evaluation form to rate the CEO. All informaiton is then compiled in a final report and presented by the Board Chair to the CEO. For compensation, we compile data provided by our independent auditors from the Indiana Hospital Association, other mental health providers, and NAATP (National Association of Addiction Treatment Providers) to ensure the salary is competitive and reasonable. Members of the executive compensation committee of the Board of Directors meet to discuss and review that data and make a final decision regarding compensation that is then reviewed and approved by the executive committee of the Board of Directors. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND DETAILED FINANCIAL STATEMENT INFORMATION IS AVAILABLE TO THE PUBLIC UPON REQUEST. The audited financial statements are attached to the Form 990 per regulation 1.6033-2(a)(2)(ii)(l)(1). Additionally, SUMMARY FINANCIAL STATEMENT INFORMATION IS AVAILABLE IN THE ANNUAL REPORTS ON THE ORGANIZATION'S WEBSITE. Form 990, Part VII, Section A, Line 1a: Related Organization Hours MR. Kent Brown was COMPENSATED FROM FAIRBANKS HOSPITAL, INC. FOR his DUTIES AS PRESIDENT/CEO OF THE HOSPITAL. A PORTION OF his COMPENSATION RECEIVED FROM FAIRBANKS HOSPITAL, INC. IS ALLOCATED TO HOPE ACADEMY FOR DUTIES PROVIDED. FOR FY 16, 4% MR. Brown'S HOURS (83 HOURS ANNUALLY) OR SALARIES AND BENEFITS TOTALING $6,573 ARE ALLOCATED TO HOPE ACADEMY. Ms. Barbara Elliott is compensated from Fairbanks Hospital, Inc. for FY 16, 10% of her Hours (208 Hours Annually) or salaries and benefits totaling $22,587 are allocated to Hope Academy. Form 990, Part IX, line 11g Purchase Services: Program service expenses 1,992,724. Management and general expenses 829,895. Fundraising expenses 11,540. Total expenses 2,834,159. Form 990, Part XI, line 9: Net Assets Transferred to Hope Academy -255,653. Form 990, Part XI, Line 2c: Audit Oversight The organization utilizes the audit and finance committee of the Board of Directors to oversee the audit procedures and selection of the independent accounting firm. The Recovery High School at Fairbanks Inc dba Hope Academy 8102 Clearvista Parkway Indianapolis IN 46256 203094377 Charter School IN 501(c)(3) Line 2 Fairbanks Hospital Inc 1 0 1 0 1 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 The Recovery High School at Fairbanks Inc dba Hope Academy B 615653 cost THE RECOVERY HIGH SCHOOL AT FAIRBANKS INC DBA HOPE ACADEMY J 144600 cost